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Permit
CITY OFTIGARD ups ,,. ; B � DEVELOPMENT SERVICES BUILDING PERMIT '�I� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE I ISSUED: 1 2 / 1 2/966 -0618 PARCEL: 1S136CC —CHOO1 SITE ADDRESS...: 0835E 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.:SN ...• • 0 sf N: S: E: W: OCCUPANCY GRP.:R1 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 DRA 12/10/96 96- 287425 FIRE $ 25.00 DRA 12/10/96 96- 287425 LAKE OSWEGO OR 97035 SPCT $ 3.13 DRA 12/10/96 96- 287425 Phone #: 639 -3645 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 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. I Permittee Signature: _��. );i !l Issued By: U, Call for inspection — 639 -4175 I 1 - Fire Protection Permit Application Plan Check IS /a` STY OF T)GARD ' Commercial or Residential Rec'd By i, '' 1 g) / Cater - - ' OR 97223 Print or Type Date to P.E. / fl - to- c 503) 639 - 4171 =Xt. 304 - -Incomplete or illegible applications will not be accepted Date to DST n HT C. 53�- Permits ( Called of Development/Prolect Type of System (Complete A or B as applicable) Job Address Address A.) Sprinkler Wet [j Dry • IV /me Standpipes Owner Mailing Address Hazard Group Additional City/State Zip Phone Information Density Design Area Name Occupant Mailing Address K Factor City/State Zip Phone Sprinkler Project Valuation $ COT Business Tax of : ,atro I Exp. Date B.) Fire Alarm Ontractor Name Submittal Shall Include Battery Calculations YES ❑ Individual Component YES (Sprinkler or Mailing Address Cut Sheets Alarm Fire Alarm Project City/State Zip Phone 1 ro 1 ect Valuation $ A&zach Copy State Const_ Cont Board Licit Exp. Date Project Valuation Subtotal (A or B) $ • of Current COT Business Tax or Metro I Exp. Date Permit fee based on valuation $ Licenses (see chart on back) Name 5% Surcharge $ Architect Mailing Address FLS Plan Review 40% of Subtotal $ C.tyiState Zip Phone TOTAL $ Describe work A.) New 4 - Addition 0 Alteration 0 Repair 0 PLANS MUST BE SUBMITTED. approved and a pent ssued poor to vrstaeabon. to be done: Three sets cf plans and site plan (and vicinity map) required which shows location of nearest hvdrint B.) Basement 0 HoodNent 0 Spray Booth 0 I hereby acknowledge that I have read this appucason. that the mfornabon g reen is Complete'O Partial 0 Exitway 0 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 Worts Signature of OwnerfAgent Date . A.) In Existing Building ❑ New Building 0 Contact PersonName Phone Building Data B.) Commercial ❑ Residential ❑:._ FOR OFFICE USE ONLY: Rat* - - MaplrL#: - - - • - No. of stories: CR Pe;Aeo'r /lose lam- / /3/ - / Sq. Ft Notes Occupancy Class Type of Construction .:stfiresupr.doc .5 . 4 . f 1t. yj c 6 D° 1 crrY CF TTGARO , cl - , t! nir►ir =c =•.+rr c TOTAL PLAN STATE BUILDING VALUATION PERMIT FLS REVIEW TAX PERMIT CF PRO.1EC7 FEES (4C %) (65 %) 5% FEES 1 -1,500 25.00 10.00 16.25 1.25 1,501 -1,300 25.50 52.60 10.50 17.23 1.33 55.66 1.501 -1.700 28.00 11.20 18.20 1.40 5a.so 1.701 -1,800 29.50 11.30 19.18 1.48 61.96 1.501 -1,900 31.00 12.40 20.15 1.55 65.10 1.901 -Loco 32.50 13.00 21.13 1.63 63.26 2,001 -3,000 38.50 15.40 25.03 1.93 80.86 3,001 -1,000 44.50 17.30 28.93 2.23 93.46 4,C01-5.CCO 50.50 20.20 32.83 2.53 106.06 5,001-6,000 - 566.50 2250 . 36.73 2.33 118.66 6,001 -7.000 62.50 25.00 40.63 3.13 131.25 7,C01 -8,000 68.50 27.40 44.53 3.43 143.86 8.001-9,000 - . 74.50 29.80 48.43 - - 173 156.46 9.001 - 10,000 _ 80.50 .: 32.20 52.33 4.03 169.06 10,001- 11,000 96.30 34.50 56.23 4.33 181.66 11.001- 12.000 92.50 - 37.00 60.13 4.63 194.25 12.001- 13,000 98.30 39.40 64.03 4.93 206.86 13,001- 14,CCO 104.30 41.80 67.93 5.23 219.46 14,001- 15,000 110.50 44.20 - 71.83 5.53 232.06 15,001 - 16,000 116.50 46.50 75.73 _ - - 5.33 244.66 15.001- 17.000 122.50 49.30 7 9.53 6.13 257.26 17,001 - 18,000 129.50 51.40 83.53 6.43 269.86 18.001- 19,000 124.50 53.30 87.43 6.73 282.46 19,00120.000 140.50 55.20 91.33 7.03 295.06 20,001-21 .CCO 146.50 53.50 95.23 . 7.33 307.566 1.001- 22.000 152. 31.00 G9.13 7.33 320.26 22.001-23.000 153.50 53.40 103.03 7.93 332.96 23.001 '%.;.C'O 1664.50 65.30 106.93 8.23 345.46 24.001 _5. C0 170.50 68.20 110.83 8.33 358.0E _".00' _ 1 t 5. . :3 7000 113.75 8.75 1 -'� =�� 1.3.7 8.7� 267.50 _5,6.0 1 _7,000 179.' 71.50 116.33 3.53 376.56 27,001-23.303 18 1 =..0 i =• = " = _0 9.20 386.40 23,001 29,003 188.53 75.40 12.2.53 9.43 395.35 29,001 - 20.000 193.00 77.23 125.45 9.35 405.30 30,00 131.000 197.50 79.00 128.38 5.A8 414.76 31,00132,004 202.00 3020 131.20 10.10 424.20 001 -33, r0 203.50 32.50 13 10.73 33 33.001-24.000 7 11.00 8 137.15 10.5.3 443.10 2 215.50 36.20 140.08 10.13 452.56 Page No. 1 CASE HISTORY FOR CASE NO.: BUP96 -0618 ANDREWS MANAGEMENT LTD 08356 SW PFAFFLE ST 04/25/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By -- -- --- -- --- --- - -- BUPD005 Application received 12/10/96 / / 12/10/96 12/10/96 RDP BUPD008 Permit created / / / / 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 APPR RDP 12/10/96 RDP BUPD030 DST Poet - Review Completed / / / / / / 12/10/96 PHN 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 / / 04/24/97 hydro - static test 211 # - ok PASS RB 04/25/97 RB BUPD763 Sprinkler Final 12/10/96 / / 09/17/97 PASS RB 12/12/97 RB BUPD960 Case Finaled / / / / 01/14/98 01/14/98 JT Page No. 1 CASE HISTORY FOR CASE NO.: BUP96 -0618 ANDREWS MANAGEMENT LTD 08356 SW PFAFFLE ST 04/25/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By -- -- --- -- ------ - -- BUPD005 Application received 12/10/96 / / 12/10/96 12/10/96 RDP BUPD008 Permit created / / / / 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 APPR RDP 12/10/96 RDP BUPD030 DST Post- Review Completed / / / / / / 12/10/96 PHN 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 / / 04/24/97 hydro - static test 211 # - ok PASS RB 04/25/97 RB BUPD763 Sprinkler Final 12/10/96 / / 09/17/97 PASS RB 12/12/97 RB BUPD960 Case Finaled / / / / 01/14/98 01/14/98 JT