Permit (210) •
CITY OF TIGARD
- _, .,,,,„ DEVELOPMENT SERVICES PERMBUILLDING PERMIT
TF'98 -01
DATE ISSUED: 04/28/98
PARCEL: 29115BA -00101
SITE ADDRESS...: 16200 SW PACIFIC HWY #0
SUBDIVISION • ZONING:C —G
BLOCK • LOT • JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:FPS FIRST 0 sf N: S: E: W:
I � TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N .... 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 ?: 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: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 1 100
Remarks: Tenant modification - Kit's Camera fire suppression system
Owner: FEES
INSIGNIA /FORUM COMMERCIAL type amount by date recpt
5 CENTERPOINT DR PRMT $ 25.00 JSD 04/23/98 98- 305194
#290 5PCT $ 1.25 JSD 04/23/98 98- 305194
LAKE OSWEGO OR 97035 FIRE $ 10.00 JSD 04/23/98 98- 305194
Phone #: 598 -1020
Contractor:
GRINNELL FIRE PROTECTION
GRINNELL CORP
2800 NW 29TH AVE
PORTLAND OR 97210
Phone #: 223 -1525 $ 36.25 TOTAL
Reg #..: 000632
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit 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 180 days of issuance, or if work is suspended for 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 952-001 -0010 through OAR 952-00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
,
Per mittee s i nature: 4 I B : 0 / /
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ ++ 1
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Fire Protection`''Perrrilt Application P lan Check #6 /o_{C
CITY OF TIGARD Commercial or Residential Recd By
13125 SW HALL BLVD. Data Recd r 0 i i �
TI( ARD, OR 97223 Print or Type Date to P.E. (7 Y�i "
(t , 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DS D_. 28 '
Permit* `, " ,'- OI '
Called
Job Name of Development/Project Type of System (Complete A or B as applicable)
KikS C,qb %gA
Addres Address A.) Sprinkler Wet D ❑
T / 40.4 77..►w S Aa044.€ _
I(� " ' L (,AMeVI 6 :6 - e° e O Standpipes r.l o
1 Owner Mailind Address Hazard Group
res 0p rf /Kp/e la P Additional (a (a 14f State . Zip Phone I Density
Isys t f P? � 3ol- t//9'000 o
N_� Ci4EA Design Area N 16
1
Occupant Maili�creirw Toww s tiAA , C K.Factor c
Ci� / State Zip Phone A.1) Sprinkler Project Valuation $
Contractor Name B.) Fire Alarm
(Sprinkler or CIA Its M IL L Q>� f-1 I A
Alarm Company) Mai 'ng Address 9 , Submittal Shall Include Battery Calculations YES ❑ -
Prior to permit SCp Z # I E
issuance, a City/State Zip Phone Individual Component YES ❑
py Cut Sheets
of all ?Of tj *'p, D i2 3 -152s .B.1) Fire Alarm Project Valuation $
are required if State Const Cont. Board Licit Ex Date
- expired in COT 4 3 zo 5. 3 / .4 Project Valuation Subtotal (A & or B) $ ` , t c O
'abase
Name / ,/e-' A��,/
v/ • y /'T'siliiri Permit fee based on valuation $ as (see chart on back) O c
Architect Mailing ddress
23‘ S [omm iecE ?At* Rd 5% Surcharge $ (. Z 5
City/State Zip Phone t I (0, FLS Plan Review 40% of Permit $ , �,
C1EVE1A 0, o0 4wtt 'i &' vi yy c'
Descnbe work A.) New Addition 0 Alteration,* Repair 0
to be done: TOTAL $ 36,
B.) Modification to sprinkler heads only:
1. 1 -10 heads= No plans required Plans required: Submit three sets of plans, including a vicinity map and
2. 11 += Plan review required the location of the nearest hydrant.
I hereoy acknowledge that I have read this aaplication. that the information given is
Number of sprinkler heads: correct. that I am the owner or authorized agent of the owner, and that plans submitted
Additional Description of Work are in comperanee with Oregon State laws.
�f loo 'E Ealcr .
5,1'104=4./ de4s #0, Hisfigtk13046 ` gnature o erJAgent Date
A.) In Existing Building New Building 0
.^ 4 —Z2 - 48
Building Co tact P Name Phone
Data B.) Commercial Residential p O C,�,�. '� C. �.�.� is Z
FOR OFFICE USE ONLY:
Plat # Map/TL#:
No. of stones: t .
Sq. Ft: r —
7. Notes � Occupancy Class Type of Construction 61Ar �(‘- 0 / •
. 31°51 9 5 1
I
is \firesupr.doc
4/28/99 Activities for Case #: BUP98 -00180
10:03:21 AM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 4/23/98 JSD PASS JSD 4/24/98
BUPC008 Permit created 4/24/98 JSD PASS JSD 4/24/98 •
BUPC012 Plans routed to Plans Examiner 4/24/98 JSD PASS JSD 4/24/98
BUPCO26 Approved Plans routed to DSTs 4/28/98 RDP APPR RDP 4/28/98
BUPC783 Sprinkler Rough -In 4/28/98 5/13/98 TLP . PASS DGW 5/15/98
BUPC784 Sprinkler Final 4/28/98 5/13/98 TLP PASS DGW 5/15/98
BUPC090 (F) Ready to issue 4/28/98 DEB DONE DRA 4/28/98
BUPC100 (F) Issue permit 4/28/98 DEB DONE DRA 4/28/98
BUPC960 Case Finaled 5/13/98 TLP PASS DGW 5/15/98
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Page 1 of 1
Page No. 1 CASE HISTORY FOR CASE NO.: BUP98 -0180
INSIGNIA /FORUM COMMERCIAL
16200 SW PACIFIC HWY Unit: 0
09/02/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
• Code Sent Done Done Date By
BUPC005 Application received / / / / 04/23/98 PASS JSD 04/24/98 JSD
BUPC008 Permit created / / / / 04/24/98 PASS JSD 04/24/98 JSD
BUPC012 Plans routed to Plans Examiner / / / / 04/24/98 PASS JSD 04/24/98 JSD
BUPCO26 Approved Plans routed to DSTs / / / / 04/28/98 APPR RDP 04/28/98 RDP
BUPC090 (F) Ready to issue / / / / 04/28/98 DONE DEB 04/28/98 DRA
BUPC100 (F) Issue permit / / / / 04/28/98 DONE DEB 04/28/98 DRA
BUPC783 Sprinkler Rough -In 04/28/98 / / 05/13/98 PASS TLP 05/15/98 DGW
BUPC784 Sprinkler Final 04/28/98 / / 05/13/98 PASS TLP 05/15/98 DGW
BUPC960 Case Finaled / / / / 05/13/98 PASS TLP 05/15/98 DGW
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1 CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: - 63 y 9 -4171 c.-77
Date Requested: gl3- sle A.M. C/U P . M. MST:
Location: / zoo ,, // / C' B °' 8 - 643
Tenant: MA.. ,� CL—/ Suite: Bldg: ME.: _A — r_ -
Contractor. /' V L Ce,
- - � ,(�l.f Phone: 670-/16 7 PLM:
Owner. (� Phone: /, ELC:
__4 AIWCA / f�%l _� - 7 _ / ' ;�.il�i -crto
BUILDING : LD con't) PLUMB G - i ELECTRICAL
Site ' . i : earn 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/Duc Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry C _--.. Rain Drain A/C UG Slab
Shear /Sheath • ,I Crawl/Found Dr Heat Pump Low Volt
; � Approved proved,) Approved Approved
Appr /Sdwlk No ... v `_ ed ° � Not Approved 'N o - t A oved Not Approved Not Approved
iiip v'[,u� FINAL ( FINAL FINAL
' /
�� -D /9 afc
I/ - o d .2.Zac� ' _/ ' a. , i
LC— 0( to ^ FPS o/C
•
O Call for re' 'o O Reinspection fee of $ required before next ' .: lion O Unable to inspect
iv
Inspector: Date: ��) / Page of