Permit •
CITyf OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT # BUP96 -0195
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 DATE ISSUED: 04 / 30 / 96
PARCEL: 1S135DD -03301
SITE ADDRESS...: 11945 SW PACIFIC HWY #250
SUBDIVISION • HOFFARBER TRACTS NO.1 ZONING:C —G
BLOCK LOT -2
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:ALT FIRST • 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N . .. • 0 sf N: S: E: W:
OCCUPANCY GRP.:B2 TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 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..:N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $ : 9000
Remarks: Fire suppression system
Owner: FEES
MILT BROWN type amount by date recpt
11945 SW PACIFIC HIGHWAY PRMT $ 74.50 B 04/09/96 96- 278191
FIRE $ 29.80 B 04/09/96 96-278191
TIGARD OR 97223 SPCT $ 3.73 B 04/09/96 96-278191
Phone #:
Contractor:
DELTA FIRE, INC
14795 SW 72ND AVENUE
TIGARD OR 97224
Phone #: 620 -4020 $ 108.03 TOTAL
Reg #..: 64174
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Sprinkler Rough —
Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Signature: 4,,e, dA, ,i 4
Issued By: P.MAILL
Call for inspection — 639 -4175
1
■ t, \f‘\:7 .
celled
I \ PLANCK# ` Ci Date: q -Is --q%v
APPLICATION FOR PERMIT TO INSTALL FIRE SUPPRESSION SYSTEM
BUILDING DIVISION, CITY OF TIGARD
6394171
DATE: 4OI&I /� �j i q 1� PERMIT i 1 flb' o
[� (, i Valuation:
Amt. Paid: weO Permit Fee: 7N•5
g 40'4 Plan Check Fee: �t0
-
Balance Due: —
/ � 5°'e State Tax: S.11
1
Plans must be submitted to the Building Division before installation. Three sets of the plot
plan, showing the layout and the location of the nearest hydrant is required.
New Installation: Addition: Repair. Alteration:
Complete: Partial: Exitway: Basement: Hood & Vent:
Spray Booth: IN EXISTING BUILDING; iN NEW 3UI DING:
1 lci Lis 9,0 , 7i :
NUMBER & STREET: ►k 1- • .• i 1 i - `
NAME OF BUILDING or BUS;NESS
NO. OF STORIES: SIZE OF BUILDING: OCCUPIED AS:
TYPE OF SYSTEMS: Wet: Dry: Combination:
STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1 2 3 4 Extra,
DENSITY GPM/Ft2 DESIGN AREA ft2 SPRINKLER AREA ft2
SPRINKLER ORIFICE SIZE: I 17) ' "K" FACTOR 6 • lo 2. TEMP. RATING I L06 O
ADDRESS:.. P IC t t.i
OWNER: St �� f Al, Al, � . II AIM%
CONTRACTOR.- ' J_ // Q nn n
_ A . -et,
• (ADDRESS: 111) f ),1��. " /c)� • i2up •
PLANS DRAWN 8 • _ _ .,
REMARKS:
APPROVED permits includes only work described above and/or on plans and specification bearing the same
permit number and will comply with all applicable ccdes and ordinances of tre City of Tigard.
SPRINKLER COMPANY: L7P P / . jib a Iii. PHONE:( 6Q)(A2.4 — `1b
SIGNATURE OF APPLICAN T A __' i I � I.,/ 1L
3U�LDINC DIVISION: 1 1
1
PERMIT VALID FOR 180 DAYS
Page No. 1 CASE HISTORY FOR CASE NO.: BUP96 -0195
MILT BROWN
11945 SW PACIFIC HWY Unit: 250
11/18/98
Action Description Req/ Schd/ End/ Action Notes • Disp By Update Upd
Code Sent Done Done • Date By
- --- - -- -- - - ---- - --
BUP0007 Application received / / / / 04/09/96 RECD MAI 04/16/96 BON
BUPC008 Permit created / / / / 04/16/96 PEND B 04/16/96 BON
BUPC015 Plans routed to Plans Examiner / / / / 04/16/96 PEND B 04/16/96 BON
BUPCO24 Plans Approved /Routed to DSTs / / / / 04/26/96 APPR JHF 04/26/96 JHF
BUPC090 (F) Ready to issue / / / / 04/30/96 PASS CJS 04/30/96 CJS
BUPC100 (F) Issue permit • / / / / 04/30/96 PASS B 04/30/96 BON
BUPC784 Sprinkler Final / / / / 09/30/98 PASS RC 10/02/98 J *H
BUPC799 Final-Inspection / / / / 09/30/98 7/31/98 sent inspection request to PASS RC 10/05/98 J *H
Hap /research
093098: also outstanding permits
• MEC97 -0463, MEC98 -0016, PLM97 -0850
BUPC960 Case Finaled • / / / / 09/30/98 PASS RC 10/02/98 J *H
•
•
•
7/26/99 Activities for Case #: BUP96- 00195 -i C.
2:10:16 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC007 Application received 4/9/96 MAI RECD BON 4/16/96
BUPC008 Permit created 4/16/96 B PEND BON 4/16/96
BUPC015 Plans routed to Plans Examiner 4/16/96 B PEND BON 4/16/96
BUPCO24 Plans Approved /Routed to DSTs 4/26/96 JHF APPR JHF 4/26/96
BUPC799 Final Inspection 9/30/98 RC PASS J'H 10/5/98 7/31/98 sent inspection request
• to Hap /research 093098: also
outstanding permits
MEC97 -0463, MEC98 -0016,
PLM97 -0850
BUPC090 (F) Ready to issue 4/30/96 • CJS PASS CJS 4/30/96
BUPC100 (F) Issue permit 4/30/96 B PASS BON 4/30/96
BUPC960 Case Finaled 9/30/98 RC PASS J *H 10/2/98
BUPC784 Sprinkler Final 9/30/98 RC PASS J *H 10/2/98
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 our Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
''
14 24-our
�3i Date Requested ^ qs AM PM BLD
Location I tqq 56() fax4-(4 uite MEC
Contact Person �8'( - � h 2,zP-ig -460 PLM
Contractor J J Ph 237-13&" SWR
BUILDING Tenant/Owner cSAf MAy ( ' ' ELC
Retaining Wall ELR
Footing \ Access: PL r^ q (-,
F
Foundation P 6m/ -0195
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina [p
Sheath/Shear
Framinmin ` , 1 g O 60+5 Qpg.„?...,.„ � +5
N� h,, FS - 0 51 b
e
Insulation # ' 71 (0 V /" tom. 7" 0 _1, i'/ ' -0516
Drywall Nailing
Firewall
re prink
'ire Alarm
Susp'd Ceiling
Roof
Misc:
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 ` �
Date Other ✓
Approach /Sidewalk � � � Inspector C — Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.