Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00442
ili j y n , DEVELOPMENT SERVICES DA ISSUED: 10/08/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110DC -02200
SITE ADDRESS: 15660 SW PACIFIC HWY A -6
SUBDIVISION: WILLOW BROOK FARM ZONING: C -G
BLOCK: LOT: 011 JURISDICTION: TIG
REISSUE: . FLOOR AREAS EXTERIOR WALL CONSTRUCTION • _
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
• VALUE: $ 1,950.00
Remarks: Add five (5) new sprinkler heads and relocate five (5) existing sprinkler heads.
Owner: Contractor:
TIGARD CENTER LP GRINNELL FIRE PROTECTION
9777 WILSHIRE BLVD GRINNELL CORP
SUITE 609 5921 N MARINE DR
BE HILLS, CA 90212 P hone NARu8y203
Reg #: LIC 000632
•
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler inspection
PRMT GEO 10/08/199£ $50.00 99- 318928 Sprinkler Rough -In
5PCT GEO 10/08/199E $4.00 99- 318928 Sprinkler Final
FIRE GEO 10/08/199E $20.00 99- 318928
Total $74.00 ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. 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 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Permitee /
Signature: j r ' ' _
Issued By: 1‘411_,_ / �//
Call 639 -4175 by 7 p.m. for an inspection the next business day
• Fire Protection Permit Application Plan Check#
CITY OF TIGARD Commercial or Residential Rec'd By
13125 SW HALL BLVD. Date Rec'd
TIGARD, OR 97223 Print or Type Date to P.E.
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST
Permit #/f QP /9'tg �yyX
Called
Job Name of Development/Pro ect Type of System (Complete A or B as applicable)
W u S p
°so lc i k. c Ksi•N
Address Address Sprinkler Wet Dry ❑
1 SLtoo ,514 Ncictc Awl N
Name Standpipes
W % S OPer.) Kt-kJ-ti
Owner Mailing Address Hazard Group
istaio sw 1:4(-+ 011 ' Additional l..-' (gt On'
City/State Zip Phone Information Density
K� J , e•h, Pit 'MU . 1 O
Name Design Area
•
Occupant Mailing Address K. Factor
City/State Zip Phone A.1) Sprinkler Project Valuation $ 1 ate• 0 •
Contractor Name 4 0.14 Aw ti .Ffo+witoN B.) Fire Alarm
(Sprinkler or
Alarm Company) Mailing Addres Submittal Shall Include Battery Calculations YES ❑
Prior to permit 5 941 Ai. /tacij✓f PA.
issuance, a City/State Zip Phone 695 - Individual Component YES 0
Sheets
copy 1be1tmo,ott 8120 z51- 9OSO
of all licenses B. F ire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT 6 3 2 G j Project Valuation Subtotal (A & or B) $ 1a 50
database
Name /A Permit fee ba on valuation
$ ,c-
co. 0
(see chart on back)
Architect Mailing Address 8% Surcharge $ Sl• o O
City/State Zip Phone FLS Plan Review 40% of Permit
$ Zp. 00
Describe work A.) New 0 Addition 0 Alteration X Repair O TOTAL $ 9, 0 a
to be done:
B.) Modification to sprinkler heads only:
1. 1 -10 heads= No plans required Plans required: Submit three sets of plans, including a vicinity map and
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:
A DD sseizx 1.1042cs
Vra.Aockle 5 5p2K 1-leA05 Si ature Owner /Agent Date
Co - -9
A.) In Existing Building VI New Building ❑ /(
Building
Coptact or} Nam, Phone Qa i 7 AO go
Data B.) Commercial .j Residential ❑ J 0tJ L ( a,
FOR OFFICE USE ONLY:
No. of stories: Plat # Map/TL #:
Sq. Ft: 3,0•9 Notes
Occupancy Class Type of Construction
is \dsts \forms \firesupr.doc 9/30/99 -
12/17/1999 Activities for Case #: BUP1999 -00442
2:06:56 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 10/08/1999 GEO RECD No Hold GEO 10/08/1999
BUPC008 Permit created 10/08/1999 GEO DONE No Hold GEO 10/08/1999
BUPC779 Sprinkler inspection 12/07/1999 TLP PASS No Hold TLP 12/07/1999
BUPC783 Sprinkler Rough -In 12/07/1999 TLP PASS No Hold TLP 12/07/1999
BUPC784 Sprinkler Final 12/07/1999 TLP PASS No Hold TLP 12/07/1999
BUPC100 (F) Issue permit 10/08/1999 GEO DONE No Hold GEO 10/08/1999
BUPA950 Case Finaled 12/17/1999 JMT DONE No Hold JMT 12/17/1999
•
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Page 1 of 1
1 *i CITY OF TIGARD BUILDING INSPECTION DIVISION
MST �C
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
10-)) p BUP r� 0 /
(X V • Date Requested / AM PM BLD
Location /, c (o fo C) / uite '-6 MEC '� � 00
Contact Person h - 7g1 / - 3/ 73 PLM
Contractor Ph vor id, (q9 q - 0044 GI
D Tenant/Owner IA I,( t1 ELC
ing Wall LR
Foundation
Footing dation Access: ac FPS
//�C� ; Ftg Drain {� 1 9 0O-5 �' J� SGN
Crawl Drain r .j -
Slab Inspection Notes. ` r f l SIT X, ` 1, '
Post & Beam � ,�/
Ext Sheath /Shear (yf �`Y`-' I 1 "L G '1 /
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm S 6--
Susp'd Ceiling
Roof
Misc:
• • . iv RT FAIL
1 : a i
• learn
Under Slab
Top Out
Water Service
Sanitary Sewer
R • in Drains
ina
S, PART FAIL
, .ii i {. ice L
Rough In
Gas Line
•.oke Dampers
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 / 2 / 7 / y9 Inspector (01 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.