Permit �� CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00419
Lr" & DEVELOPMENT SERVICES DATE ISSUED: 10/14/1999
- r- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 14865 SW 74TH AVE * ** PARCEL: 2S112AC 01200
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -P
BLOCK: LOT: 020 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: 5N : 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:N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 52,390.00
Remarks: Fire protection system
Owner: Contractor:
KHNS DEVELOPMENT A + R FIRE PROTECTION CO
26262 S MERIDIAN ROAD PO BOX 459
AURORA, OR 97002 NORTH PLAINS, OR 97133
Phone: Phone: 503 - 647 -2468
Reg #: LIC 65938
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
FIRE BON 09/28/199 $105.10 99- 318516 Sprinkler Final
PRMT GEO 10/14/199 $445.45 99- 319075
5PCT GEO 10/14/199 $31.18 99- 319075 ORIGINAL
FIR2 GEO 10/14/199 $73.08 99- 319075
Total $654.81
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.
S itu / /
Signature: � - i` /%L—
Issued By: 0
Call 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection Permit Application Plan G eck# �P C
CITY OF TIGARD Commercial or Residential Recd 8v k ,lc_
13125 SW HALL BLVD. Date Reec'd 9— / - 79
TIGARD, OR 97223 Print or Type Date to P.E.
(503) 639 - 4171,x. 304 Incomplete or illegible applications will not be accepted Date to DST q A4-R
Permit #�c3�P(�i� -0-..;;,- L'
Called tD i ' s
Job Name of Development/Project Type of System (Complete A or B as applicable)
FAN) D A-c i1.CS 6 us7A/65 s d/9 K
Address Address
S� 7L/ '77 Gn ax A.) Sprinkler Wet E Dry 11 Name Standpipes
!2,305 0 4- -6 6-7v7 /s--1 -
Owner Mailing Address Hazard Group
267._ C 5. /1c 0/pi » Rn Additional 0 A &.gp'Z
City /State Zip Phone Information Density
d Oft 9 70p� <303-6 /fryr . 1.0
Name L Design Area
r/�NN ,4 4175/iuc= vs p, -rac 4 ' N q 11 i t7 C7
Occupant Mailing Address I a1 K. Factor
zL.'. G �-5, / "t
City/State Zip Phone A.1) Sprinkler Project Valuation $
nclAon.is, cv/c 9 .10, - s03- G7�f -1$'7e -/' 4 C)
Contractor Name B.) Fire Alarm �✓'iu
(Sprinkler or f)'I' ciz F i izz' P R 07
Alarm Company) Mailing A{� ss Submittal Shall Include Battery Ca ations YES 1:1 Prior to permit P7 0 dd .5 ox �
issuance, a City/State Zip_ Phone Individual Component YES ❑
copy c Cut Sheets
of all licenses N - QI- {A / e. s I9 L/ 2 -20ess B.1) Fire Alarm Project Valuation $ 0�5 � /"
are required if State Const. Cont. Board Lic.# Exp. Date i
expired d i
n COT 1 3 2 '/Z 7/0 / Project Valuatio Subtotal (A & or B) $
t
Name Permit fee based on valuation a /
— ro Th - re I"t�L $ �� 7
Architect Mailing Address (see chart on back)
/ `f 2 IVY w
1 1t. - s't, 7 /° Surcharge $ / b , 37
. City /State 9 Zip Phone FLS Plan Review 40% of Permit $ 1 �)
V Aoto4 ce WA c c�S71 -754 8 ) 05
Describe work A.) New ® Addition 0 Alteration 0 Repair 0 _
TOTAL $ � 1 9 to be done: (p
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
Additional Description of Work: r'e in co liance with Oregon State laws.
Signature of Owner /Agent Date
A.) In Existing Building ❑ New Building
Building Contact Person Name Phone _ 9 Data
B.) Commercial ® Residential ❑ �' ,�
h/�r, 7wHvos� /-6-X iM FOR OFFICE USE ONLY:
No. of stories:1 Pl # Map/fL# it x ,
Sq. Ft: p / l t t ,
, i 3 o O 0Notes , , s s,, �x 5 " ti
anc Class Type of Construction �� O ti I r
Occupancy ^
P Y YP Z # & �
is \dsts \forms \firesupr.doc 7/2/99
111■\----- . .
CITY OF TIGARD BUILDING INSPECTION DIVISION Ms L i I 7
24 -Hour Inspection Line: 639 -4175: Business Line: 639 -4171 p
Date Requested �- Ale" 1 AM G2-55 PM BLD
Location 1 f (oS cL I'\ € Suite MEC
Contact Person 8 ti174 M- Ph - 31-//rZ(o7 3 PLM
Contractor C:6-(1 ADA SDI, Ph 03' Z Sa(‘=> SWR
Tenant/Owner l A N _O S -C - U■5t � n s-9 ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain ) ���
Crawl Drain Inspection Notes: - � J r SGN
Slab y D SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing Q
Insulation �^
Drywall Nailing _ / / - 1.&
Firewall �G - �.� 1..� I
•
Fire Alarm * �1 ���
Fire Susp'd Al Ceiling
Roof
Misc:
F. PAS PAS PART FAIL
MBING
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk �J
Other Date y Inspector V(/� Ext 1 1
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 f ?q9 00 yi
Date Requested 3 2V(X) AM PM BLD
Location • 1 ' ( A Suite MEC
Contact Person ( Ph ci --gs6c PLM
Contractor ,1 ^ ki0., Ph SWR •
- • LDING 'l- Tenant /Owner Q.V . , J L i s ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain S •
Crawl Drain Inspection Notes:
Slab SI
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing —
Firewall 7--7 7)RO - c -Q 60
ire Alarm`
Susp'd Ceiling
Roof 2 h00 re S 3
Misc:
Fi
w" PART FAIL
-1NG
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
Approach /Sidewalk Date 3 /Z 00 Inspector \ Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.