Permit ,,, _
� ,�„ a .� u CITY OF TIGARD
1 1, DEVELOPMENT SERVICES BUIL
: - '!� -�I��� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FEE RM i T # DING PERMIT
• BUP98 -0436
DATE ISSUED: 10/07/98
PARCEL: 1S134BC -00300
SITE ADDRESS...: 12266 SW SCHOLLS FERRY RD
SUBDIVISION • ZONING:C —G PD
BLOCK • LOT . JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:FPS FIRST . 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:? ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:B 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: 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. $ : 0
Remarks: Relocating one sprinkler head.
Owner: FEES
PORTLAND FIXTURE type amount by date recpt
7180 SW FIR LOOP PRMT $ 25.00 B 10/07/98 98- 309767
STE 100 SPCT $ 1.25 B 10/07/98 98- 309767
TIGARD OR 97223
Phone #:
Contractor:
CPC & SONS INC
12200 SW FAIRFIELD
BEAVERTON OR 97005
Phone #: 644 -6900 $ 26.25 TOTAL
Reg #..: 000565
-- 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
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. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952- 001 -0010 through OAR 952-00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
Permittee Signature: Issued B :
9 Y
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
r
~ Fire Protection Permit Application Plan Checr -
CITY OF TIGARD Commercial or Residential Recd By a
13125 SW HALL BLVD. • Date Recd /0 "1
TIGARD, OR 97223 Print or Type Date to P.E.
(503) 639 - 4171, x. 304 Incomplete or illegible applications will not be accepted Date to D _ /w
e ur Permi t # Q,S[� Called
Job ame D lopment/Project 1, i D7v 0 Type of System (Complete A or B as applicable)
l
Address Address ,� �l �r A.) Sprinkler Wet p Dry 0
Nap , r 1 xMt& Standpipes •
Owner Mailing Address Hazard Group
7 /go SO Fa. L oP_ 1cv Additional
City/State Zip Phone Information Density
Name 0 -t-ij Design Area
Occupant Maili ddress K. Factor
)22-4 6 50 S.Cl2oty F t-
City/State Zip Phone A.1) Sprinkler Project Valuation $
7'!OR
Contractor Name B.) Fire Alarm
(Sprinkler or C P G.. �+
Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES 0
Prior to permit /220 p SCi Y' f} j (2.! r/cp
issuance, a City/State Zip Phone Individual Component YES ❑
copy Cut Sheets
of all licenses P -toms p 4y ii 6 [v) .B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT et 5. 6 s f y 5 99 Project Valuation Subtotal (A & or B) $ J 519 to
database 99
r e � f .1' ;� Permit fee based on valuation $
I ' ~ ' x ,, X -v `cl (see chart on back) 2-
Architect uln dss ?� 5% Surcharge $ Z5
` fi n if ( -
�'�� Sta e p P�
„ �s.--1) ( sd FLS Plan Review 40% of Permit $
Describe work A.) New 0 Addition 0 Alteration 0 Repair O TOTAL $
to be done: z4 - L's
B ification to sprinkler heads only: Plans required: Submit three sets of plans, including a vicinity map and
-10 heads= No plans required
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 sprinkler heads: 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:
q OA Signature of Owner /Agent Date
A: I Existing Building 0 New Building p
Building Contact Person Name Phone .
Data B.) Commercial 0 Residential 0 FOR OFFICE USE ONLY:
No. of stories: Plat # Map/TL#: . . _
•
Sq. Ft:
Notes .
•
Occupancy Class Type of Construction •
i:\firesupr.doc
C
„4
P ..
CITY OF TIGARD
BUILDING PERMIT FEES
TOTAL
STATE BUILDING
VALUATION OF PERMIT F.L.S. TAX PERMIT
PROJECT FEES (40 %) (5 %) FEES
1 -1500 25.00 10.00 1.25 36.25
1,501 -1600 26.50 10.60 1.33 38.43
1,601 -1,700 28.00 11.20 1.40 40.60
1,701-1,800 29.50 11.80 1.48 42.78
1,801-1,900 31.00 12.40 1.55 44.95
1,901-2,000 32.50 13.00 1.63 47.13
2,001 -3,000 38.50 15.40 1.93 55.83
3,001 - 4,000 44.50 17.80 2.23 64.53
4,001 -5,000 50.50 20.20 2.53 73.23
5,001 -6,000 56.50 22.60 2.83 81.93
6,001 -7,000 62.50 25.00 3.13 90.63
7,001 -8,000 68.50 27.40 3.43 99.33
8,001 -9,000 74.50 29.80 3.73 108.03
9,001- 10,000 80.50 32.20 4.03 116.73
10,001- 11,000 86.50 34.60 4.33 125.43
11,001- 12,000 92.50 37.00 4.63 134.13
12,001- 13,000 98.50 39.40 4.93 142.83
13,001- 14,000 104.50 41.80 5.23 151.53
14,001- 15,000 110.50 44.20 5.53 160.23
15,001- 16,000 116.50 46.60 5.83 168.93
16,001- 17,000 122.50 49.00 6.13 177.63
17,001- 18,000 128.50 51.40 6.43 186.33
18,001- 19,000 134.50 53.80 6.73 195.73
19,001- 20,000 140.50 56.20 7.03 203.73
20,001- 21,000 146.50 58.60 7.33 212.43
21,001 - 22,000 152.50 61.00 7.63 221.13
22,001- 23,000 158.50 63.40 7.93 229.83
23,001- 24,000 164.50 65.80 8.23 238.53
24,001- 25,000 170.50 68.20 8.53 247.23
25,001- 26,000 175.00 70.00 8.75 253.75
26,001- 27,000 179.50 71.80 8.98 260.28
27,001- 28,000 184.00 73.60 9.20 266.80
28,001- 29,000 188.50 75.40 9.43 273.33
29,001- 30,000 193.00 77.20 9.65 279.85
30,001- 31,000 197.50 79.00 9.88 286.38
31,001- 32,000 202.00 80.80 10.10 292.90
32,001- 33,000 206.50 82.60 10.33 299.43
33,001- 34,000 211.00 84.40 10.55 305.95
34,001- 35,000 215.50 86.20 10.78 312.48
•
35,001- 36,000 220.00 88.00 11.00 319.00
36,001- 37,000 224.50 89.80 11.23 325.53
37,001- 38,000 229.00 91.60 11.45 332.05
is \firesupr.doc
•
03/03/2000 Activities for Case #: BUP98 -00436
8:35:07 AM
Assigned Hold Updated
.. Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes •
BUPC005 Application received • 10/07/1998 B RECD DST 10/07/1998
BUPC008 Permit created 10/07/1998 B DONE DST 10/07/1998
BUPC783 Sprinkler Rough -In 10/07/1998 • DST 10/07/1998
BUPC784 Sprinkler Final 10/07/1998 10/08/1998 RC PASS ROC 10/09/1998
BUPC100 (F) Issue permit 10/07/1998 B PASS DST 10/07/1998
BUPC960 Case Finaled 11/19/1998 JT 11/19/1998
•
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Page 1 of 1
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 - 41775 F g Business Line: 639 -4171
W
Date Requested v U - / /' AM PM BLD
Location / 1Z t 5'r Suite MEC
Contact Person Ph PLM
Contractor 0/AAA:4) P h , 3-e) � a-e -V SWR
UILDIN) Tenant/Owner ELC
Retaining Wall ELR
Footing Access: S PI _�
Foundation 4.41\ •
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Film-wan
ire Spp e / rinkl taM/
Fire Alarm
Susp'd Ceiling
Roof
Mi
PART FAIL
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 Date /0 " C] ° ? $ Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.