Permit CITY OF TIGARD PERMIT
PERMIT #: BUP1999 -00516
. �i� DEVELOPMENT SERVICES DATE ISSUED: 12/27/1999
' ---' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11686 SW PACIFIC HWY PARCEL: 1S136CD 01700
SUBDIVISION: ZONING: C -
BLOCK: LOT: 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: M 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: S 00 C)
Remarks: Fireharm system - This system is not a required system - Inspect in accordance with approved plans
Owner: Contractor: .
P & F PROPERTIES RED'S ELECTRIC
834 W ST CLAIRE 2002 SE CLINTON
PORTLAND, OR 97205 PORTLAND, OR 97202
Phone: Phone: 233 -6467 OR!GINAL
Reg #: uC 04443
P LM 26152C
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Fire Alarm lnsp
PRMT BON 11/29/199C, $77.75 99- 320033 Final Inspection
5PCT BON 11/29/199 $6.22 99- 320033
FIRE BON 11/29/199 $31.10 99- 320033 •
MISC BON 11/29/199 $50.54 99- 320033
Total $165.61
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.
Permitee
p...,
Signature: :
Issued By: )( �
Call 639 -4175 by 7 p.m. for an inspection the next business day
11/24/99 WED 14:18 FAX 503 598 1960 CITY OF TIGARD 1J1002
Fire Protection Permit Application Plan Check : ' S2- e.
CITY OF TIGARD. Commercial or Residential Rec'd By /
13125 SW HALL BLVD. Date Rec'd - . ". 41r ''
TIGARD, OR 97223 Print or Type Date to P.E. Z
(503) 6394171, x. 304 Incomplete or illegible applications will not be accepted Date to DST / 1 `fit I'
Permit# %.4 (' II I .
Caned . /::'iL I
/.t) lei /r mK- d ,V `l 7
Job Name of Development/Project Type of System (Complete A or B as applicable)
Address Address A.) Sprinkler Wet ❑ Dry ❑
Na Standpipes
&J CG9A• O /, //% -
Owner Mailing Address Hazard Group
//6 80 L✓ P&G 4 c- /I/ wl Additional
City/State Zip Phone Information Density
Nanfe Design Area
Occupant Mailing Address K Factor
City /State Zip Phone A.1) Sprinkler Project Valuation $
Contractor Name B.) B.) Fire Alarm
(Sprinkler or ' ..c Clp c, 7 L a I......, -
Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES IN
Prior to permit 01.7„2._ :SCE CL.; ^,76 S
issuance, a City/State Zip Phone Individual Component YES 0
cepy /q Cut Sheets
of all licenses 4 Bi 11 ?3? '6J ) B.1) Fire Alarm Project Valuation $ -'
are required if tate Const C -gsrd Lic.# Exp. gate cJ
expired in COT � ` �i � ;' a Project Valuation Subtotal (A & or B) $ '
database � y w
Name Permit fee based on valuation $ �"
(see chart on back) 77.
Architect Mailing Address eia Surcharge $ o ,o 2-
City /State Zip Phone >FLS Plan Review 40% of Permit $ 3 ! / U
Describe work A.) New x Addition 0 Alteration 0 Repair 0 TOTAL $ /6-,,,-0 /
to be done:
B.) Modification to sprinkler heads only:
1. 1 - heads= No plans required Plans required: Submit three sets of plans, induding 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: ooh owner I am the ner or authorized agent of the owner, and that plans submitted
are in compliance with Oregon State laws.
Additional Description of Work
O
Signature of Agent Date
-- A.) In Existing Building ❑ New Building Gi� a .` i i . Z 7 4- ` 7
Building Contact Person a Phone
Data B.) Commercial '• Residential ❑ t w L c Z 3� 6‘1C1
FOR OFFICE USE ONLY:
z 1 r
No of stones: _ "_4 a,.., Sr f ! * r ak i0 I, zl *e_ . :n 5' "� f
s ,, 11 "'' d t.F' Y ' .a ril' +. 4, i � r+ is :
't
Sq.Ft 7 / /. /� : ;:isi i� '.,,: t k,.i« - _..�t "" ,, - ti,, � .: `2, . ``'.-hard
I / DV `� ,; t 45;5A- R' t 5i'_ r 3 , n 4 3Y ') : &&ilGC.:� wY 'd - h ilI( Y , k -+ , 4r
Occupancy Class Type of Construction ;. ?' , . ; ;3 .. � =a. ` " -*`..r y. - : = °,' " , 44,,,i'4'-:". ;:, T' '"'
I __...� ' .�'_= � ,u� .. «Y:.� .. L. �� -:._— g.= �e�tx � :_�, ,.�'
'- .� u ,
- bj.:,.. iT» v, a'' i>' iC�:. eN6�3. Yi. 2T'`''ti? rF" r% irr' findr�,'..`' h '""�t�6ti'%�fz;i
i:\ 7/2/99
,-
05/18/2000 Activities for Case #: BUP1999 -00516
3:26:08 PM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 11/29/1999 BON RECD No Hold TLP 05/02/2000
BUPC008 Permit created 12/08/1999 BON DONE No Hold BON 12/08/1999
BUPC012 Plans routed to Plans Examiner 12/08/1999 BON DONE No Hold BON 12/08/1999
BUPCO24 Plans checked /approved by PE 12/15/1999 RDP DONE No Hold RDP . 12/15/1999
BUPCO26 Approved plans routed to DSTs 12/15/1999 RDP DONE No Hold RDP 12/15/1999
BUPC780. Fire Alarm Insp 05/02/2000 TLP VOID No Hold TLP 05/02/2000 no system installed
BUPC799 Final Inspection 05/02/2000 VOID No Hold TLP 05/02/2000 no system installed
BUPC090 Ready to issue 12/23/1999 DEB DONE No Hold DEB 12/23/1999
BUPC100 (F) Issue permit 12/27/1999 KJP DONE No Hold KJP 12/27/1999
BUPA115 Void permit 05/04/2000 JMT DONE No Hold JMT 05/04/2000 per TLP
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