Permit CITY OF TIGARD
BUILDING PERMIT
%*� DEVELOPMENT LOPMEN SERV 6CES DATE ISSUED: 8 -0265
ISSUED: 07/2PU98
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 • 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5 -1HR .... 0 sf N: S: E: W:
OCCUPANCY GRP.:R1 TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 3 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:Y 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. $ : 38900
Remarks : Fire suppression system for commercial tenant.
Owner: FEES
KCM ASSOCIATES LLC type amount by date recpt
10895 SW FIFTH FIRE $ 93.40 BON 07/10/98 98- 307251
1 BEAVERTON OR 97005 PRMT $ 233.50 DEB 07/23/98 98- 307617
5PCT $ 11.68 DEB 07/23/98 98- 307617
Phone #: 643 -5721
Contractor:
VANPORT FIRE SPRINKLERS INC
6101 NE 127TH AVE
STE 200
VANCOUVER WA 98682
Phone #: 360 - 256 -9838 $ 338.58 TOTAL
Reg #..: 000671
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Sprinkler Rough —
Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final
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 9524814010 through OAR 95249101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (5O3)246-1987.
l(
Permittee Signature: ∎ Issu d By:
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + ++
Fire Protection Permit Application Plan Check -1
CITY OF TIGARb Commercial or Residential Recd By /,
13125 SW HALL BLVD. Date Recd 7 ! D
TIGARD, OR 97223 Print or Type Date to P.E. 7 io q-P
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST - 7 b
Permit # ,t? at 9d?-2.
IA\ Called -7- /6-4' Cr - 4___.
Job Name of Development/Project s4 Wes-ver p 1 Type of System (Complete A or B as applicable)
54P of 0 1.1.f. . -Tyr( .. Address Address I L'117SSW P4Cr CIC " 7 A.) Sprinkler Wet g' Dry ,1j •
.;: _ ••\• .,: -- r
Name Standpipes
K C M A5sOCiq+ S LL C ■ 6'
Owner Mailing Address Additional Hazard Group
)og5 c 5k) FIFTH
City/State Zip Phone Information Density
$ct ('+ovl r O R g70o5, (043 - 5 721
Name ( t� Design Area
t °Ple -� t1 C• 'W� j ` li+IJ +
Occupant Mailing Address K. Factor
1 g5 SUS nFfi
City/State Zip Phone A.1) Sprinkler Project Valuation $ 3s; goo
Be4 i'tSreR - 57e 1
Contractor Name II ,' ire Alarm
(Sprinkler or A1,A port N S f r I n kI Q (S l 1 vl f,
Alarm company) Mailing Address Submittal Shall Inc i + ery Calcul- '• s YES ❑
Prior to permit ( (01 NE I27� 26 a .
_ {}ve Susie
issuance, a City/State Zip Phone i ndividual Compone'll ES ❑
COpy 0AWCoy�er WA l'(8( (31425(, - gTr3g Cut Sheets
of all licenses .B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT 07041 ( / / /0c 3 0 7 Project Valuation Subtotal (A & or B) $ g
database / ���
Name Permit fee based on valuation $
(see chart on back)
Archite Mailing Address
5% Surcharge $
City -te ip Phone FLS Plan Review 40% of Permit $ ci 3101)
Describe work A.) New 0 `• • Lion 0 Alteration 0 Repair 0 TOTAL $
to be done:
B odification to sprinkle • -ads only: Plans required: Submit three sets of plans, including a vicinity map and
1. 1 -10 heads= No plans re• 'red
2. 11 += Plan review required the location of the nearest hydrant. rm
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.
S ignature ofOwnerlAgent Date o
A.) In Existing Building New Building / / C�� 7 -/o - l (y o
Building Contact Person Name Phone
Mats' �Imq 511 C3too)25(0- ° ( Sg
Data B.) Commercial " Residential ❑ FOR OFFICE USE ONLY:
Plat # Map/TL#:
No. of stories: 3
Sq. Ft: Of��Q�-8,9
2q (O ` f Notes ., -
Occupancy Class Type of Construction . -
Rl 5 -I HR ' .
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 34.60 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
i:\firesupr.doc
•
Page No. 1 CASE HISTORY FOR CASE NO.: BUP98 -0265 •
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 / / / / 07/10/98 RECD BON 07/10/98 DLH
BUPC005 Application received / / / / 08/21/98 08/21/98 ROC
BUPC008 Permit created / / / / 07/10/98 DONE DLH 07/10/98 DLH
BUPCO12 Plans routed to Plans Examiner / / / / 07/10/98 SENT DLH 07/10/98 DLH
BUPCO26 Approved Plans routed to DSTS 07/16/98 / / 07/16/98 APPR RDP 07/16/98 RDP
BUPC090 (F) Ready to issue / / / / 07/16/98 PASS GEO 07/16/98 GEO
BUPC100 (F) Issue permit / / / / 07/23/98 DONE DEB 07/23/98 DST
BUPC783 Sprinkler Rough -In 07/16/98 / / 09/22/98 ROUGH IN - 1st FLOOR ONLY PARTIALLY PART GS 09/22/98 J *H
INSPECTED.
1. Maintain 3 -ft. max. spacing on
3/4 -inch pipe hangers (6- inches from end
of pipe).
2. If sidewall sprinklers are planned
for pool and lobby areas, submit plan
change for approval.
• 3. Please note, sprinkler system is to
be a full NFPA13 system. See sheet 19
of approved building plan (fail).
•
BUPC783 Sprinkler Rough -In / / / / 09/29/98 approved except pool and lobby areas PART GS 10/01/98 GES
BUPC783 Sprinkler Rough -In / / / / 10/20/98 lobby and pool area pass PART GS 10/20/98 GES
BUPC784 Sprinkler Final 07/16/98 / / 01/04/99 cancled per jt by pager FAIL GS 01/04/99 GES
BUPC792 Misc. Inspection / / / / 08/21/98 HYDRO STAT ON WET AND DRY PASS RC 08/21/98 ROC
BUPC802 Final Inspection /. / / / 01/05/99 l.suite 323 sprk head is too close to rm FAIL GS 01/05/99 GES
division beam .
2.3 sprk heads of ea type req as spares
•
3.escheons on heads at frt canopy
BUPC802 Final Inspection / / / / 01/08/99 PASS GS 01/08/99 GES
BUPC960 Case Finaled / / / / 01/08/99 01/08/99 JT
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 L Business Line: 639 -4171 (5
/ L't
C
Date Requested I ( 8 l AM PM 7 8� b G 5.,
Location l ( 0 Suite Q MEC '7°0 `7 3 6
Contact Person Ph 0 � OD--(0 9 g- n 1 7 7
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT 97— c - / /
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing _.
.or . _ ,, — _Apr ���'�
Firewall / / /
Fire Sprinkler
Fire Alarm /�
Susp'd Ceiling
Roof
�(
Susp'd
Misc:
s - - • - - ! C—
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART, FAIL
IECHANI
Post & Beam
Rough In
Gas Line
Smo a Dampers
4 PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
VW)
PART FAIL
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 / — `
Other 9 Inspector Ext
I
Ass PART FAIL DO NOT REMOVE this inspection record from the job site.