Permit CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
A 0 PERMIT I T # • BUP97 -0400
.__ 4- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 08/28/97
PARCEL: 2S1O2BD -01503
SITE ADDRESS...: 12740 SW PACIFIC HWY
SUBDIVISION • FREWINGS ORCHARD TRACTS ZONING:C —G
BLOCK • LOT •1 JURISDICTION:TIG
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.:S -1HR ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:M 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: 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. $ : 1050
Remarks : Carmichael's Fire Suppression System.
Owner: FEES
CARMICHAELS type amount by date recpt
12740 SW PACIFIC HWY PRMT $ 25.00 BON 08/12/97 97- 298202
TIGARD OR 97223 5PCT $ 1.25 BON 08/12/97 97- 298202
FIRE $ 10.00 BON 08/12/97 97- 298202
Phone #: 624 -0243
Contract or:
SANDERSON SAFETY SUPPLY CO.
1101 SE 3RD ST
PORTLAND OR 97214
Phone #: 238 -5700 $ 36.25 TOTAL
Reg #..: 000649
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
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 9521-0010 through OAR 952-88101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling 15031246 -1987.
Permittee Signature: .
C1�.I�U�lY�O 1 . Issued By ■ �..! /!/
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Fire Protection Permit Application Plan Check -y (
'1TY OF TIGARD Commercial or Residential Recd By OW
31 =e cyy t, ^: - -- Gate Rat.- 4l -1 - 9`"7
'1GARD, OR 97223 Print or Type Date to P.E. /99
503) 639 - 4171 Ext. 304 Incomplete or illegible applications will not be accepted Date to DST 8l t 4
4 (iii, Permit # - '-e'4 - o
/ 4i 9 ?- o -Sc Called S s ` o A"—
v i �� nNf
Name of DevelopmenuProlect
Type of System (Complete A or B as applicable)
Job ( �
Address A ms A.) Sprink ler Wet ❑ Dry ❑
Name
' �1 .0 Standpipes
Owner Mailing Address Additional Hazard Group
City /State Zip I Phone Information Density
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
Contractor Name Submittal Shall Include Battery Calculations YES 0
' �'�t la(g I /# / Individual Component YES ❑
(Sprinkler or Medina Address / /��� Cut Sheets
//497 J G
Alarm � _ ,7)ea.
Company) City/ tate Zip phone , Fire Alarm Project Valuation $
st y� / c / R. Ex _p. f7
Attach Copy Project Valuation Subtotal (A or B ) $ ate t. nt. Board Li Date 1 l
of e � 7 c -�9 G" 14 / �S�
Current COT Business Tax or Metro # Exp. Date Permit fee based on valuation
Ucenses /f j/-�74) — 1 / 7 7/ 5 2-/ —9)? (see chart on back) $ Z� VU
Name 5% Surcharge $ r , 2 —
Architect Mailing Address FLS Plan Review 40% of Subtotal $
/0. dD ,,,N,4?
City/State Zip Phone TOTAL $ 2 6 , z �- B(
I
Describe work A.) New 0 Addition 0 Alteration 0 Repair 0 PLANS MUST BE SUBMIT r po
SUBMITTED. approved and a Perim issued or J to Installation.
to be done: pray Three sera of plans and site plan (and vicinity map) required which shows location of
B.) Basement O HoodNent S Booth O
nearest h erebb acknowledge nawfedge that I have read this application. that the intormatian given is
Complete 0 Partial 0 Exitway 0 correct. that I am the owner or authonzed agent of the amer, and that plans submitted
I are in comptiance with Oregon State taws.
Additional Description of Work:
/ 14 - Su /e d 4 • C / Sig re of NAgent Date
tVo i . ee -- .QV,P1L i2-y OZbiG S ao *,
A.) In Existing Building ❑ New Building ❑
Contact Person Name Phone
Building ,e7e6 6ee - .) --- 700 4 /70
Data B.) Commercial ❑ Residential ❑ FOR OFFICE USE ONLY:
Plat* . Map/TL#: _ • No. of stories: _ l 6 T . . /0 r v 3
Sq. Ft Notes
Occupancy Class Type of Construction - . _
stsTiresupr.doc 1
1
CITY OF TIGARD
ct 'tt nt�tr: .255. c=
TOTAL
1. STATE cc BUILDING
VALL IA T ICN PERMIT FLS E R N TAX PERMIT
CF PRC.tEL- FEES (40 %) (6 • 5%
FEES
1 -1.500 25.00 10.00 6.25 .1.25 52.50
1,501 -1,600 25.30 10.50 17.23 1.33 55.66
1.501 -1.700 28.00 11.20 18.20 1,40 58.80
1.701-1.800 29.50 11.90 19.18 1.48 61.96
1,301 -1.500 31.00 12.40 20.15 1.55 65
1,501-2.000 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
4,001 -5.000 50.50 20.20 32.83 2.53 106.06
5,001 -6,000 56.50 22.50 36.73 2.23 1 18.66
6,001 -7,000 62.50 25.00 40.53 3.13 131.26
7.001 -8,000 68.50 27.40 44.53 3.43 143.86
8.001 -9,000 74.50 29.80 48.43 3.73 156.46
9,001- 10,CCO . 80.50 32.20 52.33 4.03 169.06
10,001 - 11,000 86.50 34.50 566.23 4.33 181.66
11.001- 12.000 92.50 • 37.00 60.13 4.63 194.25
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 46.50 75.73 5.93 244.56
15.001 - 17,000 122.50 49.00 79.53 6.13 257.25
17.001- 18,000 123.50 5.1.40 83.53 6.43 269.56
13,001- 19, 000 134.50 53.30 87.43 6.73 282.46
19,00120,000 140.50 55 .20 91.33 7.03 255.06
20,001-21.000 146.30 53.30 55.23 . 7.33 307.36
21.001-22,000 152.50 51.00 59.13 7.63 320.25
22,001 - 23.000 153.3.0 53.40 103.03 7.93 332.55
3.001 - 24.000 154.50 55.80 106.93 8.23 345.46
2 4.001- 25.000 170.:0 ca.20 110.83 8.53 358.06
- .001- 15.003 175.00 70.00 113.73 8.75 367.50
_3,001 - 27.000 179.53 71.30 115.58 8.53 376.96
:7,001-23;003 124.00 73.50 119.50 9.20 386.40
' 188.50 75.40 122.33 9.43 395.85
25,001- 30.000 193.00 77.20 125.45 9.35 405.30
20,001-31.000 197.50 79.00 128.38 5.88 414.76
31,001 - 32,000 202.00 60.50 131.30 10.10 424.20
,. .001 -3 205.50 22.50 134.23 11 :3
33,001-34.000 211.00 84.40 137.15 1 0.3 443.10
34,0101- 35,000 215.30 8 %20 140.03 10.73 452.56
6 /16 /99 Activities for Case #: BUP97 -00400
2:13:39 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received • 8/12/97 BON PASS JD 8/19/97
BUPC008 Permit created . 8/19/97 JSD PASS JD 8/19/97
BUPC010 Check for prd. restrict. 8/19/97 JSD PASS JD 8/19/97
• BUPC012 Plans routed to Plans Examiner 8/19/97 JSD PASS " JD 8/19/97
BUPCO26 Approved Plans routed to DSTs 8/19/97 RDP APPR RDP 8/19/97
BUPC802 Final Inspection 2/17/97 RC PASS J'H 2/26/98
• BUPC090 (F) Ready to issue 8/25/97 JSD PASS PHN 8/25/97
BUPC100 (F) Issue permit 8/28/97 DRA PASS DRA 8/28/97 Computers down on 8- 27 -97,
not able to issue until 8- 28-97.
BUPC960 Case Finaled 2/26/98 RC PASS J *H 2/26/98
Page 1 of 1
Cj // 0 -
CITY OF TIG RD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4I71
Date Requested: — / � 02 - //.3 - / 7 A.M. P.M._ MST: �/ ' V ]�
�
Location: ` –7 [ /� ) �� A �� / / BUP: / 0
Tenant: AA CA : _.2-___,4 _ Suite: Bldg: MEC:
Contractor: / ∎_,OAR /1� –E 0 . -. g -570D PLM:
Owner: ' 'hone: ELC:
A i'/UL 7 7 C. J/ )- ELR:
SIT:
BUILDING BLDG . 1 n't) PLUMBING MECHANICAL ELECTRICAL SITE
Site . . eam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ce ... Rain Drain A/C UG Slab
Shear /Sheath / Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk •• • s .: , ed Not Approved Not Approved Not Approved Not Approved
i ' FINAL FINAL FINAL FINAL
1
i
O Call for reins tion O Reinspection fee of $ required before next inspection O Unable to inspect
(�
Inspector: \ Date: c) i' ) `' Page of