Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00530
Mit' DEVELOPMENT SERVICES DATE ISSUED: 12/23/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 08015 SW HUNZIKER ST PARCEL: 2S101 BD 00300
SUBDIVISION: ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
REISSUE: / ,� FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: A/ i �/ FIRST: sf N: S: E: W:
TYPE OF USE: LOOM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : 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:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 5,940.00
Remarks: Modify existing Pipe Schedule Sprinkler System
Owner: Contractor:
E HOWARD LOSLI JND FIRE SPRINKLER INC
BY PERFORMANCE CONSTRACTORS 12155 SW GRANT
CHARLOTTE, NC 28127 STE D gf� gg77����
Phone: TI kon D e: 968-b ?uu
Reg #: LIC 64395
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT GEO 12/20/199. $87.00 99- 320341 • Sprinkler Final
5PCT GEO 12/20/199 $7.70 99- 320341
FIRE GEO 12/20/199, $38.50 99- 320341
Total $133.20 ORIGINAL
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.
Permitee r
Signature: (y-y`_ i 1 b((4_(0 -- ---
Issued By: 'g% N ' i ((/--•-
Call 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection Permit Application Plan Check # 12 , 11G
CITY OF'TIGARD ' Commercial or Residential Rec'd By
13125 SW HALL BLVD. Date Rec'd 12 10
TIGARD, OR 97223 Print or Type Date to P.E. ix-Act-If/
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST t? 1z RP
Permit # 64 60 53 "
Fe I� ! 't i_ Q _ b /i 01 Called
I Job Name of Development/ / Type of System (Complete A or B as applicable)
QC.) , IOC
Address Address A.) Sprinkler Wet K Dry ❑
4301 S sw H oos l 1!.E s; .
Name A Standpipgs
Owner Mailing Address Hazard Group
Additional LIt4T
City /State Zip Phone Information Density
1' Id A RD c itc'n 223 • PIPE UGH DOL
Name Design Area
Occupant M Address K. Factor
City/State Zip Phone Al) . Sprinkler "''rojectValuation $ 514 !o
Contractor Name i p FIRE 5112 /MCI IioL B.) Fire Alarm
t
(Sprinkler or
Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑
Prior to permit iv 9s Sw C JE
issuance, a City /State Zip Phone Individual Component YES
copy {D Cut Sheets
of all licenses �, oe °17 z,3) r c�/ teQ - 5 ZLX B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT
database 6.SpAA s Project Valuation Subtotal (A & or B) $
Name Permit fee based on valuation $ _ ,,�t
Mailing Address (see chart on back) �� w
Architect g
c / / 5'/oSurcharge $
.1
City /State Zip Phone FLS Plan Review 40% of Permit $
xa`6, 5-0
1 Describe work A.) New 0 Addition 0 Alteration Repair 0 TOTAL
to be done: -). 20
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
Additional Description of Work: are in compliance with Oregon State laws.
PIM iwsra + "v°° ">Fy lSniule e
,RE04 *UP EXP g( .) Fix nature of Ow Date
A.) In Existing Building New Building p II /Alb i. 17_- o
1 Building l r ont.act PersonNat Phone
Data B.) Commercial Residential O J(M DUTTrav 9‘....2,- S7c
FOR OFFICE USE ONLY:
N
Plat # MapJTL #:
No. of stories:
Sq. Ft: 4 � �+
cad, Notes
Occupancy Class Type of Construction ( A el I / i fq
1•tG�IT�t7Ao Wcteg I NR / Y
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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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