Permit • H
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, BUILDING PER?el I T -
, / /ordip111 1 DEVELOPMENT. SERVICES BUP97-012q.
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 , ..
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PARCEL:23110DB -00200
SITE ADDRESS,..: 15039 SW ROYALTY PKWY,W. , .' : •
SUBDIVISION .,..t WILLOWBROOK FARM/ARBOR HEIGHTS -- , ' ZONIN5g„R.-.25
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REISSUE ; FLOOR AREAS - - - - - -77 - - EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. FPS FIRST— s
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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 . .
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- , • -- . FEES
= - rAP TTAL- PArLFIr_2TRI-197 _ typo__ _.E....„
330 112TH ST NE . PRMT $ 110.50.15D'03/14/97 97-291725'
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STE 201 FIRE'$ - A4.2M JSD 03/14197 97 -P97
BP i EVUE WA 98004 5PCT $ 5. JSD 03/14/97 97-291725
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PhO71E :E; 206-451-9292 • ,
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• Contract or g ' -- . •
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racraTH VALLEY ELECTRIC ' . . . • . . '
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PO BOX '444
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SWEET HOME OR 97286 - -- , - .. -
Phones it,g, OBE-456-5300 $ • 160.23 TOTAL. , . . •
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Re .2 #. . ; 88302
' . . . - 7 - • REQUIRED INSPECTIONS ,-------
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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 „ ,'' . . , .
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' r.'122 d4s :if . i55,7j10E-'f,',r ,,If ;cL . i.S.: V151:1 fur' ;I:,m' • , , -
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P r ra i 1: t e e Si on .=.1t 1.1,re a _ r., 1 ,. .'
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Call T fpr inspect1. 7,,,, 639--,-.4,175,„_,:),„,
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Fire Protection Permit Application. Plan Check C g " z �� - ?� L
QTY OF TIGARD _ #1( Commercial or Residential K Reed By �ltic.(_
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' " 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
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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:
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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
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