Permit � �--�
CITY OF TIGAR.D
` Fn/n'n
DEVELOPMENT SERVICES PERMIT #....... -0108
= 13125 SW Hall Blxil..yigami������ �
�J�y/7Y DATE ISSUED: . 'D3/14/97
' ' PARCEL 23110DB-00200
SITE ADDRESS...: 15025 SW ROYALTY PKWY �N
• SUBDIVISION....: WILLOWBROOK FARM/ARBOR HEIGHTS. ZONING: R-25
BLOCK. . . . . . . . . . : LOT. . .~ .--. . . . . .. :8
_ _ _ ______
REISSUE: . • FLOOR AREAS--------- . EXTERIOR WALL CONSTRUCTION-
CLASS OF' WORK. FIRST ^ 0 sf N: S: E W
,~'
TYPE. OF USE. .',,:M . .. „•SECOND.. : „ 0 sf . PROTECT OPENINGS? -----
TYPE OF CO ST�:5-1HR . ... 0 sf N: S: E: ` W:
OCCUPANCY GRP. '~ ~'sf• CONST: FIRE RET?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf ,AREA . SEP. RATED:
3TOR.; 4. HT ' ft GARAGE. .i 0 sf OCCU SEP. RATED:
BSMT?,: . MEZZ?: � REQD SETBACKS - REQUI ------
1. FLOOR LOAD..... 07 f 0
'ps-1-EFT: �. ' .�
.ft RGHT: 0 ft FIR SPKL:Y SMOK DET.. :Y
DWELLING UNITS 0 T: 0 ft REAR: 0 ft FIR ALRM:Y HNDI.,p AC[i:
`
8 '4 .0 BATHS '0 IMP' SURFACE : 0 PRO CORR: PARKING: 0 •
VA! UE.$: 15724 , '
- ~ - Re - marks - g^'Installin fire alarm system
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Owner: • --------- -- - - FEES --------
SE—CURITY CAPI-TA&� 1-W �-RUST ~---type amount, =:-- by date- - •ecpt
330 112TH ST NE PRMT $ 116.50 JSD 03/14/97 97-291726
STE 201 ' FIRE $ 46.60 JSD 693/14/97 97-291726
BELLEVUE WA 98004 ~ .,_ _ �� • � � 'PCT $ : 5. 83 .JSD, 03/14/97 97-291726
Phone #: 206-451-9292 `
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Contractor: . •
NORTH VALLEy ELECTRIC '
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PO BOX 444
_��_
- '~ ' ,
SWEET HOME OR 97286 - --- --- Phone #� �
8� 456-53@0' •,"- ~_ . ----~^ 'TQTAL . Y
Reg #..; 88302 •
. . REQUIRED INSPECTIONS --
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This peroit is �
issued subject the regulations - 'Fir - e - "Ynt\ tii~'' - '
7igE_/d Municipal Code,, State of Ore. Cbdos, and. all other '' Final Inspection _
applicable laws.. All.xork will be done' in p with-. . ` .
approved plans This poroit will expire if work is not, started .. . _____
days 180 �� of. ist� �
• mca, or� i� work -is-suspended' for more ' . ' L_ . _� .. ~~� ^ �
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• t ' . Permittee Si t _-- __�
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Issued By: —� --�_� _ __ ___ ,
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Call or �nspecti��n� — 639-4175 `� °~ _ '
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Fire Protection Permit Application Plan Check # z — n
+TY OF TIGARD Commercial or Residential `�� \ ((( G1 � 1 7 Recd By (21.2.4... ;1...7 � r I 1...j w • ! .- r . r -. '1 'f Q f / o2 /�`U 17
Fl i uCa .: d.. _
"GARD, OR 97223 Print or Type Date to P E.
I Z 1 7.10 - 17
503) 639 - 4171 Ext 304 Incomplete or illegible applications will not be accepted Date to DST
Permit # ) Pq7 -Q
l 0,- 1 Called 3 -4 /7
Name of oevelopmenuFrolect Type of System (Complete A or B as applicable)
Job A c :r(- ham. _
Address Address 11 A.) Sprinkler Wet ❑ Dry ❑
\�.5 ) � tzt� r - � - t 11`4(7\ Standpipes
Name
�� / f
f )e! R a �. v,ik ` ri4� Hazard Group Mailing Addr s Additional
a-) p
ll� ���' ' r ), Information Density
I (State IZi Ph one
Nam - — � _ ) p ti5i Design Area
Occupant Mailing Address K. Factor
City/State Zip Phone Sprinkler Project Valuation
COT Business Tax or Metro # Exp. Date B.) Fire Alarm
` �� / Submittal Shall Include Battery Calculations
Name U e t � f ry YES ❑
Contractor
(Sprinkler or I4tai Inf ng�Ad r � i,/1 Individual Component YESe
Alarm ( a Cut Sheets
Company) City/State Z ip Ph ne Icitl Fire Alarm Project Valuation y gpC)
' Attach Co. , State C onst. Co . Board tic.* Exp. tta -,, , ' roject Valuation Subtotal (A or B) $ g' i 3 O ; /
IL , 1/)' o
Current C T Business Tax Metro $ Exp. oat Permit fee based on valuation
Licenses - f - (ni 3T f l ( " ?- (see chart on back) $ � I
ame Y' 5% Surcharge s
MI NI S � e P�'�P A zSSCC' _ .
A
Architect Mailing Address FLS Plan Review 40% of Subtotal $
rl I c7. \U n Atle : �"
C+�iState Zip • Phone TOTAL $1113 ,
1,1eJu L PA bD' ,,�ya1rJ* 5 -,
'escnbe work A.) New ® Addition 0 Alteration 0 Repair O PLANS MUST BE SUBMITTED, approved and a permit issued.prta to installabore
o be done: Three sets cf plans and site plan (and vicnity map) required which shows location of ( (pe 1/
nearest
OK B.) Basement 0 HoodNent 0 Spray Booth 0 I hereby acknowledge that I have read this application, that the information given is
Complete 6' Partial 0 Exrtway 0 correct, that I am the owner or authorized agent of the owner, and that plans submitted
are in compliance with 0 on State laws.
Additional Description of Work:
Si attire f / gent Date
0 2% 7 97
A.) In Existing Building l2 New Building,.. Contact erson Name Phone
Building S- 1 //WC 6 7o -'0 ?6 Q'
Data B.) Commerc:al p Residential e FOR OFFICE USE ONLY:
Plat # Map/TL#: - -
No. of stories:
�1 �V n
Sq. Ft 3 -y
2/, gq9 Notes
Occu ancy Class Type of Construction
stslfiresupr.doc
CITY OF TIGARD
=1 'I' f'ti . ir . c=..11T c=
TOTAL
PLAN STATE E BUILDING
VAL!'AT!CN PERMIT ELS REVIEW TAX PERMIT
CF PRC.:E'_.. FEES (40%) (65 %) 5% FEES
1 -1.500 25.00 10.00 16.25 1.25 ''52.50
1.501 - 1.600 25.50 10.50 17.23 1.33 56.66
1.501 -1.700 29.00 11.20 18.20 1.40 58.80
1.701 -1,800 29.50 11.30 19.18 1.48, 61
1,801 - 1,90 31.00 12.40 20.15 1.55. 65.10
1,901-2.3.00 • 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 56 22.50 36:73 2.23 .1418.66
6,001 -7,000 62.50 25.00 40.53 3.13 131.25
7,001,2,000 68.50 27.40 44.53 3.43 143.86
8,001 -3,000 74.50 29.30 48.43 3.73 156.46
9;001- 10,000 80.50 32.20 52.33 4.03 169.06
10,001- 11,000 86.50 34.50 56.23 4.33 181.66
11,001 - 12.000 92:50 37.00 60.13 4.63 194.25
*.. 12,00143,000 98.50 39.4 ' '6403 • 4:93 206:86 ,;•t
13.001- 14,000 104.50 41.80 67.93 5.23 219.46
J: 14,001- 15,000 110:50 44.20 71:83 5.53 232.06
16 - 16,000 116. 46. 60 75.73 5.33 244.36
9 79.53
::,1,iCCI -17 , NCO 1"?: =0 s . �0 0.13 257.26
.
,
4.
1 123.50 1 51:40 83.53 6.43 6
2..9:,.
6
18001- 19,00 . 134.50 53.30 87,43 6.73 282:46'
19,001-20,000 140.50 56.20 91.33 7.03 295.06
2 i=_o. 50 "' -3 '
53.:0 ;.:�� 7.:.. 30 7:60
.. .21,C0 1 .-22.000' 152:50 .. 753 • 51:00 99:1 . 32
=3.000 153.30 63.40 - • .103.03 7.9 332.86.
164.50 65.30 106.93 • '8.23 • 345.46
7224.001-2.5.C : • 170.50 ea.:20 1,`0:83: 8.53 358 0
y1si.- , ;- _ ice •. � .
17 -C '8:75 --c z 5 0;
. 5.301- 7,2Cu 1 � 9'" 3 71 3 0' 118'.58 . . 53 C S
134.30 / 3 5L. 1 �3.60 ''' 9:20 3
•=S. C01 29,CCC • 183::. 75.40 122 53 9.=3 395.86
-„ 30. o0 ,93 CO 77:23 125.45 9.65 405.30
23,00 1 -3 CO 19Z.80 79,30 128. 9.28 414.76
_j 00 i 2 , C^ • 2 80.80 ' 131.20 1C.10 424.20
`C01- 3, :r0 ''t.:: . 82.50 12 1123 33 -
^.3 C01- 24,CCO 211-.00 84.40 137.15 44.55 d43.10
.4, 2 . ; C - 215.=0 86.20 140.03 10.73