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Permit • CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2001 -00096 A . 4 4010 (k DEVELOPMENT SERVICES DATE ISSUED: 3/15/01 '�� Ja 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 12280 SW SCHOLLS FERRY RD PARCEL: 1S1346C -00300 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: 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: $ 225.00 Remarks: Adding two sprinkler heads Owner: Contractor: BPP RETAIL LLC LARSEN FIRE PROTECTION CO BY BURNHAM PACIFIC PROPERTIES LYLE LOUIS LARSEN ATTN: JOHN WATERS 16410 S HIRAM AVE SAN D I GO, CA 92101 ORAON E. 4 J O R 97045 Reg #: LIC 118596 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough -In PRMT CTR 3/15/01 $62.50 27200100000 Sprinkler Final 5PCT CTR 3/15/01 $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 -1987. Perm itee Signature: /2)511Pin / Issued By: 1 f/414 Q.e... Call 639 -4175 by 7 p.m. for an inspection the next business day , .. Building Permit Application City of Tigard Date received: 3 I t�d t Pe n : gooi - Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 - 4171 Date issued: By: Receipt no.: Fax: (503) 598 - 1960 Case file no.: Payment type: Land use approval: l &2 family: Simple Complex: TYPE OF puma ❑ I & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family O New construction ❑ Demolition ❑ Addition/alteration/replacement ❑ Tenant improvement IX Fire sprinkler /alarm ❑ Other: JOB SITE INFORMATION Job address: 1 __ ; 0 .S v! - ,,1\ . , .p • R. Bldg. no.: Suite no.: Lot: Block: Subdivision: Tax map /tax lot/account no.: Project name: . o • • L Description and location of work on ises/special conditions: (! a) S ∎ nc.le 1-1@o00C. 00 - S Si-N. • - I; M iT e , co 1 -QC) 0' a o of - Gry / ?. OWNER FOR SPECIAL INFORMATION, USE CHECKLIST Name: (Floodplain, septic capacity, 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.) .. APPLICANT Garage/carport area (sq. ft.) Covered porch area (sq. ft.) - Deck area (sq. ft.) Mailing ad 1 y 1 ■ �; OAS Other structure area (sq. ft.) ZIP: Phone: 6,-AM,, Fax: . - 691- E -mail: Commercial/industrial/multi- family: ^^ CONTRACTOR Valuation of work $ oC oc*, a o Existing bldg. area (sq. ft.) Business name: CASSC■\ Wu L • n ' VNC, New bldg. area (sq. ft.) Address: 1. • C' vv. A■Je_ City: pc- Cyr ECM ZIP: . , 04 Number of stories Type of construction Phone: Fax: E -mail: Occupancy group(s): Existing: CCB no.: 1 l $.c New: City /metro lie. no.: Notice: All contractors and subcontractors are required to be ARCI IITEC 17DESIGN 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: ENGINEER 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 . • ordinances governing this ❑ Visa ❑ Mastercard work will be complied with, whe er s • - d herei t , of j l Credit card number: / / �/ i Expires Authorized signature: Date: / -SA 1 Name of cardholder as shown on credit card Print name: ON3."1k2v•.) tAct_ P. y $ ( Cardholder signature Amount Notice: This permit application expires if a permit i i not obtained within 180 days after it has been accepted as complete. 440 -4613 (6/00/COM) 0.1 Fire Protection Permit Check List A.) ❑ New Addition ❑ Alteration a 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: o� Additional description of work: • Type of System (Complete A or B as applicable): A.) Sprinkler Wet Dry ❑ Standpipes Additional Hazard Group Information Density Design Area K. Factor Sprinkler Project Valuation: $ 1`46 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): $ aoa Permit fee based on valuation (see chart): $ 8% State Surcharge: $ FLS Plan Review 40% of Permit: $ TOTAL: $ 67, 5 is \dsts\forms \FPSchecklist.doc 10/04/00 BUP - •Building Permit ELC - Electrical Permit J Inspection Description Date Passed By 4 Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical fmal Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing J Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical fmal Masonry/Reinforcement Framing MFG- Structure set -up MEC - Mechanical Permit Insulation Inspection Description Date Passed By Drywall nailing Post/beam mechanical Suspended ceiling Gas line Engineered soils Mechanical rough -in Welding Lab Final Fire damper Concrete Lab Final Duct work Bolting Lab Final Smoke detector Fireproofmg Lab Final Structural observation Mechanical final Final inspection PLM - Plumbing Permit 4 Inspection Description Date Passed By BUP - Fire Protection System Permit Plumbing underslab _ 4 Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in 316 la Plumbing top -out Sprinkler final 3t k411 0 t RP/backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer 4 Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls _ Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin/Manhole SWR - Sewer Permit Engineered soils 4 Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS CITY OF TI GARD BUILDING PERMIT PERMIT #: BUP2001 -00096 42- DEVELOPMENT SERVICES DATE ISSUED: 3/15/01 =' ;.� II 13125 SW Hall Blvd.. Ti lard. OR 97223 (503) 639 -4171 SITE ADDRESS: 12280 SW SCHOLLS FERRY RD PARCEL: 1S1346C -00300 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: 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: $ 225.00 Remarks: Adding two sprinkler heads Owner: Contractor: BPP RETAIL LLC LARSEN FIRE PROTECTION CO ' BY BURNHAM PACIFIC PROPERTIES LYLE LOUIS LARSEN ATTN: JOHN WATERS 16410 S HIRAM AVE SAID CA 92101 °EigoGnCell C.1 , 97045 Reg #: LIC 118596 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough -In PRMT CTR 3/15/01 $62.50 27200100000 Sprinkler Final 5PCT CTR 3/15/01 $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 mor 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. Permitee Signature: / Issued By: 7T 4'vl Call 639 -4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD BUILDING INSPECTION DIVISION 70 7 4- �' 24 -Hour inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP 2(.4, / - 9 �. Date Requested .3 - I AM PM BLD Location / L Z Sa S r✓ saw') Suite MEC Contact Person Ph �,�,� y14 ' PLM Contractor Ph SWR 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 ire Alarm Susp'd Ceiling Roof M' na PASS PART FAIL LU 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 call for reinspection RE: [ ] Unable to inspect - no access ADA �, 1 Approach /Sidewalk Date i 1 l \ �� \ I nspec t or E x t Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.