Permit •._ CITY OF TIGARD
,, DEVELOPMENT SERVICES BUILDING PERMIT
W' , .!L 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639.4171
PERMIT ....... ° BUP98 -0 1. ?4
DATE ISSUED: 04/23/98
PARCEL.: 2S 113AD -01 900
SITE ADDRESS.,..: 16640 SW 72ND AVE #B -10
SUBDIVISION - ROSEWOOD ACRE TRACTS ZONING :I –L
BL.00K...........: LOT...... -009 JURISDICTION: TIC;
REISSUE: FLOOR AREAS----- - - - - -- EXTERIOR WALL CONSTRUCTION–
CLASS OF WORK. :FPS FIRST....: 0 sf N: S: E: W:
TYPE OF USE... :COM SECOND...: 0 sf PROTECT OPENINGS?– ---
TYPE OF CONST. :2N .... 0 sf N: S: E: W:
OCCUPANCY GRP. :B TOTAL -- : 0 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: RECD SETBACKS -- -- REQUIRED---__–___ - - - -_-
FLOOR LOAD....: 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM :Y HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE.$: 1500
Remarks: Installing fire alarm
Owner: -------- ._ -- FEES --------- .... ---
PAC TRUST type amount by date recpt
15350 SW SEQUOIA PRMT $ 25.00 B 04/21/98 98-305132
PORTLAND OR 97224 SPCT $ 1.25 B 04/21/98 98- 305132
FIRE $ 10.00 B 04/21/98 98- 305 132
Phone 0: 624 -6300
Contractor:
METRO) SAFETY AND FIRE INC
7055 NE GLISAN
PORTLAND OR 97213
Phone 0: 23 :1 -2999 $ 36.25 TOTAL
Reg #..: 000636
—REWIRED ACTIONS or INSPECTIONS---- - --
This permit is issued subject to the regulations contained in the Fire Alarm :f: ns p __._. .–.. _
Tigard Municipal Cafe, State of Ore. Specialty Codes and all other
applicable lams. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 188 days. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-081-N10 through DAR 952-09181987.
You many obtain a copy of these rules or direct questions to DX
by calling 533)246-1987.
Permittee Signature: en.__ � � M,Q
i� Issued By: '
++f.++++++++++++++++•++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Ca].]. 639 -4175 by 7 :00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Fire Protection Permit Application Plan Check # dJ ‘C-G
CITY OF TIGARD Commercial or Residential Rec'd By fJ
13125 SW HALL BLVD. Date Recd 1 1 - 2 , I -1 K
TIGARD, OR 97223 Print or Type Date to P.E. - 1�
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DS m O O MAN _ Permit # a i
Called
Job Name of Development/Project Type of System (Complete A or B as applicable)
Address Address A.) Sprinkler Wet ❑ Dry ❑
- ,02. q 7ZZ)
Name 7R US % Standpipes
Owner Mailing Address Hazard Group
/S - 350 S•w. JGluoirl Additional
Ci /S w.. Zi Phone Information Density •
r� b, aP_ 9774 1o24Y 7787
• Nam Design $trea
rR(2..CGSio/-.) . a - / tzcA,..F.e
Occupant Mailing Address K. Factor
lo
Ito - V 5uJ• . 7Z—
CityState Zip Phone A.1) Sprinkler Project Valuation $
M A:1-lA i 97zr/ toZO -7131
-
Contractor Name B.) Fire Alarm
(sprinkler or f31 TQ O CAF 4- r-'• R¢. i =NC •
Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES
Prior to permit '70, E G /,sA))
issuance, a City/State Zip Phone Individual Component YES`
cop Cut Sheets
of all licenses e4a+�, 6.. 97zt3 .2..... 9
1`o B.1) Fire Alarm Project Valuation $ 1
are required if State Const. Cont. Board Lic.# Exp. Date t
expired in COT Project Valuation Subtotal (A & or B) $
database (S / / / Z000
Name Permit fee based on valuation $ ZI )3 ,U0
S�'N`"e //Un.0 e (see chart on back) !�
Architect Mailing Address 5% Surcharge $ ,) 2'
City/State Zip ` Phone FLS Plan Review 40% of Permit $
Describe work A.) New 0 Addition Alteration 0 Repair O D p
to be done: TOTAL $ -3 , L ‘
B.) Modification to sprinkler heads only: Plans required: Submit three sets of plans, including a vicinity map and
1. 1 -10 heads= No plans required
2. 11 += Plan review required the location of the nearest hydrant.
I hereby acknowledge that I have read this application, that the information given is
Number of sprinkler heads: correct. that I am the owner or Sut • ed agent of the owner. and that plans submitted
Description of Work: are in compliance with Orego ' t aws.
Additional Des
Ap, t=iK� Al. w� - , 1
a� 1.--.° Y l 3 zr - V' 7t Cotp ee� Lcioot S' Sigicatfire of Owner /Agent a
A.) In Existing Building New Building ❑ MARC_ Ci ( 3 1_ Z� S
Building Contact Person Na Phone
Data B.) Commercial Residential ❑ FOR OFFICE USE ONLY:
No. of stories: Plat # Map/TL#:
Sq. Ft:
2_E ► (361)
Notes •
Occupancy Class Type of Construction
•
is \firesupr.doc .
CITY OF TIGARD
BUILDING PERMIT FEES
TOTAL
• STATE BUILDING
VALUATION OF PERMIT F.L.S. TAX PERMIT
PROJECT FEES (40 %) (5 %) FEES
1 -1500 25.00 10.00 1.25 36.25
1,501-1600 26.50 10.60 1.33 38.43
1,601 -1,700 28.00 11.20 1.40 40.60
1,701 -1,800 29.50 11.80 1.48 42.78
1,801-1,900 31.00 12.40 1.55 44.95
1,901` -2,000 32.50 13.00 1.63 47.13
2,001 -3,000 38.50 15.40 1.93 55.83
3,001 - 4,000 44.50 17.80 2.23 64.53
4,001-5,000 50.50 20.20 2.53 73.23
5,001 -6,000 56.50 22.60 2.83 81.93
6,001 -7,000 62.50 25.00 3.13 90.63
7,001 -8,000 68.50 27.40 3.43 99.33
8,001 -9,000 74.50 29.80 3.73 108.03
9,001- 10,000 80.50 32.20 4.03 116.73
10,001- 11,000 86.50 34.60 4.33 125.43
11,001- 12,000 92.50 37.00 4.63 134.13
12,001- 13,000 98.50 39.40 4.93 142.83
13,001- 14,000 104.50 41.80 5.23 151.53
14,001- 15,000 110.50 44.20 5.53 160.23
15,001- 16,000 116.50 46.60 5.83 168.93
16,001- 17,000 122.50 49.00 6.13 177.63
17,001- 18,000 128.50 51.40 6.43 186.33
18,001- 19,000 134.50 53.80 6.73 195.73
19,001-20,000 140.50 56.20 7.03 203.73
20,001-21,000 146.50 58.60 7.33 212.43
21,001- 22,000 152.50 61.00 7.63 221.13
22,001- 23,000 158.50 63.40 7.93 229.83
23,001-24,000 164.50 65.80 8.23 238.53
24,001- 25,000 170.50 68.20 8.53 247.23
25,001- 26,000 175.00 70.00 8.75 253.75
26,001- 27,000 179.50 71.80 8.98 260.28
27,001- 28,000 184.00 73.60 9.20 266.80
28,001- 29,000 188.50 75.40 9.43 273.33
29,001-30,000 193.00 77.20 9.65 279.85
30,001- 31,000 197.50 79.00 9.88 286.38
31,001-32,000 202.00 80.80 10.10 292.90
32,001- 33,000 206.50 82.60 10.33 299.43
33,001- 34,000 211.00 84.40 10.55 305.95
34,001- 35,000 215.50 86.20 10.78 312.48
35,001-36,000 220.00 88.00 11.00 319.00
36,001- 37,000 224.50 89.80 11.23 325.53
37,001- 38,000 229.00 91.60 11.45 332.05
• firesupr.doc
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104 Ce I t- DI O 77 -- a t cz
CITY OF TIGARD BUILDING INSPECTION N
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
/6q
Date Requested: / 5 — 5 - 9# A.M. P.M. MST:
Location: 10 • _AI a_ _ BUP: C 7 — 0 / 1 Li
Tenant: .?) Q,C,caury 1 ' ' ' Suite: Bldg: 8'10 MEC:
Contractor: Phone: Z-31 - 2-9 9 dg g PLM:
Owner: Phone: `aa.k____. ELC:
ELR:
—ti i SIT:
BUILDING WiTET �!r' n't) PLUMBI MECHANICAL ? r lii ' f(i / " SITE
� i rl ..
Site 'ost/Beam Post/Beam Post/Beam I 'a , a
Sewer /Storm
Footing Roof UndFl/Slab Rough -In 1 Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceil' .. !•a Rain Drain A/C UG Slab att jd
Shear /Sheath /Alm / Crawl/Found Dr Heat Pump Low Volt ` Q ; �/l , tn
Au, • v ... Approved Approved Approved Approved
Appr /Sdwlk • of ■ .I U • ved Not Approved Not Approved Not Approved Not Approved
1 AL FINAL FINAL FINAL FINAL
AN
•
O Call for re' O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: Date: 57 579'i/ Page of