Permit i
A' CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00019
Yl DEVELOPMENT SERVICES QQ DATE ISSUED: 1/27/00
=' '�" r � l II 13125 SW Hall Blvd., Tigard. OR 97223 (503) 63 7O/
/
S ITE ADDRESS: 13939 SW PACIFIC HWY * ** / V / PARCEL: 2S103DD -01000
SUBDIVISION: 'l ` ZONING: C -G
BLOCK: LOT: 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: 5N : sf N: S: E: W:
OCCUPANCY GRP: M 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: $ 33,665.00
Remarks: Add sprinkler system to new commercial bldg.
Owner: Contractor:
WALGREENS JND FIRE SPRINKLER INC
13939 SW PACIFIC HWY 12155 SW GRANT
TIGARD, OR 97223 STE D gg� 77����
Phone: Tl rnone! ( a'8 00
Reg #: LIC 64395
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt J Sprinkler Rough -In
PRMT DST 1/24/00 $235.00 00- 321336 Sprinkler Final
5PCT DST 1/24/00 $18.80 00- 321336
FIRE DST 1/24/00 $94.00 00- 321336
PRM2 DEB 1/27/00 $88.50 00- 321450
(additional fees not listed here)
Total $478.78
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: _���.r/I /l ial, _ JI
Issued y: L , / � ✓ 1 .
•
Ca11.639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection Permit Application Plan Check #D — 6)9e.__ /
CITY OF TIGARD Commercial or Residential Rec'd By .q /
13125 SW HALL BLVD. Date Rec'd / — /yam
TIGARD, OR 97223 Print or Type Date to P.E. / - Wqi
(503) 639 - 4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST / -4 -173
Permit # AM WV:
Gorr vim, 1f 55 � Called I �� - Ater
J Name of Development/Project
WA � Type of System (Complete A or B as applicable)
Address A
r6C1 SS ddress SL4 PICW4C Hwy A.) Sprinkler Wet Dry El
Name Standpipes
SAME Kb►
Owner Mailing Address Hazard Group
Additional ORP
City/State Zip I Phone Information Dens
•
Name `6#444E I• l l Design Area
iii 1
Occupant Mailing Address K. Factor
.'1
City/State Zip I Phone A.1) Sprinkler Project Valuation $
Contractor Name B.) Fire Alarm 4 /5*
(Sprinkler or 4M> F1 sftw ` I V L
Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑
Prior to permit I/ASS SNAGgMJf AVE RED
issuance, a City/State Zip Phone Individual Component YES ❑
copy Sheets
of all licenses TV IO OR ' 7`ZZ3 5p3 B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT C� � 39
database �} 7/0/41:70 Project Valuation Subtotal (A & or B) $
Name Permit fee based on valuation $
Architect Address (see chart on back) o
544P11910N5c e/o Surcharge $ ! s. i , j}
City/ State C / V Phone FLS Plan Review 40% of Permit
Describe work A.) Newt( Addition 0 Alteration 0 Repair 0 TOTAL $
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 th - - : tion of the neare hyd - nt.
hereby = cknowledge tha vet d this application, that the information given is
Number of sprinkler heads: 1.14- correct, at I am the • •r a • • • the owner, and that plans submitted
are i cewith •, eoel,+r
Additional Description of Work: � " � V� � r ' ,t,r n / //
- ature ofOwwner /Ag - nt
I
A.) In Existing Building ❑ New Building x .ltM j?Ttjk-) 1/ /c..
Building Contact Person Name Phone 574>f,
Data B.) Commercial los Residential ❑
FOR OFFICE USE ONLY:
No. of stories: ` Plat # Mapill#:
Sq. Ft: 1 (, ' CO f 1 Notes
Occupancy Class Type of Construction
N� /WCL'7A
Y• 'h am �� 1 160 4.(2
is \dsts \forums \firesupr.doc 7/2/99
07/11/2000 Activities for Case #: BUP20O0 -00019
2:11:50 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 01/14/2000 GEO MAIL No Hold DST 01/24/2000
BUPC008 Permit created 01/24/2000 - GEO DONE No Hold GEO 01/26/2000
BUPC012 Plans routed to Plans Examiner 01/24/2000 GEO SENT No Hold GEO 01/26/2000
BUPCO24 Plans checked /approved by PE 01/24/2000 RDP DONE No Hold RDP 01/24/2000
BUPCO26 APProved plans routed to DSTs 01/24/2000 RDP DONE No Hold RDP 01/24/2000
BUPC783 Sprinkler Rough -In 01/24/2000 01/24/2000 05/02/2000 TLP PASS No Hold AKJ 05/02/2000
BUPC784 Sprinkler Final 01/24/2000 01/24/2000 07/10/2000 TLP PASS No Hold TLP 07/10/2000 .
BUPCO29 DST post - review completed 01/26/2000 GEO DONE No Hold GEO 01/26/2000
BUPC090 Ready to issue 01/26/2000 GEO DONE No Hold GEO 01/26/2000 .
BUPC100 (F) Issue permit 01/27/2000 DEB DONE No Hold DEB 01/27/2000
BUPA762 Sprinkler Rough -In 05/10/2000 TLP • PASS No Hold AKJ 05/10/2000 200# test on anti freeze system
BUPC783 Sprinkler Rough -In 05/25/2000 TLP PASS No Hold AKJ 05/25/2000
BUPC960 Case Finaled 07/11/2000 HAP DONE No Hold HAP 07/11/2000
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
-
Date Requested SP X° AM PM BLD r1 - 61 (96 - 000(
Location I 31 3 P 4 G Suite MEC
Contact Person • ( (.. � Ph PLM
Contractor Ph SWR
0:WILDING Tenant/Owner ELC
all ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
n
ire Alarm
Susp'd Ceiling
Roof ��qq � -1 D
C� O ��� ( J A
Misc:
F;.
ASS - ART FAIL
=ING 4- 1477 E.z S
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 /I
Approach /Sidewalk
Other D - � / /() 1 6 !/ Inspector r Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP ?-vvG -"vc/
Date Requested 7 - AM PM BLD
Location /599 3 y -5w f4Cc 6 /7 Suite MEC
Contact Person Z/ < l kil f/'i y r /( Ph 6 7 7e/ 7/ PLM
Contractor rl / Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation • FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
FAIL
PLUMBING
8 Beam
Under Slab
S
Top Out �t/ h 1(l
✓1
Water Service
Sanitary Sewer
Rail trains
Fi . .-
- PART FAIL
CHANICAL
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
Other oach /Sidewalk Date r i 466 Inspector 1 7j 2 1 / Ext,_
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUPACiq —o o 2�
Date Requested �2C /W AM PM BL 2 el
Location 13� 3' f ) 4 ( 4 Suite MEC �'gg f)�
Contact Person L 4 v Ph 5 7: . ) 70 I PLM
Contractor J Ph SWR
ILDI Tenant/Owner ELC
Retaining Wall ELR
Footing p �,
Foundation Access: /� X &W5 FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing �l
F � � /26Q $7U , /J A-/ 6 /g C
Fir rm
us 'd Cei
Roof
Misc:
L ASS PART FAIL �`-`-/ 5 J //' Q'< CAL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
P T FAIL
kE CHANICA
P.
Gas ine
Smoke Dampers
F' I
PASS _ART FAIL _
I CAL
•
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
Other oach /Sidewalk Date /2�t0 I nspector V Ext
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 G
N i UPt a 9 - oo L ag
Date Requested 5/400 AM L� PM nip 2Qt - 6bO i cr FPS
Location ( 3I faL ¢ a Suite MEC
Contact Person Phi 7157 PLM
Contractor Ph SWR
JILDIN� Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation
FPS
Ftg Drain q �1 �/J� � SGN
Crawl Drain Inspection Notes: /, Gt �,uC�(J�� L
Slab ` SIT
Post & Beam
Ext Sheath /Shear r ( /
Int Sheath /Shear
Framing
Insulation
D�iivall Nailing
Firewall
ire Alarm � ( X ) 7S
Susp'd Ceiling /
Roof
Misc:
r ASIZIPART 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 2 ' /fie / 172/
Approach /Sidewalk Date r UV Inspect
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.