Permit 4
BUILDING PERMIT
AR CITY OF TIGARD • PERMIT #: BUP2000 00091
c _fl� DEVELOPMENT SERVICES DATE ISSUED: 4/5/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S112DC 01400
SITE ADDRESS: 15865 SW 74TH AVE 100
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK ZONING: I -P
BLOCK: LOT: 004 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: : sf N: S: E: W:
OCCUPANCY GRP: 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: $ 1,600.00
Remarks: Fire suppression system
Owner: Contractor:
JDS LLC & PACIFIC SANTA FE COR AFP SYSTEMS INC
17700 SW UPPER BOONES FRY #100 19435 SW 129TH
PORTLAND, OR 97224 TUALATIN, OR 97062
Phone: Phone: 503 - 692 -9284
Reg #: LIC 00067534
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT BON 3/21/00 $50.00 0000868 Sprinkler Final
5PCT BON 3/21/00 $4.00 0000868
FIRE BON 3/21/00 $20.00 0000868 OR r G 1 N /� r
Total $74.00 r H L,,
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.
Pe rm itee
Signature: Q1 i.. CL t ( 1(11 -. - 11Ald
Issued By: a guilk,ll,G'v-i
Call 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection Permit Application Plan Check # -- S7C
CITY OF TIGARD Commercial or Residential Recd By
13125 SW HALL BLVD. Date Recd a, 2.-- - 2-1XZ'
TIGARD, OR 97223 Print or Type Date to P.E. — Z6 - mod
(503) 639 - 4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST - 3 -74 �' gr
Permit # 21: — I
6 A' - u007)-1 Called
Job erne of Development/Project Type of System (Complete A or B as applicable)
Address itft5 s ,-'7 `1 1 ►111 - [to A.) Sprinkler Wet X' Dry (]
Name , Standpipes
SEAS ac.i- PacrC� �-6G,vP ,/i4
Owner ev e 1 st r�u�, c .— Hazard Group
t'ilc,c_ k..)-9 p e `7x z,-,e.' tt —rq e61 IC-.0 Additional y
Cty /State Zip Phone Information Density, Ick
ame Design Ar a
rcene\ �-.l 1 (1.171C, I ,T - ( 5 610
•
Occupant Mailing Address K. Factor
„amity /State Zip Phone A.1) Sprinkler Project Valuation $
Contractor N � B.) Fire Alarm
(Sprinkler or
Alarm Company) i ing Addres�, S ubmittal Shall Include Battery Calculations YES E
Prior to permit \ U 3c > ■ ILC ` '' 6 •
Individual Component YES
issuance, a City /State G� �Z�i�p� Phone �p P
copy T � l tlii �b� Cut Sheets
of all licenses j B Fire Alar Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT Project Valuation Subtotal (A & or B) $ c51.)
database S 3 -7 -IZ-d { • 1(0
Permit fee based on valuation
ame �
` `. 3r1 D (c0 &Yolkii (see chart on back) $ Q =(p • l.,t 4
Architect Mailing Address '/�
IIT SW I {�I� ���.(Ll Li 5/o Surcharge $ 47—'3-3 fI j
Cit Stat Zip Phone o '
b b g ct- �� FLS Plan Review 40% of Permit $
Describe work A.) New 0 Addition 0 Alteration Repair O TOTAL
to be done: $4!5_74.3 /1.¢ r'
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: 1 1 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 Ow /Agent n� Date
A.) In Existing Building V New Building ❑ (4, 3-2z --CO
Building C o ct Pers• - Ph n j i
B .) C ommercial K Residential ❑ °� "f
Data V� FOR OFFICE u SE ONLY:
No. of stories: '
Plat # • Map/TL #:
Sq. Ft:
Notes
Occupancy Class Type of Construction .
•
i:\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
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 6.43 186.33
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
firesupr.doc