Permit CITY TIGARDBUILDING PERMIT
A OR/ G81 PERMIT #: BUP1999 -00288
� , � '; � DE VELOPMENT SERVICES ATE ISSUED: 8/3/99 1.Lj, A
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 2S1106A -RED14
SITE ADDRESS: 11867 SW TREEHILL CT
SUBDIVISION: REDWOOD VISTA ZONING: R -4.5
BLOCK: LOT: 014 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R3 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: $ 2,100.00
Remarks: Fire suppression system
Owner: Contractor:
FOUR D CONSTRUCTION GRINNELL FIRE PROTECTION
PO BOX 1577 GRINNELL CORP
BEAVERTON, OR 97075 2870 NW 29TH AVE
Phone: P p PhRo a N�,�27210
• .. Reg #: LIC 000632
FEES REQUIRED INSPECTIONS
Type By . Date Amount Receipt Misc. Inspection - 5N2 1.310,1...t. 2 Qousµ bN
PRMT BON 6/29/99 $38.50 99- 316512
Misc. Inspection - Pa.40kL2- F.r.1A
FIRE BON 6/29/99 $15.40 99- 316512
5PCT BON 6/29/99 $1.93 99- 316512
Total $55.83
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.
Pe rm itee
Signature: ' ,. s ue • I .) r ,_ : a . a . ' ! 1 0-1/V
. - ( ,l 1 •
Issues = y: . • . . 1�.�1
Call 639 -4175 by 7 p.m. for an inspection the next business day
`' Fire Protection Permit Application
PP sr-
Plan Check # � �
CITY OF TIGARD Commercial or Residential Rec'd By
k 13125 SW HALL BLVD. Date Rec'd le c y
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 DST 1 b 31 q4+q /
Permit # 61 l`'�''�`'1- C.2.1-
Called • A ti t Mescb:�e • L.:).
7/i..04 . we
Job Name of Development/Project Type of System (Complete A or B as applicable)
Res o e v -4 -• 4( t -Forte I
Address Address A.) Sprinkler Wet ` Dry ❑
i106 .5 41 — keell,l t C.
Name Standpipes
Owner Mailing Address Hazard Group
Additional 13 D
City/State Zip Phone Information Density
•
N me Design Area
Z z3DOC
Occupant Mailing Address K. Factor D
City/State Zip Phone A.1) Sprinkler Project Valuation $
2, ►a0
Contractor Name I ` J% ['� p Q � B.) Fire Alarm
(Sprinkler or G R t ry € I I R g -' `eh '"
Alarm Company) Mailing Address / � Submittal Shall Include Battery Calculations YES ❑
Prior to permit 'Z 870 iv w ZS/ 4- h A J e_
issuance, a City/State Zip Phone Individual Component YES ❑
cepy l D Cut Sheets
of all licenses ed l c4AA 1 0 9-7LU 22_3 15 24 B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT 6 2o.5 Project Valuation Subtotal (A & or B) $
database
Name h am Permit fee based on valuation
�0 i b� I / (see chart on back) $��
Architect Mailing Address 5% Surcharge $
/ 93
City/State Zip Phone 67— i 12-51 FLS Plan Review 40% of Permit $ /5 qd
Describe work A.) NewX Addition 0 Alteration 0 Repair O TOTAL C
to be done: $ J 5-3
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: 7--5. 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:
.• 5 I ( 3 D 4 - ' � 1e1eA
6 i-e✓rl ♦ Signature of Owner /Agent Date
A.) In Existing Building ❑ New Building X . 6 G .2 ` -1
cy
Building Contact Person Name Phone
Data B.) Commercial ❑ Residential K
FOR OFFICE USE ONLY:
No. of stories: Plat# ' ,' Map/flit:
Notes
Occupancy Class Type of Construction
i:\dsts\forms\firesupr.doc 11/5/98
i
4
•
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 5.8
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 11/5/98
11/29/1999 Activities for Case #: BUP1999 -00288
11:05:29 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPA950 Case Finaled 11/29/1999 JMT DONE No Hold JMT 11/29/1999
BUPA005 Application received 06/29/1999 GEO RECD No Hold BON 07/12/1999
BUPA010 Permit created 07/12/1999 BON DONE No Hold BON 07/12/1999
BUPA030 Plans routed to PE 07/12/1999 BON DONE No Hold BON 07/12/1999
BUPA045 Plans appproved by PE 07/13/1999 RDP DONE No Hold RDP 07/13/1999
BUPA050 Apprvd plans routed to DSTs 07/13/1999 RDP DONE No Hold RDP 07/13/1999
BUPA800 Misc. Inspection 07/13/1999 07/13/1999 07/23/1999 TLP PASS No Hold AKJ 07/25/1999 Sprinkler Rough In
BUPA800 Misc. Inspection 07/13/1999 07/13/1999 NOTE No Hold RDP 07/13/1999 Sprinkler Final
BUPA055 DST Post - Review Completed 07/23/1999 DLH DONE No Hold DLH 07/23/1999
BUPA075 Ready to issue 07/23/1999 DLH DONE No Hold DLH 07/23/1999
BUPA085 (F) Issue building permit 08/03/1999 DEB DONE No Hold DEB 08/03/1999
BUPA763 Sprinkler Final 11/12/1999 KBS PASS No Hold VT 11/15/1999
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BU�riet I 'x
Date Requested 1/l 6 /00 AM Oq3 KM BLD
Location I 1 qCOa Vl�c Suite MEC S I
Contact Person Ph PLM 4/
Contractor Ph SWR
<BOIDING Tenant/Owner
ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire , .11 03
ire Ala
usp • Ceiling
Roof
Misc:
PART FAIL
!L JMBING
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 Date l Inspector ' C Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.