Permit '' ,-'. CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00005
Avt, ;, r DEVELOPMENT SERVICES DATE ISSUED: 01/12/2000
..4.1,1-. '� I- ' 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 12259 SW 69TH AVE PARCEL: 2S101AA -09100
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: 5 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: B 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: $ 23,000.00
Remarks: Fire suppression system
Owner: Contractor:
_ TIGARD CORPORATE CENTER LP DELTA FIRE INC
15400 SW MIS WAY o P.O. BOX 4010
BEAVERTON, OR 97006 -°g Q "'�-�— aPPLCILN AL
Phone: Phone: 620 -4020
• Reg #: LIC 00064174
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT KJP 01/12/200C $244.25 00- 321104 Sprinkler Final
5PCT KJP 01/12/200C $19.54 00- 321104
FIR2 KJP 01/12/200C $70.30 00- 321104
FIRE BON 12/30/200C $27.40 99- 320782
Total $361.49
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 th- -s adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through,OAR 152-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -198
Permitee „
A ' ,
Signature: A s V
Issued By: K ._e_rbt.,v..,..a..J
Call 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection- Permit Application Plan Check# 2-
CITY CI litARD Commercial or Residential Rec'd By — -•r' i'
13125 SW HALL BLVD. Date Rec'. 3'
TIGARD, OR 97223 Print or Type Date to P.E. 1-6 — 2MO
(503) 639 - 4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST 1 —io —oo I?
Permit # " ) furl - �S
5 t U Pall " 00 - G-
t • a me of Development/Proj ct /
Job if Type of System (Complete A or B as applicable)
• I ' (l I e.S. NtS� AD�
Addreas Address A.) Sprinkler Wet ❑ ' iiry ❑
\,a SW 1fft
N yap C� C 1 I- a L+d Standpipes
Owner Ma' yap
Address Hazard Group
15 kQls W Additional
ity/State Zip Phone 3 Information tensity
Is_' • L tJ dR• C I • • .
Name Design Area
Laing I P<SAO a0 Id{ P55 4A
Occupant Mailing A / �� K. Factor
/ a-a 'j S to
ity/State Zi. Phone A.1) Sprinkler Project Valuation u $ /40Q
Contracto ' r! a B.) Fire Alarm
(SprinHer or I CI �i
Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑
Prior to permit j V s- 5u6 2N0 lad
issuance, a City /State Zip Phone ($) Cut Sheets Component YES ❑
copy
of all licenses qj.>o 812 c . , V 2 i— ( 1 0 /4 B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Dat
expired in COT I I Project Valuation Subtotal (A & or B) $
database (041 2 I 1 I 0
Nam e �� - / Permit fee based on valuation $
(see chart on back)
Architect Mailing A/ drew S cJ2,! a 8% Surcharge $
City/State Zip Phone $
FLS Plan Review 40% of Permit ! 1 O
Describe work A.) New 0 Addition-- Alteration Repair O '� a /0 TOTAL $ c to be done: i. 40i1 , V 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.
1 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
p , !,are in compliance with Oregon State laws.
Additional Des / 'ption of Work• j469
r f� (i ID Signatu of Own / • gent Date L,�i ,,
A.) In Existing Building New Building - //
Dull Ing Contact Pers • - e A , Phol 1� n _ _ , „�
Data B.) Commercial Residential ❑ (T/171 Ic - o J [( 4 !(J
FOR FFICE USE ONLY:
No. of stories: Plat # Map/11#:
• Sq. Ft:
Notes
Occupancy Class Type of Construction
is \dsts \forms \firesupr.doc 10/14/99 - -
8/17/00 Activities for Case #: BUP2000 -00005 -
1:42:46 PM
Assigned Hold Updated V
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
04
BUPC005 Application received 12/30/99 BON RECD No Hold BON 1/6/00
BUPC008 Permit created 1/6/00 BON DONE No Hold BON 1/6/00
BUPC012 Plans routed to Plans Examiner 1/6/00 BON DONE No Hold BON 1/6/00 r.
BUPCO24 Plans checked /approved by PE 1/10/00 RDP DONE No Hold RDP 1/10/00
BUPCO26 Approved plans routed to DSTs 1/10/00 RDP DONE No Hold RDP 1/10/00
BUPC783 Sprinkler Rough -In 1/10/00 1/10/00 8/10/00 TLP PASS No Hold TLP 8/10/00
BUPC784 Sprinkler Final 1/10/00 1/10/00 8/10/00 TLP PASS No Hold TLP 8/10/00
BUPCO29 DST post - review completed 1/11/00 GEO DONE No Hold DEB 1/11/00
BUPC090 Ready to issue 1/11/00 GEO DONE No Hold DEB 1/11/00
BUPC100 (F) Issue permit 1/12/00 KJP DONE No Hold KJP 1/12/00
BUPA090 (F) Reprint Permit 8/9/00 ZZZ DONE No Hold ZZZ 8/9/00
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