Permit � � ' -_�= ~
A CITY OF TIGARD BUILDING. PERMIT
DEVELOPMENT SERVICES PE � M IT # .. , ,. .. : DU P97� ���9
�� DATE ISSUED: 03/14�97
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, • PARCEL: 2S110DD�-0�200 .
SITE ADDRESS...: 15187 SW ROYALTY PKWY #E
SUBDIVISION.'..: WILLOWBROOK FARM/ARBOR HEIGHTS ZQNING:R-25
BLCC'|..........: LOT.............:8
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REISSUE: FLOOR PREAS---------- EXTERIOR WALL CONSTRUCTION-
CLASS OF .WORK., ;FPS ,FIRST....: 0 sf N: �: E: W:
TYPE OF USE... 2 M SECOND... : 0 sf PROTECT OPENINGS?---- -----
TYPE OF CQNST. � ...: ._ 0 sf N,: S: E: lAT
OCCUPANCY GRP.:R1 TOTAL------: 0 sf ROOF CQNST: FIRE RET?:
OCCUPANCY LOAD: 0 BASEMENT.-: 0 sf AREA SEP. RATED:
STOR.:'4 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
DCMT?: MEZZ?: REQD SETBACKS ' REQUIRED------ -
FLOOR LOAD.'..: 0 psf LEFT; 0 ft RGHT: T ft FIR SPKL:Y SM8% DET'.:Y
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDZCP ACC:
8EDRMS: 0 DATHS1 171 IMP SURFACE: 0 PRO CORR: PARKING1 0
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VALUE.S: 14828
Reme'.rs: InstallinE fir7 3.l�rc system
1 - :wme-1.-: - - ' --'_-'' ' - FEES --=-,-----�==--- ~
CECURITY CAPITAL PACIFIC TRUST 4; ype amount by dat 17c opt
330 112TH ST NE , � �' ' PRMT $ 110.50 B .' 03/14/97.97-291718
STE 201 . . • FIRE $ 44.20 B 03/1W97 97-291718
BELLEVUE WA 98004 ' SPOT $ 5.S3 B 03/14/97 97-291718
' Phone #: 206-451-9292 .
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Contractor: --------- -
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NORT:{ VPLLEY ELECTRIC .
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PG BOX 444
SWEET HOME OR 97286 ----------------- ----
Phone #c 888-456''5300 S 160.23 TOTAL
Reg #..: 88302
' - _ REQUIRED 'INSPECTIONS ------- .
This percjt is issued *zb tu the �la ions cCmtEiTIO is the Fire Alarm
Ti;art' �r.icipal Cede Ctate of Oro. Specialty Cedes anei a[| �thep Final Inspect ion
app:icatlE laws. All xnrk sii: bc d�re ill a��r�a�c* xit� � _
a��:cve� - `ar3. This �e�it x:1! rn�ire if ; i�r ��arts� .
�!�� 1� �� :f ie���, r�if �� � s����� f� �m
t�a� 1�� d�,� . __ _______�
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Pen'cittec Signature: `__ _____ `- ____ -
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, Call for inspection - 639-4175.
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Fire Protection Permit Application Plan Check # - 2 - SVC_
tTY OF-TIGARD Commercial or Residential
4t, `, ••JIJA•• r^ �,.. �il Reed By
"GARD, OR 97223 Print or Type ( Date to P E. ( - It-1
603) 639 -4171 Ext 304 Incomplete or illegible applications will not be accep ed Date to DSST q
Permit # Koran -
e ivvi cii-tvg) Called 3' IZ
Name of Development/Project c7
Job Icy-,(
Type of System (Complete A or 8 as applicable)
Address Address 1 � A.) Sprinkler Wet CI Dry ❑
151.3�5�,� a "_• 1TrA Standpipes
Name
Owner , Mailing Hazard Group
g Addres
,2, 110.' Sr dr. A a D
j Information Density
Additional
C� 1 /State /Zip Phone
2 [VA II p ‘3? ')N p• (f • 01 Design Area
Name 9
OccU P ant 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
Contractor Name �( 6'k't ry YES 0
1. "'r r ` r1 Q . ( ' Individual Component YES >
(Sprinkler or Mailing Address Cut Sheets
Alarm ..4 (1)-)75—e• re... company) City/State Zip P ne Fire Alarm Project Valuation $ f � ,
� j � p D 5 ' Project Valuation Subtotal (A or B) $
Attach Co ems' Oct. t 7 ,., onst ConL Board tic.* r 6 00
of 9Y 17; `, • t 7f
Current ' COT Business Tax or Metro # Ex •at Permit fee based on valuation
Licenses p
�I � -( 1,7 • 143I 7- (see chart on back) /4? Sb' �
h
Name 5% Surcharge $ • h
`` �
► �1J� I PJA R, SS2Y ..
Architect Tf iiing Address _ FLS Plan Review 40% of Subtotal $ '° -
�llo 11( Aire 1Jt= ,_5(..r� qX _
ryr tale Zip Phone TOTAL $ 3
t S 1f eA e 0=t `cif n • QS). `ID _ __ 5 lig
Describe work A.) New i ( Addition 0 Alteration 0 Repair O PUNS MUST BE SUBMITTED. approved and a permit issued pnaF tallation
to be done: Three sets cf plans and srte plan (and vicinity map) required which snows location of I I" LA 1
'.
B.) Basement 0 HoodNent 0 Spray Booth 0 nearest hva•�nc
hereby a -
Complete ® Partial O Exttwa 0 �ct0�"i�ge that I have read this appiKta
an, that the information given is
Y rrec, that I am the owner or authonzed agent of the owner, and that plans submitted
are in compliance with Oregon State laws.
Additional Description of Wont:
Sig re of rfA Date
01A347
ail
A.) In Existing Building 0 New Building El. Contact Person Na a �1� Phone
Building r� (,a"v (ZO—OXS
Data B.) Commercalp Residential a FOR OFFICE USE ONLY:
Plat # • Map/TL#: • •
No. of stories:
1 -Y z' 1 101)3 . •
Sq. Ft Zo a S Y Notes
Oc :upancy Class I Type of Construction
s:s\firesupr.doc
CITY CF TIGARD .
-1 'I, ni.1r: .C=4. 1i- C_ _ ,
TOTAL
PLAN STATE c BUILDING
V,ALVATICN PERMIT FLS REVIEW TAX PERMIT
CF . RC...E.... F` =S (40%) (65 %) 5% FEES
1 -1.500 25.00 10.00 16.25 .1.25 52.50
1.501 -1,500 25.50 10.50 17.23 1.33 55.666
1.501 -1,700 23.00 11.20 18.20 1.40 53.80
1.701 -1.800 29.50 11.90 19.18 1.48 61.96
1,901 -1,900 31.00 12.40 20.15 1.55 65.10
1,501 -2.300 • 32.50 13.00 21.13 1.63 68.25
2.001 -3,0,00 38.50 15.40 25.03 1.93 80.86
3,C01 -4,CCO 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,C01 -6,000 566. 22.60 36.73 2.53 118.66
6,001 -7,000 62.50 26.00 40.53 3.13 131.25
7,001 -8,CC0 68.50 27.40 44.53 3.43 143.56
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 34.50 56.23 4.33 181.66
11,CC1- 12,CCO 92.50 37.00 60.13 4.63 194.25
12,001- 13,000 28.50 39.40 64.03 4.93 206.86
13,001 - 14,000 104.50 41.80 67.93 5 "3 219.46
1 15,000 110.50 44.20 71.83 5.53 232.06
15,001 - 166,000 1166. 50 46. 53 75.73 5.33 244.66
15.001- 17,C00 1 5J 9
1 • - 79.63 6.13 257..6
17,001 - 18,000 129.50 51.40 83.53 66.43 269.86
13,001 - 19,000 134.50 53.30 87.43 6.73 282.46
19,001- 20,000 140..0 56.20 91.33 7.03 225.C6
` 7 .
20,001-21,000 i�6..:L7 95.23 33 307.56
21,001-2.2.000 152.50 51.00 29.13 7.63
320.26
2 23,000 153.50 53.40 103.03 7.93 332.96
23.001-24.000 1 6 4 . 50 65.80 1066.23 8.23 345.46
2. 170.50 58.20 110.83 8.53 358.066
25 .001- 25,003 175.20 70.20 113.75 8.75 367.50
2.3,001 - 27,000 17=. :0 71.30 11c.53 3.93 376.96
27,cG' 23. ' °' CO 73.50 119.60 9.20 386.40
29.001 29,220 188.50 75. 122.53 9.4.3 395.25
2 9.001- 30,220 193.20 77.20 125.45 9.65 405.30
30,001-31.000 157.
=0 79.00 128.38 .58 414.76
31,001-22,000 202.00 60.80 131.20 1C.10 424.20
2-7 --.1-i 0 226.50 • 82.50 13 13.3 56
33,C01- 34,000 211.00 8.40 137.15 1155 443.10
3 35,000 215.50 86.20 140.28 10.73 452.56