Permit CITY OFTIGARD
.,,,,,, DEVELOPMENT SERVICES BUILDING PERMIT
1J- 13125 SW Hall Blvd., Tigard, 0R 97223 (503) 639.4171 DATE I ISSUED: 08/11/ 987 -0550
, , 0
PARCEL: 2S115BA -00600
SITE ADDRESS...: 16105 SW PACIFIC HWY
SUBDIVISION • ZONING:R -12
BLOCK • LOT • JURISDICTION:KIN
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:FPS FIRST • 14007 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 14007 sf PROTECT OPENINGS?
TYPE OF CONST.:5 -1HR THIRD ...: 14007 sf N: S: E: W:
OCCUPANCY GRP.:R1 TOTAL : 42021 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:1HR
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y 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:Y PARKING: 0
VALUE. $ : 15548
Remarks : Fire alarm for new Best Western motel.
Owner: FEES
KCM ASSOCIATES LLC type amount by date recpt
10895 SW 5TH PRMT $ 92.50 JSD 12/11/97 97- 301656
BEAVERTON OR 97005 FIRE $ 37.00 JSD 12/11/97 97- 301656
5PCT $ 4.63 JSD 12/11/97 97- 301656
Phone #: 643 -5721 PRMT $ 24.00 DEB 08/11/98 98- 308189
5PCT $ 1.20 DEB 08/1 1/98 98- 308189
Contractor: FIRE $ 9.60 DEB 08/11/98 98- 308189
FIRE PROTECTION SERVICES
15100 SW 139TH
TIGARD OR 97224
Phone #: 509 -3732 $ 168.93 TOTAL
Reg #..: 121039
-- 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 Misc. Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started 131WW,ff 0
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.
Permittee Signature &.:14frn
/11:14611 Issued :y: ` agao„,,,,
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++.+•++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Fire Protection Permit Application Plan Check 1 ' 2 C
CITY OF TIGARD Commercial or Residential Rec'd By __
13125 SW HALL BLVD. Date Rec'd / e i,
TIGARD, OR 97223 Print or Type Date to (: /y - 7 ;Q
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DS„ ` ; � v 1 -MA
m, Permit # rSiinl� 5
�7
/ b. Called 11. I r1 - •
Job ame of Development/Project ,�//. Type of System (Complete A or B as applicable)
045/ ids s v// icily City
Address Address A.) Sprinkler Wet 0 Dry p
/C /01/4, <574) y Pa fi
Name < Standpipes
X r iS.caC/dri 4zie
Owner Mailing Address — Hazard Group
/,8qs 5 5 / ' Additional
C�' y/ s'tate Zip Phone Information Density - -
l. SEaV£vt,n 9, ' '3 -57.1/
I.
Name dd // Design Area
Occupant Mailin 4 Addres ,T K. Factor 1
%f sw S r
mty/ tae Zip 1 JPhone A.1) Sprinkler Project Valuation $......
•
F k V400 - y ? — S - ,
Contractor ame B.) Fire Alarm
(Sprinkler or A;)•/ J r c%oh ct y/ i € FS � . 3� X 47.0 12
Alarm Company) Mailing Address Submittal Shall Include Battery Calcplations YES (i f
Prior to permit /S JQ $ I) /,? 9 &
issuance, a City /State Zip Phone Individual Component YES IX
Cut Sheets
of all licenses 774„ V," ,,7a; y 0 9 t4,7, .B.1) Fire Alarm Project Valuation
are required if S e Const. Cont. Board Licit Exp. Date $ l a�':i
expired in COT X 00 9° Project Valuation Subtotal (A & or B
database `V C 5 r( 5- C/E ( , y ( B) $
�y�� 5 I-1 �� , Permit fee ba on valuation $nom a
�.,1 ` (see chart on back) 7
Architect f am ing Address 5 % Surcharge $ 7 COT ( sw - Ion
Ci /state i Pone F LS Plan Review 40% of Permit
` ar d �� 3&x,5 $ 5-f .6
Describe work A.) Ws 41 Addition 0 Alteration 0 Repair 0 TOTAL $
to be done: 1 / I –3
B.) Modification to sprinkler heads only: Plans including plans, required: Submit three sets of p g a vicinity and
1. 1 -10 heads= No plans required the location of the nearest hydrant.
ty map
2. 11 += Plan review required y
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
Additional Description of Work: are in compliance with Oregon State laws.
73 � /p Niel S'iAnatur , f mi ner /Agent Date
A .) In Existing Building 0 New Building g deyvV gri,ii E i;2 —/ . ,Z
Building d - Contact Person Name Po 3 -
Data B.) Commercial /® Residential 0
t ° y J )`/
Y � FOR OFFICE USE ONLY:
No. of stories: Plat # Map/TL#: ` p , e O'Lto
Sq. Ft: . 44a 0 a Notes (vce
Occupancy Class T of Construction ^ 9 R -c cis/
l .1?
V t� �r
i:\firesupr.doc
• 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 34.66 4.33 F 125A3
• X11,00 12'000 - __ .92.50 37.00_ __ 4.63 13413Th,
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
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
is \firesupr.doc
Page No. 1 CASE HISTORY FOR CASE NO.: BUP97 -0550•
KCM ASSOCIATES LLC
16105 SW PACIFIC HWY
01/08/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- - -- - -- -- -- -- -- - --
BUPC005. Application received / / / / 12/11/97 PASS JSD 12/15/97 JD
BUPC008 Permit created / / / / 12/15/97 PASS JSD 12/15/97 JD
BUPC010 Check for prcl. restrict. / / / / 12/15/97 PASS JSD 12/15/97 JD
BUPC012 Plans routed to Plans Examiner / / / / 12/15/97 PASS JSD 12/15/97 JD
BUPCO24 Plans Approved by CPE / / / / 08/10/98 APPR RDP 08/10/98 RDP
BUPCO26 Approved Plans routed to DSTs / / / / 08/10/98 APPR JHF 08/10/98 JHF
BUPCO29 DST Post Review Completed / / / / 08/10/98 DONE B 08/10/98 BON
BUPC090 (F) Ready to issue / / / / 08/10/98 Needs contractors CCB. MEMO B 08/10/98 BON
BUPC100 (F) Issue permit / / / / 08/11/98 DONE DEB 08/11/98 DST
BUPC785 Fire Alarm Insp 08/10/98 / / 12/11/98 PASS GS 12/11/98 GES
BUPC792 Misc. Inspection 08/10/98 / / 12/14/98 recieved testing report from Fire REC GS 12/14/98 GES
protection Services [see file]
BUPC802 Final Inspection 08/10/98 / / 12/11/98 PASS GS 12/11/98 GES
BUPC960 Case Finaled / / / / 12/11/98 PASS GS 12/11/98 GES
CITY OF TIGARD BUILDING INSPECTION DIVISION /01 MST 9 7- 0S"3Z
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
41:1:
zo Apo ' Date Requeste ) 102-11-98 AM PM BLD
Location lb 165 (5a) f � ,/ Suite MEC
Contact Person , ' / PLM
Contractor �� 1 ,,,, 44 �IL/i,Q) ‘Ph 67D 172d SWR
.BU _D a ILDING ant/Owner Bes`T - 1/U,557miu ELC
Retaining Wall ELR
Footing Access: fliedzi Foundation
Ftg Drain 9'c34f1,f FPS
Crawl Drain Inspection Notes: (gelitado ? ^ G SG Slab P
aAanlyeg (Alt3131
ost ost
h Beam 1. 1 0 7 — h ^ ,� Pr '00 at v cJ
Ext Sheath /Shear vv ( 1' v� V,
Int Sheath/Shear
/
Framing ' _.i_ ,. /.r � - .1"
— -
Insulation / /
Drywall Nailing //��'/''� ,L�
F �1i� l ei q : V I.✓ /__
ire Alarm
Susp'd Ceiling
Roof
PASS - ART 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
Approach /Sidewalk Date / Z //- 7 8 Inspector �4� E
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.