Permit •
.e
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00155
AA D SERVICES DATE ISSUED: 05/15/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0 -01107
SITE ADDRESS: 09508 SW WASHINGTON SQUARE RD
SUBDIVISION: J -1 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: UNK : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0.00 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: $ 1,021.00
Remarks: Relocating 10 sprinkler heads, no plan review required.
Owner: Contractor:.
PPR WASHINGTON SQUARE LLC WYATT FIRE PROTECTION INC.
PO BOX 23635 9095 SW BURNHAM
TIGARD, OR 97281 TIGARD, OR 97233 ORIGINAL
�' ` � ��
Phone: Phone: 684 -2928 fl �\
Reg #: LIC 000640
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In •
5PCT DEB 05/01/200C $4.00 0001789 Sprinkler Final •
PRMT DEB 05/01/200C $50.00 0001789
PLCK DEB 05/01/200C $20.00 0001789
Total $74.00
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.
Signature: ?c ,��;
Issued By: , -
Call 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection Permit Application Plan Che 6 -1G -
CITY OF TIGARD Commercial or Residential Rec'd By
13125 SW HALL BLVD. Date Rec'd - CO
TIGARD, OR 97223 Print or Type .,,,,,
to P.E. Tin e7/..
(503) 639 - 4171, x. 304 Incomplete or illegible applications will not be accepted Date to DS =,.V .I 70,, ° � 6
Permit # >� .1„ 0AO ""te. '✓
Called /S -OD
5/b e 4A/1"r! ' • caa
Job Name of Development/Project Type of System (Complete A or B as applicable)
K h i licifiL J.E bo-c-Lu&
Address Address A.) Sprinkler Wet 21. Dry ❑
ci5br, ,.w. ti)aidn. S U ).
Name Standpipes
PPE. , I A 135si n m / L LC- .
Owner Mailing Adress Hazard Group
-p, p • 23 G Additional
City/State Zip Phone Information Density
TiOurrt ale q'72%1
Name-) / Design Area
Occupant Mailing Address K. Factor
City/State Zip I Phone A.1) Sprinkler Project Valuation $ f 1
1 Z
Contractor Name B.) Fire Alarm
(Sprinkler or 1 , \(l ^CA . FU\-p P rosy c (JY\
Alarm Company) Mailing)Address Submittal Shall Include Battery Calculations YES ❑
Prior to permit g Cpl 6,t A) . Vj\.Y10
issuance, a City/State Zip Phone Individual Component YES ❑
copy 6 %4 - , Zq 2$ Cut Sheets
of all licenses 1 6 r 6 B.1) Fire Alarm Project Valuation $
are required if State.Const. Cont. Board Lic.# Exp Date
expired in COT I Project Valuation Subtotal (A & or B) $
database / -pig( 0 UI 02 1 Cr-t-.
Name Permit fee based on valuation $
Architect Mailing Address (see chart on back) 50 .00
fe Surcharge $
4. 00
City/State Zip Phone e
FLS Plan Review 40% of Permit $
2sJ.00
Describe work A.) New 0 Addition 0 Alteration Repair O TOTAL $
to be done: L
B.::.•.:"--7 o sprinkler heads on y:
1. 1 -10 heads= No • I- 1 _ - .' - . Plans required: Submit three sets of plans, including a vicinity map and
2. 11+= P an 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: 10 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:
T = ; Re l. to' Fieov \ ` \s
Signatur f wn Ag Date l �
A.) In Existing Building .21-- New Building ❑ S vO
�-
Building Co Phone ` e,4_ al Z�
Data B.) Commercial Residential ❑ 1� - t7 I
FOR OFFICE USE ONLY:
No of stories:
Plat # , -` '- Map/TL #: - ,
Notes;' �o. LtitG4Y�0 AC:Fl/
Occupancy Class Type of Construction , , ll ti
.12,14..e) }. ,..2.-e,le7...".- (1-..0•14..., CO
.FYI- U-LA ,
is \dsts \forms \firesupr.doc 7/2/99 5 /.6
Valuation of Project Permit fee Tax 8% FLS 40% Total
• 1 - 2,000 50.00 4.00 20.00 74.00
2,001 - 3,000 59.25 4.74 23.70 87.69
3,001 - 4,000 68.50 5.48 27.40 101.38
4,001 - 5,000 77.75 6.22 31.10 115.07
5,001 - 6,000 87.00 6.96 34.80 128.76
6,001 - 7,000 96.25 7.70 38.50 142.45
7,001 - 8,000 105.50 8.44 42.20 156.14
8,001 - 9,000 114.75 9.18 45.90 169.83
9,001 - 10,000 124.00 9.92 49.60 183.52
10,001 - 11,000 133.25 10.66 53.30 197.21
11,001 - 12,000 142.50 11.40 57.00 210.90
12,001 - 13,000 151.75 12.14 60.70 224.59
13,001 - 14,000 161.00 12.88 64.40 238.28
14,001 - 15,000 170.25 13.62 68.10 251.97
15,001 - 16,000 179.50 14.36 71.80 265.66
16,001 - 17,000 188.75 15.10 75.50 279.35
17,001 - 18,000 198.00 15.84 79.20 293.04
18,001 - 19,000 207.25 16.58 82.90 306.73
19,001 - 20,000 216.50 17.32 86.60 320.42
20,001 - 21,000 225.75 18.06 90.30 334.11
21,001 - 22,000 235.00 18.80 94.00 347.80
22,001 - 23,000 244.25 19.54 97.70 361.49
23,001 - 24,000 253.50 20.28 101.40 375.18
24,001 - 25,000 262.75 21.02 105.10 388.87
25,001 - 26,000 269.50 21.56 107.80 398.86
26,001 - 27,000 276.25 22.10 110.50 408.85
27,001 - 28,000 283.00 22.64 113.20 418.84
28,001 - 29,000 289.75 23.18 115.90 428.83
29,001 - 30,000 296.50 23.72 118.60 438.82
30,001 - 31,000. 303.25 24.26 121.30 448.81
31,001 - 32,000 310.00 24.80 124.00 458.80
32,001 - 33,000 316.75 25.34 126.70 468.79
33,001 - 34,000 323.50 25.88 129.40 478.78
34,001 - 35,000 330.25 26.42 132.10 488.77
35,001 - 36,000 337.00 26.96 134.80 498.76
36,001 - 37,000 343.75 27.50 137.50 508.75
37,001 - 38,000 350.50 28.04 140.20 518.74
38,001 - 39,000 357.25 28.58 142.90 528.73
39,001 - 40,000 364.00 29.12 145.60 538.72
40,001 - 41,000 370.75 29.66 148.30 548.71
41,001 - 42,000 377.50 30.20 151.00 . 558.70
42,001 - 43,000 384.25 30.74 153.70 568.69
43,001 - 44,000 391.00 31.28 156.40 578.68
44,001 - 45,000 397.75 31.82 159.10 588.67
45,001 - 46,000 404.50 32.36 161.80 598.66
46,001 - 47,000 411.25 32.90 164.50 608.65 •
47,001 - 48,000 418.00 33.44 167.20 618.64
48,001 - 49,000 424.75 33.98 169.90 628.63
49,001 50,000 431.50 34.52 172.60 638.62
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CITY OF TIGARD BUILDING INSPECTION DIVISION • 'FAST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 •
��lSJ
• y BUP 2‘4,./P
Date Requested 3 2 ] AM PM BLD
Location 9) G' S 5'1 57 Suite MEC
Contact Person - "i/ f-, / 1 Ph Wok't/ Z z k PLM
Contractor Ph SWR
‘IN W 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
Firewall �
ire S ri F 44W •
e Alarm
Susp'd Ceiling
Roof
Misc:
PAS PART. FAIL
MBING
Post & Beam
1 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
Other *(t 0( Inspector E
Final
PASS PART FAIL - DO NOT REMOVE this inspection record from the job site. .