Permit •
• BUILDING PERMIT
CITY F TIGARD PERMIT #: BUP1999 -00409
DEVELOPMENT SERVICES DATE ISSUED: 09/28/1999
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: A3 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,740.00
Remarks: Fire suppression syste for Type -1 exhaust hood
•
Owner: Contractor:
TIGARD CENTER LP SANDERSON SAFETY SUPPLY CO.
9777 WILSHIRE BLVD #609 1101 SE 3RD ST
BEVERLY HILLS, CA 90212 PORTLAND, OR 97214
Phone: 579 -5828 Phone: 238 -5700
Reg #: LAC 00064969
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT BON 09/13/199E $38.50 99- 318273 Sprinkler Final
5PCT BON 09/13/199E $1.93 99- 318273 OIRIGINAL
FIRE BON 09/13/199E $15.40 99- 318273 RM2 BON 09/28/199E $20.75 99- 318691
(additional fees not listed here)
Total $87.10
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.
Pe rm itee
Signature: � ����
OP
Issued By: '0. /
Call 639 -4175 by 7 p.m. for an inspection the next business day
I
Fire Protec Permit Application - �� 9
CITY OF TIGARD Commercial or Residential 0
13125 SW HALL BLVD. - PE.: q/ -714;41
TIGARD, OR 97223 Print or Type
(503) 639 - 4171, x. 304 Incomplete or illegible applications will not be accepted re1 0 %`/
fir AlhMese- T 2e tVifuf
Job Name U 1. o uEro) t /lv Type of System (Complete A or B as applicable)
Address Address J l,�o�l K A.) Sprinkler Wet ❑ Dry ❑
/5660 selri /9if
Name Standpipes
Owner Mailing Addren Hazard Group
p J S,/,U, 5l /(a'E / Additional
City/Sta G� Phone Information Density
( a C ®19 ,/ *. Design Area
Occupant Mailing Address K K. Factor
/b'0 5o , ���1 ./y
City /State Zip Phone A.1) Sprinkler Project Valuation $
Contractor Name B.) Fire Alarm
(Sprinkler or s/Q /(7,5e , 0& SW67y
Alarm Company) Mailing Address ! Submittal Shall Include Battery Calculations YES ❑
Prior to permit //0/ Xe6 ,Vie-41
issuance, a City /State Zip Phone Individual Component YES ❑
copy Cut Sheets
of all licenses gehi/D0e,qpit pH �2U B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic xp. Date
expired in COT 6`1767 2c 0 Project Valuation Subtotal (A & or B) $ g yo Vv
database
Name
�/ Permit fee based on valuation $
��r !� (see chart on back) �� S D
Architect Mailing Address
- 2g ,(/,_ IV ,Tc/C 5% Surcharge $ f g3
p yB pa te , ��_ Zp l on e / `ZL i FLS Plan Review 40% of Permit /5-
Describe work A.) New�01 Addition 0 Alteration 0 Repair 0
$ C
to be done: TOTAL $ 55 8
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: FCe6 Su/p/ ' .
5 / l ?yils ( L7 #& Signal of Owner/ gent Date
A.) In Existing Building El New Building ❑ '//�, ,644 7
ct Person N e Phone
Contact /fi X
Data B.) Commercial &esidential ❑ /80 ,o� J� J'cV #L /7o
FOR OFFICE USE ONLY:
No. of stories: Plat # Map/TL #:
Sq. Ft:
Notes
Occupancy Class Type of Construction
VD N fp .#4
l
i:\dsts\forms\firesupr.doc 1/19/99 IX
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
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 \dsts \forms \firesupr.doc 1/19/99
CITY OF TIGARD BUILDING INSPECTION DIVISIO J •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 • 171 '
Date Requested A -AP AM PM BLD
Location /51,0 d 4W ci Suite A- r0 MEC f
Contact Person Ph X38 S X(O$ PLM 4'1,
Contractor Ph SWR
•
LDIN Tenant/Owner (y) 0_`S Of;--1 ELC
all ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes KS � J �
Slab SIT
Post & Beam
Ext Sheath/Shear — P St_ e
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm / Q �./ 0 Susp'd Ceiling /� V _
Roof
Misc: je y / / �/ ? /_
F es• i PART FAIL 7 A7 6 V(S f //�-e J ' S 7-6 �l= S / ,
- BING
Post & Beam ,,//��
Under Slab iC,P/) 14,,, a(J
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 D / 6 Inspector T75 /V) Ext
N Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
12/17/1999 Activities for Case #: BUP1999 -00409
2:06:31 PM
•
Assigned Hold Update d
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 09/13/1999 BON RECD No Hold BON 09/17/1999
BUPC008 Permit created 09/17/1999 BON DONE No Hold BON 09/17/1999
BUPC012 Plans routed to Plans Examiner . 09/17/1999 BON DONE No Hold BON 09/17/1999
BUPCO24 Plans Approved by CPE 09/21/1999 RDP DONE No Hold RDP 09/21/1999
BUPCO22 Plans Approved /Routed to DSTs 09/21/1999 RDP DONE No Hold RDP 09/21/1999
BUPC783 Sprinkler Rough -In 09/21/1999 09/21/1999 12/06/1999 , TLP PASS No Hold TLP 12/07/1999
BUPC784 Sprinkler Final 09/21/1999 09/21/1999 12/06/1999 TLP • PASS No Hold TLP 12/07/1999 suppression system tested and
approved
BUPCO29 DST Post Review Completed 09/24/1999 GEO DONE No Hold GEO 09/24/1999
BUPC090 (F) Ready to issue 09/24/1999 GEO DONE No Hold GEO 09/24/1999
BUPC100 (F) Issue permit 09/28/1999 BON DONE No Hold BON 09/28/1999
BUPA950 Case Fineled 12/09/1999 JMT DONE No Hold JMT 12/09/1999
•
Page 1 of 1
1 *1 CITY OF TIGARD BUILDING INSPECTION DIVISION
MST �C
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
o- p BUP //'9-5 4�g�
\ Date Requested / AM PM BLD
Location l (o /o o r uite / -6 MEC '' 9C(q o it
Contact Person h - 7g I -,3/ 73 PLM r q 96 .
Contractor Ph .svore ( e1 ct - boy q ?s
D Tenant/Owner t ( Jt- ELC 1 t
ing Wall LR
Footing Access: � � I' FPS
Foundation lg591 06-5 J! �l / SGN
Ftg Drain 11 `
Crawl Drain Inspection Notes: ► -'
Slab P p SIT - . ��1�'r. � ►?
Post & Beam
Ext Sheath /Shear 4 , 11:40
Int ng th /Shear
F ami irtztr
Insulation `\
Drywall Nailing
Firewall
Fire Sprinkler (11 Fire Alarm P C i
Susp'd Ceiling
Roof
Misc:
s i • RT FAIL
1 e
beam
Under Slab
Top Out
Water Service
Sanitary Sewer
R • in Drains
`
) PART FAIL
Rough In
Gas Line
oke Dampers
4
-'%- 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 [ ] Pleasecall for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk
Other Date r / 2 / 7 / r7 Inspector 7� (5/ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.