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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP1999 -00272 . 4 - 111 . 1i& DEVELOPMENT SERVICE4 DATE ISSUED: 6/30/99 13125 SW Hall Blvd., Tigard, OR 97223 (50tVG SITE ADDRESS: 10220 SW GREENBURG RD 610 PARCEL: 1 S135A6 01004 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C - P BLOCK: LOT: 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: 2FR : 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Modification of 5 sprinkler heads. • Owner: Contractor: KNICKERBOCKER PROP, INC XXIV FIRESTOPCO BY NORRIS, BEGGS + SIMPSON 9384 SW TIGARD ST 10300 SW GREENBURG RD STE 200 TIGARD, OR 97223 P o Phon ND, OR 97223 Phone: 620 -6140 Reg #: LIC 00063846 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler inspection PRMT DEB 6/30/99 $25.00 99- 316530 Sprinkler Final PAPF DEB 6/30/99 $1.25 99- 316530 Total $26.25 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987. Pe rm itee Sig ure: "Ai x.1. A) bi - • D • Irifi Iss • d By: \ ./G. c �� Call 639 -4175 by 7 p.m. for an inspection the next business day r / . Fire Protection Permit Application Plan Chec • CITY OF TIGARD Commercial or Residential Rec'd By Ph, 13125 SV,: HALL BLVD. Date Rec'd 4 3 TIGARD, OR 97223 Print or Type Date to P.E. (503) 639 - 4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST r Permit # tht Priff Called Job Name of Development/Project Type of System (Complete A or B as applicable) Two utoCnLM utrE eio Add ddress PDtc. , ©(2. cr7ZZ3 A.) Sprinkler Wet ❑ Dry ❑ i t iD o 5>.,J C rz t3 1 C R . Name Standpipes p) D1 r B CG Ca_5 S ! n']PSan) Owner Mailing Address SutrN 200 Hazard Group 10300 5:) C iec n.)P u.re_ , t2-/) Additional ity/State Zip Phone Information Density • VD tan, 4 A)D, 02972z3 LjsZ-se Name Design Area CDi'Yli31IoEt do Occupant Mailing Address K. Factor tO421D 5L) CC2L-Et k2_C ity/State Zip Phone A.1) Sprinkler Project Valuation •$ 0 a o rLAk) `cgs Contractor Name B.) Fire Alarm (Sprinkler or ri l2-E Dp cf) , Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑ Prior to permit g 3 gLi 50 Ti60eD 57. issuance, a City/State Zip Phone Individual Component YES ❑ Cut Sheets copy of all licenses (642....) , Oil. q 7ZZ3 , 2-0-101 , -10 .B.1) Fire Alarm Project Valuation $ are required if State Const. Cont. Board Lic.# Exp. Date expired in COT 3$ L � Z Project Valuation Subtotal (A & or B) $ , / 650o database `7 Name Permit fee based on valuation $ O 8 b 4i2C1 --) ! I i✓ C! -> (see chart on back) 25 °— Architect Mailing Address red 5% Surcharge $ t 25- Cit /State Zip Phone a FLS Plan Review 40% of Permit $ Po tA�A,Pe.. t7z0 2ZL/ - ((OS(O Describe work A.) New 0 Addition 0 Alteration O' Repair 0 TOTAL $ Z�o 25 to be done: 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 information given is Number of sprinkler heads: 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: Si • • : ture of Owner /Agent Date I n Existing Building New Building x° A.) q ) 9 9 D 9 ❑ �i�,I it�l�� Building • Con If Persil N.me / Phone Data B.) Commercial ❑ Residential ❑ FOR OFFICE USE ONLY: No. of stories: Plat # Map/TL#: _ • . Sq. Ft: Notes „ . . Occupancy Class Type of Construction i:\firesupr.doc 1 ( 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 "resupr.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Flour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP l 6 t q 1 - Z(v ! Date Requested AM PM BIT [Tr' Ob2 71. Location 1022--0 V Suite Co /0 MEC Contact Person Cat; Ph - 7g ' Z I PLM Contractor Ph SWR UILDI ` T T‘/Owner Ge)Y1/4 ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain I : Slab SIT Post & Beam Ext Sheath /Shear Aid S mirk l � Y Ina Sheath /Shear G y � /) Framing '�1 �( (no () (lY1,l t yt. • , Insulation ff __ �(� 1� Drywall Nailing Y /'� Firewall /x°"41' • once Fire Alarm Susp'd Ceiling Roof Mis • PASS 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 °� 7_ / / `� � Approach /Sidewalk D a t e _ `? /� I ��oF —V Ext / Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.