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Permit CITY OF TIGARD - BUILDING PERMIT PERMIT #: BUP1999 -00471 aw*� DEVELOPMENT SERV 4. DATE ISSUED: 11/22/99 ' ' j " '�' II 13125 SW Hall Blvd., Tigard, OR 972 i ) -r ',l L SITE ADDRESS: 11945 SW PACIFIC HWY 242 PARCEL: 1S135DD -03301 SUBDIVISION: HOFFARBER TRACTS NO.1 - ZONING: C -G BLOCK: LOT: 002 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: $ 1,740.00 Remarks: Fire suppresssion for Type I exhaust hood. Owner: Contractor: TIGARD PROPERTIES INC SANDERSON SAFETY SUPPLY CO. 2106 SE OCHOCO ST 1101 SE 3RD ST MILWAUKIE, OR 97222 PORTLAND, OR 97214 • Phone: Phone: 238 -5700 Reg #: LIC 00064969 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required PRMT GEO 11/8/99 $50.00 99- 319546 Sprinkler Rough -In Sprinkler Final 5PCT GEO 11/8/99 $4.00 99- 319546 FIRE GEO 11/8/99 $20.00 99- 319546 Total $74.00 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 \ j S nature: �'.',, , r4 i ' % . c , - te - Call 639-4 5 by 7 p.m. for an inspection the next business day Fire Protection Permit Application Plan Check # — 5 CITY OF.TIGARD Commercial or Residential Rec'd By - 13125 SW HALL BLVD. Date Rec'd - - 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 1 4 Permit #846 9 IV Called I I - 9 - 1 'i Job Name -- - velopm env roj / 69� Type of System (Complete A or B as applicable) Address Address A.) Sprinkler Wet ❑ Dry ❑ N X/1 S%Ge�e ANTI Standpipes Owner Mailing Address � Hazard Group Additional City/State Zip Phong Information Density Name Design Area ( Occupant Mailing Address K. Factor City/State Zip Phone A.1) Sprinkler Project Valuation $ Contractor Name r/ ���,Op C � B.) Fire Alarm (Sprinkler or ('i9i r .. 5 a »4/ 5 Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑ Prior to permit //eQ/ ,S',g fed issuance, a City/State Zip Phone Individual Component YES ❑ copy Cut Sheets of all licenses � , 0 - fly 3V - 570o B.1) Fire Alarm Project Valuation $ are required if State Const. Cont. Board Lic.# Exp. Date expired in COT database !y"' t `1, .761 Project Valuation Subtotal (A & or B) $ / !,I/ op Name Permit fee based on valuation (see chart on back) $ s-19 �� Architect Mailing Address 7% ° �/ Surcharge $ T 00 City /State Zip Phone FLS Plan Review 40% of Permit Describe work A.) New a Addition 0 Alteration 0 Repair O TOTAL $ to be done: /24 . op 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: ,C`, ,f -?ILA/ ,� are in compliance with Oregon State laws. 7 l ,� / C �irf la Slgnat o O wner/Ag tt Date ,/ �j A.) In Existing Building ew Building ❑ /7- r/_ ! 69 Building Contac Pe on me Phone Data B.) Commercial gesidential ❑ B ® � f / 76 FOR OFFICE USE ONLY: No. of stories: Plat # Map/TL #: Sq. Ft: / , /35 -633'/ Notes C - i f- Z. e070 / ?-- Occupancy Class Type of Construction duvvt A P _ 7' -k. a L 0 , e i :\dsts \forms \firesupr.doc 7/2/99 //-62--P, • BPS (-11-0 3 1/24/2001 Information Summary fo' Case #: BUP1999 -00471 1:26:35 PM Activity Hold Updated Activity Description Date 1 Date 2 Date 3 Dish. Level By Updated BUPC784 Sprinkler Final 12/8/1999 12/8/1999 12/8/1999 PART' No Hold RB 12/8/1999 tOCObtain ELC permit. Restaurant in operation!- Washington County Health Dept.- OK ,MEC1999 -00445 (Hood)- OK Fire Extinguisher req'd. Purchased this date through Sanderson. Identification of fire extinguisher shall be placed at location. !Trip Test- OK (Certification received.) BUPC799 Final Inspection No Hold RB 12/8/1999 BUPC005 Application received 11/4/1999 RECD No Hold GEO 11/8/1999 • BUPC008 Permit created 11/8/1999 DONE No Hold GEO 11/8/1999 BUPC012 Plans routed to Plans Examiner 11/8/1999 SENT No Hold GEO 11/8/1999 BUPCO29 DST Post Review Completed No Hold GEO 11/8/1999 Need Washington County Health Dept letter. BUPCO24 Plans Approved by CPE 11/8/1999 DONE No Hold RDP 11/8/1999 BUPCO22 Plans Approved /Routed to DSTs 11/8/1999 DONE No Hold RDP 11/8/1999 BUPC530 Electrical Permit Required 11/8/1999 11/8/1999 No Hold RDP 11/8/1999 BUPC784 Sprinkler Final 11/8/1999 11/8/1999 11/30/1 FAIL ' No Hold TLP 12/1/1999 BUPCO29 DST Post Review Completed 11/9/1999 DONE No Hold BON 11/9/1999 • BUPC090 (F) Ready to issue 11/9/1999 DONE No Hold BON 11/9/1999 • BUPC100 (F) Issue permit 11/22/1999 DONE No Hold DEB 11/22/1999 Per Jim Funk, the Wa County Health Dept approval letter is NOT required for the FPS permit. Spoke with Sanderson Safety, they requested that I issue and mail the permit on this date. BUPC945 Request inspection research 1/24/2001 DONE No Hold JMT 1/24/2001 • • Fees • Fee Trans. Create Created Type Description Code Revenue Account No. Date By Amt. Due PRMT [BUILD] Permit Fee 245 - 0000 - 432000 11/8/1999 GEO $50.00 5PCT [TAX] 8% State Tax 100 - 0000 - 207020 11/8/1999 GEO $4.00 FIRE [FLS] FLS Pln Rv 245 - 0000 - 433020 11/8/1999 GEO $20.00 • Case People Listing Role Type Name / Address Company Name Hold Primary CON SANDERSON SAFETY SUPPLY CO. • N 1101 SE 3RD ST PORTLAND OR 97214 OWN TIGARD PROPERTIES INC Y 2106 SE OCHOCO ST MILWAUKIE OR 97222 .. _ u • -- PERMIT "PLAN ■ L = H ■ l T Building Permit IBM ElIP1:3i'3-U04±1 3t jtus I Er F Name: TIGARD PROPERTIES INC Updated: 12 -15 -99 JMT General Address: 11945 SW PACIFIC HWY 242 Jur: TIG Description: Master # (BUP1999 -00471 1 Project: (FIRST WOK 1 .Pecifics & Areas (F ire suppresssion for Type I exhaust hood. Setbacks Reissue: I Const. Class of Work: FPS 1 Dates Type of Use: COM l Received: 111/8/1999 1 Required Items Type of Construction: Target: Occupancy Group: I Issued: 11/22/1999 1 Occupancy Load: I Expired: 15/20/2000 1 Valuation: $1,740.001 Finaled: 1 I ! l.: a , 11 4 6PERIIIIIIf'PLAN I 1 0 4 .l u - 1 _ . : " Copyright ®1997 -1999 Tidemark Computer Systems Inc. 1/24/2001 All Rights Reserved. i CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour In$eection Line: 639 -4175 Business Line: 639 -4171 „�� Date Requested AM PM BLD ( Location / / % 4S 5" Cc Gr f-� G� thakSuite MEC Contact Person CPh PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab T Post & Beam Ext Sheath /Shear �'� Int Sheath /Shear Framing Insulation Drywall Nailing Firewall ^� Fire Sprinkler / 6 � �' Cl 1 --- Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer N o Rain Drains Final PASS PART FAIL M.L 71 : 111 7 - Team Rough In � Gas Line Y S �� mm�. Dampers 1.4- 1Ir��!r' S 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 2? / Inspector Ext 9 ns eco ( '�' / x Other P Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. GAR BUILDING INSPECTION DIVISION MST 24 -Hour 1 ection Line: 639 - 4175 Business Line: 639 -4171 BUP iqq? 6 ( Date Requested t 1 1( 1 AM PM BLD Location 11 � - go P;t C 4 Pt �- 4 Suite e)-(f MEC 4 Contact Person e)0 COI) /L Ph a 3 (ag PLM Contractor Ph SWR BUILDING Tenant/Owner Rig- (. 1 �D ELC Retaining Wall ELR Footing Access: Foundation 0:36 FPS Ftg Drain / (� Crawl Drain Oirc1 i0 00y:y.$ ��+e -K �c or SGT Slab SIT Post & Beam Ext Sheath /Shear � 5 * j_ .}� Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler r Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING i77 7' 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 Ball /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 4111 - Approach /Sidewalk Other Date Inspector Ext Final PASS PART FAIL DO NOT ' EMOVE this inspection record from the job site. -CITY OF TOGA tD BUILDING INSPECTION ' - SION MST '' 24 Flour Inspection Line: 639 -4175 Business � 39-4 l a i: at /BUP rg9'9 -az y7i Date Requested �/ St ” AM • BLD c� �fS /a.cc e., 4W Suite `f_L / CF 7� �o y � ,,pp n �, rJ sJ Location (19 S Contact Person 1�E� ('./rpk-1 �Y sue- Ph ---7 S' S70 Z) K (G� PLM � -�f Contractor (o- S 2 3 e ) Ph ,.., — ' 7 �� SWR BUILDIN Tenant/Owner , �1 \- mo rs (] r aQ_,/" tC, 1 ELC R etaiining Wall ELR Footing Access: Foundation FPS Ftg Drain Slab Crawl Drain Inspection Notes: A? j� .reSS (AC, U 4 e - Post & Beam 4r-TCpt_ _ Al c u !T j , ., p SIT Ext Sheath /Shear L .,L /l, D ek - /Luis Int Sheath /Shear Framing SD)/(.A. 14 -C ft) W Y LCSS -4K .4=~ 6 L(,JG,.,S Insulation - /12)1- - j am J Drywall Nailing ../g _ t ft Firewall ire Sprin 'CO Fire arm /--)'-) / pi �- Susp'd Ceiling .}-- L,..6, �U"'' �1 R V oof �i 5 A, f 6-'v.-/- L "� L /---. Misc: � C PTO Final 1iG l gg6;1 6 0 4-4 ` n PASS�ART� „ FAIL / PLUMB e -T--- I T'R y "r a Le---_ Post & Beam Under Slab dia F ■ . ■ ‘.„� c -,N.,S`r `- �-- GI • Top Out Water Service Sanitary Sewer 1 ` C- �'+--� Rain Drains � S. fd� • Final PASS PAR FAIL n 16 L host & Beam (.....w.----- 6- C.,,;(1/4_ � Rough x t-,, ..sky- 5 _ Gas Line S t o e Dampers e1,6■- Ce_ L C---0.--A'' L 1 tiolp PART FAIL RICAL 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 f r reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Q Other Date ® ” ` Inspector Ext / I' 7 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. /A«i"'111/1/ 1101 S.E. 3RD AVENUE • PORTLAND, OREGON 97214 • (503) 238 -5700 . 4. E 850 CONGER • EUGENE, OREGON 97402 • (503) 683 -9333 i[HE SAFETY COMPANY 2600 AIRPORT WAY, SOUTH • SEATTLE, WASHINGTON 98134 • (206) 340 -4300 k CERTIFICATION - 41(STALLATION /INSPECTION . ,(; Customer Name U /r Address ��47' ®,,� .5 /I� +� ,�. 7 a - . SYSTEM Model(s) and serial numbers /ka Ae ° 6 6'"`` 6 e/ Number of nozzles and Part No.g. Al fet .i, s.I1 3 • diVaretiffr Number of detector(s) and degree rating 0 Energy shut -off devices — type and size Almir 64/ am/6 it Other accessory equipment provided (pull station, electric switches, etc.) 4 3 4y6/' ' pe" .4.4re* a COOKING /VENTILATING EQUIPMENT Number of duct(s) and size Hood size and plenum size Cooking Appliances and size of cooking surface. (NOTE: List appliances from left to right and indicate those being protected.) 1. / - :). i .k 4. I 2. 1 — 5. 3. 6. TO BE COMPLETED BY INSTALLER . ❑ YES ❑ NO The fire suppression system is installed in accordance TO BE COMPLETED BY CUSTOMER with the manufacturer's instructions, NFPA Standard 96 and 17 (current issue), and all applicable state and local codes. Exceptions to other provisions of NFPA 96 ❑ YES ❑ NO that were observed are noted below. I understand that it is the recommendation of ANSUL Exceptions: and of the National Fire Protection Association Standard 96 and 17 that the fire suppression system be inspected and maintained every 6 months to ensure continued efficiency and reliability and that failure to do so may result in failure of the system to operate properly. CUSTOMER NAME AND TITLE ❑ YES ❑ NO All electrical work or work provided by others to SIGNATURE complete this system installation has been completed. DATE INSTALLER NAME SIGNATURE y i DISTRIBUTOR .j 001 / ADDRESS / /(Jf 1 - P ... — ...... , w. DATE ..