Permit CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
PERMIT # • BUP97 -0032
__.. 13125 SW HaII Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 05 / i / 97
t
PARCEL: 25112DA -01300
SITE ADDRESS...: 06640 SW REDWOOD LN
SUBDIVISION • MLP96 -0002 ZONING:I —P
BLOCK • LOT • JURISDICTION:
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:FPS FIRST • 8300 sf N: S: E: W
TYPE OF USE...:COM SECOND...: 8300 sf PROTECT OPENINGS?
TYPE OF CONST.:2N ...: 8300 sf N: S: E: W
OCCUPANCY GRP.:B TOTAL : 24900 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT : 0 ft GARAGE...: 0 s f 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:Y HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:Y PARKING: 0
VALUE. $ : 3522:4 (�
Remarks : Fire suppression system O. Q4
Owner: -- FEES
PACTRUST type amount by date recpt
15350 SW SEQUOIA PKWY PRMT $ 0.00 JSD 01/15/97 97- 288946
TIGARD OR 97224 FIRE $ 0.00 JSD 01/15/97 97- 288946
5PCT $ 0.00 JSD 01/15/97 97- 288946
Phone #: 624 -7755 PRMT $ 220.00 05/21/97
FIRE $ 88.00 05/21/97
Contractor: 5PCT $ 11.00 05/21/97
DELTA FIRE INC
14795 SW 72ND AVENUE
TIGARD OR 97224
Phone #: 620 -4020 $ 319.00 TOTAL
Reg #..: 000641
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 Misc. Inspection
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.
Permittee Signatur= / ,/ _ / _ / ( / d !,1,‘1_.t1
I s sued
Call for inspection — 639 -4175
id
Fire Protection Permit Application Ian Check# f'Y Vr. C
.TY OF TIGARD Commercial or Residential c'd By
3125 SW HALL BLVD. i i 0 1q ate Recd 0/ 1
'GARD, OR 97223 Print or Type Date to P.E. 0//1
J3) 639 - 4171 Ext. 304 Incomplete or illegible applications will not a accept Date to DST I -I1 - 17
Permit# r,t0 Q
14 e a Cl'L -O5-6(° Called I- 7,1-11
Name of Development/Project Type of System (Complete A or B as applicable)
Job Providence Health Care,,Clinic
Address Address / „( ._j < � e % a _ o , r A.) Sprinkler Wet ® Dry ❑
2.3_9_Se 49 - Par Standpipes
Name
Pactrust Corporation Hazard Group
Owner Mailing Address Additional Light
15350 SW Sequoia Parkway I Density
City/State Zip Phone .10
Pdx; OR 97224 624 -7755
Name Design Area
Providence Health Care Clinic 1500
Occupant Mailing Address K. Factor 5.62
239 Sequoia Parkway Sprinkler Project Valuation $
City /State Zip Phone 1 , 00
Portland, OR 97224 ,'
I COT Business Tax or Metro # Exp. Date B.) Fire Alarm �'t
Name Submittal Shall Include Battery Calculations YES ❑
Contractor Delta Fire, Inc.
Individual Component YES ❑
(Sprinkler or Mailing Address Cut Sheets
I Alarm 14795 SW 72nd Avenue Fire Alarm Project Valuation
I
Company) City /State Zip Phone $
Portland, OR 97224 620 -4020 pit. Ci - frl6E DuE
Attach Copy State Const. Cont. Board Lic.# Exp. Date Project Valuation Subtotal (A or B) $
128.50 ZtO
of 64174 2 -97 � ��
Current COT Business Tax or Metro # Exp. Date Permit fee based on valuation $
Licenses 1934 (see chart on back)
Name 5% Surcharge $
Group McKenzie /Saito & Assoc. 6.43 //,69 `4.
I Architect Mailing Address FLS Plan Review 40% of Subtotal $ pp �,,ip
P.O. Box 69039 51.40 ��, '''
City /State Zip Phone TOTAL $ co
186.33 3I
Portland, OR 97201 224 -9560 ° I, 137.• i.
Describe work A.) New 0 Addition P4 Alteration 8 Repair O PLANS MUST BE SUBMITTED, approved 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 HoodNent 0 Spray Booth 0 I hereby acknowledge that I have read this application, that the information given is
Complete 8 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 Work:
Signature of Owner /Agent Date
1 ii kiJ� 'a S2,40-k 1" 15 -9'7
A.) In Existing Building 0 New Building o Contact Person Name Phone
Building Briar) DI O)1 609- 0 - 4-0g0
Data B.) Commercial A Residential 0 FOR OFFICE USE ONLY:
Plat # Map/TL#:
No. of stories:
Sq. Ft: Notes
Occup74 glass, Type of Construction
sts\firesupr.doc (,
;6
CITY OF TIGARD
BUILDING PERMIT FEES
TOTAL
STATE BUILDING
VALUATION PERMIT FLS R TAX PERMIT
OF PROJECT FEES (40 %) (6 0 5% FEES
1 -1,500 25.00 10.00 16.25 1.25 52.50
1,501 -1,600 26.50 10.60 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 11.80 19.18 1.48 61.96
1,801 -1,900 31.00 12.40 20.15 . 1.55 65.10
1,901 -2,000 32.50 13.00 21.13 1.63 68.26
2,001 -3,000 38.50 15.40 25.03 1.93 80.86
3,001 - 4,000 44.50 17.80 28.93 2.23 93.46
4,001 -5,000 50.50 20.20 32.83 2.53 106.06
5,001 -6,000 56.50 22.60 36.73 2.83 118.66
6,001 -7,000 62.50 25.00 40.63 3.13 131.26
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- 10,000 80.50 32.20 52.33 4.03 169.06
10,001- 11,000 86.50 34.60 56.23 4.33 181.66
11,001- 12,000 92.50 37.00 60.13 4.63 194.26
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
15,001- 16,000 116.50 46.60 75.73 5.83 244.66
16,001 - 17,000 122.50 49.00 79.63 6.13 257.26
17,001- 18,000 128.50 51.40 83.53 6.43 269.86
18,001- 19,000 134.50 53.80 87.43 6.73 282.46
19,001- 20,000 140.50 56.20 91.33 7.03 295.06
20,001- 21,000 146.50 58.60 95.23 7.33 307.66
21,001 - 22,000 152.50 61.00 99.13 7.63 320.26
22,001- 23,000 158.50 63.40 103.03 7.93 332.86
23,001- 24,000 164.50 65.80 106.93 8.23 345.46
24,001- 25,000 170.50 68.20 110.83 8.53 358.06
25,001- 26,000 175.00 70.00 113.75 8.75 367.50
26,001- 27,000 179.50 71.80 116.68 8.98 376.96
27,001- 28,000 184.00 73.60 119.60 9.20 386.40
28,001- 29,000 188.50 75.40 122.53 9.43 395.86
29,001- 30,000 193.00 77.20 125.45 9.65 405.30
30,001- 31,000 197.50 79.00 128.38 9.88 414.76
31,001- 32,000 202.00 80.80 131.30 10.10 _ 424.20
32,001- 33,000 206.50 82.60 134.23 10.33 1 433.66
33,001- 34,000 211.00 84.40 137.15 10.55 443.10
34,001- 35,000 215.50 86.20 140.08 10.78 452.56
Page No. 1 CASE HISTORY FOR CASE NO.: BUP97 -0032
PACTRUST
06640 SW REDWOOD LN
06/18/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
---- --- -- - ----- - --
BUPC005 Application received / / / / 01/15/97 PASS JSD 01/16/97 JD
BUPC008 Permit created / / / / 01/16/97 PASS JSD 01/16/97 JD
BUPC012 Plans routed to Plans Examiner / / / / 01/16/97 PASS JSD 01/16/97 JD
BUPCO24 Plans Approved /Routed to DSTs / / / / 01/17/97 APPR RDP 01/17/97 RDP
BUPCO29 DST Post Review Completed / / / / 01/21/97 PASS B 01/21/97 BON
BUPC090 (F) Ready to issue / / / / 01/21/97 PASS B 01/21/97 BON
BUPC100 (F) Issue permit / / / / 05/21/97 PASS JSD 05/21/97 JD
BUPC783 Sprinkler Rough -In 01/17/97 / / 07/31/97 200# hydro -test sprinklers PASS TLP 08/13/97 J *H
BUPC784 Sprinkler Final 01/17/97 / / 01/27/98 PASS TLP 01/27/98 J *H
BUPC792 Misc. Inspection 01/17/97 / / 07/11/97 System flushed NOTE TLP 01/27/98 TLP
BUPC802 Final Inspection 01/17/97 / / 01/27/98 PASS TLP 01/27/98 J *H
BUPC960 Case Finaled / / / / 01/27/98 PASS TLP 01/27/98 J *H
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
�
Date Requested: / f A.M. P.M. MST: � �'� 6W 9 7-012
Location: 66 7 ( /e6- (Liao z .1/4 B
Tenant: Suite:_ Bldg: MEC:
Contractor: 4it.( #O(.$2 / Phone: PLM:
Owner: Phone: ELC:
ELR:
� SIT:
BUILDING 61.1 (ron 2 PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ce• • 1. Rain Drain A/C UG Slab
Shear /Sheath .,b: /Alm Crawl/Found Dr Heat Pump Low Volt
-pproved Approved Approved Approved Approved
Appr /Sdwlk • : Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
/ eitt 141e #J491ed Z r 5 /0
•
•
0 Call for rein . --4 / 0 Reinspection fee of $ req • ed before next inspection O Unable to inspect
ap l Inspector: ` `� Date: 7 3//9°7 Page of