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Permit • H .... , . . . . , , • . , . , BUILDING PER?el I T - , / /ordip111 1 DEVELOPMENT. SERVICES BUP97-012q. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 , .. . . PARCEL:23110DB -00200 SITE ADDRESS,..: 15039 SW ROYALTY PKWY,W. , .' : • SUBDIVISION .,..t WILLOWBROOK FARM/ARBOR HEIGHTS -- , ' ZONIN5g„R.-.25 ,... • , . BLOCK--- REISSUE ; FLOOR AREAS - - - - - -77 - - EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. FPS FIRST— s —: 0 f m S N: = . ,..1. . . , 1 . TYPE OF USE. .. g mr . SECOND'. . . g . 0 sf PROTECT OPENINGS2----- ------;-- • . TYPE OF CONST. r: 5-'n-IR • — . : • !,? sf, N' g: . 5 g E g W g . OCCUPANCY GRP. g R1 . , TOTAL------ -- g. 0 sf ROOF CONST g FIRE RET? .1 • .. OCCUPANCY L.O ' . 1.7i, 17.! , :., BASEMENT, g' .„, k.71. , s f . A REA .5EP. RATED STOR. g 4 GARAGE... ., E 0 S -:= - , orri ., SEP. '' RATED:, BF- ; " - MEZZ ? z . ,', REO.D SETBACKS , , REQUIRED . ----- . FLOOR LOAD. „ . : 0 ps f LEFT ; 0 F' RGi-IT g 0 ft FIR SPKL g Y SMOI: DET. flWELL I NG UN I T,S : 0 , FRNT.g. 0 . ft REAR; 0 . ft. FI.R ALRMY _I-INDIEP ACC: BEDRMS g 0 ' BATHS g '0 IMP SURFACE g 0 ' , PRO CORR g PARK ING g ' 0 VALUE. $ 14522 . Rewarks; Installinr fire ,1.,larm_systsm . . , . - , • -- . FEES = - rAP TTAL- PArLFIr_2TRI-197 _ typo__ _.E....„ 330 112TH ST NE . PRMT $ 110.50.15D'03/14/97 97-291725' . . STE 201 FIRE'$ - A4.2M JSD 03/14197 97 -P97 BP i EVUE WA 98004 5PCT $ 5. JSD 03/14/97 97-291725 • PhO71E :E; 206-451-9292 • , . • . , . . . . , , . • Contract or g ' -- . • • • , racraTH VALLEY ELECTRIC ' . . . • . . ' . ,. PO BOX '444 . . • , . , • ,- , , , . . •i: ' SWEET HOME OR 97286 - -- , - .. - Phones it,g, OBE-456-5300 $ • 160.23 TOTAL. , . . • . . Re .2 #. . ; 88302 ' . . . - 7 - • REQUIRED INSPECTIONS ,------- • .: • ,. . , Thii 1:errit .!E:.1 VItjeZt 1 : : : th,E rt ecntsinedipt,' ., F i r .7P ,Ala.r.m C: , St•Este ;:,f,',Ora.. 5:pliciA1ty,CgAs..T4,,a11 7.4telr, ., Fi nal Ins pect i. on , . ,applin1E Fil: wuk ,wi LI !;,!, fris .ii , Ir'fril';r 1 Pire Ali th , „ _ , , _ ., . re if Hork i 5 n;'; -ItaiAtEld „ ,'' . . , . _ - ' r.'122 d4s :if . i55,7j10E-'f,',r ,,If ;cL . i.S.: V151:1 fur' ;I:,m' • , , - thEz ,1E13 dyis,=' . -, .,„ , . ----, • ., . . . , . . . . . . . . •.. , - „ — . . . , „ . . . . , I I , P r ra i 1: t e e Si on .=.1t 1.1,re a _ r., 1 ,. .' . . .. . 1,. . „ , . . . . . ., . . Call T fpr inspect1. 7,,,, 639--,-.4,175,„_,:),„, , . . , . , - .- '" • 1 . , . , . . ,,._ .,. , ., -,, , . u • . _ ■ q , . ' ', , ., ,, l r, , . 0 „ ■ . : ,, . . • I, , 4 , , i • , I ,I I i Fire Protection Permit Application. Plan Check C g " z �� - ?� L QTY OF TIGARD _ #1( Commercial or Residential K Reed By �ltic.(_ ' _ ' " I '-'.^ _' "' '.' . 1 .210157Q7 'iGARD, OR 97223 Print or Type a � L a,e .:a., V Date to P E. z - W -^ 47 503) 639 - 4171 Ext. 304 Incomplete or illegible applications will not`be accepted Date to DST —_-7 Permit # A)( -OW/ M 1067 1 4-008 Called 3 - 12- - 1 - 7 Name of Development/Prolect Job Type of System (Complete A or B as applicable) Address ` dre�ss �cA ,la e J D 4 A.) Sprinkler Wet p Dry 0 , )S clrT�IlY1i,-1/.1 l �^ Standpipes Name y1 - �I� 11 (� }(�; y l . A.n W9 ' ` t}a- V ' f . 1 i J Hazard Group Owner Mailing Address Additional 3.� t t � � I Information Density j �it �^� ' Zip Phone � - i I: IICI 1M2. - 5DW _o41)' (151. Design Area Name ' Occupant Mailing Address K. Factor City/State Zip Phone Sprinkler Project Valuation COT Business Tax or Metro # Exp. Date B.) Fire Alarm Contractor N a `` Submittal Shall Include Battery Calculations YES 0 ri4. \ra I _ elel, a r1C�i Individual Component YES Es (Sprinkler or Mailing Address P Alarm a (�G)1 S Cut Sheets Company) City/State Zip Ph lv Fire Alarm Project Valuation $ �1�� v Wt_ +.�,b . cr D7J " 64° Project Valuation Subtotal (A or B Attach Cop State Const. Cont. Board Lic.# Exp. 0 to 1 $ Y Iti of f �c6 )-- I /iLi c / / I Current CO Business Tax r Me otro $ Ex ate Permit fee based on valuation $ [ ‘ 3 Licenses `1- - 10.- 13 31 / .7.... (see chart on back) r 'J N � Lame 5% Surcharge $ 0 : ._ Architect Mailing Address FLS Plan Review 40% of Subtotal $ 9,60 l ip ID \t(p`� r -b 7, 30- I $ 4,16,14 Ci mte a ( 0 '[ Phone TOTAL i. ' Describe work A.) New ® Addition 0 Alteration 0 Re air O PLANS SUBMITTED, approved and a per pr ior to ∎nstalla 1 LA , t issued Z i- to be done: P Three sets cf plans and site plan (and vionity map) required which shows location o / B.) Basement 0 Hood/Vent 0 Spray Booth 0 I hereby acx: that I have read this application, that the information given is � � Complete ® Partial 0 Exitway 0 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: Si tune o er - , ent Date a4S (l«i A.) In Existing Building p New Building 6 Contact Pe -o a - Phone Building %Oa( A (4?, i70-0K2 Data B.) Commercial 0 Residential ti FOR OFFICE USE ONLY: _ Plat # Map/TL#: pp - - No. of stones: 7-51 1p 06 - Sq. Ft ZO /70 Notes Occupancy Class Type of Construction szslfiresupr.doc I �'f CITY CF TIGA R D 61'11 nikir -.::c=4.11-.- c= =- - TOTAL PLAN STATE BUILDING VALUATION PERMIT FLS REVIEW TAX PERMIT CF . RC.:EC- FEES (400) (65 %) 5% FEES 1 -1,500 25.00 10.00 16.25 .1.25 52.50 1.501- 1,300 25.50 10.50 17.23 1.33 55.66 1.501 -1.700 29.00 11.20 18.20 1.40 33.80 1.701-1,800 29.50 11.30 19.18 1.48 61.96 1.901 -1,900 31.00 12.40 20.15 1.55 65.10 1,901 -1000 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 -1,000 44.50 17.30 28.93 2.23 93.46 4,C01 -5.000 50.50 20.20 32.83 2.53 106.06 5,001 -6,000 566.50 22.50 36.73 2.33 118.66 6,001 -7,000 62.50 25.00 40.53 3.13 131.25 7,001 -3,000 68.50 27.40 44.53 3.43 143.56 8.001 -9,000 74.50 29.80 48.43 3.73 1566.46 9,001- 10,CCO 80.30 32.20 52.33 4.03 169.06 10,001- 11,000 86.50 34.60 56.23 4.33 181.66 11.001 -12.000 92.50 37.00 60.13 4.63 194.26 12.001- 13,000 98.30 39.40 64.03 4.93 206.86 13.001- 14,000 104.50 41.80 67.93 3'3 219.46 14,001- 15,000 110.50 44.20 71.83 5.53 232.06 15,001- 15,000 116.50 46.60 75.73 5.23 244.65 15.301-17,300 122.50 49.00 79.53 6.13 257.25 17,001- 18,000 123.50 61.40 83.53 6.23 269.36 13,001 - 19,000 134.50 53.30 87.43 6.73 282.46 1 20,000 140.50 56.20 91.33 7.03 295.06 2 0,001 - 21,000 146.50 53.80 95.23 7.33 307.66 21,001 -22.000 152.50 31.00 99.13 7.53 320.25 22.301-23.000 153.50 63. 103.03 7.93 332.36 23. -2 4.300 164.60 55.50 105.93 8.23 345.46 2 25.300 170.60 58.20 110.83 25 3.:.3 3.0c 25.301-22.330 175.30 70.00 113.75 8.75 367.50 26,001-27.300 179.50 71.30 116.58 3.93 376.96 27,301-23.000 13.30 73.50 119.60 9.20 386.40 : °.0 0' � =a,rOC 183.50 75.40 12253 9.43 395 .55 29,C01- 30.000 ; 93.30 77.20 125.45 9. 403.30 30,00 ;- 31,CCO 197.50 79.00 128.38 5.88 414.75 31,301-32,000 202.30 60.60 131.20 10.10 424.20 32,001- 33.3x0 2CS.53 82.60 13 33 433.6 33,301-34,000 211.00 8 137.15 13.5.6 d43.10 3 _15.50 332.20 140.03 10.78 452.50 J