Permit • i
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00380
A- :� 1�; DEVELOPMENT SERVICES DATE ISSUED: 9/22/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15660 SW PACIFIC HWY A -4 PARCEL: 2S110DC -02200
SUBDIVISION: WILLOW BROOK FARM ZONING: C -G
BLOCK: LOT: 011 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: 0.00 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: $ 1,963.00
Remarks: Fire protection tenant improvement, add 3 heads and relocate 20 heads.
Owner: Contractor:
TIGARD, CENTER LP SOUND FIRE PROTECTION INC
9777 WILSHIRE BLVD #609 10756 SE HWY 212
BEVERLY HILL, CA 90212 CLACKAMAS, OR 97015
Phone: Phone: 655 -3775
Reg It LIC 70003
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT CTR 9/12/00 $13.10 27200000000 Sprinkler Final
FIRE CTR 9/12/00 $25.00 27200000000
PRMT CTR 9/22/00 $49.40 27200000000
5PCT CTR 9/22/00 $5.00 27200000000
Total $92.50
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
Signature: fj s../ C1
Issued By: t ti itfpd
, 7--,r,a__
Call 639 -4175 by 7 p.m. for an inspection the next business day
0 / `PSI
Fire ' on Plan Check o
CITY OF TIGARD Rec'd By
13125 SW HALL BLVD. Q Date Rec'd 7 %"
TIGARD, OR 97223 Date to P.E. `''
(503) 639 - 4171, x. 304 Incomplete or illegible applicatalww n titycepted Date to D qi l , ,
Permit # OF
k ,40pAA NT Called q4 f ;(w..r - ''
Job Name of Development/Project Type of System (Complete A or B as applicable)
NUS tioL-o Fir./A 4 CE agi e
Address A d ress j R ,IRQ i) Grip,../NO E fr A•4 A.) Sprinkler Wet d Dry ❑
t51,6a -Cu "Neil /4 HWY r r4raiP • o A,
Nam - Standpipes
Owner Mailing Address Hazard Group
Additional L! 6 t 7
City /State Zip Phone Information Density
ame � Design Area
Hu t1SEH 01,0 1 d f/nl cg. `o RP Ssr A-4
Occupant ,maiJna- Address K. Factor
r 5 LLo p - P Aci Fix. Obi ) yr
City/State Zip Phone A.1) Sprinkler Project Valuation $ 1 b o '' ttCIAO,0Q 3• _x,
Contractor Name B.) Fire Alarm
(Sprinkler or cCo pf p Fl A I PR o r 1077 'Dn ' Z i le/
Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑
Prior to permit 10 7 5 e, 5.g. N vi Li 2.-
issuance, a City/State Zip Phone Individual Component YES ❑
copy r 5,3- 1.55-37'7i Cut Sheets
of all licenses A4A`A/'I M' t) q 90 /5 B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in e C 7.0 a 3 i 01- o7 -Po Project Valuation Subtotal (A & or B) $ a ►
1 9 6 ,3. �y*,
e 50
Permit fee based on valuation $ -
V. A v l • 0 . g (I) -
(see chart on back) 3 2-' -
Architect m ail i ng Address / S $ 6v
10756 $.E. Awl 2/Z 2 •- ,
Zip Phoe
PfLAC t RS OR., ` 7 015 S 3 n
C M 6 --77 ) FLS Plan Review 40% of Permit $ 1 3 . 01)
Describe work A.) New 0 Addition 0 Alteration of Repair TOTAL $ / °L,
to be done: 3 8 , ' Tom+`
B.) Modification to sprinkler heads only: Plans required: Submit three sets of plans, including a vicinity map and
1. 1 -10 heads= No plans required
G 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: AO P R6�Q[F C correct, that I am the owner or authorized agent of the owner, and that plans submitted
Additional Dei lion of Work: - are in compliance with Oregon State laws.
scr
7 , ( 4 q ' . .r pRe' vOmxr+T sR ADD t rf o n, i p Iv
; oF SPR /N4 MEADS AS ROD 3 - • re of Owner /Agent Date
A.) In Existing Building
� Fl 6 ?o _ Buildin j New Building ❑ � (J g Person Name Phone
Building �igdiD • e MEDin) l� 5v3 -655 3 775
Data B.) Commercial ti Residential Q FOR OFFICE USE ONLY:
No. of stories: I
Plat # Map/TL #:
Sq. Ft:
L qo 5 t Notes
Occupancy Class Type of Construction
I5 V -N
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CITY OF TIGARD
BUILDING PERMIT FEES
TOTAL
•
STATE BUILDING
VALUATION OF PERMIT F.L.S. TAX PERMIT
PROJECT FEES (40 %) 0(8%) 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
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP • CO 38
Date Requested 6 7/2(o AM PM BLD - '=
Location I 6'&GoO 5'u) A< gout ilef- Suite MEC
Contact Person Ph 60 cc- PLM .,
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firew. A,
e p ry
Susp'd Ceiling 1 `
Roof
Mis •
4 1 PART FAIL
• I BING
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
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 q /2 6/0v Inspector 7 .4/J Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.