Permit (150) . • •.
A . 'CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00408
111 DEVELOPMENT SERVICES DATE ISSUED: 09/27/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 16200 SW PACIFIC HY Z PARCEL: 2S115BA -00100
W
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf • PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: A BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: l2'�D
Remarks: Fire suppression system for Type -1 exhaust hood
Owner: Contractor:
ALBERTSON'S SANDERSON SAFETY SUPPLY CO.
250 PARK CENTER BLVD 1101 SE 3RD ST
BOISE, ID 83726 PORTLAND, OR 97214
Phone: 208 - 395 -6283 Phone: 238 -5700
Reg #: LAC 00064969
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT BON 09/13/199E $25.00 99- 318274 Sprinkler Final
5PCT BON 09/13/199E $1.25 99- 318274
FIRE BON 09/13/199£ $10.00 99- 318274
PRM2 DST 09/27/199E $25.00 99- 318627 OR
(additional fees not listed here)
Total $73.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. 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 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Pe rm itee
Signature: —
Issued By: _ f
Call 639 -4175 by 7 p.m. for an inspection the next business day
q- Zec
" - Fire Protection Permit Application q -( - 1°/
CITY OF TIGARD Commercial or Residential
13125 SW HALL BLVD. -fp PE. 9 -f'` /9
TIGARD, OR 97223 Print or Type coo; 74444 - 53A"1
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted rvPli
94/ flAno
'1_,--f-r raft "ice
Job NaAo Deve_ iop /97e67 Type of System (Complete A or B as applicable)
Address Address
/(2UO -rriv- 9 /Ay A.) Sprinkler Wet ❑ Dry ❑
f /"" r
Name / Standpipes
M ailir5 Address 7Yeptv e
Owner g Additional Hazard Group
city/State �n Zip Phone Information Density
o • T/ -
Name Design Area
riliZA
Occupant Mailing Address K. Factor
City /State Zip ( Phone A.1) Sprinkler Project Valuation $
Contractor Name I B.) Fire Alarm
(Sprinkler or dji ' P 1 r 9IQ /iSC` 77
Alarm Company) Mailing Address / Submittal Shall Include Battery Calculations YES ❑
Prior to permit /10/ ✓ a -- 3,e'
issuance, a City /State Zip Phone Individual Component YES ❑
copy Cut Sheets
of all licenses fe, fr 37'- B.1) Fire Alarm Project Valuation $
are required if State C6nst. Cont. Board Lic. Exp. Date
expired in COT �,/�n Project database G 6 6 % 3 -2q-Do j ct Valuation Subtotal (A & or B) $ , �2�=
Name '�
Permit fee based on valuation $
Architect Mailing Address (see chart on back) / OD
7I 5% Surcharge $ /.■7 f
City /State Zip Phone
FLS Plan Review 40% of Permit $ /0 0 Z
D
Describe work A.) New / Addition 0 Alteration 0 'Repair 0 T OTAL $ l/
to be done: 36r25--
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 hereby acknowledge that I have read this application, 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
are in compliance with Oregon State laws.
Additional Description of Work: /- cp
J)iJ r?a Ae r ( P - ,o"O Signa a of Own Ag t D
A.) In Existing Building New Building 0 �'' i, q—/3-9q
Building Conta Pe son ame Phone
Data B.) Commercial Residential p I6 4 4� 1 ,? _ 2L 3 2 - 1 - 7 eV l �O
FOR OFFICE USE ONLY:
No. of stories: Plat # Map/TL #:
Sq. Ft:
Notes
Occupancy Class Type of Construction
is \dsts \forms \firesupr.doc 1/19/99
1.
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 11.80 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 3.13 90.63
7,001 -8,000 68.50 27.40 3.43 99.33
8,001 -9,000 74.50 29.80 3.73 108.03
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 6.13 177.63
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
21,001- 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 8.23 238.53
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 10.55 305.95
34,001- 35,000 215.50 86.20 10.78 312.48
35,001- 36,000 220.00 88.00 11.00 319.00
36,001- 37,000 224.50 89.80 11.23 325.53
37,001- 38,000 229.00 91.60 11.45 332.05
is \dsts \forms \firesupr.doc 1/19/99
04/17/2000 Activities for Case #: BUP1999 -00408
9:14:42 AM
•
Assigned ' Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC008 Permit created 09/16/1999 BON DONE No Hold BON 09/16/1999
BUPC005 Application received 09/14/1999 BON RECD No Hold BON 09/16/1999
BUPC012 Plans routed to Plans Examiner 09/16/1999 BON DONE No Hold BON 09/16/1999 •
BUPCO24 Plans Approved by CPE 09/16/1999 RDP DONE No Hold RDP 09/16/1999
BUPCO22 Plans Approved /Routed to DSTs 09/16/1999 RDP DONE No Hold RDP 09/16/1999
BUPC783 Sprinkler Rough -In 09/16/1999 09/16/1999 No Hold RDP 09/16/1999
BUPC784 Sprinkler Final 09/16/1999 09/16/1999 09/27/1999 TLP PASS No Hold AKJ 09/27/1999
BUPC090 (F) Ready to issue 09/24/1999 GEO DONE No Hold GEO 09/24/1999
BUPC100 (F) Issue permit 09/27/1999 GEO DONE No Hold DST 09/27/1999
BUPC960 Case Finaled 09/27/1999 AKJ DONE No Hold AKJ 09/27/1999•
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 _
Date Requested AM PM B LO 4 /;-/ BLD
Location 1 (0 -2_0 C7 Y Suite
MEC
Contact Person Ph 23, S 76 O PLM
Contractor Ph X /G SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear 1
Int Sheath /Shear •
Framing
Insulation ■/ 571P-6-
Drywall Nailing
Firewall PE G 00 f d Mx( 6--e 0 Fire Sprinkler S 17
Fire Alarm �� /7 J c� s� / Q x � f�
Susp'd Ceiling / 0 ��/L [e
Roof C' 1 + 60 4
PART FAIL
PL I ' BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading -
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date ' Inspector � Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.