Permit CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2000 -00383
Awit DEVELOPMENT B SERVICES 9 ) 639-4171
DATE ISSUED: 9/22/00
13125 SITE ADDRESS: 09546 SW WASHINGTON SQUARE RD PARCEL: 1S126C0 -01107
SUBDIVISION: WASHINGTON SQUARE 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: : sf N: S: E: W:
OCCUPANCY GRP: 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: $ 2,933.00
Remarks: Tenant Improvement
Owner: Contractor:
WYATT FIRE PROTECTION INC.
9095 SW BURNHAM
TIGARD, OR 97233
Phone: Phone: 684 -2928
Reg #: LIC 000sao
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PLCK CTR 9/12/00 $48.14 27200000000 Sprinkler Final
FIRE CTR 9/12/00 $39.55 27200000000
PRMT CTR 9/22/00 $74.06 27200000000
5PCT CTR 9/22/00 $5.92 27200000000
(additional fees not listed here)
Total $197.29
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.
Permitee
Signature: -
.O
Issued By: `
Call 639 -4175 by 7 p.m. for an inspection the next business day
'CrY ZS ' #( � , l , s/
Fire - --.� y S In Plan Check #
CITY OF TIGARD Read By
13125 SW HALL BLVD. Date Recd 9-1-c 0
TIGARD, OR 97223 - .1 r - Date to P.E.
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST ' ii /P 1 Permit # '� -00303
Called C �_ �/`ae y -
Job Name of Development/Project U"
TYit 25/7L rpt. i [ 2t Type of System (Complete A or B as applicable)
Address Address
g54(v 5. W. aloil. . &d• A.) Sprinkler Wet Et Dry ❑
Name
Pipe KM 5 h L- L e Standpipes
Owner Mailing . b 23
P v � k Hazard Group
Cit /State Zip Phone Add itional
Ti CO rd Ole 41221 Information Density
!Varna r
Design Area
Occupant Mailing Address
K. Factor
• City /State Zip Phone
A.1) Sprinkler Project Valuation $ Z , � —
Contractor Name
(Sprinkler or VVI,,GLtf F' re 4 "e tI or) B.) Fire Alarm
Alarm Company) Mail0 Address
Prior to permit goe z5 5. (.. Bu rrl ha j')-7 Submittal Shall Include Battery Calculations YES ❑
issuance, a City /State Zip Phone
copy G (v g4 . Z -q 28 Individual Component YES [II
of all licenses i f C rd Oft C17223 Cut Sheets
are required if Stat�tonst. Cont. Board Lic.# Exp. Date B.1) Fire Alarm Project Valuation $
exdat aiaCOT 0401 02joi /U2
database Project Valuation Subtotal (A & or B) $
Name Z l� 7, —
M Address Permit fee based on valuation q -I L
Architect (see chart) l i Z-
City/State Zip Phone 8 % Surcharge $ 4,
Describe work A.) New 0 Addition 0 Alteration 0 Repair 0 FLS Plan Review 40% of Permit $ z2 ; � O
to be done: J
B.) Modification to sprinkler heads only: TOTAL $ E1 I kJ / c
1. 1 -10 heads= No plans required
2. 11 += Plan review required Plans required: Submit three sets of plans, including a vicinity map and
-- - -_- - -- the location of the nearest hydrant.
Number of sprinkler heads: 3C) I hereby acknowledge that I have read this application, that the information given is
Additional Description of Work: correct, that I am the owner or authorized agent of the owner, and that plans submitted
are in compliance with Oregon State laws.
��AACC L 7`5 r— TAM n cc)Je '{(� �
1 Signatur f n "'L Date
A.) In Existing Building El, New Building ❑ U a _ vo
Building
Data B.) Commercial a, Residential ❑ Conta Person Na a Phone
u� (4 -ZZ.e..)
No. of stories: FOR OFFICE USE ONLY:
Plat # Map/TL #:
Sq. Ft: ,
Occupancy Class Type of Construction Notes
i:\dsts\forms\firesupr.doc 2/2/00
Valuation of Project Permit fee I Tax 8% FLS 40% I Total
1 - 2,000 50.00 j 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 j 17.32 86.60 320.42 •
20,001 - 21,000 225.75 1 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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