Permit r�
, BUILDING PERMIT
C ITY OF TIGARD PERMIT #: BUP1999 -00382
xd l j DEVELOPMENT SERVICES DATE ISSUED: 9/7/99
�- 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11909 SW TREEHILL CT PARCEL: 2S1106A -RED11 •
SUBDIVISION: REDWOOD VISTA OR! ��',A` ZONING: R -4.5
BLOCK: LOT: 01 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:
A
VALUE: "(AC°
Remarks: Fire suppression system - 13D w/ 2 heads flowing
Owner: Contractor:
FOUR D CONSTRUCTION GRINNELL FIRE PROTECTION
PO BOX 1577 GRINNELL CORP
BEAVERTON, OR 97075 5921 N MARINE DR
Phone: 579 -2064 P P Q h - o e N28038y203
Reg #: LIC 000632
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT BON 8/25/99 $56.60 99- 317931 Sprinkler Final
5PCT DEB 9/7/99 $4.15 99- 318136
PRM2 DEB 9/7/99 $2.65 99- 318136
FIRE DST 9/3/99 $14.81 99- 318098
(additional fees not listed here)
Total $87.10
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -1987.
S niter diee4 Sign re: �,
Iss ed By: k 4. 4!. a._ � If 4.4 !
Call 639 -4175 by 7 p.m. for an inspection the next business day
•
,4( Fire Protection Permit Application Plan Check • P .--- L � r
CITY OF TIGARD Commercial or Residential r
Recd By
13125 SW HALL BLVD. Date Recd 41 , — Z5 -: l
TIC ARD, OR 97223 Print or Type Date to P.E. i - ,9 'i/
(5 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DS % I 0 Mg°
Permit # M' 1 (° —00 ., Z
4 Called i' - ... 4 /Pr
Q.
Job Name of Development/ProDevelopment/Project cv
,_4-r t - ��-ti N; I ( TC et<A-C� Type of System (Complete A or B as appli )
Address Address A.) Sprinkler Wet Dry 905 5 in/ 1 ✓uA, if - re exACi* l rY 0
Name Standpipes
�Oua. 0 CONS i'i fi b..I NO
Owner Maili Address Hazard Group
V D. �cA 15 7 7 Additional 1 0
City/State Zip Phone Information Density O 4 ,
7/ (s , al 97075 .5,0 -O$OS
Name Design Area
UfN1000up,a,0 ZOO
Occupant Mailing Address K. Factor
City/State Zip Phone A.1) Sprinkler Project Valuation $ 2,4 o v
N ame i
Contractor � . B .) Fi re Al arm N l A
(Sprinkler or 6 e i N N c `(, -b z.
Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES 0
Pnortopermit 5g2I NO274 H/;fINZ O2.
issuance, a City/State Zip Phone Individual Component YES 0
copy Cut Sheets
of all licenses �or.. ,an_R 7 Z03 -9080 B.1) Fire Alarm Project Valuation $
are required if State Const Cont. Board Lic.# Exp. Date
expired in COT 6 32 0 7 .3,1� _o o Project Valuation Subtotal (A & or B) $ .2. , ..t o 0
'abase
Name Permit fee based on valuation $ B- r s_61, z (
Architect Mailing Address 5 c _(p0 : Z •!e' rsee chart on back)
t,Pu. f e-v 7 Olt Surcharge $ -a-7.-m- , 4. /S
City/State Zip I Phone FLS Plan Review 40% of Permit l --0 3i s S
Describe work A.) New G. Addition 0 Alteration 0 Repair O TOTAL
$
to be done: S -474-6 16/ -
B.) Modification to spnnkler 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 acxnowledge that I have read this aceticaeon, that the mfomiatton given is
Number of sprinkler heads: 23 correct that I am the owner or authorized agent of the saner. and that plans submitted
are " campus with Oregon State laws.
Additional Description of Work: - - 8 25- 91
el
/ Ignatu er /Agent Date
A.) In Existing Building 0 New Building Jo• Se h A Z 7.- -90
Building Contact Person Name Phone
Data B.) Commercial 0 Residential
FOR OFFICE USE ONLY:
Plat # Map/TL#
No. of stones: Z - -
Sq. Ft 2-51 Ii �
• Z, 1 61 0 * Notes
Occupancy Class Type of Construction
5N 2
is \firesupr.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 •
C
Date Requested 1( 0 I D v AM PM BLD
Location d / ! � /� 9 !� IaP�,/La, ( 1-- Suite MEC
Contact Person (' Ph 28 90g0 PLM
Contractor Ph SWR WAIN
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab I SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear (�
Framing r Q S� �l� P/
Insulation
Drywall Nailing
Firewall
• ire Spri•.- �,J-
=sr
Susp'd Ceiling
Roof
Misc:
3
PART FAIL
MBING
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA `
Otheoach /Sidewalk Date 1A 0 0 - 0 Inspector "` _- Ext •
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.