Permit (49) ' CITY OF T I GA R D BUILDING PERMIT
PERMIT #: BUP1999 -00495
l� DEVELOPMENT SERVICES DATE ISSUED: 12/07/1999
j I 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 16200 SW PACIFIC HWY S PARCEL: 2S1156A -00101
SUBDIVISION: PP1994 -028 ZONING: C -G
BLOCK: LOT: 001 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: 5N : sf N: S: E: W:
OCCUPANCY GRP: M 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: BATHS: IMP SURFACE: PRO CORR: PARKING: •
VALUE: $ 1,100.00
Remarks: Add two (2) new fire sprinklers and drop 44 heads.
Owner: Contractor:
BIT HOLDING LTD DELTA FIRE INC
BY FORUM PROPERTIES INC P.O. BOX 4010
FIVE CENTERPOINTE DR TUALATIN, OR 97062
L h o OSWEGO, OR 97035 Phone: 620 -4020
Reg #: LIC 00064174
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
FIRE GEO 11/19/199E. $20.00 99- 319862 Sprinkler Final
PRMT DST 12/07/199E $50.00 99- 320212 O ``
Q 1 GINAL
5PCT DST 12/07/199E $4.00 99- 320212
Total $74.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. h•se rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of th rules or direct que t'•ns to OUNC by calling (503) 246 -1987.
/ Pe rm itee " �, / / 1 r
Signature —
���� � v ,
Issued By: � ��
�
639 -4175 by 7 p.m. for an inspection the next business day
1
Fire Protection Permit Application Plan Check # H
CITY OF TIGARD Commercial or Residential Recd By --
13125 SW HALL BLVD. Date Rec'd /l'1$
TIGARD, OR 97223 Print or Type Date to P.E. //-11
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST 4
Permit #0QP/ ff<l -6Cr •
Called i - �-f
Job r . me of,Develo ent/P roJJ �4 3469 I 1 f p Type of System (Complete A or B as applicable) —
Address • _. iress 1 \ A.) Sprinkler Wet ❑ Dry [�
1 lk
Ibaba Sto �v\ q 4
Name Standpipes
5/ r i i ktRiar 6 T17,00 f/#P
Owner Mailing Address Hazard Group
Additional
Cry
J s b d 7 0i,,- Phone Information Density
— A 0C -
e t ht1da- Design Area
Occupant Mailing Address K. Factor
City/State 7 di j Phone A.1) Sprinkler Project Valuation $ % O
Co � e off' B.) Fire Alarm
(Sprinkler or � ) \) s(lp
Company) Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES 1:1 res ���
Prior to permit t L A - r ab 72A i
issuance, a City/State Zip Phone _
Individual Component YES El 11 "�'�'� �V° Cut Sheets
of all�censes ‘ 3(251 - l/ `ND a e I 7 t B.1) Fire Alarm Project Valuation $
are required if State Const. Board Lic.# q
p. Date
expirec in COT , L. Cont. 4 Project Valuation Subtotal (A & or B) $ 1/ )
databa U
Name Permit fee based on valuation $ 56
(see chart on back)
Architect Mailing Address 8% Surcharge $ Li- CO
City/State Zip Phone F P . n r * vie . 40% • • erm' $ V A�
fiIW, ..-
Describe work A.) New 0 Addition` Alteration cif Repair 0 TOTAL $
to be done:
B.) Modification to sprinkler heads only: Plans required: Submit three sets of plans, including a vicinity map and
1. 1 -10 heads= No plans required
2. 11 += Plan review required the location of the nearest hydrant.
hereby acknowledge that I have read this application, that the information given is
Number of sprinkler heads: t correct, that I am the owner or authorized agent of the owner, and that plans submitted
are in compliance with Oregon State laws.
Additional D scription of Work: ./, OOP y 4
® HMO Si nature • • • . A. - • Date •
A.) In Existing Building IN New Building ❑ ' / /V/ o , </
Building Contact P !Name Phon
Data B.) Commercial Residential ❑
llllll����ll FOR OFFICE USE ONLY:
No. of stories: Plat # Map/TL #:
• Sq. Ft:
Notes
Occupancy Class Type °gon i n '
A S/1
i:\dsts\forms\firesupr.doc 10/14/99 _ . _
12/17/1999 Activities for Case #: BUP1999 -00495
3:04:07 PM
Assigned - Hold Updated
Activity Description Date 1 Date 2 Date 3 To . Done By Disp. Level By Updated Notes
BUPC008 Permit created 11/19/1999 GEO DONE No Hold GEO' 11/19/1999
BUPC005 APPlication received 11/18/1999 GEO RECD No Hold GEO 11/19/1999
BUPC012 Plans routed to Plans Examiner 11/19/1999 GEO DONE No Hold GEO 11/19/1999
BUPCO24 Plans Approved by CPE 11/23/1999 RDP DONE No Hold RDP 11/23/1999
BUPCO22 Plans Approved /Routed to DSTs • 11/23/1999 RDP DONE No Hold RDP 11/23/1999
BUPC783 Sprinkler Rough -In 11/23/1999 11/23/1999 12/15/1999 RB PASS No Hold RB 12/15/1999 No dropped heads- T -Grid not
installed, except that of the
entry- 2 new heads OK
BUPC784 Sprinkler Final 11/23/1999 11/23/1999 12/15/1999 RB PASS No Hold RB 12/15/1999 Case Final- OK
BUPCO29 DST Post Review Completed • 11/30/1999 BON DONE No Hold BON 11/30/1999
BUPC090 (F) Ready to issue 11/30/1999 BON DONE No Hold BON 11/30/1999
BUPC100 (F) Issue permit 12/07/1999 GEO DONE No Hold DST 12/07/1999
BUPA950 Case Finaled 12/17/1999 JMT DONE No Hold JMT 12/17/1999
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CITY OF TIGARD BUILDING INSPECTION DIVISION
2 4 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MS s
BU
' / /, ,,. 4
Date Requested VI 57 AM PM BLD
Location /� a Of 5W / C/ t c Suite MEC
Contact Person Rai Ph 3 ft#0 G PLM
Contractor Ph SWR
UILDING Tenant/Owner ELC
aining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Alarm
Susp'd Ceiling
Roof
Misc:
ma
S PART FAIL
PLUMBING
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 Date ] 71 C/ C G
Other
Inspector Ext�� l
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job. site.