Permit Al CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00275
IA DEVELOPMENT SERVICES DATE ISSUED: 7/26/99
`- �'!I� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12144 SW.SCHOLLS FERRY RD PARCEL: 1S134BC -00101
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
• REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS 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: 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: 3 go,
Remarks: Installation of fire suppression system.
Owner: Contractor:
WILLIAM W. SAUNDERS, TRUSTEE SANDERSON SAFETY SUPPLY CO.
2155 KALAKAUA AVE STE 500 1101 SE 3RD ST
HONOLULU, HI 96815 PORTLAND, OR 97214
Phone: Phone: 238 -5700
Reg #: LIC 000649 .
•
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT DEB 7/2/99 $44.50 99- 316391 Sprinkler Final
FIRE DEB 7/2/99 $17.80 99- 316391
5PCT DEB 7/2/99 $2.23 99- 316391
Total $64.53 ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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.
Permitee
Signature:
e: o
Issued By: • h__ _
Call 639 -4175 by 7 p.m. for an inspection the next business day
6 -4.f c
Fire Protection Permit Application (- ;.y
CITY OF TIGARD Commercial or Residential ) ,4 j Jo
13125 SW HALL BLVD. i g T PL; 7-.2 -579
TIGARD, OR 97223 Print or Type
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted 7)U P'4'99 -x2
3 Q � ggq -ooloo
GM4M /z3 Aty 44L,
Job Nam „ D ,re pment/Projec Type of System (Complete A or B as applicable)
Address Address A.) Sprinkler Wet 0 Dry 0
Name ( Standpipes
Owner Mailing Addr ss Hazard Group
fait , /,,,6 �, 90 Additional
city/Stare Zip Phone Information Density
l �4° ar 'l- c ll.b 7 6-2? 7i'! -Ifo 4'jc
Name Design Area
Occupant Mailing Address K. Factor
City /State Zip I Phone A.1) Sprinkler Project Valuation $
Contractor Name B.) Fire Alarm
(Sprinkler or .5 744,7
Alarm Company) Mailing Address �^ Submittal Shall Include Battery Calculations YES ❑
Prior to permit ,hS ji,r- 3 �
issuance, a City tate Zip Phone Individual Component YES
copy p � „ n ' - 0 Cut Sheets
of all licenses 67i�(7 i(J'a B .1) Fire Alarm Project Valuation $
are required if State Consl/Con . Board Lic.# Exp. Date
expired in COT /n /� [[ o
database V 4 ��� ✓ ����� Project Valuation Subtotal or B ( B) $ 3 r��
Name g. P ermit fee based on valuation $
F� �5 (see chart on back) I S�
Architect Mailing Address
b775 5.4 ,” h ,Qj d A 5% Surcharge $ g ,3,7
City /State Zip Phone FLS Plan Review 40% of Permit
Describe work A.) Newt Addition 0 Alteration 0 Repair O TOTAL $
to be done: 61. 51
B.) Modification to sprinkler heads only: J
1. 1 -10 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 sprinkler heads: correct, that I am the owner or authorized agent of the owner, and that plans submitted
Additional Description of Work: are in compliance with Oregon State laws.
lift / >,, 4 si i g nat of wne gent Date d .-�'y 7
/ A.) In Existing Building ID 2
New Building ❑ (e �/ Yl eo /70
Building Contact erson me Phone ,,{{
Data B.) Commercial Residential ❑ V el k 70 6 9D
FOR OFFICE USE ONLY:
No. of stories: Plat # Map/TL #:
Sq. Ft:
Notes
Occupancy Class Type of Construction
is \dsts \forms \firesupr.doc 1/19/99
1
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 \dsts \forms \firesupr.doc 1/19/99
10/08/1999 Activities for Case #: BUP1999 -00275
10:40:18 AM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 06/24/1999 DEB DONE No Hold DEB 07/02/1999
BUPC008 Permit created 07/02/1999 DEB DONE No Hold DEB 07/02/1999
BUPC012 Plans routed to Plans Examiner 07/02/1999 DEB DONE No Hold DEB 07/02/1999
BUPCO24 Plans Approved by CPE 07/13/1999 RDP DONE No Hold RDP 07/13/1999
BUPCO22 Plans Approved /Routed to DSTs 07/13/1999 RDP DONE No Hold RDP 07/13/1999
BUPC783 Sprinkler Rough -In 07/13/1999 07/13/1999 No Hold RDP 07/13/1999
BUPC784 Sprinkler Final 07/13/1999 07/13/1999 10/05/1999 RB PASS No Hold RB 10/05/1999 Trip tests completed- OK.
BUPCO29 DST Post Review Completed 07/23/1999 DLH DONE No Hold DLH 07/23/1999
BUPC090 (F) Ready to issue 07/23/1999 DLH DONE No Hold DLH 07/23/1999
BUPC100 (F) Issue permit 07/26/1999 BON DONE No Hold BON 07/26/1999
BUPC960 Case Finaled 10/06/1999 AKJ DONE No Hold AKJ 10/06/1999
•
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Buussiness Line: 63 -V1 /qq9_� I /O
0. �//
Date Requested /c1� / ' � AM PM Mg-002 -2s
Location Z I . .I a I /S . Suite C
Contact Person MA r,e P 769'0270 PLM oq
Contractor , Ph t� 1 f ` / "06 /
``,II. Tenant/Owner es V ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SG
Crawl Drain Inspection Notes: ^ Q
Sl
Post & Beam
S'T , I I i FI �/ 7
Ext Sheath /Shear
Int Sheath /Shear
Framing t 41, IGG - OCR \ S(P — gi ZC (
Insulation - a
Drywall Nailing �--r/L 0 �� ` r - 000\9
Fire Sprinkler `. to �!1C1A- vv21S '6- Ss -� 1 O /sue `2 Fire Sprinkler
Fire Alarm
Susp'd Ceiling r/ t
Roof 11 C, 6 ..„- �- C� 1 ' p /qc ( , _,U� , , — Misc:
4gmnio
Aar PART FAIL
wir BING CO Q-- 41•C<C.. Si \ e.. `ice ` %
Post & S l aam
Under ab /k \
ndl ��� �, S "'V> d 4 S - k-
Top Out
Water Service S \ T ✓v■ J . D
Sanitary Sewer
Rain Drains _ /
Final A I 1 c.� + ^ n S PASS PART FAIL � �.X� Q.......ey\„---Ne Li_e_..,S2 .
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers 0 Tn OcGA.) b
Final '
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
0
Low Voltage
Fire Alarm
Final
PL =a PART FAIL
Backfill/Grading
Sanitary Sewer
Storm Drain \k1 [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin V `
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA n
hlg? . c -/ iyke fix, L Date %�� Inspector ‘` C� Ex A 9
FAIL DO NOT REMOVE this inspection record from the job site.
\ T - ‘R - 000 1 `Pla N \ ►J se.ecr; o