Permit ;l. CITY OF TIGARD
��� DEVE SERVICES F'ERMBBUILLDING PERMIT
TF'98 -0354
DATE ISSUED: 09/09/98
PARCEL: 25112DD- 01600
SITE ADDRESS...: 15495 SW SEQUOIA PKWY #130
SUBDIVISION • ZONING:I —P
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. :5N - - -: 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:Y 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. $ : 1760
Remarks : North American Van Lines - fire suppression system
Owner: FEES •-
PACIFIC REALTY ASSOC type amount by date recpt
15350 SW SEQUOIA PKWY PRMT $ 26.50 DRA 09/02/98 98- 308800
STE 300 5PCT $ 1.33 DRA 09/02/98 98- 308800
TIGARD OR 97224 FIRE $ 10.60 DRA 09/02/98 98- 308800
Phone #: 624-6300
Contract or:
FIRESTOP CO
9384 SW TIGARD ST
TIGARD OR 97223
Phone #: 620 -6140 $ 38.43 TOTAL
Reg #..: 000638
-- 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.
ir
AOOMAINk
Permittee Signature- __Allf.T`_rZ/ Issued By:
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
t _
Fire Protection Permit Application Plan Che # � � " a
CITY �F TIGARD Commercial or Residential , ' Read Byi I�
13125 ( W HALL BLVD. qktb Date Recd a 7
TIGARD, OR 97223 Print o Type K '�
Date • to P.E. '�� ' �
(503) 639 -4171 Ext. 304 Incomplete or illegible applications will not be accepted Date to D : 6 ' : 1 .
Permit # ti
(� ( 1 - Called (� g /f3`
IiIJ ` " Ip �l dal Scerrr
Name of Development/Project Type of System (Complete A or B as appl
Job 14 otl - A.MEtttt.ro►Vs LINES A.) Sprinkler Wet Dry Q
Address Address
Is¢Q S Stn) Settu co a PLwY SI% 13D Standpipes
Name 0
I RCT'RV Sr - Hazard Group
Owner Mailing Address Additional L1 C.14-1
City /State Zip Phone Information Density . I D
Design Area
Name 1 S Qb
1009,71} AMER 1 t A$J VP PJ LIrtet K. Factor
Occupant Mailing Address s'. (
IS4 SO Seat/ Disk Pkwy Sts 13v Sprinkler Project Valuation $
City /State Zip Phone 11 (p b
COT Business Tax or Metro # Exp. Date B.) Fire Alarm
Contractor Name Submittal Shall Include Battery Calculations YES 0
(Sprinkler or � RES' b p CD. Individual Component YES ❑
Alarm Company) Mailing Cut Sheets
(Prior to perm 3 it q' a4_ � Ti C, PrR 0 SS . -
issuance applicant City /State Zip Phone Fire Alarm Project Valuation $ ,
must provide all T c , Q4 00 9712.1 (20 7 to
contractors license State Con Cont. Board Lic.# Exp. Date Project Valuation Subtotal (A or B) $ / ��
information for ( 3 p O7.--b% - CO
COT database). COT Business Tax or Metro # Exp. Date Permit fee based on valuation $ 0
(see chart on back)
9B -S889 12 -31 - 'it 5 % Surcharge $ S 3
Name
Ato KnOTA MvIsm FLS Plan Review 40% of Permit
Architect Mailing Address ��( $ e...) , ��
Co SW 'y ACArD ( S„&
pity/State Zip Phone TOTAL $ t Q g ` V3
Toi��-tew IS b it 9-t .w z.4-S -110o
PLANS MUST BE SUBMITTED, approved and a permit issued prior to installation.
Describe work A.) New 0 Addition 0 Alteration tic Repair 0 Three sets of plans and site plan (and vicinity map) required which shows location of
to be done: 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 S Partial 0 Exitway O comet that 1 am the owner or authorized agent of the owner, and that plans submitted
are in compliance with Oregon State laws.
Additional Description of Work: polo 1 to S Po_ Signature of Owner /Age t Date
3 SPA.. 9 b . 9%
A.) In Existing Building 1liz New Building 0
ontact Person Name Phone •
- 9L ( o -- (01
Building "nrRs o ,,..r
Data B.) Commercial tg Residential O FOR OFFICE USE ONLY:
Plat # Map/TL#:
No. of stories: 1 . ,
>1 IV
. U/00:'
Sq. Ft: Notes
Occupancy Class Type of Construction
•
1 I:\FIRESUPR.DOC (DST) 8/96
4/11/00 Activities for Case #: BUP98 -00354
3:40:09 PM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 APPlication received 9/2/98 DRA RECD • BON 9/4/98
BUPC008 Permit created 9/4/98 B DONE BON 9/4/98
BUPC012 Plans routed to Plans Examiner 9/4/98 B SENT BON 9/4/98
BUPCO24 Plans Approved by CPE 9/8/98 RDP APPR RDP 9/8/98 •
BUPCO26 APProved Plans routed to DSTs 9/8/98 RDP APPR RDP 9/8/98
BUPC783 Sprinkler Rough -In 9/8/98 J *H 9/25/98
BUPC784 Sprinkler Final 9/8/98 10/23/98 TLP PASS TLP 12/2/98
BUPCO29 DST Post Review Completed 9/9/98 JSD PASS JSD 9/9/98
BUPC090 (F) Ready to issue 9/9/98 JSD PASS JSD 9/9/98
BUPC100 (F) Issue permit 9/9/98 JSD PASS KJP 9/9/98
BUPC960 Case Finaled 12/2/98 JT 12/2/98
•
•
•
•
•
Page 1 of 1 •
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 v Business Line: 639 -4171 ® 9g d3�
Date Requested /c2 P 2 - Fo AM PM BLD
Location / 55/9 Sw 5'6 04)/0 Suite MEC
Contact Person Ph PLM
Contractor 472E STUB Ph SWR
(UILDING) Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain , I oro e3 /E SGN
Slab 7J�/ �nN E ��� SIT
Post & Beam 2/d Ext Sheath /Shear Od /A 2/d TL /'A
Ina Sheath /Shear - / /
Framing U/ &6'b /.S A / L /rho
Insulation
Drywall Nailing
Firewall
Fire A arm
Susp'd Ceiling
Roof
M' •
: PART FAIL
PLUMBING
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 D ate **--Z Other Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.