Permit . - , . ' k.'
CITY OF � � �����y�� � ����N�������_�y . .
. ,
. BUILDING PERMIT
R T BUP9 9 /
DEVELOPMENT SERVICES n� '*?.'.� PERMIT...... .�. . � /-c�
------' -'-'-' --'-----~ `DATE ISSUED:'' 03/14/97
,��N+ 1.!... ��/���N/f�0fNx�'7�x���R37���O�����7/ p� � ^
PARCEL: 2S11�QB-002�0 � ..
SITE ADDRESS...: 15284 SW ROYALTY PKWY 4C
SUDOIVIS ION„ ..., a..WIL0WBROOK FARM/ ARBOR ��IB�S ZONING:R-� _
�~..
CLO�.~.. ... : LOT............ . :8 �
----- _ _ _ _ _
' �
REISSUE ; ` FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. :FPS FIRST....: 0 sf Na S: E: W:
. � � .
TYPE OF USE...:MF SECOND...: 0 sf PROTECT OPENINGS?----------
TYPE OF CONST.:5-1HR ,�: 0 sf N: S: Ea W:
, OCCUPANCY GRP.:R1 TOTAL : 0 sf ROOF CQNST: FIRE RET?:
OCCUPANCY LOAD: _�� BASEMENT; K_, .`.. sf ,, AREA RATED:.,
STOR. 3 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED: '
BSMT?a ' ' MEZZ?: REQD SETBACKS REQUIRED-- -� -
OO� L OAC � LEFT ft �u�' 0 �t '
FL FI R SPKL Y`SM DET
.... : u� Ins : m x�n� : � u» .. : Y
DWELLING UNITS: 0, FRNT: 0„ ft' REAR g..0 ft F R .ALRM:Y ,K,C:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARF|INB: 0
VALUE. $: 10591
Remarks: installing fire alarm system
Owner: ----- - FEES -
SECURITY TA | -- '' - !�yr .mou�t by d r tar rtt
330 112TH ST NE PRMT $ 86'.50 B 03/14/97 97-291.716
STE 201 ' F IRE !°.: 34.60 B 03/14/97 97-291716
8ELLEUUE WA 98004 5PCT $ 4.33 B 03/14/97 97-291716
Phone #: 206-451-9292
Cun�ractor:
NORTH VALLEY ELECTRIC ^
PC BOX 444
SWEET HOME OR 97286 ----- -
Phone #: 888-456-5300 $ 125.43 TOTAL
Reg # ..: 88302 '
' _ ' -7 REQUIRED INSPECTIONS -
This I sercitisissued s�.the����, ix�. `_ Fi re gl arm ..
TicarJ i�l C, '' af Cr* F.cecia y Cs, � �.. al� . _Final Inspecti � / Etats
��1bz�le lac. � ,P1'1 *mi _vill be ��e,in Kith ,, I � � ,
a��a,�d ylara ' ...This pa�it,w�D o�in� if x�r� is'nt��aztmJ _ ' _
:ithic 11121,days 6f ,issuance L., if :mrk ts s 'W nore ,
'ta 183 days. �
� ,
^ _____' _-__' -----------
Pernittee Signature :I 1 _ ^/' ' ' ---' .
.� __- -
Issued � y : /�_ -------
i Call for inspection - 639-4
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Fire Protection Permit Applicatio Plan Check # 2 7.'C
iTY OF TIGARD _ Commercial or Residential � t11� Recd By 94.A.--- C
. �
�^ �� ,1 7 1Ja _ 1 :
�:id .key. _ 2 •
"GARD, OR 97223 Print or Type if Date to P.E. - • 1
503) 639 - 4171 Ext 304 Incomplete or illegible applications will not be a p' ed Date to DST
Permit #' RJ1 '1
C m5.6 _bbd Called 3 -12- -6 1 '
Name of Development/Pro
lect Type of System (Complete A or B as applicable)
Job 1 h'Y_j A .
Address Address _ A.) Sprinkler Wet 0 Dry ❑
15X4 SIZV i ,� 1 " are.
}Warne l a ..•(
� . ���� ! Standpipes
t C �� Hazard Grou
Owner Marling Addre Additional p
r 11,,2 ,5i A : 1 Density
Ci /State 'Zip Phone G Information
Name ' Design Area
Occupant 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 ii ` r ` - YES 0
Qr(44\ I 1i\R, . I"Qr'\ L _ YES e
ds
(Sprin or Mailing Ad Individual Component
Alarm �1 aC"�C7 `, �,,b Cut Sheets
company) ltyrSta Zip �i .!� ,, : Fire Alarm Project Valuation $ IQ A`
Attachh St te,Const. Coat. Board c x Ex o � b Project Valuatio Subtotal (A or B) $ if/
Curren • COT Bu iness Tax or Metro # Exp. ate' Permit fee based on valuation
.6,,
Licenses 91-- LA 33- _ 1 I M" (see chart on back) -- 5
•
Name 5% Surcharge $ _3_ 3 *
Architect Mailing Address - FLS Plan Review 40% of Subtotal $��. =2 211a 1I/ Atle‘Kvt u.1.1,,
C; /State Zip' I Phone TOTAL ley
Describe worts A.) New Addition 0 Alteration 0 Repair O PLANS MUST BE SUBMITTED. approved and a permit issued pnor to 'nstalia . . l
to be done: Three sets cf plans and site plan (and vicinity map) required which snows location of g
nearest hvar3nt —
a.) Basement 0 Hoot:Went 0 Spray Booth O I her aciocwiedge 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 S to laws.
Additional Description of Work:
Sig re of /Ag r Date
1 J d 5' 9
A.) In Existing Building ❑ New Building ® tact Pars n a (� N/ / Phone p /�y
Building 0e (Xi -- t�06 d
Data B.) Commercal ❑ Residential al FOR OFFICE USE ONLY:
Plat # Map/TL#: -
No. cf stories: _ - rr���1 IK
,b"/ ll/
Sq. Ft
i% 7(0 Notes
Cc a cy Class Type of Construction •
1 C ►1e-
stslfiresupr.doc
..3
CrTY CF TIGARD
=1 /r Hunt: ::C= Cam =;
TOTAL
PLAN STATE EE BUILDING
VALUATION PERMIT FLS REVIEW TAX PERMIT
CF . RC.. E� . FEES (40%) (65 %) 5% FEES
1-1.500 25.00 10.00 16.25 .1.25
52.50
1,50' -1,300 25.50 10.50 17.23 1.23 55.66
1.501-1,700 25.00 11.20 18.20 1.40 53.80
1.701 -1,300 29.50 11.30 19.18 1.48 61.96
1,801 -1,900 31.00 12.40 20.15 1.55 65.10
1,901 -2.2C0 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 17.30 28.93 2.23 93.46
4,001 -5.000 50.50 20.20 32.83 2.53 106.06
5,001.6,000 56.50 2250 36.73 2.33 118.66
6,001 -7,000 52.50 25.00 40.53 3.13 131.26
7,001 -8,000 58.50 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,CC0 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 92.50 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 41.50 67.93 5.23 219.46
1 - 15,000 110.50 44.20 71.83 5.53 232.06
15,001- 16,000 116.50 46.30 75.73 5.33 24 +.56
15.001 - 17,000 122.50 49.20 7 9.53 6.13 257.26
17,001-18,000 129.50 51.40 83.53 6.43 269.96
15,001-19,000 124.50 53.30 87.43 6.73 282.46
19,001 - 20,000 140.50 56.20 91.33 7.03 295.06
0,001 - 21,000 146.50 53.30 95.23 . 7.23 307.56
21, , 22.000 152.50 51.20 99.13 7.53 320.25
22.001-23.000 153.50 53.40 103.03 7.93 332.56
23.001-24.200 ' "4 =0 =5. 20 1066.=3 8.23 345.46
2 - 25,000 170.50 58.20 110.83 8.53 353.06
-•..0' 25. 17803 70.00 8.75 367.50
1- -L� . . 1 Iv.l�
_ ,00 1 -_: ,CCO 17S.=.0 =.5:: 71.30 115.58 8.93 376.96
154.00 73.50 119.50 9.20 386.40
" =a,rCO 18 8.50 75.40 122.:1 9.43
395.85
29,001-30.000 1".00 77.20 125.45 9.65 405.30
20,001-31,000 197.50 79.00 12328 - .58 414.76
31,001 - 32,004 202.00 30.30 131.20 10.10 424.20
3 - 33,000 205. 80 • 52.53 134.23 12. 4-4-2
33,001- 34,000 ..
2 84.40 137.15 10.55 d43.10
l 2
3 ,001 - 3 5.50 86.20 140.03
- � 10.73 452.60'
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: r 0 D-7— q 7 A.M. P.M. MST: t� 1 I '
Location: 2 I L L _ . - . 1 BUP: SO AP 7
Tenant: I Suite: Bldg: C MEC:
Contractor: lz. Phone: ( —OF PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING - LDG,icon't) PLUMBING MECHANICAL ELECTRICAL SITE
Site earn Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Rain Drain A/C UG Slab
Shear /Sheath i' Crawl/Found Dr Heat Pump Low Volt g/c
A. .roved Approved Approved Approved Approved
Appr /Sdwlk • • . , . .r. ed Not Approved Not Approved Not Approved Not Approved
e, ^Tje�� FINAL FINAL FINAL FINAL
•
O Call for reins n 0 Reinspection fce of $ required before next inspection 0 Unable to inspect
Inspector: Date: o6/2 if /?,,7 Page of