Permit CITY OF TIGARD
BUILDING PERMIT
i0 V% 5� � � ; i� DEVELOPMENT SERVICES DATE ISSUED: 10/c4 -0524
PARCEL: 25110DC -00200
SITE ADDRESS...: 15660 SW PACIFIC HWY #4
SUBDIVISION ° WILLOW BROOK FARM ZONING:C —G
BLOCK • LOT °11
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.: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 ?: REQD SETBACKS REQUIRED
FLOOR LOAD 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET.. :N
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0
VALUE. $ : 1700
Remarks: Fire suppression system
Owner: FEES
STERLING DEVELOPMENT type amount by date recpt
PRMT $ 0.00 B 10/01/96 96- 284542
FIRE $ 0.00 B 10/01/96 96 -284 -542
5PCT $ 0.00 B 10/01/96 96- 284542
Phone #: PRMT $ 28.56
FIRE $ 11.20
Contractor: 5PCT $ 1.40
AMERICAN SPRINKLERS INC
10818 NW ST HELENS HWY
PORTLAND OR 97231
Phone #: $ 41.16 TOTAL
Reg #..: 006489
REQUIRED INSPECTIONS
This per.it is issued subject to the regulations contained in the Susp Ce i l n g Insp
Tigard Ounicipal Cade, State of Ore. Specialty Codes and all other Sprinkler Final
applicable laws. All work will be done in accordance with
approved plans. This perait will expire if work is not started
within 1:' days of issuance, or if work is suspended for •ore
than 180 days.
Permittee Signature: (9{vGtffikC I ®Y1 - Makid
Issued By: `: , (tip
Call for inspection — 639 -4175
1•
s f l
Fire Protection Permit l licati • JD - / �
J � 1� Plan Check*
-TY -OF TIGARD Commercial or Residential rl ►� 1 .� Reed By
125 SW HALL BLVD. l 0l Date Read -2.1.0 3ARD, OR 97223 Print or Type Date to P.E. 1
)3) 639 - 4171 Ext 304 Incomplete or illegible applications will not be - ccepted Date to DST
Permit # R(1 f' O51_
Called l 0 - 11 (o -1
Name of Development/Project Type of System (Complete A or B as applicable)
Job 7 i6 An d. P Pon/ i ty4 42-- Address Add I A.) Sprinkler I Wet pry 0
IS • „ari.=i`i � r' 0.4...i Standpipes
isms , O ^ /4 5 Hazard Group
Owner Mailing Address Additional
City/State Zip Phone Information Density
�r e y�
S ■aG
Name Design Area
Mailing Address
K. Factor 5-
Occupant ng
City/State Zip - Phone Sprinkler Project Valuation $ ( - 2
COT Business Tax or Metro # Exp ,Date B.) Fire Alarm
in
;ontr 1 Submittal Shall Include Battery Calculations YES 0
N Clh�yu � /G- Pe l ra.w _
;Sprinkler or Mailing Address ' Individual Component YES 0
Alarm Cut Sheets
A
o f s IR N V S7 4� - 1 arm Fire Al Project Valuation
Company) Citytq �q�Ziip�y Phone $
Attach Copy State Const. Cont. Board Lie.# Exp. Date Project Valuation Subtotal (A or B) $
of /7�
Current COT Business Tax or Metro # Exp. Date i / Permit fee based Ott ialuation $
- Licenses 1 _ (see chart on back) a �(,
Name 5% Surcharge $ 1. �0
Architect Mailing Address ( FLS Plan Review 40% of Subtotal $
City /State Zip Phone TOTAL $ 4 /&
Describe work A.) New 0 Addition 0 AlterationV Repair 0 PLANS MUST BE SUBMITTED. approved and a permit issued prior to installation
Three o be done: ee sets of plans and site plan (and vicinity map) required which shows location of
nearest hydrant •
B.) Basement 0 HoodNent 0 Spray Booth 0 r hereoy acknowledge that I have read this application. that the information green is
Complete 0 Partial 0 Exitway O correct that I am the owner or authonzed agent of the owner. and that plans submitted
are in compliance with Oregon State laws.
Additional Description of Work:
doW -/1 /a. 51/ A 5 Sign er! Date
/�
A.) In Existing Budding ktS New Building ❑ ntact 2flNa Phone
Building a- ._ 36.f5
Data B.) Commercial [ Residential ❑ FOR OFFICE USE ONLY:
Plat* _ - . Map/TL#: '
No. of stories: (
/ -'
Sq. Ft Notes
Occupancy Class Type of Construction
,'7
stresupr.doc
; C itkt tS i 1a .)-7I- 30?5,
.... .
• 1
s
CITY OF TIGARD ..
BUILDING PERMIT FEES
TOTAL
PLAN STATE BUILDING
VALUATION PERMIT FLS REVIEW TAX PERMIT.
OF PROJECT FEES (40%) (65 %) 5% FEES
1 -1.500 25.00 10.00 16.25 1.25 52.50
1.501 -1,600 26.50 10.60 17.23 1.33 55.66
1,601 -1,700 _ 28.00 11.20 18.20 1.40 58.80
1.701 -1,800 29.50 11.80 19.18 1.48 61.96
1,801 -1,900 31.00 12.40 20.15 1.55 - 65.10
1,901 -2,000 32.50 13.00 21.13 . 1.63 68.26
2,001-3,000 38.50 15.40 25.03 1.93 80.86
3,001 -4,000 44.50 17.80 28.93 - 2.23 93.46
4,001 -5,000 _ 50.50 . 20.20 - 32.83 __. -- 2.53 - - 106.06
5.001-6.000 508.50 22.60 36.73 2.83 118.66
6.001 -7.000 62.50 25.00 40.63 3.13 131.26
7.001 -8,000 - - 68.50 - 27.40 44.53 _ -- - - - 3.43 - 143.86
8,001 -9,000 74.50 _ _ _ _29.80 48.43 3.73 156.46
9,001 - 10,000 80.50 32.20 52.33 4.03 169.06
10,001 - 11,000 86.50 34.60 56.23 4.33 181.66
11,001 - 12,000 92.50 37.00 60.13 4.63 _ 194.26
12,001 - 13,000 98.50 39.40 64.03 4.93 206.86
13,001 - 14,000 104.50 41.80 67.93 5.23 219.46
14,001 - 15,000 110.50 44.20 71.83 5.53 232.06
15,001 - 16,000 116.50 46.60 75.73 5.83 244.66
16.001 - 17,000 122.50 49.00 79.63 6.13 257.26
17.001- 18,000 128.50 51.40 83.53 6.43 269.86
18.001- 19,000 134.50 53.80 87.43 6.73 282.46
19,001-20.000 140.50 56.20 91.33 7.03 295.06
20,001 - 21,000 1 58.60 95.23 7.33 307.66
21.001- 22,000 152 .50 61.00 99.13 7.63 320.25
22.001-23.000 158.50 63.40 103.03 7.93 332.86
23,001 - 24,000 164.50 65.80 106.93 8.23 345.46 _
2 25,000 170.50 68.20 110.83 8.53 358.06
25.001 - 26,000 175.00 70.00 113.75 8.75 367.50
26.001-27. ;:0 179.50 71.80 116.68 8.98 376.96
27,001 - 28,000 184.00 73.60 119.60 9.20 386.40
29.001- 29,000 188.50 75.40 122.53 9.43 395.86
29.001 - 30,000 193.00 77.20 125.45 9.65 405.30
30.001 - 31,000 197.50 79.00 128.38 9.88 414.76
31,001 - 32,000 202.00 80.80 131.30 10.10 424.20
32.001 - 33,000 206.50 82.60 134.23 10.33 433.66
33.001- 34,000 211.00 84.0 137.15 10.55 443.10
34.001 - 35,000 215.50 86.20 140.08 10.78 452.56
•
Page No. 1 CASE HISTORY FOR CASE NO.: BUP96 -0524
NOAH'S BAGELS
15660 SW PACIFIC HWY Unit: 4
09/17/97
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
•
BUPC007 Application received / / / / 09/26/96 RECD B 10/09/96 PHN
BUPC008 Permit created / / / / 10/01/96 PEND B 10/09/96 PHN
BUPC015 Plans routed to Plans Examiner / / / / 10/01/96 PASS JDA 10/09/96 JDA
BUPCO29 DST Post Review Completed / / / / 10/17/96 PASS B 10/17/96 BON
BUPC090 (F) Ready to issue / / / / 10/17/96 Contractor not on file. MEMO B 10/17/96 BON
BUPC100 (F) issue permit / / / / 10/24/96 PASS B 10/24/96 BON
BUPC762 Susp Ceilng Insp. / / / / 10/09/96 PASS TLP 10/14/96 TLP
BUPC802 Final Inspection / / / / 10/14/96 PASS TLP 11/12/96 TLP
BUPC960 Case Finaled / / / / 10/14/96 PASS TLP 11/12/96 TLP
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