Permit r 'w
%
CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2001 -00271
of DEVELOPMENT SERVICES DATE ISSUED: 7/24/01
- --- ^'' I� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S134BC -00300
SITE ADDRESS: 12220 SW SCHOLLS FERRY RD
SUBDIVISION: ZONING: C -G
BLOCK: LOT: 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: M 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 797.00
Remarks: Installation of (6) heads for new ceilings and walls.
Owner: Contractor:
BPP RETAIL LLC WYATT FIRE PROTECTION INC.
BY BURNHAM PACIFIC PROPERTIES 9095 SW BURNHAM
ATTN: JOHN WATERS TIGARD, OR 97233
S*1o CA 92101 Phone: 684 -2928
Reg #: LIC 64077
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Final
PRMT CTR 7/24/01 $62.50 27200100000 Sprinkler Rough -In
Sprinkler Final
5PCT CTR 7/24/01 $5.00 27200100000
Total $67.50
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 -6699 or 1- 800 - 332 -2344.
Pe mi ittee /
Signature:
Issued By: /,, , .L....'
_,_/—„, - . JP: ....Z
Call 639 -4175 by 7 p.m. for an inspection the next business day
k,:, ., -o o1
Building Permit Ap lication
4‘ Date received:' - eQ i Permit no.:K)?-200/ - bi 211
4 14:qv City of Tigard `T
Address: 13125 SW Hall Blvd, Ti 97223 _ Projecdappl.no.: Expiredate:
City of Tigard Phone: (503) 639 -4171 Date issued: By: I Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: l &2 family: Simple Complex:
71'1'1 OF PERMIT
❑ 1 & 2 family dwelling or accessory ommercial/industrial ❑ Multi- family ❑ New construction ❑ Demolition
❑ Addition/alteration/replacement W improvement fiftire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: 1 2 22• 6.1.0, S 1 I ' VY A d . Bldg. no.: Suite no.:
Lot: Block: Subdivision: Tax map /tax lot/account no.:
Project name: Lo.. / ' "IVA In -c-t - c> t Of---c i Le_
Description and location of work on premises/special conditions: A00 i( S FO (2 T. 1 .
i OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: (Floodplain, septic capacit■, solar, etc.)
Mailing address: 1 & 2 family dwelling:
City: State: ZIP: Valuation of work $
Phone: Fax: E -mail: No. of bedrooms/baths
Owner's representative: Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
A I'I'LICANT Garage/carport area (sq. ft.)
11121 if Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: State: ZIP: Other structure area (sq. ft.)
Phone: Fax: E -mail: Commercial/industrial/multi- family:
CONTRACTOR Valuation of work $
Existing bldg. area (sq. ft.)
Business name: ` I . Fi Prate _g' •
� l�r � � New bldg. area (sq. ft.)
Address:
O S GO' Number of stories
City: I a r• State:OQ ZIP: q
Type of construction
Phone: ,f,, • , 22"2.2 Fax: (,84 • • , / E -mail: Occupancy group(s): Existing:
CCB no.: ( - 7 New:
City/metro lic. no.: p3 a • . `J 0 Notice: All contractors and subcontractors are required to be
ARCH! I FcT /l)T :SIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: • jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
Contact person: Plan no.:
Phone: Fax: E -mail:
I IN III It
Name: Contact person: Fees due upon application $
Address: Date received:
City: State: ZIP: Amount received $
Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be complied with wheth r speci erein or not. Credit credit card number: expi /
Authorized signature: Date: � " 0 �� Name of cardholder as shown on credit card $
Print name: R lU- k.k.g. f 1 Co % Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613 (6AOncoM)
f ,.
Fire Protection Permit Check List
A.) ❑ New I "Addition L Alteration ❑ Repair
B.) Modification to sprinkler heads only:
Describe work to 1. 1 -10 heads: No plan review required.
be done: 2. 11+ heads: Plan review required.
Number of sprinkler heads: (v
• Additional description of work:
A00 F NIMJ Gt=r a O vS fO W S
Q Pa ST" OFD -cum— ,Jr (._
Type of System (Complete or B as applicable):
A.) Sprinkler Wet Dry LI
Standpipes
Additional Hazard Group
Information Density
Design Area
K. Factor
Sprinkler Project Valuation: $ ,I 6 1'1. 00
B.) Fire Alarm
Submittal shall Battery Calculations Yes LI
include: Individual Component Yes ❑
Cut Sheets
Fire Alarm Project Valuation: $
Project Valuation Subtotal (A & B): $ ov
Permit fee based on valuation (see chart): $ t'o2, 50
8% State Surcharge: $ 6 . OO
FLS Plan Review 40% of Permit: $
TOTAL: $
i:\dsts\forms \FPSchecklist.doc 10/04/00
CITY OF. TIGARD BUILDING INSPECTION DIVISION n�IST`
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 +
BUP c;-00 /—DO
Date Requested D �-- AM PM BLD
Location / Z Z 7 0 _ ■-k J — ult MEC
Contact Person . J J Ph 6 ,F L{ - Zq PLM
Contractor Ph SWR
BUILDING Tenant/Owner Gn 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
Firewall
re prinkle
Fire arm
Susp'd Ceiling
Roof
•
al
- ASS PART FAIL
U :ING
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 II for rei spection RE: [ ] Unable to inspect - cress
ADA
Approach /Sidewalk t
I
Date Inspector Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY Of TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP i —020
Date Requested 61 AM PM BLD
Location 122%2 5c.t) Suite MEC
Contact Person Ph 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
Firewall
cE >
•
Fire Alarm
Susp'd Ceiling
Roof
Mis •
darif ART FAIL
• • 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 �j �J
Approach /Sidewalk Date T5l t' l b ( Inspector 6'�ll��, Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.