Permit ` PERMIT #: BUP2000 -00433
iIii DEVELOPMENT r S SERVICES ACES DATE ISSUED: 10/31/00
/ Hall Blvd.,
PARCEL: 1S134BC -00300
SITE ADDRESS: 12286 SW SCHOLLS FERRY RD
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: A3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,200.00
Remarks: Hood Fire Suppression System
Owner: Contractor:
BURNHAM PACIFIC SANDERSON SAFETY SUPPLY CO.
10135 SE SUNNYSIDE RD 1101 SE 3RD ST
SUITE 250 PORTLAND, OR 97214
CR OR 97015 Phone: 238 -5700
• Reg #: LIC 00064969
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT CTR 10/19/00 $58.85 27200000000 Sprinkler Final
PRMT CTR 10/31/00 $13.25 27200000000
5PCT CTR 10/31/00 $5.77 27200000000
FIRE CTR 10/19/00 $28.84 27200000000
Total $106.71
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. 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 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Pemtitee
Signature:
Issued By: s/,
Call 639 -4175 by 7 p.m. for an inspection the next business day
„ V ° 5 r 0 tbrin
• Building Permit Application
rs.: ept �I City of Tigard Date received: /0/ /pi) Permit no.:aup.2t0 -00 y
.t z ('n
^. Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By:. I Receipt no.:
Fax: (503) 598 -1960 a (/ ,20 j
D — ( Case file no.: Payment type:
Land use approval: l &2 family: Simple Complex: L
TYPE OF PERMIT >
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement ❑ Tenant improvement ►, • sprinkler /alarm ❑ Other: I
JOB SITE INFORMATION
Job address: / a gG S, 46/ 5 P //y i' . Bldg. no.: Suite no.: t\
Lot: I Block: (Subdivision: // I Tax map /tax lot/account no.:
Project name: 73, 6. Yeses -- /
Description and location of work on premises/special conditions: _- f l,S - i z•/ '% a - ,4, o e 5 /frCrfio i
s sfet~._
O % ER FOR SPECIAL INFORMATION, USE CHECKLIST O
Name: (Floodplain, septic capacity, solar, etc.)
Mailing address: / D r e . Sw ' $ ,,,-- I & 2 family dwelling:
W
City: ( a , (Stat)f, ZIP: q 7 ? a ei Valuation of work $ t
Phone: / (Fax: I E -mail: No. of bedrooms/baths G
Owners representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT Garage/carport area (sq. ft.)
Name: /v(r•C t.•ae / % ” wh-A,.. r- Covered porch area (sq. ft.) �.
Mailing address: /7/ SC 7T01 Deck area (sq. ft.)
City: /, / / .-/..4 I State: Or I ZIP: q 7) / C / Other structure area (sq. ft.)
Phone: , 00 Fax:.? 3, •6 It A E -mail: Commercial/'mdustrial/multi- family:
CONTRACTOR Valuation of work $ ..2 c2e:/
Existing bldg. area (sq. ft.) •
Business name: i �jo v— d c. .-/ New bldg. area (sq. ft.)
Address: /, / $a 7,- Number of stories
City : /;, ., k / 0 , I State : () / I ZIP: q 72 / / Type of construction
Phone: 2-3-5--70o / I Fax , , - 6c E -mail:
CCB no.: A C/ C 6 g Occupancy group(s): Existing:
j l New.
City/metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
•
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: I State: I ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
ENGINEER
Name: Contact person: Fees due upon application $ /0 to , 7/
Address: Date received:
City: (State: (ZIP:. Amount received $
Phone: I Fax: I E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions . laws and ordinances governing this ❑ Visa CI MasterCard
work will be complied wi 1 > i er specified herein or not. Credit card number I /
/
Expires
Authorized signature: ,/ Date: N ame of cardholder as shown on credit card
Print name: 411. �' G .e $
Cardholder signature Amount
Notice: This permit application expires if a permit i not obtained within 180 • ays after it has been accepted as complete. 44o4613 (6100/COM)
i63—,,,Q3,- -57o-0 202,/O .die/LO
7 D Cg JGLS
de /� ,� - 7/ Td `�-
Fire Protection Permit Check List
A.) ❑ New ❑ Addition ❑ Alteration LI Repair
B.) Modification to sprinkler heads only:
Describe work to 1. 1 -10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler heads:
Additional description of work:
•
Type of System (Complete A or B as applicable):
A.) Sprinkler Wet Li Dry ❑
Standpipes
Additional Hazard Group
Information Density
Design Area
K. Factor
Sprinkler Project Valuation: $
• B.) Fire Alarm
Submittal shall Battery Calculations Yes ❑
include: Individual Component Yes ❑
Cut Sheets
Fire Alarm Project Valuation: $
Project Valuation Subtotal (A & B): $ c2 0200 ,
Permit fee based on valuation (see chart): $ 9,2,/ 0
8% State Surcharge: $ S ,
FLS Plan Review 40% of Permit: $ 2 P y
TOTAL: $ 1 0 Co ; 7/
•
is \dsts \forms \FPSchecklist.doc 10/04/00
Building Permit Fee Chart f '
.
Project Valuation Permit Fee Tax F &LS Total
8% 40%
1 2,000 62.50 5.00 25.00 92.50
2,001 3,000 72.10 5.77 28.84 106.71
3,001 4,000 81.70 6.54 32.68 120.92
4,001 5,000 91.30 7.30 36.52 135.12
5,001 6,000 100.90 8.07 40.36 149.33
6,001 7,000 110.50 8.84 44.20 163.54
7,001 8,000 120.10 9.61 48.04 177.75
8,001 9,000 129.70 10.38 51.88 191.96
9,001 10,000 139.30 11.14 55.72 206.16
10,001 11,000 148.90 11.91 59.56 220.37
11,001 12,000 158.50 12.68 63.40 234.58
12,001 13,000 168.10 13.45 67.24 248.79
13,001 14,000 177.70 14.22 71.08 263.00
14,001 15,000 187.30 14.98 74.92 277.20
15,001 16,000 196.90 15.75 78.76 291.41
16,001 17,000 206.50 16.52 82.60 305.62
17,001 18,000 216.10 17.29 86.44 319.83
18,001 19,000 225.70 18.06 90.28 334.04
19,001 20,000 235.30 18.82 94.12 348.24
20,001 21,000 244.90 19.59 97.96 362.45
21,001 22,000 254.50 20.36 101.80 376.66
22,001 23,000 264.10 21.13 105.64 390.87
23,001 24,000 273.70 21.90 109.48 405.08
24,001 25,000 283.30 22.66 113.32 419.28
25,001 26,000 290.80 23.26 116.32 430.38
26,001 27,000 298.30 23.86 119.32 441.48
27,001 28,000 305.80 24.46 122.32 452.58
28,001 29,000 313.30 25.06 125.32 463.68
29,001 30,000 320.80 25.66 128.32 474.78
- 30,001 31,000 328.30 26.26 131.32 485.88 _.
31,001 32,000 335.80 26.86 134.32 496.98
32,001 33,000 343.30 27.46 137.32 508.08
33,001 34,000 350.80 . 28.06 140.32 519.18
34,001 35,000 358.30 28.66 143.32 530.28
35,001 36,000 365.80 29.26 146.32 541.38
36,001 37,000 373.30 29.86 149.32 552.48
37,001 38,000 380.80 30.46 152.32 563.58
38,001 39,000 388.30 31.06 155.32 574.68
39,001 40,000 395.80 31.66 158.32 585.78
40,001 41,000 403.30 32.26 161.32 596.88
41,001 42,000 410.80 32.86 164.32 607.98
42,001 43,000 418.30 33.46 167.32 619.08
43,001 44,000 425.80 34.06 170.32 630.18
44,001 45,000 433.30 34.66 173.32 641.28
45,001 46,000 440.80 35.26 176.32 652.38
46,001 47,000 448.30 35.86 179.32 663.48
47,001 48,000 455.80 36.46 182.32 674.58
48,001 49,000 463.30 37.06 185.32 685.68
49,001 50,000 470.80 37.66 188.32 696.78
I:\dsts \forms \feechart.xls 10/01/00 1
BU P - Building Permit EL C - Electrical Permit
I Inspection Description Date Passed By Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry/Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing � Inspection Description Date Passed By
Post/beam mechanical
Suspended ceiling Gas line
Engineered soils Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
Structural observation
Final inspection
PLM - Plumbing Permit
Inspection Description Date Passed By
BUP — Fire Protection System Permit Plumbing underslab
Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP/backflow preventer
Fire alarm final Rain drain
.:.�
114■1 It I IV Storm drain
t. ll // /d Water service
SIT - Site Permit Sanitary sewer
Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin /Manhole SWR - Sewer Permit
Engineered soils I Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS
CITY OF TIGARD - BUILDING PERMIT
PERMIT #: BUP2000 -00433
6 = A -1. , �. ;�y;# DEVELOPMENT H B So RV 2CES (503) 639 -4171 DATE ISSUED: 10/31/00
SITE ADDRESS: 12286 SW SCHOLLS FERRY RD PARCEL: 1S134BC -00300
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: A3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,200.00
Remarks: Hood Fire Suppression System
Owner: Contractor:
BURNHAM PACIFIC SANDERSON SAFETY SUPPLY CO.
10135 SE SUNNYSIDE RD 1101 SE 3RD ST
SUITE 250 PORTLAND, OR 97214
CI OR 97015 Phone: 238 -5700
• Reg #: LIC 00064969
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT CTR 10/19/00 $58.85 27200000000 Sprinkler Final
PRMT CTR 10/31/00 $13.25 27200000000 •
5PCT CTR 10/31/00 $5.77 27200000000
• FIRE CTR 10/19/00 $28.84 27200000000
Total $106.71 C
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. L
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 I
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
.0
Permitee
Signature: /' 0
Issued By: 4 k
Call 639 -4175 by 7 p.m. for an inspection the next business day
w