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Permit CITY OF TIGARD A:� PERMIT % a; ., 3�i � ;; 1 DEVELOPMENT SERVI DATE ISSUED: 12 /1B P96 -0619 PARCEL: 1S136CC —CHOO1 SITE ADDRESS...: 08364 SW PFAFFLE ST SUBDIVISION ° CARRIAGE HOUSE APARTMENTS ZONING:R -12 BLOCK • LOT REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION — CLASS OF WORK.:FPS FIRST • 5008 sf N: S:. E: W: TYPE OF USE...:MF SECOND...: 5008 sf PROTECT OPENINGS? TYPE OF CONST.:5N .... 0 sf N: S: E: W: OCCUPANCY GRP.:R3 TOTAL : 10016 sf ROOF CONST: FIRE RET ?: OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED: STOR.: 2 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD • 50 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: PARKING: 0 VALUE. $ : 6995 Remarks: Fire Protection System Owner: FEES ANDREWS MANAGEMENT LTD type amount by date recpt 4000 SW KRUSE WAY #270 PRMT $ 62.50 JSD 12/09/96 96- 287426 FIRE $ 25.00 JSD 12/09/96 96- 287426 LAKE OSWEGO OR 97035 5PCT $ 3.13 JSD 12/09/96 96- 287426 Phone #: 699 -8645 Contractor: WYATT FIRE PROTECTION INC. 9095 S.W. BURNHAM TIGARD OR 97233 Phone #: 684 -2928 $ 90.63 TOTAL Reg #..: 64077 REQUIRED 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 Final I n s p e c t i o n approved plans. This permit will expire if work is not started within 180 days of issuance, or if work,is suspended for lore than 180 days. Permittee Signature: /e /� // Q i Issued By: (5 Call for inspection — 639 -4175 i , Fire Protection Permit Application PlanChedc* /d* -07e (TY OF TIGARD l Commercial or Residential Recd By 0 11 A _ VP/ !�./� e f tie + ice . Cace Rat.. I f - L (n 'IGARD, OR 97223 Print or Type Date to P.E. 503) 639 -4171 Ext. 304 In • mplete or illegible applications will not be accepted Date to osT 1 2- - I i - .r Rr• M` & --0&z Permit* r ( dur c i to-cog Called 12 ( Name of Development/Project Type of System (Complete A or B as applicable) • Job Crvn.. try /Liss.rF AOgJ" , Address Address A.) Sprinkler Wet (gam Dry 0 Name Standpipes f y �� r e- .)� Hazard Group Owner Mailing Address Additional 47, /3 4 /000 ie J' ' 44,./a._, Pty S..�sa Z7 cd Zip - Phone Informatio Density . h D O f W c_ 60?- nil Des n Area /� G 1.4 Name Occupant Mailing Address K. Factor City/State Zip Phone Sprinkler Project Valuation $ � 917 COT Business Tax or Metro * Exp. Date B. Fire Alarm • Contractor Name Submittal Shall Include Battery Calculations YES 0 4-i-d t�.� ri'f"r t r.e Pror - -ewer o.a (Sprinkler or Mailing Individual Component YES 0 Cut Sheets Alarm r9 jr •S•&J au rt 4s " - t Fire Alarm Project Valuation $ Company) City/State - Zip Phone J �c B lau 3 ���?�' P ro ect Valuation Subtotal Attach Copy S e ConsL Cont. Boars Lic.# Exp. Date 1 (A or B) of r4�4 1 / -.3/- X17 $ �l r y7' Current COT Business Tax or Metro * Exp. Date Permit fee based on valuation $ Licenses *G - s y y Z _ / 2 - - 3 t - 1 " 7 _ (see chart on back) t Z Name 5% d Surcharge $ / 3 R 4U ti 3 Architect Mailing Address FLS Plan Review 40% of Subtotal /R6w / A-(.1.4:. $ ' q d Zip yrState I Phone TOTAL $ 61 l Describe work A.) Newg Addition 0 Alteration 0 Repair 0 PLANS MUST BE SUBMITTED. approves and a permit issued pnor to installation. to be done: Three sets of plans and site plan (and vicinity map) required which shows location of nearest hydrant B.) Basement 0 Hood/Vent 0 Spray Booth 0 i hereoy acmcmiecge that t have read this application. that the information given is Complete Partial 0 Exitway 0 correct. that I am the owner or authorized agent of the owner. and that plans submitted are in compliance mth Oregon State taws Additional Description of Work: Signature of Owner /Agent Date G/ /e- (#1I /g - A.) In Existing Building 0 New Building Contact Person Nam Phone Building ' t e c.A 1 d 0 y bey Z 8' Data B.) Commercial G Residential,e -- FOR OFFICE USE ONLY: Plat # - ' - ' Map/TL#: - -- .. No. of stories: ., _ • e4e17,46,F /4/4.5e— / 5/. pee - aiknot Sq. Ft f� 0 L Notes Occupancy Class Type of Construction • . stslfiresupr.doc I CITY CF TIGARD a cf niN r.c =•,sr- cc =; .K TOTAL PLAN STATE BUILDING VALUATION ION PERMIT ELS REVIEW TAX PERMIT CF PROJEC7 FEES (40 %) (65 %) 5% FEES 1 -1,500 25.00 10.00 16.25 .1.25 52.50 1.501 -1,300 25.50 10.50 17.23 1.33 55.66 1.601 -1,700 28.00 11.20 18.20 1.40 58.80 1.701 -1,800 29.50 11.30 19.18 1.48 61.96 1,801 -1,900 31.00 1140 20.15 1.55 65.10 1,501 -2.000 • 32.50 13.00 21.13 1.63 68.25 :?..001-3.000 38.50 15.40 25.03 1.93 80.86 3,C01 -4,000 44.50 17.30 28.93 2.23 93.46 - 4,C01 -5.000 50.50 20.20 3183 2.53 106.06 5,001 -6,000 - - 56.50 2250 • . 36.73 2.23 118.66 6,001 -7,000 62.50 25.00 40.53 - 3.13 131.25 7.001 -8,000 68.50 27.40 44.53 - -. 3.43 143.36 8,001 -9,000 74.50 - - 29.30 48.43 - - - - 3.73 156.46 9,001- 10,CCO __ _ 80.50. _ ._32.20 _ 52.33 4.03 169.06 10,001 - 11,000 86.50 34.50 56.23 - 4.33 181.66 11,C01- 12.CCO 92.50 - 37.00 60.13 4.63 - 194.25 12.001- 13,000 98.50 39.40 64.03 4.93 206.86 13.001- 14,000 104.50 41.80 67.93 5.23 219.46 14,001 - 15,000 • 110.50 - 44.20 - - - 71.83 5.53 232.06 15,C01- 16,000 116.50 _ .___ 46.50 75.73 _ _ _ 5.33 244 15,001 - 17.000 122.50 49.00 79.53 66.13 257.25 17.001-18,000 123.50 51.40 83.53 6.43 269.86 13,001 - 19,000 134.50 53.30 87.43 6.73 282.46 19.001-20,000 140.50 55.20 91.33 7.03 295.C6 50 53.517 20,001-21.000 . -a". 9.5.23 • 7.33 307.0 2 1,001 - 22.000 152.50 51.00 99.13 7.53 320.25 2.001 - 23.000 153.50 = . _3. -0 103.03 7.93 332.36 23.001-24,200 16'4.50 55.50 106.93 8.23 3 45.46 2 170.50 68.20 110.83 8.53 358.C6 25.001-25.000 178.00 70.00 - 1 1 ... i .; 8.75 367.50 2 179.50 71.50 1105.58 8.93 176.96 O.CC 15 4 00 73.50 119.50 9.20 27,001-23.003 �" 386.40 _ .001= c CCO 188.50 75.40 1c? 39 ...35 53 9.93 � 29,C01 -30.000 193.00 77.20 125.45 9.55 1 405.30 2.0,001 31,000 • 197.50 79.00 128.38 9.88 414.70' 31,001- 32.CC0 202.00 30.30 131.330 1C.10 424.20 _ .001 - 33,000 20 50 2 .. -- 82. °_0 1 �4 . 3 1:.33 433.60' 33,001- 34,000 211.00 84.40 137.15 10.55 443.10 3 215.50 866.20 140.03 10.73 452..56 Page No. 1 CASE HISTORY FOR CASE NO.: BUP96 -0619 ANDREWS MANAGEMENT LTD 08364 SW PFAFFLE ST 04/27/98 Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By • -- -- --- - - - - - --- --- BUPD005 Application received / / / / 12/09/96 RECD DRA 12/10/96 PHN BUPD008 Permit created / / / / 12/10/96 PASS DRA 12/10/96 PHN BUPD010 Check for prcl. restrict. / / / / 12/10/96 PASS DRA 12/10/96 PHN BUPD012 Routed to Plans Examiner / / / / 12/10/96 PASS DRA 12/10/96 PHN BUPD026 Plans approved by CPE / / / / 12/10/96 APPA RDP 12/10/96 RDP BUPD080 (F) Ready to issue / / / / 12/11/96 JMH 12/11/96 TAT BUPD092 (F) Issue permit / / / / 12/12/96 PASS B 12/12/96 BON BUPD762 Sprinkler Rough -In 12/10/96 / / 04/15/97 hydrostatic test 211# at 1320- 1545 -ok PART RB 04/15/97 RB BUPD763 Sprinkler Final 12/10/96 / / 07/24/97 PASS RB 08/19/97 RB BUPD799 Final Inspection / / / / 07/24/97 PASS RB 08/19/97 RB BUPD960 Case Finaled / / / / 07/24/97 PASS RB 10/21/97 RB