Permit A l CITY OF TIGARD
ELOPMENT SERVICES BUILDING PERMIT
Na jl�� PERM PERMIT # ° BUP99 -•0061
=
'.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03/09/99
PARCEL: 1S135AB -00100
SITE ADDRESS...: 10255 SW 90TH AVE
SUBDIVISION ° TOWN OF METZGER ZONING:R -4.5
BLOCK LOT..... ........ :005 JURISDICTION:TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:FPS FIRST 1820 sf N: S: E: W:
TYPE OF USE...:CMS SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N .... 0 sf N: 5: E: W:
OCCUPANCY GRP.:E1 TOTAL . 1820 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. $ : 1659 ,`t,
Remarks : Fire Alarm system
Owner: FEES ",i
TIGARD— TUALATIN SCHOOL DIST 23 type amount by date recpt
13137 SW PACIFIC HWY PRMT $ 28.00 GEO 02/2:/99 99- 313137
TIGARD OR 97223 -0000 , 5PCT $ 1.40 GEO 02/22/99
99-313137
• FIRE $ 11.20 GEO 02/22/99 99- 313137
Phone #: 503 - 620 -160
Contractor:
ATLAS ELECTRICAL CONTRACTORS
4403 SE ROETHE RD
MILWAUKIE OR 96267
Phone #: 659 -2212 $ 40.60 TOTAL
Reg #..: 1532
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 -rA 1 -0010 through OAR 952- 00101987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
....
Permittee Signature: � ... 0 � �,
Issued By: �� el
III + + + + + + + + + + + + + + + + + ++ +++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Fire Protection Permit Application Plan Check #(54R "77
CITY OF TIGARD Commercial or Residential Rec'd By - 0/WC-
13125 SW HALL BLVD. Date Rec'd -
TIGARD, OR 97223 Print or Type Date to P.E.Z 2L 4 39
(503) 639 -4171, x, 304 Incomplete or illegible applications will not be accepted Date to DST $1" gP
.5, ✓ w Permit# • 1## 4
, all
or kl:
Job � e of De�elopment/P�� ` Type of System (Complete A or B as applicable)
Address Adores A. Sprinkler Wet
!oa55 5th g Ofh }vg. "Tert.vol A.) p ❑ Dry ❑
Name Standpipes
T 6 -Tu 64-in _hcbl D'si
Owner Mailing Address Hazard Group
)313n1 5L3 Ci - Ci C N- . )cI Additional
City /State Zip Pone Information Density
Ticard 0I.q-/223 - r 35
Name t Design Area
r\Q:1-Z42 P
Occupant Mailina Address K. Factor
lD 5 5 LtA0 + U lug
City/S D Zip z Phone A.1) Sprinkler Project Valuation $ ��/'
Contractor Name " aloCJ r B.) Fire Alarm ICJ .
(Sprinkler or 1a l ecAri C . I Car, ray n S
Alarm company) Mailing Address._ Submittal Shall Include Battery Calculations YES El
Prior to permit y y0 3 be he (0 he. %)c) _ ,
issuance, a City /State Zip Phone Individual Component YES ❑
copy Cut Sheets
of all licenses in',1 .,e,, 0e9(-,o lo59-22.ja . B.1) Fire Alarm Project Valuation $ I I � q00
are required if State Const. Cont. Board Lic.# Exp. Date (D
expired in COT 1 53 R) 3 1 -f -I Project Valuation Subtotal (A & or B) $
database I I i 65906
Nam , �� 1 I �� J „ � Permit fee b on valuation $ O o
1 42-0 (see chart on back)
Architect Mailing Ad ress °
ct l 5 p sh S1-re2 5% Surcharge $ I Phone
Poi- A -laid d� 00 2di g.N - o ►13 FLS Plan Review 40% of Permit $ 1 . 2-b Describe work A.) New tY Addition 0 Alteration 0 Repair 0 TOTAL $ { /` (
to be done: (,
B.) Modification to sprinkler heads only: Plans required: Submit three sets of plans, including vicinity map and
1. 1 -10 heads= No plans required the location of the nearest hydrant.
p g a y p
2. 11 += Plan review required y
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:
Sig re of Owner /Agent Date
A.) In Existing Building ❑ New Building \ Q .. l t v l 0
Building rY\O C0( CIn5s07rnS 99nta Person Name Pho e
Data B.) Commercial aj ' Residential ❑ ton & �e A 61 — c c l /
R /
FOR OFFICE U SE ONLY:
','Plan # #VP :, �.' n itli!'z
No of stories: p �MapRL# 5
.
Sq. Ft: ;
o 0 Notes v
Occupancy Class Type of ns uction 0
is \dsts \forms \firesupr.doc 11/5/98
•
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
t 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
i:\dsts\forms\firesupr.doc 11/5/98
I
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �y�,
BUP `�`7 '1.,..v
Date Requested 3' AM PM • BUp 6 /7 - OcCe
,n
Location '`�(J, p,� �i(i2fyt - /22SS qI Suite MEC
Contact Person d C4 44. Ph s g/7- g-S JY PLM
or
Contractor Ph (414-2.3s- SWR
B Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: -
Slab SIT C P '�(
Post & Beam -
Ext Sheath /Shear „4
Int Sheath /Shear
Framing
Insulation � S
Drywall Nailing 5 1 fi. //`-
Firewall / ,
Fire Sprinkler 6/0 ) i Fire Alarm / ,0 �7 r` S 4 0p
Susp'd Ceiling 4 • /
Roof
Misc:
PART FAIL
BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final �fl
PASS PART FAIL 1.10(9\
MECHANICAL ! w
Post & Beam Ql 62/
Rough In
Gas Line /
Smoke Dampers ��
Final
PASS PART FAIL
ELECTRICAL _
Service
Rough In
UG /Slab III
Low Voltage
Fire Alarm
Final
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 ~ Sft Inspector keliNi Ext ,
S) PART FAIL DO NOT REMOVE this inspection record from the job site.
Page No. 1 CASE HISTORY FOR CASE NO.. BUP99 -0061
TIGARD - TUALATIN SCHOOL DIST 23
10255 SW 90TH AVE
03/26/99
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BUPC090 (F) Ready to issue / / / / 03/09/99 DONE DEB 03/09/99 DRA
BUPF005 Application received / / / / 02/22/99 RECD GEO 02/22/99 BON
BUPF008 Permit Created / / / / 02/22/99 DONE B 02/22/99 BON
BUPF012 Plans routed to Plans Examiner / / / / 02/22/99 Phoned applicant for battery calcs and NOTE B 03/08/99 RDP
cut sheets
•
BUPF026 Plans approved by PE / / / / , 03/08/99 APPR RDP 03/08/99 RDP
BUPF030 Reviewed plans routed to DSTS / / / / 03/08/99 APPR RDP 03/08/99 RDP
BUPF032 DST Post - Review Completed / / / / 03/09(99 DONE DEB 03/09/99 DRA
BUPF092 (F) Issue building permit / / / / 03/09/99 DONE DLH 03/09/99 DST
BUPF770 Misc. Inspection 03/08/99 / / 03/24/99 Alarm rough -in PASS RC 03/25/99 ROC
ALARMS TESTED AND APPROVED
BUPF780 Case Finaled / / , / / 03/24/99 PASS AKJ 03/24/99 AKJ
BUPF799 Final Inspection 03/08/99 / / 03/11/99 1. RAIN DRAINS MUST DRAIN TO APP. FAIL RC 03/15/99 ROC
DRAINAGE AREA
2. NEED FIRE EXTING. IN EA ROOM
3. PORTABLE ROOM 2 EXIT NOT OPER.
BUPF799 Final Inspection / / / / 03/24/99 PASS RC 03/24/99 AKJ