Permit A . CITY OF TIGARD
i .:0A DEVELOPMENT SERVICES BUILDING PERMIT
���I
"= 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT # BUF'99 -0012
DATE ISSUED: 01/13/99
PARCEL: 2S102CB -01805
SITE ADDRESS • 10400 SW PARK ST
SUBDIVISION • ZONING:R -3.5
BLOCK • LOT • JURISDICTION:TIG
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.:E3 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..:
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. $ : 21738
Remarks : Installation of fire protection system.
Owner: FEES -.
CHILDREN' S VILLAGE DAY CARE type amount by date recpt
10400 SW PARK ST PRMT $ 152.50 GEO 01/08/99 99- 312051
TIGARD OR 97223 SPCT $ 7.63 GEO 01/08/99
99- 312051
FIRE $ 61.00 GEO 01/08/99 99- 312051
Phone #:
Contractor:
FIRE SYSTEMS WEST INC
600 SE MARITIME AVE #300
VANCOUVER WA '38661
Phone #: 360 - 693 -9906 $ 221.13 TOTAL
Reg #..: 49732
-- REQUIRED ACTIONS or INSPECTIONS--- -
This permit is issued subject to the regulations contained in the Sprinkler Rough —
Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final
applicable laws. 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- 00101987.
You •any obtain a copy of these rules or direct questions to OUNC
by calling (503)246 -1987.
ll
Permittee Si gnat ure Issued By:
+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++ ++ + + ++ ++ + + + + + + + + + + + + + + + + + ++ + + ++
1
- Fire Protection Permit Application Plan Check# C i
CITY OF TIGARD Commercial or Residential Rec'd By <,
13125 SW HALL BLVD. Date Rec'd f +. ,. - - ri is
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 'r' i '- l ,'�r6;'
c � � — C l 1 Called /"/` -- .
(1_14 '_) Vi w�
Job Name of Development/Project Type of System (Complete A or B as applicable)
1Ti. . e-H IL-17 1,AY Gr1.25.
Address Address A.) Sprinkler Wet 0 Dry o ¢o o '-mow I' �+. l'2. t<
ry
Name Standpipes
4 - - , A r't � t A
Owner Mailing Address Hazard Group
Additional t,_t �a
City /State Zi - Phone Information Density
i a ei;2_ 1) _ CI l % 6' 96 • k <Di
Name Design Area
`ili r4 F l ° i c
Occupant Mailing Address K. Factor
•
S• Co /"1•5
City /State Zip Phone A.1) Sprinkler Project Valuation $
-1. 3"
� Contractor Name B.) Fire Alarm
(Sprinkler or F I k R E?. mss.- -7 • vv � �T 1
' • t 1 «l G.O I-1 T'e2,.A. L
Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES 0
Prior to permit ( oo -ti? Mla Q t rt...+e. .6. Sor,
issuance, a City /State Zip Phone Individual Component YES ❑
copy �\�� ��� w 4 • 3 c Cut Sheets
of all licenses r cc" 3 q 9 or B.1) Fire Alarm Project Valuation $
' are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT Project Valuation Subtotal (A & or B) $ o0
database 491'5 2 Igo / 9 9 2 1, 7 3 &
Name Permit fee based on valuation
Architect Mailing Address (see chart on back) $ I S2 - °
5% Surcharge $ i
City/State Zip Phone FLS Plan Review 40% of Permit $
Describe work A.) New FI Addition 0 Alteration 0 Repair 0 TOTAL $
to be done: 22.1 t.5
B.) Modification to sprinkler heads only: Plans required: Submit three sets of plans, including a vicinity map 1 -10 heads= No plans required th location of the nearest hydrant.
p g tY p and
2. 11 += Plan review required y
I hereby acknowledge that I have read this application, that the information given is
Number of sprinkler heads: ) O 1 correct, that I am the owner or authorized agent of the owner, and that plans submitted
Additional Description of Work: are in compliance with Oregon State laws.
VI e f,Z.r -.-rv .t--( —A M ,.A-� -- ) I Co 9 9
s gn of Owner /Agent Date
A.) In Existing Building ❑ New Building Ea - T 7 o ,• t• A 0 E 121S, Co o • (o 9 3 - `l 9 D (p
Building Contact Person Name Phone
Data B.) Commercial IN Residential ❑
FOR OFFICE USE ONLY:
No. of stories: Plat # Map/11.10:
Sq. Ft:
Notes - ,
Occupancy Class Type of Construction
•
s-A/ao r7 "r'Z0c0
i:\firesupr.doc
CITY OF TIGARD
BUILDING PERMIT FEES
TOTAL
STATE BUILDING
VALUATION OF PERMIT F.L.S. TAX PERMIT
PROJECT FEES (40 %) (5 %) 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 e152.504- 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
i:\firesupr.doc
8/8/99 Activities for Case #: BUP99 -00012
3:18:25 PM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 1/8/99 GEO RECD DRA 1/11/99
BUPC008 Permit created 1/11/99 DEB DONE DRA 1/11/99
BUPC012 Plans routed to Plans Examiner 1/11/99 DEB DONE DRA 1/11/99
BUPCO24 Plans Approved by CPE 1/12/99 RDP APPR RDP 1/12/99
BUPCO26 Approved Plans routed to DSTs • 1/12/99 RDP APPR RDP 1/12/99
BUPC783 Sprinkler Rough -In 1/12/99 . 2/1/99 RC FAIL ROC 2/1/99 NO PLANS AT SITE NOT .
READY
BUPC784 Sprinkler Final 1/12/99 5/6/99 RC FAIL AKJ . 5/6/99 see BUP98 -0167 final
BUPC090 (F) Ready to issue 1/12/99 DEB DONE DRA 1/12/99
BUPC100 (F) Issue permit 1/13/99 DLH DONE DST 1/13/99
BUPC792 Misc. Inspection 2/9/99 RC PASS ROC 2/9/99 hydro test
BUPC783 Sprinkler Rough -In 2/17/99 RC PART ROC 2/17/99 HARD LID AREAS ONLY
BUPC784 Sprinkler Final 5/13/99 5/13/99 5/13/99 TLP PASS No Hold AKJ 5/13/99 Add one pull station at main
door, check at bldg final
BUPC802 Final Inspection 5/24/99 5/24/99 5/24/99. HAP PASS No Hold AKJ 5/24/99
BUPC960 Case Finaled 5/24/99 AKJ DONE No Hold AKJ 5/24/99
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