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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP1999 -00254 �y� DEVELOPMENT SERVICES ; DATE ISSUED: 6/25/99 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113AD -01800 SITE ADDRESS: 16640 SW 72ND AVE B -10 SUBDIVISION: ZONING: I -L BLOCK: LOT: 011 JURISDICTION: TIG REISSUE: Q� F LOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: TT // 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: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 4,925.00 Remarks: Add 38 prinklers and relocate 8 within an existing tenant space. Owner: Contractor: PACIFIC REALTY FIRESTOP CO 15350 SW SEQUOIA PKWY #300 9384 SW TIGARD ST PORTLAND, OR 97224 TIGARD, OR 97223 A Phone: Phone: 620 -6140 Reg #: LAC 00063846 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough -In PRMT GEO 6/23/99 $50.50 99- 316156 Sprinkler Final FIRE GEO 6/23/99 $20.20 99- 316156 5PCT GEO 6/23/99 $2.53 99- 316156 ORIGINAL Total $73.23 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. riza1 Pemnitee ;4 Signature: 1/1 Ce�� — Issued By: 1'U 1 lV I.i'A atm.* i__, Call 639 -4175 by 7 p.m. for an inspection the next business day Fire Protection Permit Application Plan Check iTY OF TIGARD Commercial or Residential Rec'd By , . 3125 SW HALL BLVD. Date Rec'd ` ; ' ' 1GARD, OR 97223 Print or Type Date to P.E. (r-23 - 9 iO3) 639 - 4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST ® ir• r . Permit #8 Called Job Arne of Development/Project Type of System (Complete A or B as applicable) ri24. C tS i v ki Zry I N� F C T Address Address0Q1:G0 Al '` 13 INE5� l / 144,gG 50 7z ,Ti Ciaa 6. De.47uv A.) Sprinkler Wet [ Dry 0 Name Standpipes Owner Mailing Address # Co Hazard Group 1 5350 5v0 E4QUE l l4 Pi<t Additional oN _ C' /state Zip Phone Information Density - A Z LAk.)D, OJ.972.L. ( 0 2 4 - 6 5 0 0 Name Design Area Ip12�ClS)0N .I nn :r!S i Occupant Mailing Address K. Factor 1c3640 ,w .72._`1 - ' 5 City /State Zip Phone A.1) Sprinkler Project Valuation $ ►1C -LAR17 . oa_.c112Z`� �q Zs— �-, Contractor Nam, e B.) Fire Alarm (Sprinkler or E. I i2 R57 C 0 CV. alarm Company) Mailing Address Submittal Shall Indude Battery Calculations YES 0 Prior to permit CI 3S y 50 TI C -1Ar2D 5r. issuance, a City/State Zip Phone Individual Component YES ❑ copy Cut Sheets of all licenses Tt CO LD, Or_ c i 712 > (oZ© -4,190 B.1) Fire Alarm Project Valuation $ are required if State Const Cont Board Lic.# Exp. Date epc da in ata base COT ��$ lcc Project Valuation Subtotal (A & or B) $ d 'I R ..0 2 T J - - - Name Permit fee based on valuation .TO I-1-m 14-. i ?t: I t $ r "--C Mailing Address (see chart on back) -7C: Architect 2 I S yt� 1=1v e, 1w C_• 5% Surcharge $ 2 , S 3 City/State Zip Phone FLS Plan Review 40% of Permit $ Poltn4>✓D, Ca_ Crn- t y Z .3i o. - to 3o 2.0 2C Describe work A.) New 0 Addition 0 Alteration 0" Repair 0 to be done: TOTAL $ 7 3 Z.3 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 1 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 dditional Description of Work: are in compliance with Oregon State laws. )ltd 3S see_ . 12.f to C- o-'E-C _ "6 SP 2 • Si nature of Owner /Agent Date A.) In Existing Building (g( New Building ❑ a.eU I' ' Y?1Ol y,1 Building Co P n Nam = 47110R-e, Phqne Data B.) Commercial p' Residential ❑ 5C .D77 1 ✓1 c 1- ii-1'4 to Z D (r 1 t J p FOR OFFICE USE ONLY: t No. of stones: Plat # Map/TL#: • , b05 = 4 , Sq. Ft Notes , Occupancy Class Type of Construction • V, firesupr.doc CITY OF TIGARD BUILDING PERMIT FEES TOTAL • STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT 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 b 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 1.86.33 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 is \firesupr.doc