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Permit CITY OF T'GARD BUILDING PERMIT PERMIT #: BUP1999 -00451 DEVELOPMENT SERVICES DATE ISSUED: 10/20/1999 Z * - II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 09685 SW WASHINGTON SQUARE RD PARCEL: 1 S126C0 -01107 SUBDIVISION: C -7 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? i TYPE OF CONST: 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: $ 3,205.00 Remarks: Fire suppression system Owner: Contractor: PPR WASHINGTON SQ LLC WYATT FIRE PROTECTION INC. PO BOX 23635 9095 SW BURNHAM TIGARD, OR 97281 TIGARD, OR 97233 Phone: Phone: 684 -2928 Reg #: LIC 000640 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough -In 5PCT BON 10/14/199E $3.56 99- 319086 Sprinkler Final FIRE BON 10/14/199E $17.80 99- 319086 PRMT BON 10/14/199E $44.50 99- 319086 Total $65.86 ORIGINAL 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. Pe tu �� Signature: in Issued By: (V,A4/44 Call 639 -4175 by 7 p.m. for an inspection the next business day Fire Protection Permit Application Plan Check# K _ CITY OF TIGARD Commercial or Residential Recd By I A 13125 SW HALL BLVD. Date Recd P TIGARD, OR 97223 Print or Type Date to P.E. r r . (503) 6394171, x. 304 Incomplete or illegible applications will not be accepted Date to DST 1n 1 Permit # 6) Called /a /9'!9 > p yO SALA/i /O r5 Job Name of Development/Project Type of System (Complete A or B as applicable) Mc , ■)c&A.kI roo 0 cyn - r fo. v--q)2 Address Address ress J A.) Sprinkler Wet (I. Dry El �) S vs) WASH . 6.4_ R o • Name Standpipes P 02_ \,Qc),,a ∎AA a yl . j LW Owner Mailing Address , Hazard Group 9 .0 . — 60 - -i 2 (z Additional City /State Zip Phone Information Density \qCA f6 1 0E- C\ 1 2BI Name' Design Area Occupant Mailing Address K Factor 9(05 .s.0 . 03:). ti . ` i d City/State Zip Phon A.1) Sprinkler Project Valuation $ 3 2 05.00 i RGuc - .X (`lam Contractor Name,...) B.) Fire Alarm (Sprinkler or W , L `�Q P) C -c-1 COY\ Alarm Company) _Mailin Address Submittal Shall Include Battery Calculations YES ❑ Prior to permit q c ) 6, O. l l,( Ytv_',or, issuance, a City /State Zip Phone Individual Component YES ❑ copy _ Cut Sheets � of all licenses \ C1(i tCl 1 ( 2. °12� (fly zci 20 B.1) Fire Alarm Project Valuation $ are required if StateOonst. Cont. Board Lic.# Exp. Date expired in COT �1 Project Valuation Subtotal (A & or B) $ database (o9 D 1 \ l ©(0 612-0 °e:3 / C�j, Name Permit fee based on valuation $ ,SD•e'C (see chart on back) 44 Architect Mailing Address a P /off Surcharge $ 4 /O ° City /State Zip Phone FLS Plan Review 40% of Permit $2 Describe work A.) New 0 Addition 0 Alteration • Repair O TOTAL $S2..5-Te to be done: B.) Modification to sprinkler 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 acknowledge that I have read this application, that the information given is Number of sprinkler heads: correct, that I am the owner or authonzed agent of the owner, and that plans submitted are in compliance with Oregon State laws. Additional Description of Work: Q 36 1 J C) 401 T .Z . Si of e g Date A.) In Existirtcj'Building [;4_, New Building El _ /0-/4- ? 9 Building C ontack IC /Name Phoneoi ^Z7Ze Data B.) Commercial 91 Residential ❑ FOR OFFICE USE ONLY: No. of stories: Plat # Map/TL#: Sq. Ft / g /ape C -o/ /U- Notes Occupancy Class Type of Construction is \dsts \forms \firesupr.doc 1 /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 - 33.50 15:40 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 99.33 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 . -- 134.50 53.80 6.73 195.73 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- - 22,00 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 i:\dsts\forms\firesupr.doc 11/5/98