Permit CITY OF TIGARD
� ,,. : , DEVELOPMENT SERVICES BUILDING PERMIT
tll iI PERMIT # BUP96 -0556
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 ,4 DATE ISSUED: 11 / 14 / 96
PARCEL: 25110DB -00700
SITE ADDRESS...: 15520 SW PACIFIC HWY #D
SUBDIVISION • WILLOW BROOK /•TIGARD PROMENADE' ZONING:C —G
BLOCK • LOT -10
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:FPS FIRST • 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:SN . ••• 0 sf N: S: E: W:
OCCUPANCY GRP.:A3 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 ?: 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: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 3100
Remarks: Fire suppression system
Owner: FEES
CARL KARCHER ENTERPRISES type amount by date recpt
800 MELLON AVENUE PRMT $ 0.00 JH 10/22/96 96- 285475
FIRE $ 0.00 JH 10/22/96 96- 285475
MANTECA CA 95337 5PCT $ 0.00 JH 10/22/96 96- 285475
Phone #: 823 -9251 FIRE $ 17.80
5PCT $ 2.23
Contractor: PRMT $ 44.50
SANDERSON SAFETY SUPPLY CO.
1101 SE THIRD
PORTLAND OR 97214
Phone #: 238 -5700 $ 64.53 TOTAL
Reg #..: 064969
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Sprinkler Final
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 011 work will be done in accordance with
approved plans. This peruit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Si•• .ure: 0/
p 2)
Issue■ ` Ai
Call for inspection — 639 -4175
Fire Protection Permit Application Plan Check 10 - 5 t- {/
'1TY OF TIGARD Commercial or Residential Reed By a
� u -4-4-
312 ct,,J �` � \VP L c�_ ` � : CamRes. 10 -22 -
'IGARD, OR 97223 Print or Type Date to P.E. /- 7?i
,503) 639 - 4171 Ext. 304 Incomplete or illegible applications will not be accepted Oats to DST "
/ Permit # G, ' i -13 S 6 J�
Called N- $ - le /A!3P 7� - .
Name of Developmet j Pro��
Job l - �,�L (( J � ( T;peofsystecompIete A or B as ap
Address Address J r A.) Sprinkler Wet et ic z Dry p
/5 5, /li. Standpipes
Name / \
Hazard Group
Owner Mailing Address Additional
I City /State Zip 1 Phone Information Density
I Design Area
Name 9441
K. Factor
Occupant Mailing Address
City /State Zip Phone Sprinkler Project Valuation g� / � 0 GU
COT Business Tax or Metro* Exp. Date B. Fire Alarm
N ame Submittal Shall Include ` Battery Calculations YES 0
Contractor -53; rs ,rat,
(Sprinkler or Mailing Address _`` Individual Component YES ❑
Cut Alarm //k/ $ 77 ', ) Fire Alarm Proje V aluation
Corn Cityf t Zip Phone $
97A / 2 ,gg ` POD Pro Project Valuation Subtotal (A or B
IAtaach Copy State nst C o t Board l.ia# Exp. Date �p�j Ci� 1 $ �I O r zrfi
/ of p onst 0� 3Iz919"I X (o Permit fee based on valuation $ .
Current OT Business Tax or Metro # Exp. Date [{ 5 (3 1
` ..censer MEW �m (p II-31-9(0 (see chart on back)
Name 5% Surcharge $ • 2.2
Architect Mailing Address FLS Plan Review 40% of Subtotal $ / 7, to
City /State Zip Phone TOTAL $ : (/ 5 ?
Describe work A.) New g) 0 Alteration 0 Repair 0
PLANS MUST BE SUBMITTED. approved and a perrrtrt ;saved prior to u+sratlatan
to be done: Three sets of plans and site plan (and vicinity map) required which shows location of
B.) Basement 0 Hood/Vent'� Spray Booth 0 nearest �
Cote Complete 0 Partial 0 Exitway 0 correct tha I am the owner authorized geWKaooe that Ina � given is
P Y agent of the owner. and that plans submitted
are in compliance with Oregon State laws.
Additional Description of Work: // O--/DZ - iz goo ,
g Date J r
A.) In Existing Building 0 New Building g� Contact erson Name Phone
Building ,e��j 6 04 2J )
g 579
Data B.) Commercial Residential p FOR OFFICE USE ONLY:
i Plat # - - • Map/TL#
I No. of stories: 25) I Q n .r
Sq. Ft Notes
Occupancy Class Type of Construction - . -
- sts1firesupr.doc
:4
CITY OF TIGARD .
..
TOTAL
PLAN STATE cc BUILDING
VALUATION PERMIT FLS REVIEW TAX PERMIT
CF PRCJEC- FEES (40 %) (6 ! 5% FEES
1 -1,:L0 25.00 10.00 16./ .1.25 52.50
1,501 -1,300 25.50 10.57 1 - .23 1.33 55.66
1.801 -1.700 28.00 11.20 8.20 1.40 43.80
1.701-1.800 29.50 11.50 - . - 1.48 61.96
1,801 -1,900 31.00 12.40 20. a 1.55 65.10
1,501 =..00 • 3250 13.00 2 .13 1.63 68.26
2.001.3,000 38.50 15.40 5 •3 1.93 80.86
3,C01 -4,000 44 .50 17.80 ;. - 2 93.46 - 2$. 9 3- 6.53
4,CCi1 - 5,000 - 50.50 20.20 83 2.53 106.06
5,001 -6,000 566.50 22.60 . .6.73 2.53 118.66
6,001 -7,000 62.50 25.00 •0.53 3.13 131.25
7,C01-8,000 68.50 27.40 44.... _ 3.43 143.36
8,001 -9,000 74.50 29.80 48. 4 - - 3.73 156.46
9,001 - 10,000 80.50 32.20 5 '3 4.03 169.06
10,001- 11,000 86.50 - 34.80 5 .23 4.33 181.66
11,C01- 12,CCO 92.50 37.00 -0.13 4.63 194.26
12,001- 13,000 98.50 39.40 • .03 4.93 206.86
13.001 - 14,000 104.50 41.80 -7.93 5.23 219.46
14,001- 15,000 110.50 44.20 - 1.83 5.53 232.06
15,001- 16,000 116.50 46.30 7 5.53 244.86
15.001 -17,000 122.50 49= 7 9.6
6.13 257.25
17,001 - 18,000 123.50 51.40 83.5: 6.43 269.86
13.001- 19,000 134.50 53.30 87. -1C 6.73 282.46
19,C0120,000 140.50 56.20 91 3 7.03 295.06
4444 3
,001- :1,000 146.50 53. =0 9 .2 . 7. 307.56
21,001- 2 2,000 152.50 51.00 9 7.63 320.25
22.001- 23,000 153.50 53.40 1113.03 7.93 332.56
23.001-24.00 164.50 85.30 1.6.93 8.23 345.46
2 25._CO 170.50 53.20 119.83 3.53 358.06
25.001-25.0O3 17!.C3 70.00 11 .75 3.76
25,C01-27,C00 17. -0 71.30 11 -.58 3.93 376.96
27,001 23. 124.00 73.80 11 .50 9.G0 386.40
25 C0' _c CC0 188.50 5 .
7:. -0 1 53 9.43 395.85
29,001- 30,000 193.00 77.20 12 .45 9.35 405.30
30,001-31,000 197.50 79.00 12-.38 9.88 414.76
31 ,C01-32,C00 202.00 30.60 13 x.30 10.10 424.20
3/.001 33, C0 206.50 - 52.:0 134.23 13.33 4'
33,001 - 34,000 211.00 84.40 137.15 1 0.5 443.10
34,001 - 35,000 215.50 86.20 140.03 10.7a 452.56
Page No. 1 CASE HISTORY FOR CASE NO.: BUP96 -0556
CARL KARCHER ENTERPRISES
15520 SW PACIFIC HWY Unit: D
09/16/97
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Dane Date By
BUPC007 Application received / / / / 10/22/96 RECD JH 10/23/96 BON
SUPC008 Permit created / / / / 10/23/96 PEND B 10/23/96 BON
BUPC015 Plans routed to Plane Examiner / / / / 10/23/96 _ PEND B 10/23/96 BON
BUPCO24 Plans Approved /Routed to DSTs / / / / 11/08/96 APPR RDP 11/08/96 RDP
BUPC090 (F) Ready to issue / / / / 11/08/96 PASS DRA 11/08/96 TAT
BUPC100 (F) Issue permit / / / / 11/14/96 PASS JSD 11/14/96 TAT
BUPCB02 Final Inspection / / / / 02/18/97 PASS TLP 02/19/97 TLP
BUPC960 Case Finaled / / / / 02/18/97 PASS TLP 02/19/97 TLP
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