Permit CITY OF TIGARD
DEV ELOPMENT SERVICES BUILDING PERMIT
�x �.�41rc" �� I PERMIT T # • BUP96 -0611
J 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/12/96
PARCEL: 1S136CC —CH001
SITE ADDRESS...: 08410 SW PFAFFLE ST
SUBDIVISION • CARRIAGE HOUSE APARTMENTS ZONING:R -12
BLOCK • LOT
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:FPS FIRST . 0 sf N: S: E: W:
TYPE OF USE...:MF SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N ... 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.: 0 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. $ : 2300
Remarks: Sprinkler Alarm
Owner: FEES
ANDREWS MANAGEMENT LTD type amount by date recpt
4000 SW KRUSE WAY #270 FIRE $ 0.00 12/03/96 96- 287160
PRMT $ 38.50 B 12/12/96 96- 287648
LAKE OSWEGO OR 97035 FIRE $ 15.40
Phone #: 639 -3645 5PCT $ 1.93 B 12/12/96 96- 287648
Contract or:
JARMER ELECTRIC, INC.
5105 S. W. 45TH
PORTLAND OR 97221
Phone #: 503 -246 -5381 $ 55.83 TOTAL
Reg #..: 6924
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. rill 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.
J
Permittee Signature: / ,U
Cy
Issued By: 7
Call for inspection — 639 -4175
ire Pr . tection Permit Application Plan Check # t(57c--
'Y OF TIGARD ` 0 \CI(o ' ommercial or Residential Redd By ,fl- -f
n _ G V/ , IJ A ! r !'" / I / I Clam Bair / /2 -67,7 ppeliJ
SARI), OR 97223 p Print or Type Date to P.E. qal4(
, 3) 639 - 4171 Ext. 304 ncomp - e or illegible applications will not be accepted Date to D T
Permit # I,tr4(2 010 ( (
Called / 2 G -Olio
Memel. 9ev; ment/P i lnMlh(/
r;�ect f/- Type of System (Complete A or B as applicable)
Job W1/0 /
Address Address /' �r � n A.) Sprinkler Wet 0 Dry 0
Name
`` r � Standpipes
����
Owner Mailing Address Additional Hazard Group
CityAState Zip Phone
Information Density
Name Design Area
C
)
• ccupant Mailing Address
K. Factor
City/State Zip Phone Sprinkler Project Valuation $ .
COT Business Tax or Metro # Exp. Date B. Fire Alarm -
ontractor Nam% ^ -
Submittal Shall Include Battery Calculations YES?3(
3prinkler or Mailing Address
Individual Component YES C�}
���,— 1/.5- Cut Sheets r
Alarm �Q 1 Fire Alarm Project Valuation $ ��y)
Company) Cityl tat Zip P y6. 5g/ � (�C/
Attach Copy State Const. Cont. Board Lic.# Exp. Date Project Valuation Subtotal (A or B) $
of
1 Current COT Business Tax or Metro # Exp. Date Permit fee based on valuation $ 3 5, 5 - O
Licenses (see chart on back)
Name 5 % Surcharge $ ( t 53 n
Architect Marling Ad ss d FLS Plan Review 40% of Subtotal l 1 Y_ r ,�,
City /State Zip Phone TOTAL i A $` , 1 Li3
.escnbe work A.) New 0 Addition 0 Alteration 0 Repair O
PLANS MUST BE SUBMI TED. approved and a pernvt �p �' Ia
c oe done: Three sets of plans and site plan (and vicinity map) reguiredd wliidi snows location of
nearest hydrant I
B.) Basement 0 HoodNent 0 Spray Booth 0 i hereoy aai.'c ledge that I have read this application. that tne'mtomtation en is
Complete 0 Partial 0 Exitway 0 correct that I am the owner or authorized agent of the owner. and plas
are in compliance with Oregon State laws.
;oitional Description of Work:
Signature of Owner/Agent Date
- A.) In Existing Building 0 New Building Contact Person Name Phone
Building
Data B.) Commercial', Residential p FOR OFFICE USE ONLY:
Plat # - - - Map/T1.#: • • • - . -
No. of stones: _ ` .,,::
Sq. Ft 96 ys8 Notes
•
0ccupa� Ctrs T pe o Co struction • - - _
;zs\firesupr.doc
i
CITY CF TTGAR O
TOTAL
PLAN STATE E BUILDING
VALUATION PERMIT FLS REVIEW TAX PERMIT
CF PRCJEC . 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 3 3
•-• 55.60'
1.501 -1,7C0 28.00 11.20 18.20 1.40 58.80
1.701 -1.800 29.50 11.90 19.18 1.48 61.96
1,801 -1,9C0 31.00 12.40 20.15 1.55 65.10
1,S01 -LOCO • 32.50 13.00 21.13 1.63 68.26
2,001 -3,000 38.50 15.40 25.03 1.93 80.86
3,C01 -4,000 44.50 17.80 28.93 2.23 93.46
4,C01 -5,CC0 50.50 20.20 32.83 2.53 106.06
5,001 -6,000 - - 56.50 22.60 36.73 2.33 118.666
6,001 -7,000 62.50 25.00 40.53 3.13 131.25
7,001-8,000 68.50 27.40 44.53 3.43 143.86
8,001 -9,000 74.50 29.80 48.43 3.73 156.46
9,001- 10,CCO _ 80.50 32.20 52.33 4.03 169.06
10,001- 11,CC0 86.50 34.50 56.23 4.33 181.66
11,C01- 12,CC0 92.50 37.00 60.13 4.63 194.25
12,C01- 13,CC0 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,CC0 1166.50 46.30 75.73 5.33 244.56
13.001- 17,000 1 49.00 9.63
122.50 6.13 25 7.25
17,001- 18,CC0 123. .50 51.40 83.53 6.43 269.86
13.001- 19, 000 124.50 53.30 87.43 6.73 282.46
19.00120,CCO 140.50 56.20 91.33 7.03 295.06
2.0.00121.CCO 146.50 53.50 95.23 . 7.33 307.56
21,C01- 2 2,000 152.50 661.00 99.13 7.63 320.25
22.001- 23,000 153..0 63.40 103.03 7.93 332.36
2 .001 s.CCO 1E4..50 65.30 106.93 8.23 345.6
24.001-25.C:20 170.50 68.20 110.83 8.53 358.0E
25.00; 25.CCO 15 70.00 113.75 3.75 367.50
25,C01- 2.7,0CC 179.50 7120 116.58 8.93 376.96
27.001-21:C3 184.00 73.50 119.50 9.20 386.40
23.001-29,000 3 - . 127
.8...53 7:.. -0 �L._.53 9.43 395.85 ..
29.001-30.000 193.00 77.20 125.45 9.3.5 405.30
'30,00 ; 3 ►,CCO 197.30 79.00 128.38 9.08 414.76
31,001- 32,000 02.00 80.60 131.30 1C.10 424.20
22.001-33.000 206.50 . 82.50 134.23 1 0 :? 43
•. _ .,
6
33,C01- 34,CC0 211.00 84.40 137.15 10.55 443.10
34.00 ;- 35,CC0 2.5.50 26.20 140.03 10.7a 452.566
Page No. 1 CASE HISTORY FOR CASE NO.: BUP96 -0611
ANDREWS MANAGEMENT LTD
08410 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 / / / / 11/25/96 PASS JDA 12/03/96 JDA
BUPD008 Permit created / / / / 12/03/96 PASS JDA 12/03/96 JDA
BUPD012 Routed to Plans Examiner / / / / 12/03/96 PASS JDA 12/03/96 JDA
BUPD026 Plans approved by CPR / / / / 12/06/96 APPR RDP 12/06/96 RDP
BUPD030 DST Post- Review Completed / / / / 12/06/96 PASS B 12/06/96 BON
BUPD080 (F) Ready to issue / / / / 12/06/96 PASS B 12/06/96 BON
BUPD092 (F) Issue permit / / / / 12/12/96 PASS B 12/12/96 BON
BUPD799 Final Inspection / / / / 09/24/97 PASS RB 09/24/97 J•H
BUPD960 Case Finaled / / / / 09/24/97 PASS RB 09/24/97 J•H
•
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-
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
� 0
Date Requested: !! �} e `ft'l q / _ .Q 7 A. A MST: �(/� �051
'' Tl
Location: n ll ' / I - - - B� { er , - 0 . - / Ff�
Tenant: �/ �/) /� l• y (` Suite: j B J ldg: ..A24: - 6- 03 . ' , •
Contractor: �/ / / ( , Phone: [Q(9JIJ 3 Rat 6
- - 0
Owner: LL Phone: ELC:
r . _:// t / _ i` /l /- '' ii // 0'_` `' ELR:
-- , _ � - A VE /1465/ -- . eveyo- 0536
• BUILD I , ar r n't) \, PLUMBING - MECHANICAL ' P • CTRI ` .1 • 4 jp SITE
Site . r : earn ' ost/Beam 'o r : y o - Cover /Service Sewer /Storm
Footing Roof Un.i; Slab Rough -In Ceiling Water Line
Slab Framing 7/ T. • t : Gas Line Rough -In UG Sprinkler
Foundation Insulatio Li$ e • Hood/Duct Reconnect Vault
Bsmt Damp Drywall /� i0 Sto • Furnace Temp Service MISC.
Masonry :... A/C UG Slab
Shear /Sheath I, ire Sp . Aim IR C : • r ound Dr Heat ' .. Low Volt L� o - I Approv:! Approved • pprov .. Approved Apppp'rove /Sdwlk . .. ,.: • . . ved Not Approv Not Approv Not Appr
F INAL FINAL y r" FINAL FINAL V r' Cf FINAL
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01, el 42. - 010 C .-%-�� se f t r
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• r r �. mas
IllwAR
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0 Call for reinspection .... Reinspection fee of $ r uired before next inspection 0 Unable to inspect
Inspector: LU Date: 24/g Page of
yU 61/l i 6i/1 C 7 )6