Permit A , CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00467
r DEVELOPMENT SERVICES DATE ISSUED: 11/08/1999
- 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 16640 SW 72ND AVE B -10 PARCEL: 2S113AD -01900
SUBDIVISION: ROSEWOOD ACRE TRACTS ZONING: I -L
BLOCK: LOT: 009 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,120.00
Remarks: Fire suppression system
Owner: Contractor:
PACTRUST FIRESTOP CO
15350 SW SEQUOIA PKWY 9384 SW TIGARD ST
STE 300 TIGARD, OR 97223
Ph a
P ND, OR 97223 Phone: 620 -6140 ORIGINAL
Reg #: LIC 00063846
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT BON 10/29/199£ $59.25 99- 319425 Sprinkler Final
5PCT BON 10/29/199E. $4.74 99- 319425
FIRE BON 10/29/199E. $23.70 99- 319425
Total $87.69
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. 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 180 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 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
—
Pemiitee
Signature: # fi inne_Q_-
Issued By: -
Call 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection Permit Application Plan Check# 1 Fe
CITY OF TIGARD Commercial or Residential Recd By •
13125 SW'HALL BLVD. Date Recd 0 2 ,1 dlr
.
TIGARD, OR 97223 Print or Type Date to P.E. / — 'q
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DS /13 '4'�
Permit # G. �Wi 404'1
Called
Job me of Develo ment/Project Type of System (Complete A or B as applicable)
gent lOusiness P RR_/L I
Address Addres rd A.) Sprinkler Wet �e4 Dry ❑
(woo St,J 7Z - � 1l(�AyZ1) ,012.4 q
Name
CTIZ US Standpipes
Owner Ma' ing Address, Hazard Group
5 5 mom 43- eiL1Jwt1 Additional ODD .6e («
C q? Phone Information Density
KO 9-11- - UD , 0 2Li' 4 OV
me Design Area
HZ-C151DA) - /OTETTCDNNtC i
Occupant Mailing Address K. Factor
no(0 5l3 Ta I. to'
City /State Zip Phone A.1) Sprinkler Project Valuation $ c o
— / - 76,4-la D, 0297221 21Z-0 —
Contractor Name B.) Fire Alarm
(Sprinkler or t' ( ✓LeS7DP co
Alarm Company) Mailing Address Submittal Shall Indude Battery Calculations YES ❑
Prior to permit $ 3 Li- 5 1 j -n e A°2h `Sr.
issuance, a City /State Zip Phone Individual Component YES ❑
copy Cut Sheets
of all licenses 1 , D 12.g/7223 (O Zo'(O i (to B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT (, 2 �� r � Project Valuation Subtotal (A & or B) $ 2t .Q
database lU`11(�
Nam -- Permit fee based on valuation
\JOt P J (4. (D1 13tH $ 5 —
zs
Architect Mailing Address C .�, (see chart on back) [
Is3 SD 5 5E i nt �2KW y • 7% Surcharge $ -74
/State Zip Phone
• r 2 ateew � De_
624 -co300 FLS Plan Review 40% of Permit $ 22 �_
Describe work A.) New 0 Addition 0 Alteration}f Repair 0
/
to be done:
TOTAL $ 8-7 4,9
B.) Modification to sprinkler heads only:
1. 1 -10 heads= No plans required Plans required: Submit three sets of plans, including a vicinity map and
2. 11 += Plan review required the location of the nearest hydrant.
1 hereby acknowledge that I have read this application, that the information given is
Number of sprinkler heads: 2 - 0 that I am the owner or authorized agent of the owner, and that plans submitted
Additional Description of Work: are in compliance with Oregon State laws.
Si nature of OwnerlAgent Date
A.) In Existing Building (i New Building ❑ - 1 , � r ;. i / 1 C ( 2-91q 9
Building co t Pe in , am P ne ' /
Data B.) Commercial Residential ❑ /gyp m• ,5 a` ZMORE �3) bZor100/0
FOR OFFICE USE ONLY:
No. of stories: Plat # Map/TL#:
Sq. Ft:
Notes
Occupancy Class Type of Construction
i : \dsts\form s \firesupr. doc 7/2/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST GU? l tV11 -6067-
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP ( gg -/rZi mss'
Date Requested /( ( // `1 (q9 AM PM BLD
Location Mo dw 7?' Suite /3 MEC
Contact Personref4flit / i LdoeLi(( Leo"4 Ph PLM
Contractor Ph SWR
''- I_ � ELC
ILDING Tenant/Owner P,�`t(iL�( -61.v Tit4el&s'vL14-tt
all ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain In N0V t^A 5� � - `• &44- �L
Slab 11.�C(/�� r A-C 1C�O�� SIT
Post & Beam rr JJ f� '
Ext Sheath /Shear Tz& TO
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fir-
- > . .. -r _
..r- .
Susp'd Ceilin•
Misc:
Fi
SS ART FAIL
• P BING -
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date 4 / -- • / / Inspector Li i1 Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
.•C1TY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
• BUP
Date Requested �Z�O / AM PM P5 (444 -DO {07
Location /4 *Vo 5 to 7Z °t1 Suite B -- /D MEC hpitiffliediggl
Contact Person Ph PLM
Contractor Ph SWR
ULDI ; Tenant/Owner r ! LC
Retaining Wall ELR
Footing Access:
Foundation /� FPS
Ftg Drain
� / ! n ' / b SGN
Crawl Drain Inspe
Slab SIT
Post & Beam _
Ext Sheath/Shear
Int Sheatti/Shear -
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
&BING PART _FAIL
.
Post & Beam'
Under Slab
Top Out • -
Water Service
Sanitary Sewer
Rain Drains
Fin -
• PART FAIL
NICAL'1
Post & Beam -
Rough In
Gas Line
Smoke Dampers
'Final
AS PART FAIL
aECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS -PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]- Reinspection fee of $ required before next inspection: Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk
Other Date _ 37/2/ O / Inspector Ext
Final
PASS PART FAIL . DO NOT REMOVE this .inspection record from the job site.