Permit CITY OFTIGARD
� � „ ,: , ,;,.;, „ DEVELOPMENT SERVICES BUILDING PERMIT
-..n. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT # BUP96 -0558 8
DATE ISSUED: 10/24/96
PARCEL: 25102BD -00100
SITE ADDRESS...: 12645 SW PACIFIC HWY
SUBDIVISION • NO °TIGARDVILLE ADDITION AMEND. ZONING:R -12
BLOCK LOT °52
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:FPS 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.:E1 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 :N SMOK DET°. :Y
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM :Y HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $: 1200
Remarks: Fire alarm system within modular
Owner: FEES
ARCHIDIOCESE OF PORTLAND OREGO type amount by date recpt
2838 E BURNSIDE ST PRMT $ 25.00 B 10/24/96 96 -2855
FIRE $ 10.00 B 10/24/96 96 -2855
PORTLAND OR 97214-1895 SPCT $ 1.25 B 10/24/96 96 -2855
Phone #: 639 -4179
Contractor:
TELEPHONE & ALARM SUPPLY
835 SE 17TH AVE
PORTLAND OR 97214
Phone #: 231 -1992 $ 36.25 TOTAL
Reg #. ° : 079136
REQUIRED INSPECTIONS
This perait is issued subject to the regulations contained in the Fire Alarm Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Smoke detector i
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.
Permittee Si• nature: /Wm
Ag
Issued By: / I A . L l /
.
Call for inspection — 639 -4175
Fire Protection Permit Application./ Plan Ch - 19`
iTY OF TIGARD Commercial or Residential r 9 1 ItA Ri By i , ►'11111,.
11 • 11 . ' 1 ! °x,11 !J ^.: :%,' ^. f r ?i'� Date Ret. _ I P ,
1GARD, OR 97223 Print or Type 1 Date to P.E.
503) 639 - 4171 Ext 304 Incomplete or illegible applications will no be accepted Date to DST c1 �/
Permit 4 f i)P lip -054
Called
Name of Development/Project
Type of System (Complete A or B as applicable)
Job Pool - ovo-c S •c�c.00
Address Address A.) Sprinkler Wet ❑ Dry ❑
12.4 4 S Si..., e Nte ort-- 1 `-( Standpipes
Name
1 Aru,K hp'�C. 3E of- Potuw,y,,,-� Hazard Group
Owner Mailing Address Additional
2.83 C c gt ' s9or� Information Density
tty /State Zip Phone
r °['1214. 239 5334
Name Design Area
Occupant Mailing Address
K. Factor
City/State Zip Phone Sprinkler Project Valuation $
COT Business Tax or Metro # Exp. Date B. Fire Alarm . •
_ Submittal Shall Include Battery Calculations YES Er-- Contractor Name
to E CG 1NOLocel Individual Component YES ®/
(Sprinkler or Mailing Address Cut Sheets
' Alarm 2 %5 5E (-111 -k Fi Alarm Project Valuation o0
Company) ity/State Zip Phone i $ 1 )2. pp ,
6 1 - 111 4 1 13 l" l 6 1°) 2-
Attach Copy State Const. Cont Board Lic.# Exp. Date Project Valuation Subtotal (A or B) $ 1 , p o
'1 r,
of 0 l "S '3 101
Current COT Business Tax or Metro 4 Exp. Date Permit fee based on valuation $ 26"
Licenses 2 O o f — 1 - 01'1 (see chart on back)
Name 5% Surcharge $ I •2'5
Architect Mailing Address FLS Plan Review 40% of Subtotal $ i 00
City /State Zip Phone TOTAL $ 36,25
Describe work A.) New)ilL Addition 0 Alteration 0 Repair 0 ?DNS MUST BE SUBMITTED. approved and a pemmt issued prior to installation-
to be done: Three sees cf plans and site plan (and vicinity map) required wnic7h snows location of
nearest hydrant.
B.) Basement 0 HoodNent 0 Spray Booth 0 I boy adr.'owiedge that I have read this application. that the information given is
Complete 0 Partial 0 Exitway 0 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:
r _ A L _ V � ` - � s �� Signature of Owner /Agent Date
f" ( o - 24 - "6
• A.) In Existing Building ❑ New Building Igt Contact Person Name Phone
Building Biala t 2.3 t -- 1
Data B.) CommercialR Residential ❑ FOR OFFICE USE ONLY:
Plat # - MapJTI#:
No. of stones: ( -
Sq. Ft Notes
Occupancy Class Type of Construction .
.:s\ftresupr.doc
CITY CF TIGARO
f=1 .f! f_'�Irlr ^C=4.1rr C
TOTAL
PLAN STATE E BUILDING
VALUATION PERMIT FLS REVIEW TAX PERMIT
CF PROJEC 7 FEES (40 %) (65 %) 5% FEES
•
1 -1,5C0 25.00 10.00 16.25 .1.25 52.50
1,501 -1,300 25.50 10.50 17.23 1.33 55.66
1.501 -1.7C0 28.00 11.20 18.20 1.40 Sa.so
1.701 -1,8C0 29.50 11.90 19.18 1.48 61.96
1,801 -t,SC0 31.00 12.40 20.15 1.55 65.10
1,501 -2.3.00 • 32.50 13.00 21.13 1.63 63.25
2,001 -3,000 38.50 15.40 25.03 1.93 80.86
3.001 -1,000 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,C01 -6,OCQ -- - 56.50 22.50 • 36.73 2.33 118.66
6,001 -7,000 62.50 25.00 40.53 3.13 131.25
7,001-8.000 68.50 27.40 44.53 3.43 143.36
8,001 -9,000 74.50 29.60 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 34.50 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 46.50 75.73 5.33 244.56
13.001 - 17,000 122.50 49.30 79.53 6 257.25
17.001- 18,000 129.50 51.40 83.53 6.43 269.86
13.001- 19,000 124.50 53.30 87.43 6.73 282.46
19.00120,000 140.50 56.20 91.33 7.03 295.06
20.001-21 .000 146.50 53.50 95.23 . 7.33 307.66
2 1,001 - 22.000 152.30 51.00 99.13 7.53 320.25
22.3C 1-23.000 153.50 53.40 103.03 7.93 332.36
23.001= 4,:.00 1664.53 55.50 106.93 8.23 345 .46
24,301 25.000 170.50 53.20 110.83 8.53 358.06
25.001-25.0C3 175.00 70.00 113.7:. • - _6_
a.7;, :.a � .50
2 179..0 71.30 1166.56 8.93 3766.95
27,001-23.203 184.00 73.50 119.50 9.20 386.40
25.001-29,000 188.50 75.40 12253 9.43 395.85
001 30.
--. -.. 193.00 77.23 125.45 9.55 405.30
30,001-31,000 197.50 79.00 128.38 9.88 414.76
1,001- 32,CC0 202.00 80.30 131 .30 10.10 424.20
.. 2.001 - 33.000 206.53 • 8250 134.23 13.33 43'
33,C01 34.000 211.00 84.40 137.15 10.55 443.10
21 5.50 886.20 1;0.08 10.7 a -
34,001-'15,000 452.56
05/15/2000 Activities for Case #: BUP96 -00558
2:53:16 PM
Assigned . Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC007 APPlication received 10/24/1996 B RECD BON 10/24/1996
BUPC008 Permit created 10/24/1996 B PEND BON 10/24/1996
BUPC015 Plans routed to Plans Examiner 10/24/1996 B PEND BON 10/24/1996
BUPCO24 Plans Approved /Routed to DSTs 10/24/1996 JHF APPR JHF 10/24/1996
BUPC802 Final Inspection 10/25/1996 GS APP GES 10/28/1996
BUPC100 (F) Issue permit 10/24/1996 B PASS BON 10/24/1996
BUPC960 Case Finaled 10/28/1996 GS APP GES 10/28/1996
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