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10300 SW GREENBURG RD #565
CITE( OF TIGARD
DEVELOPMENT SERVICES BUILDING PErtMIT
PERMIT #. . . . . . . . BUP,98-0159
SW Hall Blvd., Tigard,OR 91223 (603)6394171 DATE ISSUED: 04/14/98
PARCEL: IS135AB-01003
SFIE ADDRESS. . . : 10300 SW GREENBURG RD #`=,651
SUBDIVISION. . . . : ONE LINCOLN ZONING:C—P
BLOCK. . . . . . . . . . . Lar. . . . . . . . . . . . . .. JURISDICTION:TiG
RF_1;SUE: FLOOR AREAS-------------- EXTERIOR WALL C'ONSTRUCTION -
CLASS OF WORK. :FPS FIRST. . . . : 0 sf N. S: E- W:
TYPE OF USE. . . :COM SECOND. . . : 0 S f PROTECT
TYPE OF CONST. : .) . . . . 0 sf N: S: E: W..
OCCUPANCY GRP. :B TOTAL------:: 0 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 0 BASEMENT. * 0 sf AREA SEP. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT') : MEZZ" : RE DD SETBACKS----------
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOV, DET. . :
DWELL-ING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AI.RM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP, SURFACE: 0 PRO CORR: PARKING: 0
VALAJE. $ : 50Q)
Remarks : Relocating one sprinkler head
Owner: FEES --------------- --
111NICKERBOCKER PROP INC XXIV type amount by date rer-pt
BY NORRIS BEGGS & SIMPSON PRMT* $ 25. 00 S 04/14/98 98-304946
LINCOLN CENTER STE 200 5PCT $ 1. 25 B 04/14/98 98--304946
TILARD OR 97L2 23
Phone #:
Contractor: ------------------------------
FIRE SYSTEMS WEST INC
600 SE MARITIME AVE
STE 300
VANCOUVER WA 98661
Phone #: 360--693-9906 $ 26. 25 'TOTAL
Rey 000497
—.—REQUIRED ACTIONS or INSPECTIONS——
This permit is issued subject tu ,he regulations contained in the Sprinkler Rol..tqh—
Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within IF* days of issuance, or if work is suspended foi more
than 180 days. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 9MAMI-019 through OAR 952-0101987.
Yuu many obtain a copy of these rules or direct questions to Off
by calling (903)246-1987.
C/
Permittee Signature: 1, ISSUed B y
........4......................4-4...4.................4......................4-+++4
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
................................4 ......+ !.......................................
Fire Protection Permit Application Plan Cteck
CITY OF TIGARD Commercial or Residential Recd By
13125 SW HALL BLVD. Date Recd -
TIGARD, OR 97223 Print or Type (late to P.E.
(503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST 01
Permit M N+-1� -..
Called
Job Name of Development/Project .ri S(a`� Type of System (Complete A or B as applicable)
Address Address A.)Sprinkler Wet t3 Dry p
, G iiIA.,C. -6
NameX�J y no/ ;uc. MV Standpipes
Owner Mailing Address Hazard Group
Additional
city/stote z.p Phone Information Density
✓ J/
Name Design Area
Occupant Mailing Address K. Factor
City/State Zip 7hone ' A.1) Sprinkler Project Valuation
Contractor Name B.) Fire Alarm
(Sprinkler or
Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES
Prior to permit
issuance,a City/State Zip Phone Individual Component YES
copy Cut Sheets
of all licenses B.1) Fire Alarm Project Valuation $
are required if State Const.Cont.Board Lie.# Exp.Date _
r.xpb'ed in r:OT Project Valuation Subtotal(A &or S) $
_ database_
Name Permit fee based on valuation $
Architect MaUing Address — `_ (see chart on back)
5% Surcharge $
City/State zip Phone FLS Plan Review 40% of Permit $ I •
Describe work A.)New O Addition O Alteration 0 Repair O
to be TOTAL $ ^�
done.
B.) Modification to sprinkler heads only:
1. 1-10 heads-No plans required Plans requiredSubmit three sets of plans,including a vicir'N map and
2. 11+=Plan review required the location of the nearest hydrant.
I hereby acknowledge that I have read this application,that the Wom,uon gives-is
Nurn.er of sprinkler heads: correct.that 1 am the owner or authorized agent of the owner,and that plans submitted
are in compliance with Oregon State laws
Additional Description of Work:
J (�/
Signature of Owner/Aglnt Date
A.)In Existing Building p New Building p
Building Contact Person Name Phone
Data B.) Commercial LJ Residential 0 4
FOR OFFICE USE ONLY:
No of stories: - Plat# MapfTL#:
Sq.Ft:
Notes
Occupancy lass Type of Construction
i `Iiresurr.doc
CITY OF TIGARD
BUILDING PERMIT FEES
TOTAL
STATE BUILDING
VALUATION OF PERMIT F.L.S. TAX PERMIT
PROJECT FEES (40%) (5%) FEES
1-1500 25.00 10.00 1.25 36.25
1,501-1600 26.50 10.60 1.33 38.43
1,601-1,700 28.00 11.20 1.40 40.60
1,701-1,800 29.50 111.80 1.48 42.78
1,801-1,900 31.00 12.40 1.55 44.95
1,901-2,000 32.50 13.00 1.63 47.13
2,001-3,000 38.50 15.40 1.93 55.83
3,001-4,000 44.50 17.80 2.23 64.53
4,001-5,000 50.50 20.20 2.53 73.23
5,001-6,000 56.50 22.60 2.83 81.93
6,001-7,000 62.50 25.00 3.'i3 90.63
7,001-8,000 68.50 27.40 3.43 99.33
8,001-9,000 74.50 29.80 3.73 '08.03
9,001-10,000 80.50 32.20 4.03 116.73
'10,001-11,000 86.50 34.60 4.33 125.43
11,001-12,000 92.50 37.00 4.63 134.13
12,001-13,000 98.50 39.40 4.93 142.83
13,001-14,000 104.50 41.80 5.23 151.53
14,001-15,000 110.50 44.20 5.53 160.23
15,001-16,000 116.50 46.60 5.83 168.93
16,001-17,000 122.50 49.00 613 177.63
17,001-18,000 128.50 51.40 6.43 186.33
18,001-19,000 134.50 53.80 6.73 195.73
19,001-20,000 140.50 56.20 7.03 203.73
20,001-21,000 146+.50 58.60 7.33 212.43
1,001-22,000 152.50 61.00 7.63 221.13
22,001-23,000 158.50 63.40 7.93 229.83
23,001-24,000 164.50 65.80 P.21 238.53
24,001-25,000 170.50 68.20 8.53 247.23
25,001-26,000 175.00 70.00 8.75 253.75
26,001-27,000 179.50 71.80 8.98 260.28
27,001-28,000 184.00 73.60 9.20 266.80
28,001-29,000 188.50 75.40 9.43 273.33
29,001-30,000 193.00 77.20 9.65 279.85
30,001-31,000 197.50 79.00 9.88 286.38
31,001-32,000 202..00 80.80 10.10 292.90
32,001-33,000 206.50 82.60 10.33 299.43
33,001-34,000 211.00 84.40 10.55 30595
34,001-35,000 215.50 86.23 10.78 312.48
35,001-36,000 220.00 88.00 11.00 319.or,
36,001-37,000 224.50 89.80 11.23 325.53
37,001-38,000 22.9.00 91.60 11.45 332.05
1 firesupr doc
SEE 35MM
ROLL# 23
FOR
LARGE
DOCUMENT
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: in
' / � A.M. P.M. Ms,r:
Location: ^ L � _ QQ j"L. f ��. — — BUY:
'Tenant: — _ (/ _ Suite:_� to� Bldg: MEC: _
Contractor: N -C._— Phone: vt L F3
C-effPim _
Phone: /' .� JET --- ELC: _
• - -- L'l.R:_��J�L1-.-[-sem
_ SIT:
BUILDING BLDG(con't) PLUMBING MECHANICAL LECTRICA SITE
Site PUst/Betan Post/lluun PosUl3camov�rvice Sewer/Stonn
Fooling Roof UudFl/Slab Rough-In Ceiling Water Line
Slab Framing Top(-Xt1 Gas Line Rough-in UG Sprinkler
Foundation Insulation Sewer Ili")uct Reconnect Vault
Bsmt Damp lAywall Stonn Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab U
Shear/Sheath Fire SpUr/Alm Crawl/Found Dr I teat Pcunp < aw Vo CINU GC
Approved Approval Approved A roved Approved
App,/Sdwlk Not Aplrmved Not Approval Not Approved 01 Appruvc Not Approved
FINAL, FINAL FINAL FINAL
O Call for reinspection '7 inspection fee of S / required before next inspection Q IJnable to inspect
Inspector: lite: Page_ of_—
d