Permit {
n
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
• 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 10/`3/988 -Q0454
PARCEL: 1S136CD -00200
SITE ADDRESS...: 11705 SW PACIFIC HWY #L
SUBDIVISION ZONING :C —G
BLOCK LOT . JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST 8748 sf N: 5: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:M TOTAL : 8748 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 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: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 4739
Remarks : Add fire alarm system. -I System is not required by code - This is a
partial system - Components used comply)
Owner: FEES
PACIFIC CROSSROADS PROPERTIES type amount by date recpt
BY WYSE INVESTMENT SERVICES CO PRMT $ 50.50 DLH 10/20/98 98- 310156
200 MARKET STE 345 SPCT $ 2.53 DLH 10/20/98 98- 310156
PORTLAND OR 97201 FIRE $ 20.20 DLH 10/20/98 98- 310156
Phone #: 294 -0400
Contractor:
OWNER
Phone #: $ 73.23 TOTAL
Reg #...
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Fire Alarm Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
T
Permittee Signature!t%!_... Issued By. /.
dow +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + +' + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7 :00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + ++
03/19/98 THU 09:53 FAX 503 598 1960 503 598 CITY OF TIGARD 0002 • •
i•
• Fire Protection Permit Application Plan Check o
CITY OF TIGARD Commercial or Residential Reed By
13125 SW HALL BLVD. D a t e Recd A- -; e -Fe
TIGARD, OR 97223 Print or Type Date to P.E /o - fit l C --
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted nate to DST / 2 I '
Permit # 1341' -(
Called 9 9 - Z.q 'v,, iB /23 iq r `a i
Job Name of Development/Project
J11 S S A/ R T I t.Y„ GAIDIS Z 3� Type of System (Complete A or B as applicable)
Address Address S 1� PAC IF I C }.I I („ 1k(JAY A.) Sprinkler Wet ❑ Dry ❑
Name
Standpipes
Owner Mailing Address
Hazard Group
Additional
City /State Zip Phone Information Deny
Name Design Area
jkv,, C, c p€RTIfJG l-,all t< 233
Occupant Mailing Address
K Factor
IfDS S1.) PAciriC H HHLJRY
City /State Zip I Phone A.1) Sprinkler Project Valuation $
'TI(_1M DV_ C I - 122-
Contractor Name B.) Fire Alarm
(sprinkler or A DT SEC 01 2._ rTY S `f S Tf r !NI(
Alarm Company) Mailing Address Submittal Shall Battery Calculations YES (iN
Prior to permit -iOA N NAgr.)COGK Include
issuance, a copy City /State Zip Phone 5D3 Individual Component YES ill
of all licenses p p•- t-Lpvp 4 nQ e tZ a s4 .32-6,C Cut Sheets
are required if State Cont. Board Lic.# Exp. Date r / B . Fire Alarm Project Valuation ' , Q
expired in l 1 4 AWiz %t_ 9 $ - --
Name Project Valuation Subtotal (A & or B) $ 1 ,, 3
Permit fee based on valuation
Architect Mailing Address
(see chart on back) $ s o . 5 9
City/State Zip i Phone 5 % Surcharge $ . , S 3
Describe work A.) New 0 Addition 0 Alteration 0 Repair O FLS Plan Review 40% of Permit $ Q .20
to be done:
B.) Modification to sprinlder heads only: TOTAL $ ., 3 , .-
1. 1 -10 heads= No plans required
2. 11 += Plan review required Plans required: Submit three sets of plans, Including a vicinity map and the
location of the nearest hydrant.
Number of sprinkler heads: I hereby acknowledge that I have mad this application, that the information given Is
Additional Description of Work correct, that I am the owner or authorized agent of the owner, and that plans submitted
—* ' am in compliance With Oregon Slate laws.
A.) In Existing Building ® New Building ❑ Signatu of OwrieNAgen Date -
Building -Z / //44 l'• �( -q
Data B.) Commercial GB Residential ❑ �11e (�03� Phone
4-6D 69
No. of stories FOR OFFICE USE ONLY:
' i yg,-: y wwr ' y -2 ,.
Sq. fir., . 7:7
' . , x . " y,,, y „ i r r�x•,c . ^^ °:v .:.
Ft. 10,00c, i +` Y - `.......Y' � ' "r .4 , vA C '' z^ . x ..
Occupancy Class Type of Construction ' • ° • r l , so - ?: g y
cti. " '2iYf ,�
/4 L. L 5 / , ! 2 3 ? Wile .v /,E4 iy
•
i:1f resupr.doc
3/7/00 Activities for Case #: BUP98 -00454
8:46:23 AM •
Assigned Hold • Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 10/20/98 DLH RECD GEO 10/21/98
BUPC008 Permit created 10/21/98 GEO DONE GEO 10/21/98
BUPC012 Plans routed to Plans Examiner 10/21/98 GEO SENT GEO 10/21/98
BUPCO24 Plans Approved by CPE 10/22/98 RDP APPR RDP 10/22/98
BUPCO26 Approved Plans routed to DSTs 10/22/98 RDP APPR RDP 10/22/98
BUPC785 Fire Alarm lnsp 10/22/98 10/29/98 RC PASS J'H 11/2/98 •
BUPC802 Final Inspection 10/22/98 10/29/98 RC • PASS J *H 11/2/98
BUPCO29 DST Post Review Completed 10/23/98 DLH DONE DLH. 10/23/98
BUPC090 (F) Ready to issue 10/23/98 DLH PASS DLH 10/23/98
BUPC100 (F) Issue permit 10/23/98 GEO PASS DST 10/23/98
BUPC960 Case Finaled 10/29/98 RC PASS J *H 11/2/98
•
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