Permit CITY OF TIGARD
BUILDING FERMI T
^ , I � I ;i DEVELOPMENT SERVICES
(503)639-4171 CES DATE PERMIT 06/06/97 U97 -0245
E ISSUED:
PARCEL: 1S126OC -01107
SITE ADDRESS...: 09499 SW WASHINGTON SQUARE RD
SUBDIVISION ZONING:C —G
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.:3N ° °°° • 0 sf N: S: E: W:
OCCUPANCY GRP.:M 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. $ : 3500
Remarks : Sprinkler
Owner: FEES
WASHINGTON SQUARE INC type amount by date recpt
PO BOX 23635 FIRE $ 17.80 JDA 05/23/97 97- 294802
TIGARD OR 97281 5PCT $ 2.23 JDA 05/23/97 97- 294802
PRMT $ 44.50 JDA 05/23/97 97- 294802
Phone #: 639 -8860
Contractor:
WYATT FIRE PROTECTION INC.
9095 SW BURNHAM
TIGARD OR 97233
Phone #: 684 -2928 $ 64.53 TOTAL
Reg #..: 000640
REQUIRED 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.
Permittee Signatur Z.,41,411 9
Issued By•
Call 639 -4175 by :00 p. m. for an inspection needed the next business day
Fire Protection Permit Application - Plan Ch: til - 1, &
ITY OF TIGARD Commercial or Residential ,A gtgl Recd By
Ca,d .:a, _ 6" s
1GARD, OR 97223 Print or Type oats to P.E .
503) 639 -4171 Ext 304 Incomplete or illegible applications will not ccepted Date to DV ,I
Permit # OA —O 45
Called 6 —5
Name of Development/Project
Job f), ��� Type of System (Complete A or B as applicable)
•
Address gi,,e4s t � 4 l -, , , �- A.) Sprinkler Wet EK Dry 0
Nam — Standpipes
C Add s • r 4 J- nC . Hazard Group
Owner S Additional
lsta � nq ; Cho + Information Density
Namur Design Area
Occupant Mailing Address K. Factor
City/State Zip Phone Sprinkler Project Valuation $ 5 —
COT Business Tax or Metro # Exp. Date B.) Fire Alarm )-P
Contractor Na e _ Submittal Shall Include Battery Calculations YES
i re��� 0n .
0
(Sprinkler or d Individual Component YES
Alarm sA d�Q�/` Cut Sheets
Company) ,�Ci tState Phone Fire Alarm Project Valuation $
Attach Copy Stet C. nst. Cont. Board Lic. Exp p Date Project Valuation Subtotal (A or B) $ J 2
o f • • qb
Permit fee based on valuation $
jBuine
�,1S r r ,Metro x F O 1 ALA �
Current CO
Licenses ` ( (,� o v+ 1 " (see chart on back) - I
Name I 5% Surcharge $ 0 .a3
NI
Architect Mailing Addres FLS Plan Review 40% of Subtotal $ - ieiO
City/State Zip Phone TOTAL $ ( s 3
Describe work A.) New 0 Addition 0 Alteration OK O PUNS MUST BE SUBMITTED. approved and a permit issued poor to mspUabon.
to be done: Three sets et plans and site plan (and vianity map) required which shows location of
nearest hyor nt.
B.) Basemen Hood/Vent 0 Spray Booth 0 I heresy ack.'owledge rat l have read this application. that the information given is
Complete Partial 0 Exitway 0 correct. that I am the owner or authonzed agent of the owner, and that plans submitted
are in compliance • Oregon State laws.
Additional Description of Work:
Signat Agent Date
. 6X2c)/f7
A.) In Existing Building (g New Building ❑ ‘tact Person Name Phone
Building 'A ch -Rohr (0 64 ,
Data B.) Commercial /Residential ❑ FOR OFFICE USE ONLY:
Plat # Map/TL#: - . .
No. of stories: 1 _ ...•.
Sq. Ft `
Z� NoteA
Occupancy Cla Type Const ' on - (51)eq1-02-1 PIN 7 e o .27N ru N / .
ststfiresupr.doc
0
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CITY CF TIGARD .
TOTAL
PLAN STATE E BUILDING
VALUATION PERMIT FLS REVIEW TAX PERMIT
CF PRCJE.... PEES (40%) (65','0) 5%
_ FEES
1 -1,530 25.00 10.00 16.25
. 1.25 I 52.50
1.501 -1.300 23.50 10.60 17.23 1.33 55.66
1.501 -1.700 29.00 11.20 18.20 1.40 58.80
1.701 -1,300 29.50 11.30 19.18 1.48 61.96
1,801 -1,9C0 31.00 12.40 20.15 1.55 65.10
1.901 -2.300 32.50 13.00 21.13 1.63 68.26
2.001 -3,000 38.50 15.40 25.03 1.93 80.86
3.001 -4,000 44.50 17.30 28.93 2.23 93.46
4,001 -5.000 50.50 20.20 32.83 2.53 106.06
5,001 -6,000 566.50 22.60 36.73 2.53 118.66
6,001 -7,000 62.50 25.00 40.53 3.13 131.25
7.001 -3,000 68.50 27.40 44.53 3.43 143.86
8,001 -9,000 74.50 29.20 48.43 3.73 156.46
9,001 - 10,000 80.50 32.20 52.33 4.03 169.06
10,001 - 11,000 36.50 34.50 56.23 4.33 181.66
11.001- 12,000 92.50 37.00 60.13 4.53 194.26
12.001- 13,000 98.50 39.40 64.03 4.93 206.86
13.001- 14,000 104.50 41.80 67.93 5.23 219.46
14,001 - 15,000 110.50 44.20 71.83 5.53 232.06
15,001- 16,000 116 50 46.30 75.73 5.93 244.26
16.301 - 17,000 1 49.30 79.53 6.13 257.26
17,001- 18,000 123.50 51.40 83.53 6.43 269.86
13,001 - 19,000 134.50 53.50 87.43 6.73 282.46
19.001 - 20,000 140._50 56.20 91.33 7.03 295.06
2 0.001- 21,000 146.50 53.60 95.23 . 7.33 307.56
21,001%.000 152.50 61.00 9A13 7.53 320.25
22.0 C 1- 23.00 0 153.50 53.40 103.03 7.93 332.36
23. - 24.000 154.50 55.50 106.93 3
8.23 345.46
2' .CC 1 -Z5. _CO 170.50 58.20 110.83 8.53 358.06
"'30 1 7 5. .
30 7030 i 1 :.7 ,
__...0 . -._ 113.75 8.75 367.510
25 ,301 - 27.000 179.50 71.50 1155.63 8.93 376.96
27,301-23.030 12.00 73.50 119.60 9.20 386.40
23.001- 183.50 75. 12253 9.43 395.86
29,001- 30.300 193.30 77.2a 125.45 9.65 405.30
30,001-31,000 197.50 79.00 128.38 c 2
8 414.76
31,C01 -32,000 202.30 80.30 131.20 10.10 424.20
. -- 3.050 206.53 . 82.50 134.23 12." 43'
33,001- 34.300 211.00 8 137.15 10.55 443.10
3 - 35,300 215.50 86 140.23 10.78 452.56
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: i 1 1 0` r i �� 0 � l
�l A P PM � l� �,�, 1
Location: 7111c7 W-, S Q. W BUP: 6 7 b, 45,
Tenant:
4/► I j.� Suite: Bldg: MEC: " 6D_Ci
Contractor: Phone: PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING LD con't) PLUMBING E LECTRICAL SITE
Site ost/Beam Post/Beam PostBeam Cover /Service Sewer /Storm
Footing Roof r UndFl/Slab Rough -In / ° ) Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct ' Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceil' ��Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr Crawl/Found Dr Heat Pump Low Volt
+• pprov .i Approved prov Approved Approved
Appr /Sdwlk Not • pproved Not Approved No pproved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
. 1 mr / w - 1 r . T(1 s il IN
rI
•
•
El Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: e." L / Date: 7- � - 7 Page of