Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00299
*A DEVELOPMENT SERVICES DATE ISSUED: 7/27/99
i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 -01403
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: M 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: $ 6,050.00
Remarks: Fire sprinkler TI.
Owner: Contractor:
THE MAY DEPARTMENT STORES WYATT FIRE PROTECTION INC.
611 OLIVE ST 9095 SW BURNHAM
ST LOUIS, MO 63101 TIGARD, OR 97233
Phone: Phone: 684 -2928
Reg #: uc mow
_ FEES REQUIRED INSPECTIONS
jjype By Date Amount Receipt Sprinkler Underslab Inspec
PRMT DEB 7/1/99 $62.50 5771 Sprinkler Rough -In
FIRE DEB 7/1/99 $25.00 5771
SPOT DEB 7/1/99 $3.13 5771 ORIGINAL
Total $90.63
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 o'r direct questions to OUNC by calling (503) 246 -1987.
Signature:
Issued By:
Call 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection Permit Application Plan Check # 7
CITY OF TIGARD Commercial or Residential Rec'd By C
13125 SW HALL BLVD. Date Rec'd X- -7 -/ -'f
TIGARD, OR 97223 Print or Type Date to P.E. 7- 14 1 "9%'
(503) 639 - 4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST l'
• 6P / 999 -o°a� Permit # f94 -.64.1F9 4,c . Called Job Name of Development/Project Type of System (Complete A or B as applicable)
Address A s 5 LAD A.) Sprinkler Wet 12[, Dry ❑
Name U Standpipes
Owner Mailing Address Hazard Group
Additional
City/State Zip Phone Information Density
Name Design Area
.-- ff Q,l -ems. Et, Rr ,fe_.
Occupant Mailing Address K. Factor
City/State Zip _ Phone A.1) Sprinkler Project Valuation $ L. O p0
Contractor Name B.) Fire Alarm y v
(Sprinkler or ( ,,'(� 0_
p,„c,c,,,
Alarm Company) Mailing Submittal Shall Include Battery Calculations YES ❑
Prior to permit Qd S • (,t) , -- buy - r - t her
issuance, a City/State Zip Phone � Individual Component YES ❑
O • 2 Cut Sheets
of all licenses 1 G O (
C17223 q • B.1) Fire Alarm Project Valuation $
are required if Stat Const. Cont. Board Lic.# Exp. Date
expired in COT / ,{ b --7 I
/00
Project Valuation Subtotal (A & or B) $ ao
database (0 (p
Named t I s C3 LL �SS ` Permit fee based on valuation
Architect Mailing Address ""�� ����"� (see chart on back) $ V2 • Sb
r " 2Cp S.L� • Matori ,mare. 5% Surcharge $
3.13
ity/State Zip Phone
`-
TOY -b . 012— ct12D 1 223 •14 6 F LS Plan Review 40% of Permit $_________5. ob
Describe work A.) New O Addition 0 Alteration 0 Repair O ;$---7--)r\ 1
to be done: TOTAL —I ..2_ /
B.) Modification to sprinkler heads only: V
1. 1 -10 heads= No plans required Plans required: Submit three sets of plans, includa
ir _vicinitLmap -and
2. 11 += Plan review required the location of the nearest hydrant.
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
are in compliance with Oregon State laws.
Addi • nal Description of Work:
/ms /2
t�7`-' F n / Signature • ner •e Date 771/77
A.) In Existing Building $. New Building ci
Building C tac person Name, Phone
Data B.) Commercial /"- Residential 0
I l.+ la O. Q�j�L (o 2. 28
FOR OFFICE USE ONLY:
No. of stories: .°
Plat` #,� "�� � <���; ,�. , ,., ':��°�,��s ; �Map%TL�#: "• - •
Sq. Ft: • = `, <M`''r'f"+;ti4g�,..8 a,:t < �i , - t -
. . * :• .`*
:Notes 7 ' ` ., .. 7 ` = "µ -
Occupancy Class Type of Construction °` ...': = i'' . >,' ',,`
- #...5 P . 4 . 3
is \dsts \forms \firesupr.doc 11/5/98
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 _: _ 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, ,. 199.33 _
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 0
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
1
CITY OF TIGARD BUILDING INSPECTION DIVISION M
24 -Hour Inspection Line: 639 -4175 Business Line: 6394171/ k /,S &_.----'
�/ UP 999- ? ? 5
Date Requested 947 2 AM PM _ /X BLD
Location 92 z -o t,v c .-/ ,15 Suite MEC
Contact Person Ph • PLM
1
Contractor at-- GE,-;4 Ph GPI' v9 Z( SWR SWOP B
BUILDING Tenant/Owner i -P` /51.#1,'1•4'L ELC V
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: yy�� -1
Slab tc -- SIT
Post & Beam •
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation -
Drywall Nailing
Firewall c.
F - pri a r "`�
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Fi
PART FAIL
4
BING
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
Other
Date � - 7 Inspector �i(, 6{ ______- Ex
Final
PASS . PART FAIL DO NOT REMOVE this inspection record from the job site.