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Permit A CITY OF F TIGARD GARD BUILDING PERMIT PERMIT #: BUP1999 -00473 �40Ii 4` DEVELOPMENT SERVICES DATE ISSUED: 11/09/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S135AB -00100 SITE ADDRESS: 10255 SW 90TH AVE SUBDIVISION: TOWN OF METZGER ZONING: R -4.5 BLOCK: LOT: 005 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: El 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 : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 844.00 Remarks: Fire alarm permit for modular classroom. Owner: Contractor: TIGARD TUALATIN SCHOOL DIST ATLAS ELECTRICAL CONTRACTORS SCHOOL DISTRICT 23J ' 4403 SE ROETHE RD 13137 SW PACIFIC HWY MILWAUKIE, OR 96267 TWAD , OR 97223 Phone: 659 -2212 Reg #: SUP 2 581s LIC 1 532 . ELE 3 -2C FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Fire Alarm Insp PRMT DEB 11/05/199 $37.00 99- 319576 Final Inspection PRM2 DST 11/09/199 $13.00 99- 319655 5PCT DST 11/09/199E $4.00 99- 319655 FIRE DST 11/09/199. $20.00 99- 319655 P'• r) I f t ! NA L Total $74.00 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: 1 , / • Issued By: - -. '' Call 639 -4175 by 7 p.m. for an inspection the next business day Fire Protection Permit' Application . , ,r ` /N. CITY OF tIGARD Commercial or Residential Recd : J. ∎ mj 13125 SW HALL BLVD. Dace Reid _ -q TIGARD, OR 97223 Print or Type Date to P.E. / / . 9 (503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DS i________(-4 -'14 Permit # 9 - d 73 S�YS co/ 4a t izci ,' Cr 7; ro i1' Job Name of Development/Project Type of System (Complete A or B as applicable) mP E terer tart „pit,/ Address Address _PX � (� r-> r- A.) Sprinkler Wet ❑ Dry ❑ me Standpipes 7 C d - .t a.QCL,� 1 n Sd taoi Di54-. Owner M In Ad /' y ('� Hazard Group 1 6 � � w(.�Gi 'rit `„� Additional City/State pe- Zip I Phone ! Information Density 7 iay:u n C t12 Name \\ Design Area �1� Pr ler�er� Occupant Mailing Address K. Factor 1 -S, Sci �0 if—e city /State Zip I Phone A.1) Sprinkler Project Valuation Contractor Na 1 ' B.) Fire Alarm (Sprinkler or .1 9 o. C - k.. c_ \ • e Alarm Company) Mailing Addres Submittal Shall Include Battery Calculations YES Da' Prior to permit 4 q 0 � p �. A- � P , irs issuance, a City/State Zip Phone Individual Component YES u copy Cut Sheets of all licenses Mt 1aY3.0 k '11° (i Ci 7207 (059-.a2) "-. B.1) Fire Alarm Project Valuation $ are required if State Const. Cont. Board Uc.# Exp. Date Dr' O , expired in COT 1 S q ( I ? J ` Project Valuation Subtotal (A & or B) $ gr 1 I y Op database J q J L Name ` , , n ^J Permit fee based on valuation G ,`1� ��� 1 `� "�`” �- (see chart on back) $ R J Vv Architect Mailing Ad L ' oZ ?� .� Lo p1Sy1 � ��1 8 r% Surcharge $ a OO c' /Sta a Zi Phone FLS Plan Review 40% of Permit / O or _ l / n�nc.1 Q�4 7 1� �a �f-o n3 $ o 0 ` .... Describe work A.) New B Adilition 0 Alteration 0 Repair O r7 to be done: TOTAL $ 3 Od B.) Modification to sprinkler heads only: - s 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 acknowled that I have read this application, that the i n format i on given is Number of sprinkler heads: '� correct, 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 Owner /Agent Date g 4# �a� 1 115 9 °I A.) In Existing Building ❑ New Building Building �d,� mmercial i� rno ,� � o n Person l iOX n K 2 P� Data ) n s - aa )a Commercial Re sidential ❑ FOR OFFICE USE ONLY: No. of stories: / 1 g � ' r jai - ' • Occcu Clas Type o � f � Co�j struction $ x !. ; �� r 0 - � ,,: .tom _ _..�,... , � _ A; - - • ...... .- ,' _-'� Cn t_JA . LAMO--Mi\-- St.9-- s' 'Iv I S 1■ 1-- " -/IA49- C -10 &_> 02- Wk-1 2 --eb -Ijr4 j$.2 -, .. ji.-i., I,.t_,L t L 10o —al_ b , i : \dsts\forms\firesupr.doc 11/5/98 r S`` .. e i> r ° - � ° '' q . i� {, �„ 3, • = . } , �, t^° �� F _ v � s a� 7' � �, z t a, r _ :.. , '�" � r �"� '¢ � • Y 'te.N'R t V AN31C• i4° :: + �r. ` , ... _ 7;47:-V it*.1. 1'$ .¢.' �. ; t , ' ' ` CIOFTIGARD .. { sn } Xi, i , , .. e l , - - , . m . .-BUILDING > z PERMIT FEES j . ,f . - 'x= TOTAL STATE BUILDING ° VALUATION OF -PERMIT F.L.S. TAX .- < . PERMIT i` PROJECTS '. 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 27,001-2'8,000 184.00 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 i:\dsts\forms\firesupr.doc 11/5/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Lin 39-4171 � // BUP OQ 6 -. / Date Requested // � AM PM f{. B 1, _ .06 4"Z 3 Location / 0 2, SS 96 IlL J Sul MEC Contact Person 'aYI ft Ph _ .1 i zO II?' PLM Contractor Ph • SWR %w� _1 4 &E 'c \q C i' 3 UILD Tenant/Owner i _gy ' `..6,i2 � /► �� �� _ Retaining Wall v • ELI V `9 -00 Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: /; Slab SIT " — 6 00 L41 Post & Beam Ext Sheath /Shear Int Sheath/Shear /��J 6__-1----t-‘ 6__-1----t-‘ Framing , I: �� " l 3 ANA 71--r — Insulation Q � Drywall Nailing `-�' IX A �e- s ¥ c_a e A" - :C Fire wail /� rQ_.S 6'�\ 'c1 CA---- Z Fire Sprinkler � Fire Alarm ) i 1_ © (a /I ( _ 3 4 C C Susp'd Ceiling 0 J �� �vll L S) Roof Vv \ v Q' • li _ S ®-.1 G�>C • !Aim ca. - _ ' - _ w . e �' C r►- • ` - b >— --: PASS PART PLUMBING ._ ..__A -- - Aj ,, :.. - N� _r-� �. Post & Beam Under Slab 41-r t / � kci - O O �,j -e U J -- - Top Out �� Water Service O C-,./i / S V S ik .-e aft rt—S Sanitary Sewer Rain Drains NC. . "_ Final PASS PART FAI� I teNV\ �� Y' MUM111111 ' ^ ^ MECHANICAL 4 iL� a • Post & Beam Ak0 ���'` Rough In cJ I r " ' " \ S S Gas Line � � ��� Smoke Dampers Dam I i �� � Final p t _ . _ _ . J /Pi S _ PASS PART FAIL i\r iJ ELECTRICAL V \ ,, Service 5f4f--zr-\,i f„. - ,_ V� a Rough In Q T UG /Slab 1 \ aA) �r�_1, LA c/v V 1 Low Voltage Fire Alarm Y/ 1 \ A r 1 "\ (--.r. d A. lady .�� �7 ��, Final i 1 &J` i PASS PART FAIL /_ A • SITE 44, Backfill /Grading Sanitary Sewer k C CI ---� ��■/1.� �`�� • Storm Drain & pectiori 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 \ el Other Date \ O Inspector V (A Ext I e l Final PASS PART FAIL DO NOT R OVEithis inspe t� ion record fr the job ite. VJLs�... \ emu �/j SS N c.A- vvvt-->-e-1 , 1____R___-t-\- \ _o___A--zlC CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171. BUP /6159-004K73 Date Requested i( / (q9 AM �� /6159-004K73 PM BLD Location / SO) 7 D Suite MEC Contact Person p ott Ph (4 PLM Contractor __ Ph SWR BUILDING Tenant/Owner A-� &l a -4'14— ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN • Crawl Drain I(lsp pion 0 �_ Slab / C SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ` e C' -1 rl Cet I F/ ` - S S Roof L D w v 0 C l i 4 - Misc: 4 S S' "— Final PASS PART FAIL / PLUMBING 010e--v It (7'l 14 e[ / / J e s i7` !/? Q p 4. 1m i,4 .cj Post & Beam / / Under Slab L° IZ � vox S'� ,g" /` C� �'Yl S -- 4 e_ /99�i/ �f / l�l Top Out / Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final FAIL ECTRICAL P Rough In UG /Slab Low Voltage I RT 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: AIN [ ] Unable to inspect - no access ADA Approach /Sidewalk / . Date //I h Inspector ! Ext Other Final • PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 136 ST 24 -Hour Inspection Line: 639 -4175 / • Business Line: 639 -4171 / f icZ59- �73 Date Requested 11 I AM PM � D Location (Oa . (_) QD' Suite Contact Person Prf (asS t C/ Lt vl V1 Ph (o 59 a'� PLM Contractor / Ph SWR UILDING Tenant/Owner )(J t_ • &lk.0 - 6 ( ELC Reg Wall ELR Footing Access: • Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Fire Alarrri� Susp'd Ceiling Roof Misc: Final PASS PART All / • 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 Other Date 1� ( 1 Inspector \(() ( Ex; Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.