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Permit r . • ,r. - ? BU I•LD I;NG, •;PE,Ri I • '�, ,,,drly�l,�d1 DEVELOPMENT SERVICES - PERMIT ito,° ° BU ' 7-03214, 1 4 --° ,-...-,-..,•-•,- . 13125 OR97223• (503) 639=41'71 ' ' DATE: I GG -E '; '` �' / _ ' 1 - PARCEL_: ;, ;14'ID - LIZIr?�, 0, SITE ADDRESS • = 1'`5175 '3W'. ROYALTY PVWY .T, :' - - i SUBD'I VISTON•e • WI'LLOWBROOK FA Fill /'A'RBOR 71E,IGI-1TS r • ' ZONING .R" -,=5 ' • " BL_OCi`'- • - , ' , -L,JT •- - - - ' - °8 REISSiJE.! ' .- ,,• Fl-OOR• 'A€-PA , . „ EXTERI'JR , 6•JAI_L CONSTRU,L ION'- • .. • CL_ ASS •OF° WORK : FPS'' ' -. FIRST. . s - N,a' S.: , •. r,.E: , _:,- W :•,.,,, '.r, TYPE OF USE n ° : F'iF - ,SECOND° : - ID s F PROTECT OPEN I NOS? -- _-- _�'_� . TY €=°.E OF CONST.. 57-11-4R,.. " •` , , ',00 s .N: , S -.a ' , Ei, 4J,= . :OCCUPANCY GRP'° : R1 TOTAL- ° ' IZi s f ' 'ROOF CONST FIRE RE 1"? o OCC ' ,LOAD =,-, r I7.! - BASEMENT.:. , f -f• . AREA' SEP:; RATED ' •STOR.: 4 • HT 1, ID' „ ft ,GARAGE. ... ° .' 0 s OCCLJ SEP RATED° DSil'"? ' 1"IEZZ:^ ' :,,_.REGD ; SETBACKS, REQUIRED.. -,- . ' . • . FLOOR` LOAD.. . ° , •" ID , LEFT: •4?! '''ft ;•RGHT.- 6..: .F't ' 'FT R SPKL `I oY SNICK' o : • • D WELL I NG UNITS` °� �, FRN,T ►.. f' , "�,,,, •, REAR.:' i2 , t _ FI ALRM•cY'•,HND,ICP, ACC, a' 4, I? ° I PATHS:: 2I ' IrIN'IP- f URFACE: L PRO COJR.R: P'AR;V! INS: .I ' , ; . _ , VALUE °, $ -.= 1.4828 , „ . • Rero ar ks: 'Ins,ta1]..i fi'rep, I;a,r '- ') S team; , .,, '0j14r t _ —= — '77 - — = — — -7- - _ — — — 7 FEES; : .) ,x 7'4' i - • r _ r-i�I iG V" P'r\T;,'CT [}!)! ;r.&TTf_' T.C7i - d „ .'+n- . a, 1 id-_ _' -k V' ) d''` -I!�y ra` - ' a +rr��- - . - 'r ti ?,3,!Zi + E. i,E FRI • ST } E� .. r ' PRIYIT• 4” _ 11.6'.-51a JSD 63/ 14/ 977''•.9 =1:7 ' ;_ STE i= IZ!<•1 - . , , € = $ 44° ,=6 JSD' . I2u;/ 14 /77, 97-01 ,7wL-_ FDE WA 98604• . • •SPC T� $ - ' • 5° 53� 3 ►ZL?,'/•1 -4/9 7 ".- 9 7-'291.7,22 • Phone : ;,- 206- 45 1'. -9292, - Contract y or o ' ' , -•- - - -- = - - -- - - - - -- - , NORTH VALLEY ELECTRIC' . • - 'H O • BOX 444 •. .. • „SWEET,,' HONE,_ OR t 9728E, " Phone rt 88'3- 4-56 - 5.,0'2 - , _ - $ 166° 23 710TH! ' .Ref', . #�" ,,,, 88�0E, ,". . , . ' ' �' , r,,y - , ,�.I i, ,',,� ...,. .•••• . -_ : RL• !'U.I RED'',I'NSPEC1" TONS , • Tr:iS-•nerait. � :'is uE subject •} r rs',,c0tr? ned, in the. F,Z- i e �.I2ir • ' • t,igal'd•; iini'itipal •CG'"e ,, t'at$� "Di'e^:,d'S Ci- ait,JrCGdES'and ;41,l G, ,tr^ � ,F,3,na'7. Insoec• on. • ,`I ; aYp1:La11e 1 02rle,i' it .E ".„r'er- ill - aCLtirdatiEScl, With i ,f ' ,... —_ ' .. . ,� , ,• '• ,1, approved r.'ai�s ;. • '- T:•;i--s 'erei ex ii'F= P,f,. wo, 's:+ i(s +�rpnf started: _ i I .,� 6ithil:,1 is!. ua Gf 'FS°''liiafi: � t' �G.iQ sti2pe ded - fi11re It r , "1 ,, : i' - .. ." .,. • ' - ` - e , • i',18d' 'd a y� _ . , fin • • ' i„ , I ,",; , , 1, ",' . i' ' - ;• ' ,, ;' • .. •,YR,�. iJ ,l �i - , - _� _ - _ , • I _? 1 '' :Ili • 'I' s? E' e, G 7. 6 n f <. ,t � - l,E f ^ o,: ' ' • - e '' _ a .. - 'CI' a,t,.s_, -'�•- Call for insoec: iori - 6397;41 �,i, .., Fire Protection Permit Application Plan Che , YC"' ITY OF TIGARD Commercial or Residential 1 :7N Recd By •1"t; (+tsr 1 r _ =., =• 1` I � � . ' OR 97223 Print or Type / Date to P E. 71 503) 639 - 4171 Ext 304 Incomplete or illegible applications will not be a cepteed Date to DST - Permit # Pau 05� P1 - D1 Called 3 — I Z- — 97 N of Development/Project \ Type of System (Complete A or B as applicable) Job Name 1 Address r d tl s _ A.) Sprinkler Wet 0 p 51 7 X 54 >Q()1 �irk I 1 ( Standpipes Name 11 . (1 krik" (Qt.r v= .c \'ri,A+ Hazard Group Owner Mailing Addre Additional I Ci /State Zip Phone Information Density " Na 1•e�(ii.Q�l., �i`�oc r Q `)61 • Rte- Design Area Occupant Mailing Address K. Factor City/State Zip 'Phone Sprinkler Project Valuation $ COT Business Tax or Metro # Exp. Date B.) Fire Alarm I Submittal Shall Include Battery Calculations Contractor Name ��" ry YES it_. I (Sprinkler or ailin Add ss Individual Component YES • Alarm d S Cut Sheets Alarm ity State k Zip Phan Iry Fire Alarm Project Valuation $ be. eP-0 ) fig• c!5(0•53f0 Attach copy Sia oust. Co Board Lic. Exp, Project Valuation Subtotal (A or B) $ S60G u. "7 of ` aDa- 1/H Y l l Current COT Business Tax or Metro # Exp. pate Permit fee based on valuation $ !//� Licenses Cr?" - i o //3 14,3)19" 3) (see chart on back) 9 ame //�� -- __ -- � 5% Surcharge $ I�›QJ � i f �/ L Architect Mailing Address t �w� � FLS Plan Review 40% of S ubtotal $ �11 cc 1,1 [0 , nl.e. UP; C.giState Zip Phone - Ju TOTAL $ 1�,s�� ee l l.n.JI� 10 4 CIO' ' 9J / . t/[J07 te+ Cpl • Describe work A.) New S ' Addition 0 Alteration 0 Repair O PLANS MUST BE SUBMITTED. approved and a permit issued pnor to installation. :o be done: Three sea cf plans and site plan (and viendy map) required wn� snows location of 10. V nearest hvannt 1 B.) Basement 0 HoodNent 0 Spray Booth 0 I hereby ack.-owledge that I have read this application. that the information given is .,t� Complete S Partial 0 Exitway 0 correct that I am the owner or authonzed agent of the owner, and that plans submi (//� are in compliance with Oregon State laws. Additional Description of Work: Sig azure a gent Date 42 /147 A.) In Existing Building p New Building ID Contact erso a e Phone Phone Building l ue b 20 -0962 Data B.) Commercial 0 Residential gir FOR OFFICE USE ONLY: Plat # - Map/TL#: - . - No. of stones: • 3-y 7-51 I D Og_ 2x0 - Sq. Ft: 2 o r S9s' Notes Occupancy Class Type of Construction - -a s , :stfiresupr.doc CITY CF TIGARD CI 91 niNs - ...C=4.111- C TOTAL PLAN STATE EE BUILDING VALUATION PERMIT FLS REVIEW TAX PERMIT CF . RCJE�- FEES (40%) (65 %) 5% FEES 1 -1,500 25.00 10.00 16.25 1.25 52.50 1.501- 1,7:C0 25.50 10.30 17.23 1.33 55.66 1.501 -1.700 29.00 11.20 19.20 1.40 6 8.80 1.701 -1,300 29.50 11.90 19.13 1.48 61.96 1,301 -1.900 31.00 12.40 20.15 1.55 65.10 1.901 -2,CC0 • 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 4,001 -5.000 50.50 20.20 32.83 2.53 106.06 5,001 -0,000 56.50 2250 36.73 2.83 118.66 6,001 -7,000 52.50 25.00 40.53 3.13 131.26 7,001- 3,000 68.50 27.40 44.53 3.43 143.96 8,001 -9,000 74.50 29.80 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 34.50 566.23 4.33 181.66 11,C01- 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 15,001-16,000 1166.50 46.50 7 5.93 244.66 13.001- 17,000 122.50 49.00 79.53 6.13 257.25 17,001 - 18,000 125.50 51.40 83.53 6.43 269._86 13,001 -1 9,000 124.50 53.30 87.43 6.73 282.46 19.001 20,CCO 14C.50 55.20 91.33 7.03 295.C6 0.001- 21,CC0 146.50 53.60 95.23 . 7.33 307.66 21,001- 11 ,000 152.50 51.00 99.13 7.53 320.26 22.001 - 23,000 153.50 53. 103.03 7.93 332.96 23.001 - 24,000 164.:0 35.20 106..3 8.23 345.46 2 170.50 7 0.50 63.20 110.83 8.53 358.06 25.001-25.000 17 6.00 70.00 113.75 8.75 367.50 2 - 2 17:.50 71.50 115.68 8.93 376.96 _ - 1 24.00 73.60 119.50 9.20 386.40 3.001 29,000 189 - . 1 _3 �... 75. -0 � �._ 9.43 395.25 29,001 - 20, ; 93.00 77.21 125.45 9. 405.30 30,001-31.000 197.50 79.00 123.38 9.88 414.76 31,001-32,000 102.00 60.50 131.30 10.10 424.20 11 .001- 1 i.000 2 8 2.50 134.23 13. 33,001- 24,CC0 < i. 00 8 137.15 10.55 443.10 215.50 8 1 40.03 10.73 452.566 3 _.,, , / ' t 1 • 1,, 1 J �� o CITY OF TIGARD BUILDING INSPECTION DIVI ION ce_ ' D' e 24-Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: . U - /)- / 7 A.M. P.M. MST: q i5 Location: / 5 1 7 5 S-Gc) K�- BUP: % — 03“ / Tenant: _ _ Suite: Bldg: MEC: `� Contractor: A , 1 / / • JIB! /Ma j 4 y4 Phone: 604 -On, PLM: Owner: Phone: .EL &i/x7 — DID `y ELR: SIT: BUILDING ;, M 1 '- - PLUMBING . ' t a ELECTRICAL SITE Site • • I: eam Post/Beam .. : Cover /Service Sewer /Storm Footing Roof • UndFl/Slab Rough -In Ceiling Water Line Slab Framing 'I,Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation 1 b Sewer Hood/Duct Reconnect Vault Bsmt Damp y Drywall 1 .i D 1 Storm Furnace Temp Service MISC. Masonry Q Ceilin: '1 Rain Drain A/C UG Slab Shear /Sheath Crawl/Found Dr Heat Pump_ Low Volt Approved roved Approved Approved Appr /Sdwlk . = :4 .. • r. Not Approved o proved Not Approved Not Approved 02579/ — »fa: INAL FINAL FINAL FINAL • O Call for rei :. - tii 0 Reinspection fee of $ requi ed before n - inspection O Unable to inspect gee Inspector: ' Date: Page of