Permit CITY OF TIGARD
• ^ ^�����
DEVELOPMENT SERVICES F�ERM F � ERM guP99- 00,:,7
DATE ISSUED: 02/01/99
PARCEL: 1S136CA -01800
SITE ADDRESS...: 11643 SW PACIFIC HWY
SUBDIVISION ^ ZONING:C -G
BLOCK LOT .............: J►1RISDICTION:TIG
REISSUE: FLOOR AREAS-- --- -- - - - --- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK.:FPS FIRST • 0 sf N: S: E: W:
TYPE OF USE...: COPT SECOND...: 0 sf PROTECT OPENINGS? --
TYPE OF CONST.:5N .... 0 sf N: S: E: W:
OCCUPANCY GRP.:B 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 ?: REG!D SETBACKS REQUIRED - - --
FLOOR LOAD....: 0 psf LEFT: 0 ft RGI : 0 ft FIR SPKL : Y SMOK DET.. :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 121 PRO CORR: PARKING: 0
VALUE. S : 1000
Remarks : FIRE SUPPESSION TEST OF EXISTING SYSTEM.
Owner: - - -- - - - - - - -- -- FEES
AMA AUTO BODY type amount by date recpt
11643 SW PACIFIC HWY PRMT $ 25.00 DEB 02/01/99 99- 312568
#5 & C SPCT $ 1.25 DEB 02/01/99 99-312568
TIGARD OR 97223 FIRE $ 10.00 DEB 02/01/99 99- 312568
Phone #:
Contractor:
XLENT FIRE SAFETY
P 0 BOX 87597
VANCOUVER WA 98682
Phone #: 360 -256 -4800 $ 36.25 TOTAL
Reg #..: 000700
-- 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 -0010 through OAR 952- 00101987. ____
You many obtain a copy of these rules or direct questions to OJNC .
by calling (503)246 -1987. ___,___
Permittee Signatur ,_4/ ' /J/ ' Issued _
al
+++++++++++++++++++++++++++++++++++++- i+++++++++ + + + + + + + + + + + + + + + +- + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + ++ ++ ++ + +•f + + + ++ + + + ++
Fire Protection Permit Application
��
CITY OF TIGARD Commercial or Residential / -9-99
1'3125 SW HALL BLVD. \ `�0
TIGARD, OR 97223 Print or Type V isO - Od'3?
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted hj P em') , & w; 2_1 -99-4,
CAu o: a - / -ff 3 :// r -
Job Name of Development/Project Type of System (Complete A or B as applicable)
Address Address A . Sprinkler Wet
f( 3 56t) PAC /F/ � /�r f. f I A.) P ❑ Dry ❑
Name Standpipes
Owner Mailing ddress Hazard Group
// 64 , ACI C iv- Additional
C't /State Zip a Information Density
v a e�. .e..:.9...... 9 / �.‘
Na e �. ryN Design Area
. 14 /` v /`a -PC
0061
Occupant Mailing Address / t K. Factor
// & Y3 e rr ,�c/�
- 7/C
. C ity/State, 6 Oe 63 Q �/ 6 A.1) Sprinkler Project Valuation $ d
Contractor Name /� ,,p,� ! " B.) Fire Alarm
(Sprinkler or X z_64 r E// A ` C 5p t �
Alarm Company) Ma g Addre s Submittal Shall Include Battery Calculations YES ❑
Prior to permit 0, 0, / DX 9 —75-6": 7
issuance, a City /State Zip Phone Individual Component YES ❑
copy 3(r D Cut Sheets
of all licenses (14- CDt (/4,1 WASH, 9D i+-13a. ' B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT Project Project Valuation Subtotal (A & or B) $
database
Name Permit fee based on valuation $
Architect Mailing Address (see chart on back)
5% Surcharge $
City /State Zip Phone FLS Plan Review 40% of Permit $
Describe work A.) New 0 Addition 0 Alteration 0 Repair 0 TOTAL $
to be done:
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
are in compliance with Oregon State laws.
Additional Description of Work:
F t ge. 5t 159r- ob Taa+ gtrprem Sign -t re o ewn,/ A,ent Date
A.) In Existing Building ❑ New Building ❑ i /d1 / / --- cD- ! — 9
Building tr.ntacctt on Na Phone
Data B.) Commercial 12 Residential ❑ / o t ;L /W & Z F &1 - 7 7 ete-b
FOR OFFICE USE ONLY:
No. of stories: Plat # Map/TL #:
Sq. Ft:
Notes
Occupancy Class Type of Construction
•
I: \dsts \forms \firesupr.doc 1/19/99
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
is \dsts \forms \firesupr.doc 1/19/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MsT 7 —4 IF 6
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�/ BUP 99—D0�3 7
I.2.1 Requested .-, /f 9 AM PM BLD
Location / /lD s(3 je'1 2 Suite ce b`"G MEC 99-443 7
Contact Person Ph PLM
Contractor r� Ph SWR
(BUILDIN Tenant/Owner /Q/n/7 �,Lc. ELC
ELR
Footing
Access:
Foundation
/046E4" FPS
Ftg Drain SGN
Crawl Drain Inspection Notes. •
Slab SIT
Post & Beam
Ext Sheath /Shear ✓' �- — d
Ina Sheath /Shear
Framing v !'a't• _ /O 8c—
(((�j�
Insulation ;
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof � 10
Fi -
c PART FAIL
• • BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
FAIL
cMECHANICA
Post tteanr
Rough In
Gas Line
Smoke Dampers
F•
A 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
Other Date - I ( Inspector PEP- c Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.