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Permit A ' CITY O TIGARD BUILDING PERMIT PERMIT #: BUP2000 -00159 ' re DEVELOPMENT SERVICES DATE ISSUED: 7/26/00 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101AA -09100 SITE ADDRESS: 12259 SW 69TH AVE SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 030 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: 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: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,485.00 Remarks: Fire suppression for Type 1 exhaust hood in existing commercial kitchen. Owner: Contractor: SPECHT PROPERTIES SANDERSON SAFETY SUPPLY CO. 15400 SW MILLIKAN WAY 1101 SE 3RD ST BEAVERTON, OR 97006 PORTLAND, OR 97214 Phone: Phone: 238 -5700 Reg #: LIC 00064969 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough -In PRMT GEO 5/3/00 $50.00 0001886 Sprinkler Final Misc. Inspection 5PCT GEO 5/3/00 $4.00 0001886 FIRE GEO 5/3/00 $20.00 0001886 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. 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 rmitee ' r Signature: 41 s� � Issued By: i / _ Call 639 -4175 by 7 p.m. for an inspection the next business day Fire Protection Permit Application Plan Check # 5 CITY OF tTIGAPD Commercial or Residential , Rec'd By a- 13125 SW HALL BLVD. Date Rec'd 5 — 3--cd TIGARD, OR 97223 Print or Type Date to P.E. 5 -10 - ` 1 (503) 639 -4171, x. 304 Incomplete or illegible•applications will not be accepted Date to DST Vi2 /ng 9 Permit # Q u.P 2.04:)0_00,511 Called 57/9 GD Job me of Development/Project Type of System (Complete A or B as applicable) a Address A r ss A.) Sprinkler Wet ❑ Dry ❑ / s7 ski. b?' , .c., e Standpipes i s i - /' //,7 _ / ► -, , - Owner - ' • ' Address Hazard Group i a,rk e corp,., w c � Addition City/State Zip Phone Information Density • N ;a /e (l�,�k�1 G WI/AV .. Design Area Occupant M Address c � K. Factor City/State Zip Phone A.1) Sprinkler Project Valuation $ Contractor Name ,�/ ( � �� ,� B.) Fire Alarm /i (Sprinkler or , //04 7�4 < y Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑ Prior to permit / /gip/ j7 f', 3,e,e, issuance, a City /State • Zip Phone Individual Component YES ❑ copy ' Cut Sheets of all licenses ,/, / 1/© 1 ' �� f�o� B.1) Fire Alarm Project Valuation $ are required if State Const. ont. Board Lic.# Exp. Date expired in COT database 6l% �j/ 3' eQ,_ Project Valuation Subtotal (A 8r or B) $ / � � aD � NamLs �- s' &4 ' 4 I . Permit fee based on valuation $ d c op ©. M aili g Ad ress (see chart on back) Architect � ?/ `5` it!- (1 /lA04/ 3% Surcharge $ ,� C' t a/ Zip P one / L' ; q a / J, / FLS Plan Review 40% of Permit $ ©00 Describe work A. New Addition O lteration O Repair O to be done: TOTAL $ 24-0O 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 A Description of Work: / 4 S exot9fp4H ,���, p are incompliance with Oregon State laws. i /5 - 1 E - /re' �a ✓ ei nexG.te !/ °' Sign re of O er/ gent Date A.) In Existing Building ❑ New Building F4 , ( 6 S 00 Building Contac© rson [Vame Phor�e �, Data B.) Commercial Residential El dB ' ° FOR OFFICE USE ONLY: No. of stories: Plat # Map/TL#: Sq. Ft: . Notes Occupancy Class Type of Construction • is \dsts \fonns \firesupr.doc 7/2/99 CITY OF TIGARD BUILDING INS PECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP ,. CU /5 Date Requested - Z_ AM PM BLD Location / Z 2 ) f 5 4. f Suite MEC Contact Person Ph A 3i --570 0 PLM Contractor Ph SWR CBUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation ` A p t ,S FPS Ftg Drain SGN Crawl Drain Inspection Notes:.- �A- I-pee (5,61f Slab 7 SIT Post & Beam -y�r -- Ext Sheath /Shear TVZ 1 C 1 Int Sheath /Shear Framing Insulation p� _ f /J7 t> )% A91— Firewall Drywall Nailing prinkle� Fire Alarm Susp'd Ceiling Roof / I Final PASS PART IV 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 / Date � Approach /Sidewalk ,,t9 Inspector � Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPEQTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 - -'Business Line: 639 -4171 Date Requested f-3 3 AM PM BLD Location /22 Sy 5' C , 9 4'L/ -/ Suite MEC Contact Person Ph 0 2,39 570 a PLM Contractor Ph -?x /70 SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: FPS Foundation j Ftg Drain � C Lt— �- //3 r c fr i (,�// G/ SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing ■ 4J IL- 5.1 �rew�� Ai F ih/ Imo. F --- Fire Alarm Susp'd Ceiling Roof Misc ASS PART FAIL P 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 n., /1 Approach /Sidewalk Date 1� l Ou Inspector /tjSLCr Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 111=1.: 1101 S.E. 3Rb AVE • PO,fii'eAND, OREGON 97214 • (503) 238 -5700 850 CONGER • EUGENE, OREGON 97402 • (503) 683 -9333 i SAFETY COMPANY 2600 AIRPORT WAY, SOUTH • SEATTLE, WASHINGTON 98134 • (206) 340 -4300 CERTIFICATION - `INSTALLATION /INSPECTION Customer Name Address - / ' SYSTEM i / Model(s) and serial numbers r- Number of nozzles and Part No � Number of detector(s) and degree rating, ,/ �> Energy shut -off devices — type and size Q u Other accessory equipment provided (pull station, electric,switches, etc.) COOKING /VENTILATING; EQ�II EN1 . Number of duct(s) and size `" • Hood size and plenum size ��'' ' ( ' °',% � ' • - , Cooking Appliances, and size of cooking surface. (NOTE: List appliances from left to rich t and indicate those being protected.) �i - ., 1. J 4. ._) \� �� i : ;�, y , d 1 2. 5. p „ n 3. . �'7 a > N .. 6. TO BE COMPLETED BY INSTALLER YES ❑ NO The fire suppression system is installed in accordance TO BE COMPLETED BY CUSTOMER with the manufacturer's instructions, NFPA Standard 96 and 17 (current issue), and all applicable state and local codes. Exceptions to other provisions of NFPA 96 ❑ YES ❑ NO that were observed are noted below. I understand that it is the recommendation of ANSUL Exceptions: and of the National Fire Protection Association Standard 96 and 17 that the fire suppression system be inspected and maintained every 6 months to ensure continued efficiency and reliability and that failure to do so may result in failure of the system to operate properly. CUSTOMER NAME AND TITLE //' OYES ❑ NO All electrical work or work provided by others to SIGNATURE complete this system installation has been completed. DATE INSTALLER NAME \ ' . ' ' 4. SIGNATURE , DISTRIBUTOR - . ' • . " , ' /i ` ADDRESS , �/i ' ' DATE