Permit CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP1999 -00300
1 DEVELOPMENT SERVICES DATE ISSUED: 7/27/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 . PARCEL: 1S126DC 03300
SITE ADDRESS: 09900 SW GREENBURG RD 150
SUBDIVISION: LEHMANN ACRE TRACT ZONING: C -P
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: 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:
BEDF:'AS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,036.00
Remarks: Modification of sprinkler heads for TI.
Owner: Contractor:
ATHERTON REALTY PARTNERS BASIC FIRE PROTECTION INC
2100 S WOLF 940 NE LOMBARD ST
DES PLAINES, IL 60018 PORTLAND, OR 97211
Phone: Phone: 285 -1855
Reg #: LIC 000486
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT DEB 7/2/99 $25.00 5787 Sprinkler Final
FIRE DEB 7/2/99 $10.00 5787
5PCT DEB 7/2/99 $1.25 5787 ORIGINAL
Total $36.25
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
c
Peritee
m
Signature: p ((Ca / / I
Issued By: 6,_ , �--
Call 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection Permit Application Plan Ch (7�
CITY OF TIGARD Commercial or Residential Rec'd B� //)')
13125 SW HALL BLVD. Date Rec'd .. 7 - a - 99
TIGARD, OR 97223 Print or Type Date to P.E. - 7 - 1 1 / - 99
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST i
Permit # - 00 D
��G� . &fit 9 y - COI9 V Called 1 - 2--- - 1 - i
Job Name of Development/ProjectS3;Tes 150 Type of System (Complete A or B as applicable)
CoLO to &IAe (i3&. JGS 5 Cp1..N
Address Address A.) Sprinkler Wet K Dry ❑
9°IOp 5v.1 • c_ CZ tJ el3Sei 2
Name Standpipes
Cc L.) Mt.iA, '$:::.% ► ri _
Owner Mailing Address Hazard Group
4 610 Ste. Ca t- SixSpC -a 17-0. Additional C. 1 -I
City/State Zip Phone Information Density •
TtE 42b % 0P, °1`1z2..
Name Design Area
C:› irF tc - ' PAc.g , 1 0
Occupant Mailing Address K. Factor
• 5.
City/State Zip Phone A.1) Sprinkler Project Valuation
Contractor Name B.) Fire Alarm /030.
(Sprinkler or 1 G IF I ez regp-mc. bb).S
Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑
Prior to permit c14c tje L 0 4 la,A O
issuance, a City/State Zip Phone
Individual Component YES 0
copy Cut Sheets
of all licenses ` ptZ1 0 2- 4 1 - )2..t ( 2-2)5 -1855 ' .B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT Project Valuation Subtotal (A & or B) $ Coro'
database
Name Permit fee based on valuation $ /.
Mailing Address
(see chart on back) p2
Architect g 5% Surcharge $ 0 �
City/State Zip Phone u `
FLS Plan Review 40% of Permit $ v /0 ,
Describe work A.) New 0 Addition Ate Alteration 0 Repair 0 TOTAL $ / °
to be done: J:� "3 3"
Modification to sprinkler heads only: Plans required: Submit three sets of plans, including a vicinity map and
`v 1. 1 -10 heads= No plans required
2. 11 += Plan review required the location of the nearest hydrant.
I hereby acknowledge that I have read this application, that the information given is
Number of sprinkler heads: i 2) corr-ct,. =t I.am the owner or authorized agent of the owner, and that plans submitted
are s pliance with •�-{on State - s. —
Additional Description of Work: i
Si •
VI .u' of f ner /Agent Date
A.) In Existing Building t New Building ❑ Jam 1 C-A ) Co: , °19
Building Contact Person Name Phone
Data B.) Commercial Residential 0 5- _ I BSS
FOR OFFICE USE ONLY:
No. of stories: Plat #_ �'; ' MapJTL #: . . ,.
Sq. Ft: ,R . ;5, t -, ` .. n ,4 ; :
Occupancy Class Type of Construction ' : ` ' '' `'" . .
p q j � -�/`� a� / / i `'r' -r ' - - ' F ,1c —, FJ ':.a1.." t. a L_ -� �' /L[4/.4 -- S . l'Id-
444, Ve
.Ate
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•
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
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CITY OF TIGARD BUILDING INSPECTION DIVISION C - O 2 - ) - )
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 t /c q- coe2o
Date Requested �V �(
' / AM PM = . j 7 6 j 30 1
Location C iq 0 0 C2( ) Suite l ( ; t ' iq -- 0 O 7_c t k
Contact Person '�� Ph 'L9 i 21 0 p � ry PL / q 4_
Contractor Ph 1 C l r CEO 1:5
tNLDIN Tenant/Owner ri ►clgt 043
Retaining Wall I ' i - 003de
Footing Access: M B
Foundation fLI ` ( Rl 3 5 - _/�• _ FPS
Ftg Drain f�C,�' LLL SGN
Crawl Drain Inspection Notes: al Ko rs Slab SIT
Post & Beam C c
Ext Sheath /Shear 21 Yr ' Li t � t - 6 ' n. l S vd • , + ,
Int Sheath /Shear J
Framing
Insulation
Drywall Nailing S t b 1 \ a l 0 -0..----
Firewall t
pnn
0/) .�
Fire •
Susp'd Ceiling
Roof 1
Mis • -atL� ' — - \ •L �;�
AMP ' RT FAIL
• IMBI ►t
- • : Beam
Under Slab
Top Out
Water Service , (.0 kV-- (_Q A S Lie
Sanitary Sewer � /�
Rain Drains 5t �.rj twig - 0030 4 L LLt44S - b 0 3�! "l 1 l
PART FAIL
ANICAL
Post & Beam p
Rough In % S � W\ ZA S "J • \
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 [ I 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: [ J Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 7 S q 1 Inspector \ c Ex 1 9
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.