Permit . _
---_- "'
CITY OFTIGARD
DEVELOPMENT BUILDING PERMIT
~� nmn SERVICES PERMIT #.......: BUP98-0205
~ � � ����������,������������/�
Tigard, `'-' DATE ISSUED: 05/20/98
PARCEL: 2S112DA-00800
SITE ADDRESS...: 15115 SW SEQUOIA PKWY 0200
SUBDIVISION....: ZONING:I—P
BLOCK..........: LOT... ..... JURISDICTION
-- -------------------------------------- ----------------------
REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION—
CLASS OF WORK.m��' FIRST....: 0 sf N S E: W:
'�—' �~� ",
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?----------
TYPE OF CONST.:3N ...: 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-$: 1945
Remarks: Add fire sprinkler protection system to a coinmercual tenant occpy.
Owner: ------------------- -------------------------- FEES --------------
PACIFIC REALTY ASSOCIATES type amount by date recpt
15350 SW SEQUOIA PKWY PRMT $ 32.50 GEO 05/19/98 98-305823
STE 300 • 5PCT $ 1.63 GEO 05/19/98 98-305823
TIGARD OR 97224 FIRE $ 13.00 GEO 05/19/98 98-305823
Phone #: 624-6300
Contractor: --------------------------
FIRESTOP CO
9384 SW TIGARD ST
TIGARD OR 97223
------------------------------------
Phone #: 620-6140 $ 47.13 TOTAL
Reg #..: 000638
--REQUIRED ACTIONS or INSPECTIONS----
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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 188 days. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those �
Notification
rules are set forth in OAR 95241-0010 through OAR 952-00101987.
You many obtain a copy of these rules or direct questions to DUNC
by calling (503)246-1987.
-----'— ------'
Permittee Signature:�11 -- Issued By:
-- ---`-/-- ejlakYtli■=1
_-
��
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Fire Protection Permit Application . Plan Check # 5 7- 6 --- —
CITY OF TIGARD Commercial or Residential Recd By4
13125 SW HALL BLVD. Date Recd 6- 755 -18 -
TIGARD, OR 97223 ' Print or Type Date to P.E. S —/ - -I`(
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST 6 _?
Permit #�, c / !QAQr -
Called 5 7�
Job Name of Development/Project Type of System (Complete A or B as applicable)
NoT- Sr ✓qLuAr/oitl
Address Address
`SKIS ; J SE o/A ,,�,, A.) Sprinkler Wet Dry ❑
Name Standpipes
ACM sr
Owner Mailing Address Group
/S3S' s�J--- fFpuo/d /gtoy 3vo Additional
City/State • Zip Phone Information Density •
776k, 00 97zz4- .- '3o ' •
Name Design Area -
Occupant Mailing Address K. Factor
City/State Zip - Phone A.1) Sprinkler Project Valuation $ oo
rg4s -
Contractor Name ,`� -,,� B.) Fire Alarm
(Sprinkler or friges � yr eD
Alarm Company) Mailing Addr ss Submittal Shall Include Battery Calculations YES ❑
Prior to permit /%1- ill — T6 'S
issuance, a City/State Zip Phone Individual Component YES
copy � Cut Sheets
of all licenses Y/ , 42/), O i g7zz3 6z0-614P B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date s
expired in COT 38 G J , aooD Project Valuation Subtotal (A & or B) $ oo
database 7 l 4.C
Name d r eM /f
ohv Permit fee based on valuation $ 3Z5- '
(see chart on back)
Architect Mailing Address ` - 5% Zz /( SE - We /� 5/o Surcharge $ 1103-
CgState Zi P FLS Plan Review 40% of Permit Soo
Describe work A.) New 0 Addition 0 Alteration k Repair 0 Pout � TOT
to be done: VAA l I. N PV W $ ,( � .1/ B.) Modification to sprinkler heads only:
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: /(v 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.
• Signature of 6 r /Agent Date
A.) In Existing Building New Building ID 5/402
Building ct Person Name J32u cE PE�4'i2 S o# Phone J (o z0- (� 1 ¢ p
Data B.) Commercial A Residential ❑ FOR OFFICE USE ONLY:
No. of stories: Plat #., . ' • . . " Map/TL #:
Sq. Ft: • OZ`S %Jit D/9 "Oa$C90
Notes. osJS._ - .r.- P. _ . , - _ . _ .... - .. .
Occupancy Class Type of Construction - _ -
•
i:\firesupr.doc
■
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
r 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 1,51.53
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
::\fresupr.doc
_ Page No . 1 1' . CASE HISTORY, FOR CASE NO.:'BUP98 -0205,
NORTHWEST EVALUATION, ' -
- ` -15115 SW SEQUOIA PKWY Unit: 200 _ ,
07/24/98' _
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd_
Code' - ' Sent Done Done Date By
BUPC005 Application received 4 / / / / 05/18/98 RECD GEO 05/19/98 GEO -
SUPC008 Permit created / / / / 05/19/98 DONE GEO 05/19/98 GEO
- BUPC012. Plans routed to Plans Examiner / / 7 / 05/19/98 PASS GEO 05/19/98 GEO, _
''PUPCO26 Approved Plans routed to DSTs / / / / 05/20/98 APPR RDP 05/20/98 RDP
-BUPCO29 DST Post Review Completed / / / / 05/20/98 DONE B '05/20/98 BON
:BUPC090,(p);.Ready to issue / / / / 05/20/98 PASS B 05/20/98 BON
BUPCl00 - .(F) Issue permit / / / / 05/20/98 PASS ',13 05/20/98 BON
BUPC783 Sprinkler. Rough -In 05/20/98 / / 06/25/98 PASS ;TLP. /26/98 - J *H -
- - ,BUPC784 Sprinkler Final 05/20/98 !/ / 06/2 ',=PASS TLP'06/26/98 J *H
BUPC960 Case Finaled., , , ...../ -- /-,''- /''/ 06/25/98 - ,2PASS'TLP,06 /26/98 J * H
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