Permit �� � ' . ,
A - -- ' CITY OFTIGARD
DEVELOPMENT BUILDING PERMIT
���~�u~m~��o n�"~~"=" SERVICES PERMIT #......~: BUP97-0352
~�W ' . 18125 S0/ Hall BlVd.,7immd�R�7D�� �U3 �D�4/7/
~-- ' ~/ DATE ISSUED: 08/06/97
, PARCEL: 2S110DC-02200
SITE ADDRESS...: 15570 SW PACIFIC HWY
SUBDIVISION ^ WILLOW BROOK FARM ZONING:'C-G �� T
BLOCK..........: LOT... ~11 JURISDICTION:TI8
__________ ______________ _ ______��______�_ _ _
REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK.:FPS FIRST ^ 421 sf N: 5: E: W:
TYPE OF USE...:CQM SECOND...: 0 sf PROTECT OPENINGS?----------
TYPE OF CONST.:2N ...: 0 sf N: S: E:, W:
OCCUPANCY GRP.:B TOTAL-7.----g 421 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 5 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 DEL.:
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. $: 933
Remarks : Fire suppression system
O1,,,ner: ---- ----------- - FEES - -
SAFEWAY STORES INC type amount by date recpt
16300 SE EVELYN ST . PRMT $ 25.00 B 07/23/97 97-297462
CLACKAMAS OR 97015 FIRE $ 10.00 B 07/23/97 97-297462
' 5PCT $ 1.25 B 07/23/97 97-297462
Phone #: 656-1461
Contractor: -------- -
A-PROFESSIONAL FIRE SYSTEMS CO
12273 SOUTH STEINER RD
BEAVERCREEK OR 97004-9653
____________
Phone #: 503-632-4353 $ 36.25 TOTAL
Reg #..: 000416 .
REQUIRED INSPECTIONS -------
/ This permit is issued subject to the regulations contained in the e 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. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those . .
.rules are set forth in � 952-0011010 tkroogh OA8 952-«^101987. - .
OAR ____
. You many obtain a copy of these rules or direct questions ta OUNC ._______ _ __
by calling (503)246-1987. . ___ ___ _ _______________
� - --
Permit Signature: 4= Issued n : �_
. ` . '
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++4++++++++ ,
. Call 639-4175 by 6:00 p.m. for an inspection needed the ne busii{esS day
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++f+++++++++++
.
'
,
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I 7 ') 1
CITY OFTIGARD Fire Protection Permit Ap Plan Check #
Commercial or Residential Recd By V1A +
13125 SW HALL BLVD, Date Rec'd 7 - lb -- `Ii
TI,GARD, OR 97223 Date to P.E. 1 2:3-
(503) 639 -4171 Ext. 304 Print or Type Date to DST 7 - 24 -+1l#
Incomplete or illegible applications will not be accepted Permit #���']- C'
Called 0 9 9 z9
.01 -5 __
Name of Development/Project � r `
/ � / - � C
L..) E. i Type of System (Complete A or B as a licable)
Job LS FA tr;
Address Address A.) Sprinkler Wet Dry 0
/SS 7b 5.F, PAC /F'C_ 14 7 7 c. 4 el' Standpipes
Name
5 -J�i sie 4 SIt17a
Hazard Group
Owner Mailing Address Additional 4/4.14r
City/State Zip Phone
Information Density
Name Design Area
W ELL. s FA eg 0
Occupant Mailing Address K. Factor 5- 6.
City/State Zip Phone Sprinkler Project Valuation $ , 3 l
COT Business Tax or Metro # Exp. Date B.) Fire Alarm
Contractor
Name Submittal Shall Include Battery Calculations YES ❑
A PPoFE s.,ony4.L r :S"sT co , Individual Component YES ❑
(Sprinkler or Mailing Address Cut Sheets
Alarm / '7273 S, S'niwee RD Fire Alarm Project Valuation
Company) City/State Zip Phone 1 $
GC ECA" of "PboY (3z - '7353 1 (A or B A ect Valuation Subtotal p
Attach Copy State Const. Cont. Board Lic.# Exp. Date B) $ A C?
of Y /4. o (0-2V- Vs
Current COT Busine�s�Ta5ibr M """ 777 ?Exp. D�tt , 0•-t/ 5% Surcharge $ ( p
Licenses (Jf I (C 4
Name I r FLS Plan Review 40% of Subtotal $ 10
A* ► e -r,. G 'e, ••t rt A 14
Architect Mailing Address TOTAL $ 3 Z
,tE 4St..x SZ /O
C� /State Zip Phone PLANS MUST BE SUBMITTED, approved and a permit issued prior
/Oeru - 0, �, "P720E 621 300° to installation. Three sets of plans and site plan (and vicinity map)
Describe work A.) New 0 . Addition Alteration 0 Repair O required which shows location of nearest hydrant.
to be done: I hereby acknowledge that I have read this application, that the information
B.) Basement 0 HoodNent 0 Spray Booth 0 given is correct, that I am the owner or authorized agent of the owner, and
Complete 0 Partial er Exitway O that plans submitted are in compliance with Oregon State laws.
Additional Description of Work: Si f Owner /Agent Date t7
,,STaz� Te°cr
t• �wJxc
�F.S IN i}eda++c_rt g1�‹ ` 7-/Y-9
Contact Person Nam Phone
A.) In Existing Building New Building ❑ 6, 3 z - V 5 3
Building
Data B.) Commercial residential ❑ FOR OFFICE USE ONLY:
,F.:a N.ii_ . _ . ..ka§ASi, + H ttt } AW M» M
Plat # r-:.. ;Ma LTL# F es• _ <..: =
No. of stories: .. , R Tetro!t+r,ft:i :. _ Sq. Ft: ° ' �F
Vei Note � -; :« . , 5
Occupancy Class Type of Construction 'rYF- '
P `:Q, • `
ildsts \firesupr.doc
8/96
RECEIVED
JUL 161997
COMMUNITY DEVELOPMENT
1/21/00 Activities for Case #: BUP97 -00352
4:17:56 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 7/16/97 MAI RECD BON 7/23/97
BUPC008 Permit created 7/23/97 B PASS BON 7/23/97
BUPC012 Plans routed to Plans Examiner 7/23/97 B PASS BON 7/23/97
BUPCO26 Approved Plans routed to DSTs 7/23/97 RDP APPR RDP 7/23/97
BUPC783 Sprinkler Rough -In 7/23/97 8/20/97 GS APP GES 8/21/97
BUPC784 Sprinkler Final 7/23/97 1/30/98 RC APP JT 1/30/98 per conversation today with
Ron Church. Approved
BUPC090 (F) Ready to issue 7/28/97 JSD PASS JD 7/28/97
BUPC100 (F) Issue permit 8/6/97 DRA PASS DST 8/6/97
BUPC960 Case Finaled 1/30/98 JT 1/30/98
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