Permit ss' CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00161
y . A, DEVELOPMENT SERVICES DATE ISSUED: 05/10/2000
," �li 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 16125 SW 72ND AVE BLD.B PARCEL: 2S113AB -00600
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 803.00
Remarks: Relocate two (2) fire sprinklers.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES BASIC FIRE PROTECTION INC
15350 SW SEQUOIA PKWY #300 -WMI 940 NE LOMBARD ST
PORTLAND, OR 97224 PORTLAND, OR 97211
Phone: Phone: 285 -1855
Reg #: LIC 000486
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Final
PRMT GEO 05/10/200C $50.00 0002067
5PCT GEO 05/10/200C $4.00 0002067
Total $54.00
ORLGINAL
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.
Pemiitee ,644_
Signature: ,�!'
Issued By: ,09:a7r,
Call 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection Permit Application Plan Check #
CITY.-Or TIGARD Commercial or Residential Rec'd By
13125 SW HALL BLVD. CE � Date Recd
TIGARD, OR 97223 Print or Type R� Date to P.E.
(503) 639 -4171, x. 304 Incomplete or illegible applications will_ f1�t�gtcepted Date to DST
p �VE‘ pe � ' � N � Pe i # 6#,P c_ /
Job Name of Development/Project Type of System (Complete A or B as applicable)
Ili /GRO fN 1 l )
Address Address A.) Sprinkler Wet Dry ❑
Na Standpipes itki- Owner Mailing Address Hazard Group
_ r _ _es • ' ' -_._. .._. Additional LIB,+' T
City/State Zi. Phone Information Density
Trzx.oa29g2 • I
Name Design Area •
M 1 6p-c. 10- 64.4.x. /3'60 * ti
Occupant Mailing Address K. Factor
City/State ore 47 2 I Phone A.1) Sprinkler Project Valuation $ �.
Contractor Name B.) Fire Alarm
(Sprinkler or 'BASIL. P! RE P RoTEGT/ON •
Alarm Company) ilin Address 0 Submittal Shall Include Battery C ions YES I=1 Prior to permit q, u G Lo M f3 • - •
issuance, a City/State Zip Phone Individual Component YES ❑
co Cut Sheets
of all licenses . 7, j . , i , ' • _ I 2.8S 1855 .1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT .4g 441 �_ /� _ DO Project Valuation Subtotal (A & or B) $ S Cra
database
Name Permit fee based on valuation $ cub
Architect Mailing Address (see chart on back) Sd
0/0 Surcharge $ 4 c==' -
Cit /State Zi Phone FLS Plan Review 40% of Permit $
Describe work A.) New 0 Addition 0 Alteration Repair O
to be done: TOTAL $ S -4.
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
Additional Description of Work: are in compliance wi Oregon to laws.
RE LOCH- E 1=tRE. SPR 1 14.31LL Pc-li Ooez S' 8-00
REQ u t .. 6 C0 Ali. Signature of Owner /Agen Date
A.) In Existing Building Nr, New Building ❑ DAL-E 4 Ras 1407. A. RS /ASS
Building Contact Persoon Name Phone
Data B.) Commercial �[ Residential ❑
' FOR OFFICE USE ONLY:
No. of stories: Plat # Map/TL#:
O NE . .
Sq. Ft:
Notes
Occupancy Class Type of Construction
•
is \dsts \forms\f resupr.doc 7/2/99
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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 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 - 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
is \dsts \forms \firesupr.doc 12/23/99