Permit CITY OF TIGARD
Aitylt, ,; DEVELOPMENT SERVICES BUILDING PERMIT
1���1i� F'ERM I T # • BUP97 -0015
15
+L 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 01/16/97
PARCEL: 1S136DA -01000
SITE ADDRESS...: 11564 SW PACIFIC HWY
SUBDIVISION • FRUITLAND ACRES ZONING:C —G
BLOCK • LOT •4
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK. :FPS FIRST • 428 sf N: S: E: W:
TYPE OF USE...: COM SECOND...: 0 sf PROTECT OPENINGS?-- -- --
TYPE OF CONST.:2N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:S3 TOTAL 428 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 5 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 1 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 1800
Remarks: Fire suppression system for spray paint booth
Owner: FEES
MARK LAWRENCE type amount by date recpt
PO BOX 1720 PRMT $ 29.50 JH 01/07/97 97- 288567
FIRE $ 11.80 B 01/07/97 97- 288567
BLAINE WA 98231 -1720 SPCT $ 1.48 JH 01/07/97 97- 288567
Phone #: 206 -332 -5800
Contractor:
UNITED FIRE EXT. SYSTEMS
4611 NE MLK JR BLVD
PORTLAND OR
Phone #: 249 -0771 3 42.78 TOTAL
Reg #..: 65290
REQUIRED INSPECTIONS
This per•sit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and All other Insulation Insp
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This permit will expire if work is not started Susp Ceilng Insp
within 188 days of issuance, or if work is suspended for sore
than 180 days.
Permittee Si attire: CV lc i - I (lilt
Issued By: (/`
Call for inspection — 639 -4175
•
•
Fire Protection Permit Applicatio Plan Check # / 15(
TY OF TIGARD Commercial or Residential j '141 _
Rec'd B
.... z�,1 ..A . , r -. Reye,
' C.. d .:at. _ I 3
'GARD, OR 97223 Print or Type Date to P.E. /
603) 639 - 4171 Ext 304 Incomplete or illegible applications will no be acce ed bate to osT I - I5 - q7
Permit # l;VYg7 -O9i S
Called I - 1 - 1 7 0
Job Name of Development/Project Type of System (Complete A or B as applicable)
I Address Address ) , A.) Sprinkler Wet 0 Dry oa
74 1 1 610q S .u. PAc LC k. 1 ` 1 Standpipes
1Q PX l.) ga l Hazar Grou
Owner Mailing Address p
P D • bo Additional
r J Information Density
City /State Zip Phone
f A 41L.. bi.) q . 6 /(323 ■ It 0 - 33 2 - �y�
(Rame D Design Area
YG ege.I k , f Ct ,K K. Factor
Occupant Marlin Address
11 state Zip Phone
S AA) ipp co o re &--y Sprinkler Project Valuation $
Ct I / r tU
1 i -a 7
a oz. ,21 ){K- c46 ,5�( B.) Fire Alarm ( 'V
COT Business Tax or Metro # Exp. Date
B
N 1 7 _ to c) co3 ( zi<� 1 96, Submittal Shall Include Battery Calculations YES Q
:ontractor �--
LIA i \' (( �(Yz..1p
:Sprinkler or Mailing Address Individual Component YES 0
Alarm Lt I1 O. t 14\ L-L-, 8' rS Cut Sheets
Company) Gityrstat Zip Phone r Fire Alarm Project Valuation $
V r A e 4-('cvl,( O Q 71_ 1 t fig c'7 I • -- ,
Attach Copy State Const. Cont. Board Lic.# Exp. ate o
Project Valuation Subtotal (A or B) $
of (� 6 -v 7/ /9)� -
Current COT Business Tax or Metro # Eate Permit fee based on valuation $
Licenses _ r 7 0 0 c7 340 q• 3 , Exp.
0 1 / 7 (see chart on back) 0--
Name 5% Surcharge $
lq_e■
Architect Mailing Address FLS Plan Review 40% of Subtotal $ 1 I �v
I C.tyiState Zip Phone a( G� _ z v -7 TOTAL
'VAIN , ((_ $ yZ ,
PLANS MUST BE SUBMITTED. approved and a permit issued prior to installation.
I Describe work A.) New 0 Addition 0 Alteration 0 Repair O
to be done: Three sets cr plans and me plan (and vicinity map) required which shows location of
nearest hydrant
B.) Basement 0 HoodNent 0 Spray Booth 0 i Eb ac nowledge that I have read this applmcaoon, that the information given is
Complete 0 Partial 0 Exitway 0 correct that I am the owner or authorised agent of the owner, and that plans submitted
are in compliance wrth Oregon State laws.
Additional Description of Wort:
Si a re of Owns t Date
•
��0 ov — 97
A.) In Existing Building ❑ New Building ❑ Con Person Name Phone
Building 6341(862 L(9 ^07 1
Data B.) Commercial ❑ Residential ❑ FOR OFFICE USE ONLY:
•
Plat # - - Map/TL#: -
No. of stories:
I► PA Ze
Sq. Ft Notes
Occupancy Class Type of Construction
i s'firesupr.doc
^ . crTY CF TIGARD
TOTAL
PLAN STATE BUILDING
VALUATION PERMIT FLS REVIEW TAX PERMIT
CF PROJEC- FEES (40%) (65 %) 5% FEES
1 -1.500 25.00 10.00 16.25 .1.25 52.50
1.50 -1, 500 25.50 10.90 17.23 1.33 55.66
1.501 -1.700 28.00 __. 18.20 1.40 58.80
1.701-1,800 1(29.50 . 11.90. 19.18 -t4 1.44 61.96
1.801-1,900 1.00 20.15 1.55 85:113 - "
1,501 -2.3C0 • 32.50 13.00 21.13 1.63 68.25
2.001 -3,000 38.50 15.40 25.03 1.93 80.86
3,001 -4,000 44.50 17.80 28.93 2.23 93.46
4,001 -5.000 50.50 20.20 32.83 2.53 106.06
5,001 -6,000 56.50 22.50 36.73 2.83 118.66
6,001 -7,000 62.50 25.00 40.53 3.13 131.25
7,001-3,000 68.50 27.40 44.53 3.43 143.86
8,001 -9,000 74.50 29.30 48.43 3.73 156.46
9,001 - 10,000 80.50 32.20 52.33 4.03 169.06
10,001- 11,000 86.50 34.60 56.23 4.33 181.66
11,001 - 12,000 92.50 37.00 60.13 4.63 194.26
12.001- 13,000 98.50 39.40 64.03 4.93 206.86
13,001 - 14,000 104.50 41.80 67.93 5.23 219.46
14.001- 15,000 110.50 44.20 71.83 5.53 232.06
15,001- 16,000 116.50 46.60 75.73 5.93 244.56
15.001- 17,000 122.50 49.30 79.53 6.13 257.26
17,001 - 18,000 129.50 51.40 83.53 5.43 269.86
13,001 - 19,000 134.50 53.30 87.43 6.73 282.46
19,001-20,000 140.50 56.20 91.33 7.03 295.06
20,001 21,000 146.50 53.50 95.23 . 7.23 307.655
2 1,001 - 22,000 152.50 31.00 99.13 7.53 320.26
2 2,001 - 23,000 163.50 63.40 103.03 7.93 332.36
- 3,1,01 -: 2A :: ,.0 164.50 55.30 106.93 8.23 345.45
2 170.50 68.20 110.83 8.53 358.06
25.001-26..003 175.00 113.75 - 70.00 112.7a 8.75 367.50
25,001 -27.000 179. 71.30 116.58 8
27,001-23.003 134.00 73.30 119.30 9.20 386.40
25.001-29.000 A 75 4 0 127 53
- _..� 18...:0 .,. � 122.53 9.43 395.36
2 9,001 - 30,000 193.00 77.23 125.45 9.55 405.30
30,001-31,000 197.50 79.00 128.38 9.88 414.76
31,00 32,000 202.00 20.30 131.30 10.10 424.20
32.001-33,000 206.50 • 32.:0 • 134.23 13 4".66
33,00 i 34,CCO 211.00 84.40 137.15 1 0.55 443.10
1
34,001 - 35,000 215.50 26.20 140.03 10.73 452.56
2/14/00 Activities for Case #: BUP97 -00015 .
3:12:22 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 1/7/97 JH RECD PHN 1/8/97
BUPC008 Permit created 1/8/97 B PEND PHN 1/8/97
BUPC010 Check for prd. restrict. 1/8/97 B PASS BON 1/16/97 .
BUPC012 Plans routed to Plans Examiner 1/8/97 B PEND PHN 1/8/97 - ,
BUPCO24 Plans Approved /Routed to DSTs 1/15/97 RDP PASS BON 1/16/97
BUPC802 Final Inspection 2/19/97 TLP PASS TLP 2/20/97
BUPCO29 DST Post Review Completed 1/16/97 B PASS BON 1/16/97
BUPC090 (F) Ready to issue 1/16/97 B PASS BON 1/16/97
BUPC100 (F) Issue permit 1/16/97 B PASS . BON 1/16/97
BUPC960 Case Finaled 2/20/97 TLP PASS TLP 2/20/97
Page 1 of 1
•
7 CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service INAL I
Foundation Water Line Ceiling - b.
Post/Beam Mech. Shear /Sheath Framing - ect
PIbg.Und /FIr /Slab Plbg. Toe • Insulation
Post/Beam Struct. Mech. Roue • • Gyp. Bd. -:Idg.
San. Sewer Gas Line Appr /Sdwlk - eins.
Other: _
Date: /9 . M. �% fr
//f P.M. /
Address: 6 / 6-6 � 17_ '
Tenant: PQ,/ Ste: — 7 D Q /.
C2DOwn: 2 t - D -7 7I MEC:
` ELC:
THE FOLL Wit CORRECTIONS A REQUIRED: ELR:
(
Inspector: Date: Z /9 7 _1:;
OVED _ DISAPPROVED /CALL FOR REINSP. CF CO