Permit r : 1
CITY OF TIGARD PERMIT
PERMIT #: BUP1999 -00137
a�y'� DEVELOPMENT SERVICES DATE ISSUED: 4/12/99
13125 SW Hall Blvd., Tigard. OR 97223 (5031639 -4171 PARCEL: 2S113AD -01900
SITE ADDRESS: 16640 SW 72ND AVE B -10
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: UNK 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 840.00
Remarks: Modification of 7 sprinkler heads.
Owner: Contractor:
PACIFIC REALTY FIRESTOP CO
15350 SW SEQUOIA PKWY #300 9384 SW TIGARD ST
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: Phone: 620 -6140
Reg #: LIC 00063846
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
FIRE DST 4/12/99 $10.00 99- 314436 Sprinkler Final
PRMT DST 4/12/99 $25.00 99- 314436
5PCT DST 4/12/99 $1.25 99- 314436
Total $36.25
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.
Pe rm i - _
Si ature: �7, . 64 .
Is ued By: , . ,
Pe
Call 639 -4175 by 7 p.m. for an inspection the next business day
„
Fire Protection Permit Application P, check#
CITY OF TIGARD Commercial or Residential R c'd By ,
13125 SW HALL BLVD. Date Recd 4/ - ll
TIGARD, OR 97223 Print or Type Date to P.E.
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST
k ;54 P9�! -alai? Permit # OGl� 194 Dol 3 �
Called
Job Name of Development/Project Type of System (Complete A or B as applicable) •
00 1316,1 r.7 rss paps 1
Address Address ttelo' - t0 Su) - Z a.r IAU enue_ A.) Sprinkler Wet IEK Dry ❑
- 11c -,Avb, tog_ oil
Namq Standpipes
PtC,rOU51 N_ne, =el
Owner Mailing Address Hazard Group
153SO S k.0 StLp1,01A ict)31s3c6 Additional pep /n9A2y
City/State Zip Phone Information Density •
902 u Jb, 02. (503)(0?”( -030D
Name Design Area
V C_ tJ , k7i - Ps '. ON) er - r -
Occupant Mailing Address Oc NE. f342lL t K. Factor
t1Dby0 Su) — 1'2.- ve( e_- - S. to
City /State Zip - Phone A.1) Sprinkler Project Valuation $ g
fir- NPle -ID , IVA -1M - � —
Contractor Name B.) Fire Alarm
(Sprinkler or c Ic .e- ` T .)P
Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑
3
Prior to permit G Is L bJ TtC- ,oR-j S - reeeT
issuance, a City /State Zip Phone Individual Component YES ❑
copy Cut Sheets
of all licenses T(C -,A2D (:)e, i . ci1a23 (5(�3�(oap -lot4D .B.1) Fire Alarm Project Valuation .$
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT (03c6y DI DD Project Valuation Subtotal (A & or B) $ c q
database
Name Permit fee based on valuation $ c,o
�T0\AO 4't. P0m \s1-� (see chart on back) a Architect Mailing Address 5 % Surcharge Witt) SF 91-1-6- envte, g $ l 2s
City/State Zip Ph ne FLS Plan Review 40% of Permit $ 1Dco
Describe work A.) New 0 Addition 0 Alteration O Repair O
to be done: TOTAL l _21
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 neare t hydrant.
1 hereby acknowledge - I = ve read this application, that the information given is
Number of sprinkler heads: correct, that I am the owne •'j- uthorized agent of the owner, and that plans submitted
are in compliance with 0 - • Z tate laws.
Additional Description of Work: l
Si! = ture of O 't . \ /Agent Date ,/ / f
A.). In Existing Building New Building ❑ air 4 ---, � 2#9
Building L� �J rattc . v C nyl S - r Phone
Data 6z -- Data B.) Commercial Residential ❑ FOR OFFICE USE ONLY: (D •
No. of stories: Plat # Map/TO: .
• Sq. Ft:
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 1
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
is \firesupr.doc
F TIGARD BUILDING INSPECTION DIVISION
MST
24- spection Line: 639-4175 Business Line: 639 -4171
69—(1-5`1 BUP
D ate Requested AM PM BLD
Location +••,/ � Suite 17' /0 _ MEC
Contact Person in Ph . ,S I —ZS? PLM
Contractor Ph SWR
IL61 Owner v ELC
Remain ng WaII ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: ceiA � �D,/'
Slab ( SIT
Post & Beam
Ext Sheath/Shear
Int Sheath/Shear ; , ., a . - , I g..1 / ♦ .' , 0 A
l6 Pa '
Framing (7 i e ( .,
Insulation ��� G p �j c �r;3 14 V Drywall Nailing ' �i ' I l 1 -1 — 72 S " 111,4.4-A p '' 5f — �� � T ���
Firewall e ,. . ��: J4 0 1 ( lf�
p
Fire Sprinkler t'' ' di t• -- r a I II I '5 � r .
Fire Alarm C �t,'u.1 / & 6901 • 3 ,Y v l 5 ✓i ✓ JJh2 �S v *`'((t'uS h �t''
Susp'd Ceiling � P , � �
Roof
o. C ✓1aP9g S i31X >q<1 ca , I7`I•(It i lt 0 /
�' '-, " 3 , C 1 '1 c7
L 7-1., 7-1., PART FA � 1 , -- (�bs � �� i' b :S 5 • a - !N a � d f'
PL MBING e . C) )D 04-T
Post & Beam - �� (-4-' I UY c e
Under Slab A L • , . � I� - . "1 b L - t , ' e i , 1..1 0 ;v bYr O Z° i
Top Out V � —
l� 1 Q
Water Service
Sanitary Sewer
Rain Drains
Final ��ii -7^�
PASS PART FAIL lqq 9 -cO[� 0 ] cu, I I q -1 aG l -O0 C� 'T , &U., q8-007/&
MECHANICAL �G C/G t b &_� 99 01 ?zgea.Vl at �1 ' -f�C` e�
Post & Beam / I
Rough In �1 (oi -�ykS )
Gas Line ��
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL 12i H e , e 5 " -, . �, �ot
Rough In
Service � �
UG/Slab /V / /Yl / d '' - 0 00 ? ? WO/ lir
9
Fi Alarm e fIiqgZe- Q' • ' yt<e /Z -
Final
PASS PART FAIL
SITE Oa - Pinata — 'far
BackfilUGrading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA I ,e
Approach /Sidewalk G/
Other Date � p / / Ins Ext
Final
PASS PART FAIL - DO NOT REMOVE this inspection record from the - job site. .