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Permit CITY OF TIGARD DEVE SERVICES PERMIT I PERMIT TF'98 -0453 DATE ISSUED: 10/20/98 PARCEL: 26110AA -00300 SITE ADDRESS...: 14145 SW 105TH AVE SUBDIVISION • ZONING:R -12 BLOCK • LOT • JURISDICTION:TIG 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.:SN .... 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 ?: REQD SETBACKS REQUIRED FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL :Y SMOK DET..: DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 1215 Remarks : Tenant improvement of fire protection system to add 2 dry horizontal sidewall sprinklers. Owner: FEES GEORGE MCELROY & ASSC type amount by date recpt PO BOX 565048 PRMT $ 25.00 DLH 10/20/98 98- 310155 DALLAS TX 75356 SPCT $ 1.25 DLH 10/20/98 98- 310155 Phone #: Contractor: A PROFESSIONAL FIRE SYSTEMS 17273 S STEINER ROAD BEAVERCREEK OR 97004 Phone #: 632 -4353 $ 26.25 TOTAL Reg #..: 004165 -- REQUIRED ACTIONS or INSPECTIONS--- - This permit is issued subject to the regulations contained in the Sprinkler Rough — Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler F i na l applicable laws. 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 sore 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 952-801 -0010 through OAR 952- 00101987. You many obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. Permittee Signature : /yi9 /L& ,/ O7 I sued By: __ +++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ V +++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Fire Protection Permit Application Plan Check # 76/ - 6 3 C-- ITY OF TIGARD Commercial or Residential Rec'd By / 3125 SW HALL BLVD. I G, / Date Recd is / /9 /9� ' IGARD, OR 97223 Print or Type " Date to P.E. /a12D /9P 503) 639 -4171 Ext 304 Incomplete or illegible applications will not be accepted Date to DST Permit # t31,c/' ?d 0 9. ' 3 Called Name of Development/Project Type of System (Complete A or B as applicable) Job T► Cr A Rid i2 E N A t3 - 8,04 E 0 tGA L. Grp . Address Address A.) Sprinkler Wet Dry p i y / 5 5.1,) 1051'" Name Standpipes CryJ Aie E12 yr Ass e. , Hazard Group Owner Mailing Address 5 -6 5o /f Additional -1 � City /State Zip Phone !'o LSD �c Information Density _X../� -r;q - � 73-s5-6 Design Area Name Occupant Mailing Address K. Factor 1-k v City /State Zip Phone Sprinkler Project Valuation $ 12.1520 , COT Business Tax or Metro # Exp. Date B.) Fire Alarm Contractor Name Submittal Shall Include Battery Calculations YES Q (Sprinkler or A PRorESSIPPJAL 'FIR.E ,s?STfi'r -' • Individual Component YES ❑ Alarm Company) Mailing Address Cut Sheets (Prior to permit i 2.3.:s E.I NE R .R.....0 .. issuance applicant City/State Zip Phone Fire Alarm Project Valuation $ must prove all 3 l4ERLKzE K 4, / 00 0 1 �.sz... j357_ e contractors license State Const. Cont. Board Lic.# Exp. Dat Project Valuation Subtotal (A or B) $ information for -7'0 , f , 2• / rO Permit fee based on valuation $ s O COT database). COT Business Tax or Metro # Exp. Date 2 (see chart on back) Name 5% Surcharge $ 1 Architect Mailing Address FLS Plan Review 40% of Permit $ City/State Zip Phone TOTAL $ 2 < PLANS MUST BE SUBMITTED, approved and a permit issued prior to installation. Des lnbe work A.) New 0 Addition . 0 Alteration 0 Repair 0 Three sets of plans and site plan (and vicinity map) required which shows location of to be done: nearest hydrant B.) Basement 0 HoodNent 0 Spray Booth 0 I hereby acknowledge that I have read this application, that he information given is Complete 0 Partial 0 Exitway O correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with Oregon State laws. Additional Description of Work: Sign ure ofer /Ag nt Date A 2 -1 'R '3 14 �r,17EL.�n i:� S>oRr�JK»2 T ��( `- ' �� � Ex ec, - , C,q�Py � ?` - l0 - /S' c> A.) In Existing Building ❑ New Building ❑ Contact Person Name Phone Building 7 R., <1-0 PC n.j r, 3 Z - 1 3 ' 3 3 Data B.) Commercial ❑ Residential ❑ FOR OFFICE USE ONLY: Plat # Map/TL#: No of stories: Sq. Ft: Notes Occupancy Class Type of Construction RECEIVED OCT 1 5 1998 I:\FIRESUPR.DOC (DST) 8/96 1 COMMUNITY DEVELOPMENT 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 1RESUPR.DOC (DST) 8/96 1 CITY OF TIGARD BUILDING INSPECTION DIVISION (V MST 24 Hour.4nspection Line: 639 -4175 Business Line: 639 -4171 WW Buq 9 -co 37 8 Date Requested /,ri/OD AM PM : _ „ q g - C /S ?> Location / 91 Lic / DS " ` Rue- Suite MEC Contact Person Ph PLM Contractor Ph SWR , i �� UILDI Tenant/Owner y�t,�,^-^n 453nw p p &kil Retaining Wall ELR Footing Access: Foundation /� Sth, 4 , iS FP Ftg Drain c1'� J ('(0 j /v5k, w/ �� .tt Crawl Drain Inspection Notes: St N Slab SIT Post & Beam ,/,1 � (, _ k Ext Sheath /Shear Q CSC. ,�(e UP Int Sheath /Shear /� �r Q I� /� }� /�� ., Framing g 17- of • S • /)✓l 1 � ° c� l:/ 4. ` • 1�. � lo(��'�. • Insulation Gj g� O D 4.5 C S L M [c W ") 4 x4/{ii S / Drywall Nailing G ( y t Firewall .,,., efii Sprinkle) Vvw Fire Alarm (� A Q C.M4 ` "" l4 - 13 -4 / 401.6( Susp'd Ceiling Roof 1 c - - A 7 i • 1' Ire i it ' O 1 oral // 40 1•0 < )TI 1 A,S // J PART FAIL PLUMBING r q, - CY 7c C.: l Post & Under Slab 4Iike i g - 06 4c (ii }- A' d /. t -z.,✓3 ..A. Top Out Water Service l S -ClAe -tirS Sanitary Sewer //�� //`` ^ /'� ` . \� Rain Drains �" U� C, "1 � (� C� �./V� ��v Final U LC,"1 S ' U o 1 - 0 �t�l ` 10 4 +.6 U��rv6 s-- 60 0 -2 0 PASS PART FAIL MECHANICAL _ „ Post & Beam - - - ��"� Rough In \ Gas Line /� /� . S •- ' — ('�( Smoke Dampers I E LL-A') - 0 GO � - - -- /t - -- (\ r - d T"s ' c Final , _ I I PASS PART FAI4 L 1 A/l. ' c /�� ■ • a e 1 U t , - r . ELECTRICAL v. Service \ n-e L cK Q ck 7,k 1 6. kl : <L. Rough In UG /Slab i <)J 1 ‹ V A L ,/\ --ic)V 'r'Ck_ -S &- `'��`-�� Low Voltage \---2,e_ (� }� d n i Fire Alarm '�e,� l A�t✓1r--C�C . • `y\ N e /� I (1 Is1) // ` ∎, �� 1, -6 L S i 11 (, r\ (� , \ n \ PA Final SS PART FAI ' A `, _l ©v - S C � n q Y L --- = � Ul m,` SITE Cl — 0 0 4 - 3 ( S ;LL21 ! 7�,/ L'.°-� Backfill /Grading � 1� \ 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 - 7/k - ?/C (. Inspector ".�'( - ' ' - Ext ` ' 1 Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. -T-- lervt-et/IAe-dxf--dV, / ACTIVE CASE: Grp Smry Edit Prcl Name Actn Cond Log -note Fee Doc Tag Misc Xit List related cases in project group # 1388 — BUILDING PERMIT :BUP97 -0059: PROJECT:TIGARD MEDICAL REHAB: TATUS:R : UPD:06/14/97: :JT : PERMITTEE:TIGARD MEDICAL & REHAB %' PRIM..:SIT96 -0046: SITE ADDRESS:14145 SW 105TH AVE JUR...:TIG: — DESCRIPTION OF PROJECT (1) Installing emergency generator and alarm system HOLD C/O ON BUP96 -0389 UNTIL THIS HAS PERMIT IS ISSUED & INSPECTED REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION - CLASS OF WORK.:FPS: FIRST 2510:sf N: : S: : E: : W: : TYPE OF USE...:COM: SECOND...: 0:sf PROTECT OPENINGS? TYPE OF CONST.:5 -1HR: ...: 0:sf N: : S: : E: : W: OCCUPANCY GRP.:I1.2: TOTAL 2510:sf ROOF CONST: : FIRE RET ?: : OCCUPANCY LOAD: 29: BASEMENT.: 0: AREA SEP. RATED: : STOR.: 0: HT..: 0:ft GARAGE...: 0: OCCU SEP. RATED: : BSMT ?: : MEZZ ?: : REQD 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: Osqft PRO CORR: : PARKING: 0: VALU $: 3313: NOTES: 9 ects o37k 6'4'11'r • ACTIVE CASE: Grp Smry Edit Prcl Name Actn Cond Log -note Fee Doc Tag Misc Xit List actions for this case — BUILDING PERMIT 4dd " f ' L ' - ` �� - :BUP96 PROJECT:SUNRIS HEALTHCARE : STATU::F : UPD:06/14/97: :JT : PERMITTEE:SUNRISE HEALTHCARE PRIM..:VAR95 -0015: SITE ADDRESS:14145 SW 105TH AVE a ( UR...:TIG: — DESCRIPTION OF PROJECT (1) Addition of physical therapy rooms and offices to existing structure HOLD C/O FOR ISSUE /INSPECTION OF BUP97 -0059 (GENERATOR) REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION - CLASS OF WORK.:ADD: FIRST 2370:sf N:1HR: S:1HR: E:1HR: W:1HR: TYPE OF USE...:COM: SECOND...: 0:sf PROTECT OPENINGS? TYPE OF CONST.:5 -1HR: ...: 0:sf N: : S: : E: : W: : OCCUPANCY GRP.:I1.1: TOTAL 2370:sf ROOF CONST: : FIRE RET ?: : OCCUPANCY LOAD: 29: BASEMENT.: 0: AREA SEP. RATED: : STOR.: 1: HT..: 0:ft GARAGE...: 0: OCCU SEP. RATED: : BSMT ?: : MEZZ ?: : REQD SETBACKS REQUIRED FLOOR LOAD 0:psf LEFT: 0:ft RGHT: 0:ft FIR SPKL:Y: SMOK DET..: : DWELLING UNITS: 0: FRNT: 0:ft REAR: 0:ft FIR ALRM: : HNDICP ACC:Y: BEDRMS: 0: BATHS: 0: IMP SURFACE: Osqft PRO CORR: : PARKING: 0: VALU $: 245000: NOTES: add area= 2370,new total 27000 add occload 29 0/ 0 L \ vk ;07,\; i 9 V 0 6 l \ � ATTRIBUTES: View Add Change Delete Esc View notes about this parcel — PARCEL :2S110AA 00300 CREATION DATE: / / . — PROPERTY OWNER LEGAL LOT' • :BEVERLY ENT TIGARD CARE CTR LAND VALUE..$: 449740: :BY GEORGE MCELROY & ASSOC INC BLDG VALUE..$: 1234420: PARCEL ATTRIBUTES » Building Dept Action 12/30/98, research on 14145 105th. No — —NOTES (max 254 char) 12/30/98, research on 14145 105th. No final inspections on Bup97 -0378, E1c97 -0079. Bup97 -0059 is "R ". Electrical contractor — UPDATED: 12/30/98 JT » Building Dept Action 12/30/98, research on 14145 105th. No — » Building Dept Action 12/30/98 Issuing any further permits NOTES (max 254 char) 12/30/98 Issuing any further permits as of this date is not recommended. Requested Supervisor respond to either Debbie /Jeanne UPDATED: 12/30/98 JT - » = Special flag 1 Press F10 when done... From: Hap Watkins To: Jeanne Temple Date: Wed, Dec 30, 1998 2:36 PM Subject: Re: Parcel 2S110AA 00300, 14145 SW 105th Ave, Tigard Medical Four outstanding permits, three with no inspections called. Yes, that sounds like one to hold all further permitting until current permits complete. The owner /tennant or management company has to be called and notified. Good call thx hap hap @ci.tigard.or.us (p9 »> Jeanne Temple 12/30 1:07 PM »> Please view my notes in Parcel Attribute and respond to either Debbie or I. Debbie is holding incoming electrical application until further notice. Thanks! 04M D Jeanne Temple /I i' / / .�. City of Tigard Building Division ` 11411/111-1 503 - 639 -4171 ext. 310 ,� J Jeanne(a�CI.TIGARD.OR.US 9" 1 CC: Debbie Adamski