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Permit t CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP1999 -00440 - '1 1 DEVELOPMENT SERVICES DATE ISSUED: 11/02/1999 1 '�! II 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 • SITE ADDRESS: 12123 SW 69TH AVE PARCEL: 2S101AA -TTOOA SUBDIVISION: TIGARD CORPORATE CENTER ZONING: MUE BLOCK: LOT: OOA JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: 20.535 sf N: S: E: W: TYPE OF USE: COM SECOND: 20.535 sf PROJECT OPENINGS? TYPE OF CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 81,729.00 Remarks: Add d fire sprinklers to a new basic commercial building. p (2 1 67 69 � ', / 1 a 5q �,, f 1/ � � v i f) Owner: Contractor: TIGARD CORPORATE CENTER LP DELTA FIRE INC (4-4-) ( 15400 SW MILLIKAN P.O. BOX 4010 BEAVERTON, OR 97006 TUALATIN, OR 97062 Sf—e-dj Phone: 503 - 579 -4713 Phone: 620 -4020 Reg #: LIC 00064174 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough -In FIRE GEO 10/05/199E $64.40 99- 318749 Sprinkler Final PRMT GEO 11/02/199E $580.30 99- 319487 5PCT GEO 11/02/1995 $46.42 99- 319487 0 R 1 G 1 CIA L FIR2 GEO 11/02/1995 $167.72 99- 319487 Total $858.84 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. A ENTION: 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 • these rules or direct questions to OUNC by calling (503) 246 -1987. Pe mt itee S i_, ignature: �` r Issued By: „dig �� /� %/. Call 639 -4175 by 7 p.m. for an inspection the next business day r ;) Fire Protection Permit Application Plan Check # 9 -g CITY CiF'TIGARD Commercial or Residential Rec'd By 4 13125 SW HALL BLVD. Date Rec'd 9'~ 3Cr- PP TIGARD, OR 97223 Print or Type Date to P.E. /O 5 (503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST i0 V v 4_ Permit #01,17 l Called/0 4t-fa q- e.e Fr Ale. 99 4• s /9t Job Name of Development/Project Type of System (Complete A or B as applicable) l Ct f il"� C er C.O nsAtd. 1 Address Add s A.) Sprinkler Wet Cg Dry ❑ - � lame Standpipes i - Owner Mailing Address Additional Hazard Group City/State Zip Phone Information Density - -- Name l 4a. p Design Area Occupant Mailing Address v ` K. Factor City/State Zip Phone A.1) Sprinkler Project Valuation $ Contractor Name B.) Fire Alarm D � (Sprinkler or 0 i -i - �'ta l Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑ Prior to permit % 1 1195 . 3{,J '1 MD t. issuance, a City/State Zip Phone Individual Component YES ❑ copy Alp Cut Sheets of all licenses po At 9194 6 316?�-YQ2a B.1) Fire Alarm Project Valuation $ are required if State Const. Cont. Board Lic.# Exp. Date expired in COT database ( 4 Project Valuation Subtotal (A & or B) $4i 1 060 Name Permit fee based on valuation $ Architect Mailing Address (see chart on back) 7 /o Surcharge $ City /State Zip Phone FLS Plan Review 40% of Permit $ ] d 9 0 Describe work A.) New;' Addition 0 Alteration 0 Repair O $ TOTAL / lL� 1 " 1 to be done: W t II _ C� 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 q p g p 2. 11 += Plan review required the location of the nearest hydrant. I hereby acknowledge that 1 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 Additional Des ' tion of Work: are i mpliance with Oregon State laws.. k. S �� S na re of Owne en Date A. In Existing Building New Building �( / -1 Building co ct Person Phone Data B.) Commercial IR' Residential ❑ od (57) (oo)(21 r9 FOR OFFICE USE 01•1)..Y: • No. of stories: Plat # Map/TL#: • Sq. Ft: A 101/0 Notes Occupancy Class Type of Construction • • is \dsts \forms \firesupr.doc 7/2/99 ----k . CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 U BUP Co �/ ' 9,— y Date Requested /0 ' Z 7 AM PM BLD Location / ( 2-, S w Suite ij MEC Contact Person Ph & ZO 'G & V PLM Contractor Ph SWR UI Tenant/Owner ELC Retaining 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 e pnn a• Fire arm Susp'd Ceiling Roof ■ M i �.ry - `0 PART FAIL • 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date / V 7 n Inspector 40/Le/ Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP fry — Ger ( NN O Date Requested /O'MD -, AM PM BLD Location /2-1 Z 3 Sw Suite MEC Contact Person Ph 97e) o� 7v PLM Contractor Ph SWR BUILDIN Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing ProlAY Insulation Drywall Nailing Firewall d ire • • RP* {/Gy*• usp'd Ceiling Roof Mi • f PART FAIL P = l NG 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 g^� Approach /Sidewalk Date `© /� / 0 Inspector Rail) Ext 'Li Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD. BUILDING INSPECTION DIVISIO 1 ' 24 -Hour Inspection Line: 639 -4175 Business Li 3 • -171 4, MST it BUP 9 /Q — �/U c(4,10 Date Requested — T AM PM '1 i B , Location 1 2l Z 3 S C✓ 6 A u ( Suite C 4 Contact Person Ph 2- Y 0 2iU 11 Contr Ph '(l'_ SWR ILDING Tenant/Owner t t 1 -a t\- t 0.? ELC Retaining Wall ELR Footing � Foundation Access: FPS Ftg Drai SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing (./ TeS Insulation C i� / �� C/ Drywall Nailing �J Fire ire SprinklerC FireAlafr 1 ' c Susp'd Ceiling ► 411 - ! L - -t - Roof to Misc: - Fi - 4 FAIL 'BI 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 re'nspection RE: [ ] Unable to inspect - no access ADA �( //1 Approach /Sidewalk Date v 6 6 Inspector E. Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.