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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2000 -00361 , DEVELOPMENT SERVICES DATE ISSUED: 8/30/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110CD 07600 SITE ADDRESS: 15705 SW 116TH AVE SUBDIVISION: KING CITY NO. 2 ZONING: BLOCK: LOT: JURISDICTION: KIN 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: M TOTAL AREA: 0.00 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: $ 4,491.00 Remarks: Modification of 22 sprinkler heads associated with commercial TI work. Owner: Contractor: TOBIAS INVESTMENT CO GRINNELL FIRE PROTECTION 300 SE SPOKANE ST GRINNELL CORP PORTLAND, OR 97202 5921 N MARINE DR Phone: P9 P hone N2 E203 Reg #: LIC 000632 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough -In PRMT CTR 8/28/00 $77.75 27200000000 Sprinkler Final 5PCT CTR 8/28/00 $6.22 27200000000 FIRE CTR 8/28/00 $31.10 27200000000 Total $115.07 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 itee Signature: `� _ Issued By: Call 639 -4175 by 7 p.m. for an inspection the next business day Fire Protection Permit Application Plan heat* CITY OF TIGARD Commercial or Residential Rec By 13125 SW HALL BLVD. Date Recd - T' \RD, OR 97223 Print or Type Date to P.E. - ?f f� (L.,) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST Permit # **A z'riS y Called ILRI/DR' Job Name of Development/Prolect Type of System (Complete A or B as applicable) G2OCEt.`( oc.AT LLT Address Address A.) Sprinkler Wet g' Dry 0 15 706 S.W. I I (o — Arc . Name Standpipes Owner Mailing Address Hazard Group Additional City/State Zip Phone Information Density Name Design Area Occupant Mailing Address K. Factor City/State Zip Phone A.1) Sprinkler Project Valuation $ , `t ,t `t 91 . 1 Contractor Name B.) Fire Alarm (Sprinkler or Czl? i 1JIJEtJr V% PROTec.T lots Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑ Prior to permit 5921 N. MARINE. DW oe. issuance, a City /State Zip Phone Individual Component YES ❑ Copy TI.AM 1 Ot 9 20 . 8 Cut Sheets of all licenses 7 3 9'9O$ 8 Fire Alarm Project Valuation $ are required if State Const Cont Board tic.* Exp. Date - ed in COT c03 2. 0. 5 3 4- Project Valuation Subtotal (A & or B) $ tabase Name PC4k ARD DEL-L.- Permit fee based on valuation $ (see chart on back) Architect Mailing Address 5% Surcharge 201 SouT4! C4EEAVE. -SUITE 40 3 $ City /State Zip Phone((,2G. ` r9 FLS Plan Review 40% of Permit PASADEIJA, CA. 91101 S78- 118 $ I Describe work A.) New 0 Addition 0 Alteration • Repair 0 TOTAL $ to be dome: 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. I hereby acknowledge that I have read this application, that the iniomiabon given is Number of sprinkler heads: 2- 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: O i Sign lorsi;eent Date A.) I n Existing Building ❑ New Building ❑ �, � ,) 1 ✓(Jl ) . 9 Buildin Contact Pe on Ph Data B.) Commercial ❑ Residential ❑ FOR OFFICE USE ONLY: No. of stones: Plat # MaplTL#: Sq. Ft: Notes Occupancy Class Type of Construction i:'' firesupr.doc AUG - 25 -00 FRII 09:49 AM City of King City FAX:503 639 3771 PAGE 1 (& • KING CIS • • 15300 S.W. 116th Avenue, King City. Oregon 97224.2693 ® Phone: (508) 639 -4082 • FAX (503) 639 -3174 • • • Notice To Contractors Working In King City • Due to an intergovernmental agreement with the City of Tigard, many building related permits for projects in King City are issued and inspected by the City of Tigard. If your permit application DOES NOT REQUIRE PLAN REVIEW; simply complete the appropriate application legibly and submit it to the King City staff. The King City staff will collect all fees and fax the application to the City of Tigard. City of Tigard staff will then create the permit, .issue the permit, and perform inspections: Please indicate on the permit application whether you would like the Tigard staff to call you when the permit is ready for issuance or whether you prefer it to be mailed without any notification. Any incomplete or illegible application will be returned to King City staff for correction and no processing will occur until a complete, legible application is received. If your permit application DOES REQUIRE PLAN REVIEW, this form must be signed by a King City staff person. King City staff will simply: sign this form indicating land use approval. Take this signed form to the City of Tigard Development Services Counter located at 13125 SW Hall Blvd, Tigard, to submit applications and plans. Development Services Technicians are available at 639 -4171 Ext. 304 should you have any,questions concerning submittal requirements. All permit fees grill he assessed and collected at the City of Tigard, The City of King City hereby authorizes applicant to pursue permits at the City of Tigard • Building Department for the following project: � � .t • • located at:,.7,4S ►.J //? • t � King City Represent ve �. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hoof Inspection Line: 639 -4175 Business Line: 639 -4171 • BUP Date Requested ' Z ' 0 / AM' PM BLD Location l c S k) 11 Suite MEC Contact Person Ph PLM Contractor Ph SWR Tenant/Owner � ELC Retaining Wall ELR Footing Acces . Foundation `) . '� 17 �- /� FPS 1 J u J Ftg Drain 41 SGN Crawl Drain Insp Ion of s Slab ( /7 SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing � L� Insulation /3 g y A , © ,7a �� 914. Drywall Nailing / � Fire wall /3k, o3jtt — ,D 3b / F� f�f�" Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: .14013 S PART FAIL PLUMBING 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 5I i V I Inspector /L - �-- -� Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.