Permit A - CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00248
, 4; ��� DEVELOPMENT SERVICES DATE ISSUED: 08/03/2000
!,L 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171
PARCEL: 2S101AA -02900
SITE ADDRESS: 12125 SW 69TH AVE
SUBDIVISION: TIGARD CORPORATE CENTER ZONING: MUE
BLOCK: LOT: OOA 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: 3N : sf N: S: E: W:
OCCUPANCY GRP: S4 TOTAL AREA: 0.00 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BED • BATHS: IMP SURFACE: PRO CORR: PARKING:
ALUE: 4 I1-6.m4. °r*
emarks: Standpipe System
Owner: Contractor:
TIGARD CORP CTR LIMITED PARTNE DELTA FIRE INC
15400 SW MILLIKAN WAY P.O. BOX 4010
BEAVERTON, OR 97006 TUALATIN, OR 97062
Phone: Phone: 620 -4020
Reg #: LAC 00064174
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Misc. Inspection
FIRE KJP 06/27/200C $75.50 0003170 Misc. Inspection
Final Inspection
PRMT JMT 08/03/200C $188.75 HAND
5PCT JMT 08/03/200C $15.10 HAND
Total $279.35
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 da, ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification %Ce ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtai a c.' py of these rules 9 r dire questions to OUNC by calling (503) 246 -1987.
Sg itu 41 i A / .... �, Si nature: i
Issued By: _'ii ., � / 5 ,
CaII 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection Permit Application Plan Check # 6 -3/ (—
CITY OP'`TIGARD Commercial or Residential Rec'd By /C-TP
13125 SW HALL BLVD. Date Recd (o -2/ -vim
TIGARD, OR 97223 Print or Type Date t o P.E. • - Z - / - 0o
(503) 639 - 4171, x. 304 Incomplete or illegible applications will of be accepted Date to DST 0 A
( tZo/(td Calle # • d ?Je 5 Called 1
•
Job Name of Development/Project Al a■t‘-(AUY 1 �1 P
A-
774 D to,ep CT's /' 1AJ4 644444E Type of System (Complete A or B as applicable)
Address Address /.. / 2.5
SW. 69 >14 A.) Sprinkler Wet ❑ Dry ❑
Name
776AD ,Q Ce ,eA f C - -J e -
� Standpipes
Owner Mailing Address
SQL Hazard Group
City /State Zip Phone Additional
Information Density
Name
7 Ce,A --re CEr4m e_. Design Area
Occupant Mailing Address -- -;�;�` . • ;.�
S,444-4- ��i� ;,i. K. Factor
• City/State Zip Phone -
A.1) Sprinkler Project Valuation __
Contractor
Name /
(Sprinkler or PCZ -7 F //e6, in/G • B.) Fire Alarm
Alarm Company) Mailing Address
Prior to permit /4795' sw 7,ZA/p .4 ve.Azue Submittal Shall Include Battery Calculations YES ❑
issuance, a City/State Zip Phone
copy Individual Component YES ❑
of all licenses R,7z4•••/D/0e 4 72 ev - 4o� s Cut Sheets
are required if State Const. Cont. Board Lic.# Exp. D to B.1) Fire .Alarm Project Valuation $
expired in COT 6 1 7.4 /� /I( / D /
database �` Project Valuation Subtotal (A & or B) $
Name
M ailing Address Permit fee based on valuation $
Architect (see chart)
• City/State Zip Phone 8% Surcharge $
Describe work A.) New 0 Addition Alteration 0 Repair O FLS Plan Review 40% of Permit $ '75-.5-0
to be done: TOTAL $ -
B.) Modification to sprinkler heads only:
1. 1 - heads= No plans required
2. 11 += Plan review required Plans required: Submit three sets of plans, including a vicinity map and
the location of the nearest hydrant.
Number of sprinkler heads: 1 hereby acknowledge that I have read this application, that the information given is
Additional Description of Work: correct, that I am the owner or authorized agent of the owner, and that plans submitted
are in compliance with Oregon State laws.
F/,e4 "07nTEc- 7'..1 /9 T�ssr / 1 E �.e/^/w ACS Signature of Owner /Agent Date
A. In Existn Buildin New Building ❑
Building -Ma a t e0,e. 4 ' D6/'*/ci) .
Data B.) Commercial Id Residential ❑ Contact rerson Name Moir (yy
/L>Az CARTAt 44Zo
FOR OFFICE USE ONLY:
No. of stories:
9 - • Plat # Map/ TM
Sq. Ft: 414-a
Occupancy Class;,,.. . Type of Construction Notes
•t se t
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is \dsts\forms \firesupr.doc 2/2/00 N
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Valuation of Project Permit fee Tax 8% FLS 40% Total
1 - 2,000 50.00 4.00 20.00 74.00
2,001 - 3,000 59.25 4.74 23.70 87.69
3,001 - 4,000 68.50 5.48 27.40 101.38
4,001 - 5,000 77.75 6.22 31.10 115.07
5,001 - 6,000 87.00 6.96 34.80 128.76
6,001 - 7,000 96.25 7.70 38.50 142.45
7,001 - 8,000 105.50 8.44 42.20 156.14
8,001 - 9,000 114.75 9.18 45.90 169.83
9,001 - 10,000 124.00 9.92 49.60 183.52
10,001 - 11,000 133.25 10.66 53.30 197.21
11,001 - 12,000 142.50 11.40 57.00 210.90
12,001 - 13,000 151.75 12.14 60.70 224.59
13,001 - 14,000 161.00 12.88 64.40 238.28
14,001 - 15,000 170.25 13.62 68.10 251.97
15,001 - 16,000 179.50 14.36 71.80 265.66
16,001 - 17,000 188.75 15.10 75.50} 279.35
17,001 - 18,000 198.00 15.84 C. 79.20 293.04
18,001 - 19,000 207.25 16.58 82.90 306.73
_ 19,001 - 20,000 _ 216.50 17.32 86.60 320.42
20,001 7 21,000 225.75 18.06 90.30 334.11
21,001 - 22,000 235.00 18.80 94.00 347.80
_ 22,001 - 23,000 244.25 19.54 97.70 _ 361.49
23,001 24,000 253.50 20.28 101.40 375.18
24,001 - 25,000 262.75 21.02 105.10 388.87
25,001 - 26,000 269.50 21.56 107.80 398.86
26,001 - 27,000 276.25 22.10 110.50 408.85
27,001 - 28,000 283.00 22.64 113.20 418.84
28,001 - 29,000 289.75 23.18 115.90 428.83
29,001 - 30,000 296.50 23.72 118.60 438.82
30,001 - 31,000 303.25 24.26 121.30 448.81
31,001 - 32,000 310.00. 24.80 124.00 458.80
32,001 - 33,000 316.75 25.34 126.70 468.79
33,001 - 34,000 323.50 25.88 129.40 478.78
34,001 - 35,000 330.25 26.42 132.10 488.77
35,001 - 36,000 337.00 26.96 134.80 498.76
36,001 - 37,000 343.75 27.50 137.50 508.75
37,001 - 38,000 350.50 28.04 140.20 518.74
38,001 - 39,000 357.25 28.58 142.90 528.73
39,001 - 40,000 364.00 29.12 145.60 538.72
40,001 - 41,000 370.75 29.66 148.30 548.71
41,001 - 42,000 377.50 30.20 151.00 558.70
42,001 - 43,000 384.25 30.74 153.70 568.69
43,001 - 44,000 391.00 31.28 156.40 578.68
44,001 - 45,000 397.75 31.82 159.10 588.67
45,001 - 46,000 404.50 32.36 161.80 598.66
46,001 - 47,000 411.25 32.90 164.50 608.65
47,001 - 48,000 418.00 33.44 167.20 618.64
48,001 - 49,000 424.75 33.98 169.90 628.63
49,001 50,000 431.50 34.52 172.60 638.62
k ts\forms\fresupr.doc 2/2/00
CITY OF TIGARD BUILDING INSPECTION DIVISION 7"
24 -Hout Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP 2Lv1.) 'GUOz' /J
Date Requested /2 $ AM PM BLD
Location /1/ Z s 5'Li w 9 - �� Suite MEC
Contact Person Ph 5?' J" Zp C/t Zv PLM
Contractor Ph SWR
BUILD NG Tenant/Owner ELC
etaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain �7d yvt) P51— G4"4
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire Sprinkler O et V
• "Alarm
Susp'd Ceiling
Roof
,�' PART FAIL
! '' BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
•
PASS PART FAIL
MECHANICAL (f o�
Post & Beam • t [
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 • 2 � v _ �� . T 1 `
Other Date l LJ Ins t Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.