Permit A CITY OF TIGARD
�, DEVELOPMENT SERVICE BUILDING PERMIT
j��I PERMIT # : BUP99 -0053
--11 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 02/22/99
PARCEL: 29113AD -01900
SITE ADDRESS...: 16640 SW 72ND AVE #B -10
SUBDIVISION • ROSEWOOD ACRE TRACTS ZONING:I —L
BLOCK • LOT •009 JURISDICTION:TIG
REISSUE: � FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK. ..11:4L40 F I RST • 0 s f N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST. :3N .... 0 sf N: S: E: W:
OCCUPANCY GRP. :S2 TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET..:
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 1650
Re marks : Install sprinkler system.
Owner: FEES
PACTRUST type amount by date recpt
15350 SW SEQUOIA PARKWY PRMT $ 28.00 DRA 02/16/99 99-312962
TIGARD OR 97224 5PCT $ 1.40 DRA 02/16/99
99- 312962
FIRE $ 11.20 DRA 02/16/99 99- 312962
Phone #: 624 -6300
Contractor:
FIRESTOP CO
9384 SW TIGARD ST
TIGARD OR 97223
Phone #: 620 -6140 $ 40.60 TOTAL
Reg #..: 000638
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Sprinkler Rough —
Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final
applicable laws. 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 -0810 through OAR 952- 00101987.
You many obtain a copy of these rules or direct questions to OIAVC
by calling (503)246 -1987.
Permittee Signature• 1 � ssued By• ,f
++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Fire Protection Permit Application PlanChe # C
CITY OF TIGARD Commercial or Residential Rec'd By /
13125 SW HALL BLVD. Date Recd r
TIGARD, OR 97223 Print or Type Date to P.E. / g
(503) 639 - 4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST 4132. kg
Permit # 04,47 d
Called 22-7 I
NNN
1. Job Na of Development/project Type of System (Complete A or B as applicable)
d ClS /arl IA1TriCoNNeCT' YP Y ( P PP )
Address . A dress / A. Sprinkler Wet Dry S - 7Z'1 A.) P ry 0
Name 1 0icreus r Standpipes
Owner Mailing Address , Group
/S^3S0 —) EfudiA 464 Additional Z/607.
Ci /State Zip Phone Information Density
/Jo/�y: NE. 772* 624-6300
Name I1 Design Area
Occupant Mailing Address K. Factor
City/State Zip Phone A.1) Sprinkler Project Valuation $ / (O S D °p
Contractor Name B.) Fire Alarm
(Sprinkler or F/J df Z• (149 •
Alarm Company) Mailing Address_ n Submittal Shall Include Battery Calculations YES ❑
Prior to permit 93 g g ko- F411.4 a I-
issuance, a City /State Zip Phone Individual Component YES ❑
cepy q Cut Sheets
of all licenses 7j6/hih OE / 7223 62 o 4 /¢U B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date _
expired in COT ffvll Project Valuation Subtotal (A & or B) $ �+ vac)
database 6 ' 3 g4 , 4 2/8 /Zex'c' �6a�
Name Q Permit fee based on valuation
J /J� FO'y1401 (see chart on back) $ 2V°
Architect Mailing Address 5 %Surcharge $
27-/ to S E - z4.- (4e
Ci /state Review of Permit Zip Phone FLS Plan evew 40% oerm
QG ME- /72/4- 236 -63OG $ l re
Describe work A.) New 0 Addition 0 Alteration jar, Repair 0
to be done: TOTAL $ 4
-
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
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
are in compliance with Oregon State laws.
Additional Description of Work:
Signature of • r /Agent Date
c ti
A.) In Existing Building New Building ❑ i\ Z /Up
Building • : ct Person Nam. / Phone
lSgt./ b. REA-d a 6Zo_ '14o
Data B.) Commercial is Residential ❑ •
FOR OFFICE USE ONLY:
No. of stories: Plat # Map/TL #:
i •
Sq. Ft:
Notes .
•
•
Occupancy Class Type of Construction .
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CITY OF TIGARD
• BUILDING PERMIT FEES
TOTAL i
•
STATE BUILDING
VALUATION OF PERMIT F.L.S. TAX PERMIT a
PROJECT FEES (40 %) (5 %) FEES
1 -1500 25.00 10.00 1.25 36.25
1,501-1600 26.50 10.60 1.33 38.43
1,601 -1,700 28.00 11.20 1.40 40.60
1,701 -1,800 29.50 11.80 1.48 42.78
1,801 -1,900 31.00 12.40 1.55 44.95
1,901 -2,000 32.50 13.00 1.63 47.13
2,001 -3,000 38.50 15.40 1.93 55.83
3,001 - 4,000 44.50 17.80 2.23 64.53
4,001 -5,000 50.50 20.20 2.53 73.23
•
5,001 -6,000 56.50 22.60 2.83 81.93
6,001 -7,000 62.50 25.00 3.13 90.63
7,001 -8,000 68.50 27.40 3.43 99.33
8,001 -9,000 74.50 29.80 3.73 108.03
9,001- 10,000 80.50 32.20 4.03 116.73
10,001- 11,000 86.50 34.60 4.33 125.43
11,001- 12,000 92.50 37.00 4.63 134.13
12,001- 13,000 98.50 39.40 4.93 142.83
13,001- 14,000 104.50 41.80 5.23 151.53
14,001- 15,000 110.50 44.20 5.53 160.23
15,001- 16,000 116.50 46.60 5.83 168.93
16,001- 17,000 122.50 49.00 6.13 177.63
17,001- 18,000 128.50 51.40 6.43 1
18,001- 19,000 134.50 53.80 6.73 195.73
19,001- 20,000 140.50 56.20 7.03 203.73
20,001- 21,000 146.50 58.60 7.33 212.43
21,001- 22,000 152:50 61.00 7.63 221.13
22,001- 23,000 158.50 63.40 7.93 229.83
23,001- 24,000 164.50 65.80 8.23 238.53
24,001-25,000 170.50 68.20 8.53 247.23
25,001- 26,000 175.00 70.00 8.75 253.75 •
26,001-27,000 179.50 71.80 8.98 260.28
27,001- 28,000 184.00 73.60 9.20 266.80
28,001- 29,000 188.50 75.40 9.43 273.33
29,001- 30,000 193.00 77.20 9.65 279.85
30,001-31,000 197.50 79.00 9.88 286.38
31,001-32,000 202.00 80.80 10.10 292.90
32,001- 33,000 206.50 82.60 10.33 299.43
33,001- 34,000 211.00 84.40 10.55 305.95
34,001- 35,000 215.50 86.20 10.78 312.48
•
35,001- 36,000 220.00 88.00 11.00 319.00
36,001- 37,000 224.50 89.80 11.23 325.53
37,001- 38,000 229.00 91.60 11.45 332.05
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