Permit CITY OF TIGARD
,� .,,. DEVELOPMENT SERVICES BUILDING PERMIT
�eJ f j
PERMIT #. BUP96 -0608
13125 SW HaII Blvd., Tigard, OR 97223 (503)6394171 DATE ISSUED: 12/12/96
PARCEL: 1S136CC —CHOO1
SITE ADDRESS° ° °: O8294 PFAFFLE ST
SUBDIVISION...'.:. CARRIAGE HOUSE APARTMENTS ZONING:R -12
BLOCK • LOT •
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:FPS FIRST 0 sf N: 5: E: W:
TYPE OF USE ° ° °:MF SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST°:5N . °.° 0 sf N: 5: E: W:
OCCUPANCY GRP.:R1 TOTAL ° 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0.., '• BASEMENT°,: O.sf AREA.SEP RATED:.
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?:, REDD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET°.:Y
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. $ : 2300
Remarks: Sprinkler Alarm
Owner: FEES
ANDREWS MANAGEMENT LTD type amount by date recpt
4000 SW. KRUSE WAY #270 FIRE $ 0.00 12/03/96 96- 287160
PRMT $ 38.50 B 12/12/96 96- 287648
LAKE OSWEGO OR 97035 FIRE $ 15.40
Phone #: 699 -8645 5PCT $ 1.93 B 12/12/96 96- 287648
Contractor:
JARMER ELECTRIC, INC.
5105 S.W. 45TH
PORTLAND OR 97221
Phone #: 503 -246 -5381 $ 55.83 TOTAL
Reg #..: 6924
REQUIRED INSPECTIONS
This permit is issued subject to the.regulations contained in the. Misc..: Inspect ion
Tigard Municipal•.Code,'State of Ore. Specialty Codes. and all other Final Inspection • ,
applicable laws. All.•wark 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.
•
Permittee Signature: _ „A _. /i, —
Issued By:
N
Call, for inspection — 639 -4175. ,
F' - _ otection Permit Application Ran Check # // L
TY OF TIGARD (i ( I ommercial or Residential Rec'd By
. 1 ...? C1• ■JA• r !-• . /.. I
I ��}}--,, Civil:, .:es.. _ U II 26 ,, q
GARD, OR 97223 E�' Print or Type Date to P.E. /.. (0
;03) 639 -4171 Ext 304 In • omplete , r illegible applications will not be accepted Date to oar
Permit # 3U fq(9 (001
Called l L -(, -To
•
Naps of Development/Prol ct
Job Type of System (Complete A or B as applicable)
�2tlj/�-e' f � c -t4 � ' _
Address Ad z..1 dre g9 � (77"..5 GJ v E d A.) Sprinkler Wet 0 Dry O
Name y / / , /� /� 4.114/z. ���� Standpipes
r S ° ti 7""e "" Hazard Group
Owner Mailing Address Additional
City /State Zip Phone Information Density
Name
A 6, Area
L
Occupant Mailing Address K. Factor
City / State Zip Phone Sprinkler Project Valuation $
COT Business Tax or Metro # Exp. Date B.) Fire Alarm
Contractor Name Submittal Shall Include Battery Calculations YES
' P Address Individual Component YE
S.16. or Mail'�g OS- P S.[
7 CrL.� Li� Cut Sheets
Alarm (�
Company) State Zip Phone Fire Alarm Project Valuation $
Attach Copy State Const. Cont. Board Lic.# Exp. Date Project Valuation Subtotal (A or B) $ 2-3 00
I of J
I Current COT Business Tax or Metro I Exp. Date Permit fee based on valuation $ p
Licenses (see chart on back) 3r, • S 0
N 1 _. n &W.- 5 %Surcharge $ J y
.iin ,�d r 3
Architect Maess A /` FLS Plan Review 40% of Subtotal $ v CAP
Cityr�ta te� Zip Phone TOTAL $ �r q
.escribe work A.) N Addition 0 Alteration 0 Repair 0 PLANS MUST BE SUBMITTED. approved and a perm issued 'prwr -1 to installation. A be done: / Twee sets cf plans and site plan (and vicinity map) requiter, whicirdhows location of
nearest hydnnt.
I B.) Basement 0 HoodNent 0 Spray Booth 0 • I hereoy adr. .ndwieoge that I have read this application, that the information grven is
Complete% Partial 0 Exitway 0 correct that I am the owner or authorized agent of the owner, and that plans submitted
are in compliance with Oregon State laws.
\cditional Description of Work:
Signature of Owner /Agent Date
►2c 14i44 ///Z6796
A.) In Existing Building 0 New Building Contact Person Name Phone
Building -- -� ktit,
4 rL._. Z /653g
Data B.) Commercial X Residential 0 / FOR OFFICE USE ONLY:
Plat # - Map/TL#: -- -
No. of stories: _ ". _ ...
Sq. Ft: I .Z 1 SZ S y F Notes
Occupancy Class Type of Construction
2 1 I= N
iresupr.doc
•
CITY CF TIGA R o
TOTAL
PLAN STATE BUILDING
VALUATION PERMIT FLS REVIEW TAX PERMIT
CF PRCJEC.7 FEES (40%) (65%) 5%
FEES
1 -1 .500 1000 16.25 2�.00 . . 1.25 52...c
0
1,501 -1,600 25.50 10.50 17.23
1.23 55.66
1.601 -1.700 29.00 11.20 18.20 1.40 58.80
1.701 -1.800 29.50 11.30 19.18 1.48 61.96
1,301 -1,500 31.00 12.40 20.15 1.55 65.10
1.901 -2.000 32.50 13.00 21.13 1.63 68.25
2.001 -3,000 38.50 15.40 25.03 1.93 80.86
3,001 -4,000 44.50 17.30 28.93 2.23 93.46
4,001 -5.000 50.50 20.20 32.83 2.53 106.06
5,001 -6,000 566.50 22.60 36.73 2.33 118.66
6,001 -7.000 62.50 25.00 40.53 3.13 131.25
7,C01 -3,000 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,C01- 10,000 80.50 32.20 52.33 4.03 169.06
10,001- 11,000 36.50 34.50 56.23 4.33 181.66
11,C01 -12.000 92.50 37.00 60.13 4.63 194.25
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?3 219.46
14,001- 15,000 110.50 44.20 71.83 5.53 232.06
15,001- 16,000 116.50 46.60 75.73 5.23 244.6.66
15.001- 17,000 1 49.:3 79.63 6.13 257.25
17.001- 18,000 129.50 51.40 83.53 6.43 269.86
16,001-19,000 134.50 53.30 87.43 6.73 282.46
19,001 - 20,000 . 140.50 56.20 91.33 7.03 295.06
20,001-21.= 146.50 53.50 95.23 7.33 307.56
21 .001 %.000 152.50 81.00 99.13 7.63 320.25
22.001-23.000 163.50 5.3.40 103.03 7.93 332.36
22.001-24.000 1.;4.50 65.30 106.93 8.23 345.6
2 170.50 58.20 110.83 8.53 358.0E
.
.
25 25003 175:0 70.03 113.75
' " 8.76 367.50
15,001-27,000 179.5 71.30 113.63 3.93 376.96
27,001-23.003 134.30 73.60 115.60 9.20 386.40
28,001-22,000 188.50 75.43 122. 9.43 395.86
_ 9,001 - 30.000 1C3.30 77.23 125.45 9.55 405.30
:0,00: - 31.000 197.50 79.00 128.38 9.88 414.76
31,001 - 32,000 202.00 80.30 131.30 1C.10 424.20
2.301 - 23. 20 82.60 134.23 -
i.: ...... Z . 433 .6.6
33,001 - 34,000 211.00 84.40 137.15 1165 443.10
3 35,000 215.50 86.20 40.03 10.73 452.56
Page No. 1 CASE HISTORY FOR CASE NO.: BUP96 -0608
ANDREWS MANAGEMENT LTD
08294 SW PFAFFLE ST
04/27/98
Action Description Reg/ Scbd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BUPD005 Application received / / / / 11/25/96 RECD JMH 12/03/96 JDA
BUPD008 Permit created / / / / 12/03/96 PASS JDA 12/03/96 JDA
BUPD012 Routed to Plans Examiner / / / / 12/03/96 PASS JDA 12/03/96 JDA
BUPD026 Plans approved by CPE / / / / 12/03/96 APPR RDP 12/06/96 RDP
BUPD030 DST Poet - Review Completed / / / / 12/06/97 PASS B 12/06/96 BON
BUPD080 (F) Ready to issue ' / / / / 12/06/96 PASS B 12/06/96 BON
BUPD092 (F) issue permit / / / / 12/12/96 PASS B 12/12/96 BON
BUPD798 Misc. Inspection 12/06/96 / / 10/08/97 PASS RB 10/09/97 J +H
BUPD799 Final Inspection 12/06/96 / / 10/18/97 PASS RB 01/28/98 RB
BUPD960 Case Finaled / / / / 01/30/98 01/30/98 JT
W.