Permit f
A,_ CITY OF T BUILDING PERMIT
� DEVELOPMENT SERVICES DATE ISSUED: Oai2BUF�'ge -0326
. , PARCEL: 2S1O2BD -00100
SITE ADDRESS...: E`
SUBDIVISION • NO. TIGARDVILLE ADDITION AMEND ZONING:R -12
BLOCK • LOT •052 JURISDICTION:TIG
REISSUE: /� FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK. : �/
. D FIRST • 1771 sf N: 5: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST. :5N ...: 0 sf N: 5: E: W:
OCCUPANCY GRP. :E1 TOTAL : 1771 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 80 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 1 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?:N MEZZ ?:N READ 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. $ : 800
Remarks : Add fire alarm system to modular bldg.
Owner: FEES
ST ANTHONY SCHOOL type amount by date recpt
12645 SW PACIFIC HWY PRMT $ 25.00 BON 08/20/98 98- 308471
I TIGARD OR 97224 SPCT $ 1.25 BON 08 /20/98 98- 308471
/ 4‘9
FIRE $ 10.00 BON 08/20/98 98- 308471
Phone #: 639 —
Contract or:
v `�� `
ACTION TECHNOLOGY SYSTEMS
835 SE 17TH AVENUE
PORTLAND OR 97214
Phone #: 231 -1992 $ 36.25 TOTAL
Reg #..: 000791
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Fire Alarm Ins p
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 - •1'•101987.
You many obtain a copy of these rules or direct questions to DUNG
by calling (503)246 -1987.
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Permittee Signature: B'(A I oh- { Issued By: 014_41l,� c__—
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Fire Protection Permit Application Plan Check # 'Z 'S7C
CITY OF TIGARD Commercial or Residential (r A Recd By >t ^/
13125 SW HALL BLVD. , � �
1 s �� Date Rec'd'6 "�
TIGARD, OR 97223 a " Print or Type Date to P.E. $ " ISF
(503) 639171, x. 304 Incomplete or illegible applications will not be accepted Date to DST k/1.'/44 ,7'� t=
4 Permit # /3Gt,99F-0 3 ,76
I \,,_ Called
Job N ame of Development/Project
St . Anthony Middle School portables Type of System (Complete A or B as applicable)
Address A �' d rosrmcKe z �� _ - ai d — b A.) Sprinkler Wet El Dry ❑
Name Standpipes
St. Anthony School
Owner Mailing ddress \ Hazard Group
12645 SW PaCIFIC Hwy n Additional
*M OR 97224 Zip 634879 Information Density
Name Design Area
Occupant Mailing Address K. Factor
City/State Zip Phone A.1) Sprinkler Project Valuation $
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Contractor AION TECHNOLOGY SYSTEMS B.) Fire Alarm
(Sprinkler or
Alarm company) i� ll' g Addr s Submittal Shall Include Battery Calculations YES ❑
Prior to permit ti SE ��/ Avenue
issuance, a City/State Zip Phone Individual Component YES ❑
copy PORTLAND, OR 97214 231 -1992 cut Sheets
of all licenses B.1) Fire Alarm Project Valuation $ 800.00
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT 7 9 136 1 - - Project Valuation Subtotal (A & or B) $
database 800.00
Name ce — v i tv ar Permit fee based on valuation
Architect Mailing Address (see chart on back) $ 25.00
5% Surcharge $ 1.25
City/State Zip Phone FLS Plan Review 40% of Permit $
10.00
Describe work A.) New 0 Addition ]D Alteration 0 Repair 0 TOTAL $
to be done: to Fire Alarm 36.25
B.) Modification to sprinkler heads only: Plans required: Submit three sets of plans, including a vicinity map and
1. 1 -10 heads= No plans required
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
are in compliance with Oregon State laws.
Additional Description of Work:
,. Signature of Owner/Agent Date
A. Existing ❑ New Building QC / In Existin Building , . / "`7 nt 8 -19 -98
.r/ G�
.'► Building ontac erson Name Phone
Data B.) Commercial PC Residential ❑ Steve Kirkland 231 -1992
FOR OFFICE USE ONLY:
No. of stories: Plat # Map/TL #:
I
Sq. Ft: o? S/ '3P- -O O/ d
11 j Notes
Occupancy CIS Typegeruction
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r
r A,= •
.._1 .r,-.
. 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
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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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05/15/2000 Activities for Case #: BUP98 -00326
2:53:42 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPF005 Application received 08/20/1998 BON • RECD GEO 08/28/1998
BUPF008 Permit Created 08/20/1998 GEO DONE GEO 08/28/1998
BUPF012 Plans routed to Plans Examiner 08/20/1998 GEO SENT GEO 08/28/1998
BUPF026 Plans approved by PE 08/26/1998 RDP APPR GEO 08/28/1998
BUPF032 DST Post- Review Completed 08/27/1998 B DONE GEO 08/28/1998
BUPF080 (F) Ready to issue 08/27/1998 B PASS GEO 08/28/1998
BUPF799 Final Inspection 08/31/1998 GS PASS GES 08/31/1998
BUPF092 (F) Issue building permit 08/27/1998 B PASS GEO 08/28/1998
BUPF780 Case Finaled 08/31/1998 GS PASS J'H 08/31/1998
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 9F /
Date Requested AM PM BLD
Location F2-4 VS eGZ.- M.7 Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: ��� 1�1 "���
Foundation 2� 7 P6 9�' Z c�.rs�Y►r
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
• -
ire Alarm
Susp' eiling
Roof
Misc:
in
SS')PART FAIL
PLOMBING
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
Approach /Sidewalk
Other Date .3" — `° g Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .