Permit -Ill CITY OF TIGARD
...4i4- Aa DEVELOPMENT SERVICES BUILDING PERMIT
ty; F'E I T # : BUP98 -0457
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10 / 28 / 98
i PARCEL: 2S1O1DD -00702
S ITE ADDRESS...: 06900 SW SANDBURG ST
SUBDIVISION • SALEM FREEWAY SUBDIVISION ZONING:I —P
BLOCK • LOT :004 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK.:FPS FIRST • 190 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N ...• 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL : 190 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 2 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 1 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:Y HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE:. 0 PRO CORR: PARKING: 0
VALUE. $ : 8821
Remarks : FM 200 installataion, portaable syste. - Partial alarm syste.
Owner: FEES
NEXTEL COMMUNICATIONS type amount by date recpt
10220 SW GREENBURG ROAD FIRE $ 29.80 DRA 10/21/98 98- 310203
SUITE 601 PRMT $ 74.50 DEB 10/28/98 98- 310345
TIGARD OR 97223 SPCT $ 3.73 DEB 10/28/98 98- 310345
Phone #: 293 -5500 PLCK $ 48.43 DEB 10/28/98 98- 310345
Contractor:
NORTHWEST FIRE SUPPRESSION INC
10200 SW ALLEN BLVD STE F
BEAVERTON OR 97005
Phone #: 644 -7720 $ 156.46 TOTAL
Reg #..: 000886 •
-- 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 Fire Alarm Insp
approved plans. This permit will expire if work is not started Smoke detector i
within 180 days of issuance, or if work is suspended for more Misc. Inspection
than 180 days. ATTENTION: Oregon law requires you to follow the �°- _
rules adopted by the Oregon Utility Notification Center. Those C /N !
rules are set forth in OAR 952-001-10 through OAR 952- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Sign Issued 1 ��./
„
+ + +...... + + + + + + +.................. + + + + +.... + .... .... +.... + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
10/ 1/98 WED 09:28 FAX 503 598 1960 CITY OF TIGARD Q002
y �Y
A° \4 Fire Protection Permit Application . Plan the /0 - 76 1 C
CITY OF TIGARD �, Commercial or Residential Recd By d¢s k;,
13125 SW HALL BLVD. Date Recd /o a-/ --y'g
TIGARD, OR 97223 Print or Type Date to P.E. /15-R3- f
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST /u- �3_g�ipp
C I //// errnit # q.&S -6 5.2
alled zi f ip /2,6`9k
Job Name of Dev Type of System (Complete A or B as app icable) / )
nflA 44
Address A ddress
a �t o U A.) Sprinkler Wet 0 Dry d �� zao
n �J -Pnt,- Standpipes
Owner Mailing Address Hazard Group
I our) er R Additional
City/State Zip Rhone - Information Density • •
- e 1701 ?-' Of 91z73 9s3 -2 -55oo
r� 0.4f above.)
Design Area •
Occupant Mailing Address K. Factor
City/State Zip Phone
A.1)- epriMderProject Valuation $ $, ez f . co
Contractor N me B.) Fire Alarm •
(Sprinkler or r'"l {AWQ 1 • Fr6 S)'rp -rra Q 1nu.,
Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑
Prior to pemtit ) zeto AIWA, €l.VC • , •.4 I
issuance, a City/State Zip Phone Individual Component YES ❑
copy • Cut Sheets
of all licenses �� ��pp5 (p -' Zc 8.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT 0 8 ,�� �� 1/ ' Project Valuation Subtotal (A i or B) $
oz/ 1/D D o, ca./. database pp
• Name
Permit fee based on valuation . $ t_
Architect Mailing Address (see chart on back) �1
T• S O-
5% Surcharge $
3. `f 3' •
City/State Zip Phone FLS Plan Review 40% of Permit $ a1 n 9 go
Describe work A.) New ef Addition 0 Alteration 0 Repair O TOTAL $
to be done: - . G2 3
B.) Modification to sprinkler heads only: - -
1. heads= No plans required Plans required: Submit three sets of plans, including a vicinity map and '
2. 11 += Plan review required the location of the nearest hydrant.
I hereby acknowledge that I have read this application, that the Information given is
Number of de# heads t 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: F 20O
��L. /_ e 1 e I t cu. _, , Si f 0 gent Date
TUG A.) In Existing Building ❑" New BuilddMg j /0 •- - 0 1 — / a
Building Cpntact Person Name Phone y
• Data B.) Commercial if Residential CI LairrI� T0. ' _ T�Z 0
FOR OFFICE USE ONLY:
Plat. =- ..._ _ -.� _- �._._:7 Map7I ti:- ..._.. :g ,.
No. of stones: _ ._�.� - - _ . _� -• _ t:: .�::; i' •::�.:� „rte ::;� =' _ -- �:' - -�-;
i� - , ��:aei= °ii<� -= '.`'�i�.uo:::3,.r =:- �' �- ��_ :r ... i'•_ ._��f =•' -- = - ?L -., J.:!
: �. n�a.;: n-- rr •.',c:'.r,,r'- `3 : ." - ^. -.... i_i; �. '; .�� .- .:C = "r�
ir: c.�:c___ -s ..:.:ri =v_ ��_ _::.: - . . _ 7:ai�v.� �m =� �� .:: r.'. .: �. };
f'"k__ 4 :c.e___ - .rte 3:_ }. ;.E.- a!_ ,.�:1. _ _r.. ;'_ L, r .
Cv . .
__. .._ _ ..__ 1. ' :::1r.: 4�ei :'.i :- .1i��>,�i..�_,rr.. , _ � ...... . � _'�S 1,_!... : '
Occupancy Class ....
... <':- : { J .:Y.. ,.9 ;,. ...:.,.i: :'....::
p Y C ass Typ of Construction F_;!•�� -.., _.: C .' _- ,'..,'" :::��.- ._. ..:'_ ,.- _ , . , ..,: � .-,t• r _ - — - � .
F's
,.._., _ .., ? "�_ . ";-c ; r.: i�: o� :Cii:.:cZirt:;o!v::� ._..�..,:_.�. ,,, �. iir;;'1tii
. _
is \firesupr.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 9',/—QyS
/a-/ 9%y7Date Requested 4• AM PM BLD
Location eo 9& �() ,S�1G� Suite MEC
Contact Person P-00N4/ Ph i 77 PLM
Contractor w w� ` SGcQ Ph 1/ — / 7,Z.2 SWR
BUILDING Tenant/Owner
ELC
Retaining Wall ELR
(
Footing
Access:
Foundation / FPS
Ftg Drain l
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire S rinkler
ire Alar
Susp'd Ceiling
Roof
Mi ' c'
A55 PART FAIL
PL ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
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
Other ns p D Inspector L5 - ° Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.