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Permit
. • 1 , _ , .. CITY OF TIGARD , BU I LD I NG PERMIT DEVELOPMENT SERVICES BUP97-0102. DATE ISSUED g 03114/97, . _illik • ' 13125 SW Hall Blvd., Tigard, OR17223 (503) 6394171 , . PARCEL 2S110DB-002 0m , . SITE cDDRESS. 13169 SW ROYALTY PKWY 1-1 V - s'TDTY:IsioN....: WILLOWBROOK FARM/ARBOR HEIGHTS ZONING F-25 , . . r q—CC-Towunl..r.oct . ' ,, .. R F I SSUF g . vv ., FLOOR ARF_AS--------'--- . EXTERIOR WALL CONSTRUCT ION- '• c CLASS OF .. WORK- g FPS V ' FIRST VV 0 s f N , . a . S a . , Eg _ W: . . , TYPE 07 USE...:MF ' , , VSECOND...g . 0 sf ' PROTECT OPENINGS? --''. - - - - ---7- TYPF OF CONST.:5-1HR 0 Sf N S4 ' E g " OCCLIPANCY. GRP. g R1 TOTAL- ----- g . 0 s f ROOF CONST : CIE RET ? „g. ' v OCCU,PANCY LOAD a 0 BASEMENT. i 0 0 5 • AREA SEP.. RATED . ' . .. • HT r ••0 • " - ft • " relARAC"-rE, . . 2 gl' 'cif .- Orm !: s'F[ti.. RATI7n: teir4-.Z?i ., RE D!) SFTBArKq----------, RED..; I. FED ., ------ , . „ . „ . • FLOOR. 1 D= ... t a r f 1 FF7 c 0 ft Rr- 2 li. ft FIR SPKL g Y SNOB PET . . g. ''ir • ' • - . ' , DWELLING UNITS i ,., 0 . .. . FRNT 0, 'ft , REAR g 0 'ft, FIR ALRM : Y. HNDICP PfCC' V . DEDRIYIS g 0 BATHS P, ID 1 SURFACE 7 0 ' PRO CORR g• PARR ING g 2 . , • , VALUE. , • 148 _ 28 v • . V . . . • . , „ . . Ret ks ar ; ., instal I ini: f iv's; a I a‘r .41 ,.e y sl; ern „ „ . . , . , •:' • • . . . 01/417 e r-'.g „ -- --- -- , , FEES , . • ....____.. • . . . , _____ITIFCURITY_PpDTTr.11,rTEPIT17—__TR!-IgiT- _ _ r , ___, _ ,_ _ _.1-. v 1-1 = ,_ _,__ .= El: _:-■ : $ 33! 1 'I P ST NE. . , , , PRNT it- . 110..50 B .0_3/14/97 97-291721 , v FIRE $ , 44. 20 D • 03/14/97 r.'-'7 -291721 . - , • .BELL V EVUE WA v 98004 ,, , , • 5PCT 13. , Fi. 53 . B, , 03 /14 v ,,.'477-29,1,721., ,. Phane 6-451:--cj292 '' „ v : - v - .', - . , . • . , • .,. : . . . . , , " ' .. , . , . , , . • • • . . • , ' -: ' , , . v . • , - , - , , ' ., NORTH VALLEY ELECTR IC, • . V ' - PO- BOX 444 • . .• • . . . , nv V SWEET ONE OR ,,97286, ,, 388- . . : 180. a3 'TOTAL I. , . . ' . . ., R tr tI:.. : 88302- , , .. , , , ' REGIU I RED - INSPECTIONS ' - --7 - . , . . 7 - .41 - 71': - i ,i..s4isr s.Hh r-i. tn the rsgt.:L.ti.ris 7 in I , F i re A I arm n __ -.- 4 Ard nr,iri-41 ':adE Rtat.:E. cf 3r E: 57 Cor. and ,.711 G•ther - •F i n-51 n in s pact i on „ ' • • -1-3.::;,:; P: mr11., bli'l 4• e ir, -ar.urOar:es wit:. , f ____ 7 • — , _, • ,..__ v , v ,, . v. , , ,,, , , sorcoiEd. - , - ,:ak's. "Illis rAr5,7 wi:1 Opir,- if sci+rk is r411. star1_112'd '",:'' ':,. , ' • ' _ r.1,12C' .1t cf is.s.:in:re or i. tl?rl?. is - ;s0e*.11 fip.r,,,gig.s,• . 1' , • _______:____ _____.„ , _____ ' 'char. :aa !f • , , - , , , _ . , v.. - , , • • __,______ : . . . . . ,• ,, , ' , .- - , . ••,, . ,.- . . _ : . ______._ „ ____. „.,,,________. , r .4 - I, gnat' e ;1 ' " ' • _ A4, . ' , - ::::, ':__" ,____. _ ' ' i ...:—...7.—....---4--....H__..._:. C • , R. , , I. , , i ir - ' .:, C.:..:! I-1 g ■i / 4 . , v • • . . Cal 1 for- inect ion,' - 33974175 : , ., , . • , , . • . . - ._ . , . . . , ' 0 . . . , . , . . ■ — — , , v , • • . : . . ■ , , v . 1 ' . . : • , ' •,, i u ■ , , • , . , • . „. , „ ■ . . , ■ . . 1 : . ' • . . , ■ . ' 1 • ■ . , . ■ ' . v • ' , .. i • . 1 . . - „ ■ , . . . • . . , , v . . , , ' e„ v " . v ^, ' \ 1 — , ' V , l o . " , r "" . Fire Protection Permit Application,. - � _ tTY OF TIGARD P n Check it P3 L Commercial or Residential y\ Rec By '4 c��JUA 'I • r " ,n _ ! /// •a.d . _ q ''GARD, OR 97223 Print or Type ��C Date to P.E. 503) 639 -4171 Ext 304 Incomplete or illegible applications will not be a Date to DST \. Permit # r v i''I7 -11 b2– K 1 "� b � cl l . 0094 Called 3' I - Name of Development/Project Job Pc-,(--3D( �� (�,�,�_ Type of System (Complete A or B as applicable) Address Address A.) Sprinkler Wet 0 Dry 0 • 11(ol\ . 1L AO \ Name Standpipes Owner d r r r .41C-14(.6+- Hazard Group Additional t \1, 5 (- -- 1 b) i C l iState p Phone Information Density .2P1IoJ(i 0 Pa /51 .5a9a- I Name Design Area I 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 v ?�L ry YES ❑ (Sprinkler or Mailing Address Individual Component YES lip Alarm Q >(e Cut Sheets Company) City/State Zip Ph a Fire Alarm Project Valuation $ kb y 1 «khe fL (':. 'fit V *956' 530b . - • S tom Copy State Const. Con Board Lic.# Exp. att P roject Valuation Subtotal (A or B) $ 5 of 4 014, cz,c69-iDa. Current COT Business Tax or Metro x Exp Da Permit fee based on valuation $ ' Licenses 1 . • (213 i � /3) ,'7 (see chart on back) 61 ' 6 0 Nam �.ai� 5% Surcharge $>-- 110 , Architect Mailing Address FLS Plan Review 40% of Subtotal $ 0. 1d ail Zito A-0-w6 3 Z c• J �# City/State Zip Phone TOTAL $ 3 . , i �L12J ,1.=e 9 4,ob' -t 15) y(Yey — Describe work A.) New* Addition 0 Alteration 0 Repair 0 PLANS MUST BE SUBMITTED, approves and a permissupm/ m t �se0 pn , nstailatan/ to be done: Three sets of plans and site plan (and vicinity map) required which snows location or ` I cu. 2 � nearest Mdrint. B.) Basement 0 HoodNent 0 Spray Booth 0 I hereby arx: that I have read this applcanon. that the informabon given is . 0 [— Complete a Partial 0 Exitway 0 correct. that I am the owner or authonzed agent of the owner, and that plans submitted are in compliance with Oreg n State laws. Additional Description of Work: Si tune o er Brit Date ill . ais 97 A.) In Existing Building 0 New Building r� Contact Pers ame Phone Building QCC'e" V*.' /fjNB 62C) g Data B.) Commercial 0 Residential ID FOR OFFICE USE ONLY: Plat # • - Map/TL#; . No. of stones: 25 1 1(b (JJ - _ Sq. Ft: Zo r S9,1 Notes fa panty Class Type ofoonskucion sts\firesupr.doc `�. C) �L CrTY CF T IGARD 1 =t iv nir:r: =c=4.11 C=7. , TOTAL PLAN STA ► E BUILDING VALVxTICN PERMIT FLS REVIEW TAX PERMIT CF . RC.:EC. FEES (40%) (65 %) 5% FEES 1 -1,500 25.00 10.00 16.25 .1.25 52.50 1.501- 1,500 2 10.50 17.23 1.33 55.66 1.6.01-1,700 29.00 11.20 18.20 1.40 58.80 1.701 -1,800 29.50 11.90 19.18 1.48 61.96 1,801 -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 -4,000 44.50 17.80 28.93 2.23 93.46 4 ,C01 -5,C00 50.50 20.20 32.83 2.53 106.06 5,001 -6,000 56.50 22.50 36.73 2.93 118.66 6,001 -7,000 62.50 25.00 40.53 3.13 131.26 7,001 -3,000 68.50 27.40 44.53 3.43 143.36 8,001 -9,000 74.50 29.50 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 34.60 56.23 4.33 181.66 11,001- 12,000 92.50 37.00 60.13 4.63 194.26 12.001- 13,000 98.50 39.40 64.03 4.93 206.86 13,001 - 14,000 104.50 41.80 67.93 5.23 219.46 1 - 15,000 110.50 44.20 71.83 5.53 232.06 15,001- 16,C00 116.50 46..50 75.73 5.33 244.66 15.001 - 17,000 1 29.00 79.63 6.13 257.26 17,001 - 18,000 129.50 51..0 83.53 6.43 269.56 13,001 - 19,000 134.50 53.20 87.43 6.73 282.46 19,001- 20,000 140.50 56.20 91.33 7.03 295.06 ' 2 1.CCO . . :0,..01 -_ , 1 - a - .5L7 63. =0 95.23 7. 307.56 1,001- 22,000 152.50 6'1.00 9c.1 7.63 320.26 22.001 - 23,000 153.50 63.40 103.03 7.93 332.56 27..001-24.000 154.50 65.60 106. =3 8.23 345.45 24.001 -25.000 17 0.50 63.20 110.83 8.53 358.06 25.001-26...000 175. . . . 00 7000 113.75 875 367.50 8.93 27,001-23.000 134.00 73.50 119.60 9.20 386.40 1 5,001-' 70 ,000 183. i 75. 122 53 $• 395.85 29,001 - 30,000 193.00 77.23 125.45 9.65 405.30 30,001-31,000 197.50 79.00 128.38 9.88 414.75 31,001-32,000 202.00 80.30 131.30 10.10 424.20 .00'1- 33.0x0 - 70.6.=0 • 82.5'3 13403 10.11 33 33.001- 34,000 211.00 8 20 137.15 10. 443.10 3'.001 -3; CCU? 215. =0 86.20 140.03 - � 10.73 452.56 1 _