Permit (126) CITY OF TIGARD
N r DEVELOPMENT SERVICES BUILDING PERMIT
I�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE 09/24/97 —¢447
PARCEL: 2S115BA -00101
SITE ADDRESS...: 16200 SW PACIFIC HWY #X
SUBDIVISION ZONING:C —G
BLOCK • LOT JURISDICTION :TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:FPS FIRST • 26000 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.: 5N .. •
0 sf N: S: E: W:
OCCUPANCY GRP.:M TOTAL : 26000 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 ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 35830
Remarks : Fire suppression system
Owner: FEES
CAPITAL /BIT HOLDINGS TWELVE IN type amount by date recpt
C/O FORUM PROPERTIES PRMT $ 220.00 JDA 09/11/97 97- 299144
8705 SW NIMBUS 5PCT $ 11.00 JDA 09/11/97 97- 299144
BEAVERTON OR 97005 FIRE $ 88.00 JDA 09/11/97 97- 299144
Phone #: 626 -2277
Contractor:
FIRESTOP CO
9384 SW TIGARD ST
TIGARD OR 97223
Phone #: 620 -6140 $ 319.00 TOTAL
Reg #..: 000638
REQUIRED INSPECTIONS
This per',it is issued subject to the regulations contained in the Sprinkler Rough —
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 188 days of issuance, or if work is suspended for more
than 188 days. ATTENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952- 881-8818 through OAR 952181987.
You ',any obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
gil l15161P
Permittee Signature. ' 7 ssued By: �
Call 639 -4175 by 6:00 p.m. for an inspection needed the net business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Fire Protection Permit Application Plan Check# 4-Yo c
CITY OF TIGARD Commercial or Residential Rec'd By
13125 SW HALL BLVD. Date Rec'd 0/ 4 7
TIGARD, OR 97223 Print or Type Date to P.E. q (2- I7
(503) 639 - 4171 Ext. 304 Incomplete or illegible applications will not be accepted Date to D C I - 1'Q9 -4 iff>
Permit #}(01)(17'04
Call V S
Name of Development/Project Type of System (Complete A or B as applicable)
Job MahS ha. I 1 y X
Address Address � 1 A.) Sprinkler Wet Dry 0
I (o D S u. a -c_rp, I C 1a WY Standpipes
Name n
(� to 1C�irn �K n Hazard Group
Owner Mailing dres c Additional O N Z
< St) 114 D�,. Information Density
City/S1att� 42 Phone . L. p
►"v Q7D3S Design Area
Name t 1 SO D
MA1ZS H a`- S K. Factor
Occupant Mailing Address Q S, t o
Set 1!h e Q S cW 6 J °� Sprinkler Project Valuation $
City /State Zip Phone 3S,(630 —
COT Business Tax or Metro # Exp. Date B.) Fire Alarm `
Submittal Shall Include Battery Calculations YES ❑
Contractor Name F _
(Sprinkler or ` I IZ.2 TX) P C O 9 Individual Component YES ❑
Alarm Company) Mailing Address Cut Sheets
(Mar to perm t q3 $4- 30 T cpkitz S. Fire Alarm Project Valuation $ •
issuance apPlicant City /State Zip Phone
must provide all •1■ L A-kb i 0 e_ 0 G.-L.0 -61 4 0
Bon lI� State Const. Cont. Board Lic.# Exp. Date Project Valuation Subtotal (A or B) $ 3 s �$ -7, 0
inform for (03 .6410 b Z It A7 Permit fee based on valuation $
COT database). COT Business Tax or Metro # Exp. Date a ? O , 0 0
/ J (see chart on back)
1 �
9�1' 12 -/11/ cri 5% Surcharge. _ $ �� 00
Name
Architect Mailing Address FLS Plan Review 40% of Permit $ gg 0 0
City /State Zip Phone /�•ti1 fir" TOTAL $
30.0o r.,1 PLANS MUST SUBMITTED, approved and a permit issued prior to installation.
Describe work A.) New 0 Addition 0 Alteration 18E Repair 0 Three sets of plans and site plan (and vicinity map) required which shows location of
to be done: nearest hydrant
B.) Basement 0 HoodNent 0 Spray Booth 0 I hereby acknowledge that I have read this application, that the information given is
Complete J8( Partial 0 Exitway O correct, that tam the owner or authorized agent of the owner, and that plans submitted
are in compliance with Oregon State laws.
Additional Description of Work: Sign re of a �j wn � /A / ge _ — Date /I /VC/
A.) In Existing Building (g New Building ❑ ontact Person Name Phone
Building - 1 LS o ti
6,7_0 -(014-to
Data B.) Commercial csi Residential ❑ FOR OFFICE USE ONLY:
Plat # • Map/TL#: .
No. of stories:
o Pe Z-5I /SBA-- ►��.
Sq. Ft: Notes /')/ / l S 't Occupancy Class Type of Construction g � /�/ `!'' 13 2_ WOO
31
/V V tib\4141
1:1FIRESUPR.DOC (DST) 8/96 _ (1 ,/J`•
i , ilv- -a. Y"
'Ix.
6/30/99 Activities for Case #: BUP97 -00447 •
4:42:11 PM
Assigned Hold Updated •
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 9/11/97 JDA RECD BON 9/12/97
BUPC008 Permit created 9/12/97 B DONE BON 9/12/97
BUPC010 Check for prd. restrict. 9/12/97 B PASS BON 9/12/97
BUPC012 Plans routed to Plans Examiner 9/12/97 B SENT BON 9/12/97
BUPCO26 Approved Plans routed to DSTs 9/18/97 RDP APPR RDP 9/18/97
BUPC783 Sprinkler Rough -In 9/18/97 10/22/97 TLP PART J *H 10/29/97 Cover contingent to all electrical
work inspected and approved -
sales floor area.
BUPC784 Sprinkler Final 9/18/97 11/13/97 TLP PASS TLP 11/13/97
BUPCO29 DST Post Review Completed 9/24/97 JSD PASS JD 9/24/97
BUPC090 (F) Ready to issue 9/24/97 JSD PASS JD 9/24/97
BUPC100 (F) Issue permit 9/24/97 JSD PASS DST 9/24/97
BUPC960 Case Finaled 11/13/97 TLP PASS TLP 11/13/97
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