Permit I ,
. . CITY O BUILDING D NG PERMIT
PERMIT r a e a o.. e BUP9I -i'i L01
„ 411i I DEVELOPMENT SERVICES _.�, _
SUED
�� . ICI :DATE S 02/1'x/97 .
__ 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 =4171'
PARCELL a PS110DB -00200- , '
.CITE ADDRESS.,.: a.G 5 SW t�, FLT ROYALTY-PKWY AE
1.
....J�41 SW 1'V �..� YA L_ Vf - ��N f q! = - -
T N a 1 T 1 f HEIGHTS S Z 1 . n- •::s , 5
Sm_�,Dr ',�I'S'IC:.� : �: � . st' �. LLIr 'l:!�F;�C?��'!`A"d�1,�A`2L=��1� r:�I�: �C��I�4:C'•ai� •_,
REISSUE' FLOOR AREAS- •- ---- -- --»- EXTERIOR WALL. CONSTRUCTION- '
-1.3i,J-1S:7 • OE -kit iiY{'i. t f -t--' a i X ! _ .. _ - 1 - - r` ;
-F 1�: -- IN o J,: E °o
TYPE L OF USE: e . o f S CO;�I�: , : u , 0 "s f PROTECT -C32'EN INSS? --,- - - - . --
TYPE OF CONST:_ z 5- 1.6 -1R, a: n 0 s f N 2 S. E g f
OCCUPANCY SRP. a R1 TOTAL. : 0 s f ROOF CONST ; F IRE RE'T?
OCCUPANCY LOAD a 0 BASEMENT. r 0 s f AREA SEP. ;RATED'`;
STOR.' a ' 4 • HT ; 0 ' • ft GARAGE::. a 0 4 f OCCU SE P- RATED; ,
-
T —ISMT? ; 'MEZZ^ 4 REOD SETBACKS------ - -. - . RECUT RED-----------------”- - - - - -- .
FLOOR L..OAD.. . .. , 0 ps f LEFT a ,0 f•;_, RGHT 2 . 0 ft FIR SPK1:.,A Y' SMOK. DET.. o Y
DWELLING' L!NITSo 0 � r FRNT ft REAR ; 0, ' ft FIR' ALRM HNDICP ACC; , '
: ED '.MS a 0 BATHS a 0 IMP SURFACE o 0 ,PRO CORR ° PARKING a , 0
VALUE, $ a ' -' ►763 " . 1 ,
1 I.P11161 iS 2 Installing fi'rr'' alarm s StE•ifi , '
O;yr. r - - -- -_ -_ -_ - - - - - - - - -- FE ES -_- -- -_ ' .
-r. r —
-- SECURITY L APi iAL - PALir C TRUST-- - . -- -- _ nvpe amount t� -' c _ T'LaG ,
330 1 ST NE PRMT f 146.50 'B 03/14/97 97-- 291720
STE 201 FIRE $ , 58. 60. B . 08/14/97 97-291722 .
BE _LEVUE WA 9eoe4• 3'
, 5PC,'T $ r. 3 B 03/14/97 97-291720
20
Phone # g 20E-451-9292, • .
Contract or ---- - - - - -- ' •
NORTH VALL_E`( ELECTRIC -
PD BOX 444' . •
SWEET HOME fE O R, 97286 ---- - - __ __....._.....- .._- .. -._..-
: a n e 1..?' a 8:20 -455 -•'300
F " $. 212. 4,3 TOTAL AL ,
R e F !#.o 8830 '
` . • • -" REQUIRED D INSPECTIONS
'This psrci`a : i5- Iss etkect itc.t.!:E reel ationS cue:a?'?:>- _r d�:'E' it- cn1 <arE -
r . - i r � .t_t f Specialty E: a all 2r l Inspect .ii�ai .?i .f:l�.�:sl Code, ��a.v£ G. �i1 "P.: u�Jf'4.iL1iN;� ��t�c. am! s c.. fl at <_} ��iitcZ Iil_rjJd.C_b'ion . . '
'Etrriicable 'iaa - sz ' An iti ?r;{ iiie„ ' tE done i:r, accordance kiitti _ .
- r 7pi -- . _ic _. T :s ,__ :it`. {): d i E if' " : ...,. I i5 Rot a�.F�:e'� , . _
within in, L;{• - 71 -- i£G•i .ZI[ 'if lticrk i5 S::iG£'r a fv; i :?' •
than In - Says: '
P o . r ; P . ; 'i: t e ' ' l _ ' ,S i g n a t tor~ F. i - , � -� _ - -__ ' •
Issued 'Bvi g 7 , , .
Cal I, a for, inspect ion -- 6 9 -417 .
•
Fire Protection Permit Application , . Plan check .z -8.2 c
+TY OF TIGARD Commercial or Residential r R eed By
.' c.s.J . ' A•_9 ^..•11:.r". ; I( kit 7
via 3e. ,-
"GARD, OR 97223 Print or Type Date to P E. 1 214/
603) 639 -4171 Ext 304 Incomplete or illegible applications will not be accep d Date to DST , /
Permit 4 1')(IPg t
( 'l Al% q1 - bD Called 3 - 12 ' / 1
Name of Development/Project
Job Type of System (Complete A or B as applicable)
Address Address A.) Sprinkler Wet 0 Dry p
•.... _ - 2._._, At . +e__ _.. c ..,c . Standpipes
Name
, � _
ILAYL CA O �-` RI(" I r i k Hazard Group
Owner Mailing Addr s Additional
330 tiles '', ` '5y`J`�", *-6) Information Density
I City/State Zip Phone
I Name
2,p11.40.6, k u. 3 ,.2oto- vrj) .ia$D. Design Area
Occupant Mailing Address K. Factor
City/State Zip Phone Sprinkler Project Valuation $
COT Business Tax or Metro 4 Exp. Date B.) Fire Alarm
Submittal Shall Include Battery Calculations
Contractor ` ? L m � e „ dai � �� ry YES 0
(Sprinkler or Mai i n Add es
Alarm ak p Individual Component YES
� j � ,� Cut ets
Company) City Zi P ne v Fire Alarm Project Valuation $
hlo � ca q 1 510.5, — --
Attach Co State Const. Cont. Board Lic.4 p. D to Project Valuation Subtotal (A or B) $ - 600 of €4Zx a l E / /9
Current COT Business Tax or Metro 4 Ex p. gate Permit fee based on valuation cT�
Licenses (A ,� la/31h-7- chart on back) $ ,� • JtI
I n; T 5% Surcharge $ - h3
,) ..x 11 th 4A55Cc .
Architect M,. ping Address _ C FLS Plan Review 40% of Subtotal ' $ ze 6c�
C,tyrState Zfp Phone TOTAL
i IpJu1. r 1�D a 951• LtOZY J $ 5, �
Describe work A.) New 0 ' Addition 0 Alteration 0 Repair 0 PLANS MUST BE SUBMITTED. approved and a perm
erinrt issued prior to installation
to be done: Three sets cr plans and site plan (and vicinity map) required wh p
ich shows lotion of 7 1Z 1
nearest Mdr3nt.
•
B.) Basement 0 HoodNent 0 Spray Booth 0 I hereby acknowledge that I nave read this appricatan. mat the information given is
Complete O Partial 0 Exttway 0 coned. 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:
I Sig re of r/A Date
o
A.) In Existing Building 0 New Building a Con ct Peron Na Phone
Building erPA/ unit 620 -O48 8
' Data B.) Commercial p Residential
FOR OFFICE USE ONLY:
Plat # - Map/TL#:
No. of stones:
• Sq. Ft. 29, 239 Notes
Oc pry Class Type of Construction
s :s,firesupr.doc
CITY OF TIGARD
=1 91 nirgr': �c= • c==
TOTAL
PLAN STATE BUILDING
VAL!'A TICN PERMIT FLS REVIEW TAX PERMIT
CF .RCJEC7 FEES (40 %) (65 %) 5%
_ FEES
1 -1,500 25.00 10.00 ?
16.5 1.25 52.50
1,50 -L 25.50 10..E 17.23 1.33
55.66
1.501-1,730 23.00 11.20 18.20 1.40 58.80
1.701 -1,800 29.50 11.30 19.13 1.48 61.96
1,901 -1,SC0 31.00 12.40 20.15 1.55 65.10
1,501 -2.3C0 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,C01 -t,CCO 4 4.50 17.90 28.93 2.23 93.46
4,C01 -5,CC0 50.50 20.20 32.83 2.53 106.06
5,001 -6,000 566.50 22.60 36.73 2.23 118.66
6,001 -7,000 62.50 25.00 40.53 3.13 131.25
7,001 -3,000 68.50 27.40 44.53 3.43 143.36
8,001 -9,000 74.50 29.80 48.43 3.73 156.46
9,001- 10,CCC 80.50 32.20 52.33 4.03 169.06
10,001- 11,000 36.50 34.50 56.23 4.33 181.66
11,001 - 12,000 92.53 37.00 60.13 4.63 194.26
12.001- 13,000 98.50 39.40 64.03 4.93 206.86
13,001 - 14,000 1C4.50 41.50 67.93 5.23 219.46
1 15,000 110.50 44.20 71.83 5.53 232.06
15,C01- 166,CC0 116.53 46.53 75.73 5.33 244.6
15.001- 17,000 122.53 49.30 79.63 6.13 257.25
17,C01- 18,CC0 123.50 51. 83.53 6.43 269.36
13,001- 19,000 134.50 53.20 87.43 6.73 282.46
19.001- 20,000 140.50 56.20 91.33 7.03 295.C6
20,001- 21,CC0 1 6 53.60 95 3 3 307.56
1.001- 22,000 152.50 61.00 99.13 7.63 320.26
22.001-23.000 153.50 63.40 103.03 7.93 332.56
-r
23 .301 - 24.6_0 164.53 25.20 106.93 8.23 34.46
2 - 25,000 173. 53.20 110.83 8.53 338.06
2. - 25,303 175.30 70.00 11175 8.75 367.50
25,00 3.93 376.96
27,0.01-s 124.00 73.50 119.50 9.23 3E6.40
=°.001 29,CCO 183.50 75.40 122:.:1 9.43 9
35
V 35 v
29,001-33.000 193.30 77.20 125.45 9. 405.30
30,001-31,000 197.50 79.00 128.38 9 .88 414.76
31, 32, 202.:.0 80.30 131.30 10.10 424.20
.. - 33,000 206.50 . 32.50 • 134.23
13. 433.63
33,001- 34,000 211.00 84.40 137.15 13.55 443.10
3 215.30 36.20 140.03
10.73 452.56