Permit r
if AL
A CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00066
,soy DEVELOPMENT SERVICES D ATE ISSUED: 03/10/2000
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S1346C -00401
SITE ADDRESS: 12442 SW SCHOLLS FERRY RD 2NDFL
SUBDIVISION: ZONING: C -N
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: • 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: $ 2,350.00
Remarks: Installation of a non required fire alarm system.
Owner: Contractor:
• SISTERS OF PROVIDENCE IN OR METRO SAFETY AND FIRE INC
BY STEVE FOSTER 7055 NE GLISAN
PO BOX 13993 PORTLAND, OR 97213
PPn-one ND, OR 97213 Phone: 231 -2999
Reg #: E E 803RET 1
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Fire Alarm Insp
PRMT GEO 03/01/200C $59.25 00- 321878 Final Inspection
5PCT GEO 03/01/200C $4.74 00- 321878
FIRE GEO 03/01/200C $23.70 00- 321878 ORIGINAL
.
Total $87.69
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 nn itee
Signature: 70%/(,,e.A1 i ' '
Issued By: 'R, Maid,
Call 639 -4175 by 7 p.m. for an inspection the next business day
r4 �:.• Fire Protection Permit Application Plan heck '6/C--
CITY OF T4GARD Commercial or Residential Rec' By •
13125 SW HALL BLVD. Date Rec'd ' ot{S -O0
TIGARD, OR 97223 Print or Type Date to P.E. ___2,__C
503 639 - 4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST ./47/ "
Permit #OUPa�
• Called $5-7 -te0
Job Name of Development/Project
{ ou ,U7_Nc_EL slAks C`'^" Type of System (Complete A or B as applicable)
Address Address "Or
j ,p42 Sw. ScLoUUs IeR Y A- A.) Sprinkler Wet 11 Dry ❑
Name
17.... Standpipes
Owner Mailing Address
Hazard Group
City/State Zip Phone Additional
Information Density
Name
E Design Area
Occupant Mailing Address
K. Factor
City/State Zip Phone
A.1) Sprinkler Project Valuation $
Contractor Name - T
(Sprinkler or Ail Ere-5D Sp F-a47 4 Ft �� .1.NL B.) Fire Alarm
Alarm Company) Mailing Address
Prior to permit 7r N E. (,/I yq...) sr. Submittal Shall Include Battery Calculations YES‘{X
issuance, a City/State Zip Phone
copy Individual Component YES
of all licenses fOtags1.1RA C / 72_13 ail-Z.577 Cut Sheets
are required if State Const. Cont. Board Lic.# Exp. Date B.1) Fire Alarm Project Valuation $ 3�
expired in COT (3 r o �/ i , �' Zo -Z �•�. 03
database Project Valuation Subtotal (A & or B) $
Name
Architect Mailing Address Permit fee based on valuation $ 59, .0 ,1 - ----
(see chart)
• City/State Zip Phone 8% Surcharge $ 7q'
'
Describe work A.) New 0 Addition 0 Alteration 0 Repair 0 FLS Plan Review 40% of Permit $ c9 , 3 .70
to be done: TOTAL $ �j 7 , („ F
B.) Modification to sprinkler heads only: b
1. 1 -10 heads= No plans required
2. 11 += Plan review required Plans required: Submit three sets of plans, including a vicinity map and
the location of the nearest hydrant.
Number of sprinkler heads: I hereby acknowledge that I have read this application, that the information given is
Additional Description of Work: correct, that I am the owner or authorized agent of the owner, and that plans submitted
are in compliance with Oregon State laws.
t re of Own r At - nt Date
A.) In Existing Building New Building ❑
Building )C = i . : -.:, /< (_ 3 / - a 5 9
Data B.) Commercial Residential ❑ � t &MEC_ C/ksrZ • Phone
No. of stories: FOR OFFICE USE ONLY:
. Plat # Map/TL #:
Sq. Ft:
Occupancy Class' Type of Construction Notes
pt)/ 4 /s ' `
is \dsts\forms\firesupr.doc 2/2/00
w ,
Valuation of Project Permit fee Tax 8% FLS 40% Total
V
1 - 2,000 50.00 4.00 20.00 74.00
2,001 - 3,000 59.25 4.74 23.70 87.69
3,001 - 4,000 68.50 5.48 27.40 101.38
4,001 5,000 77.75 6.22 31.10 115.07
5,001 - 6,000 87.00 6.96 34.80 128.76
6,001 - 7,000 96.25 7.70 38.50 142.45
7,001 - 8,000 105.50 8.44 42.20 156.14
8,001 - 9,000 114.75 9.18 45.90 169.83
9,001 - 10,000 124.00 9.92 49.60 183.52
10,001 - 11,000 133.25 10.66 53.30 197.21
11,001 - 12,000 142.50 11.40 57.00 210.90
12,001 - 13,000 151.75 12.14 60.70 224.59
13,001 - 14,000 161.00 12.88 64.40 238.28
14,001 - 15,000 170.25 13.62 68.10 251.97
15,001 - 16,000 179.50 14.36 71.80 265.66
16,001 - 17,000 188.75 15.10 75.50 279.35
17,001 - 18,000 _ 198.00 _ 15.84 79.20 293.04
18,001 - 19,000 207.25 16.58 _ 82.90 306.73
19,001 - 20,000 216.50 17.32 86.60 320.42
20,001 - 21,000 225.75 18.06 90.30 334.11
21,001 - 22,000 235.00 18.80 94.00 347.80
22,001 - 23,000 244.25 19.54 97.70 361.49
23,001 - 24,000 253.50 20.28 101.40 375.18
24,001 - 25,000 262.75 21.02 105.10 388.87
25,001 - 26,000 269.50 21.56 107.80 398.86
26,001 - 27,000 276.25 22.10 _ 110.50 408.85
27,001 - 28,000 283.00 22.64 113.20 418.84
28,001 - 29,000 289.75 23.18 115.90 428.83
29,001 - 30,000 296.50 23.72 118.60 438.82
30,001 - 31,000 303.25 24.26 121.30 448.81
31,001 - 32,000 310.00. 24.80 124.00 458.80
32,001 - 33,000 316.75 25.34 126.70 468.79
33,001 - 34,000 323.50 25.88 129.40 478.78
34,001 - 35,000 330.25 26.42 132.10 488.77
35,001 - 36,000 337.00 26.96 134.80 498.76
36,001 - 37,000 343.75 27.50 137.50 508.75
37,001 - 38,000 350.50 28.04 140.20 518.74
38,001 - 39,000 357.25 28.58 142.90 528.73
39,001 - 40,000 364.00 29.12 145.60 538.72
40,001 - 41,000 370.75 29.66 148.30 548.71
41,001 - 42,000 377.50 30.20 151.00 558.70
42,001 - 43,000 384.25 30.74 153.70 568.69
43,001 - 44,000 391.00 31.28 156.40 578.68
44,001 - 45,000 397.75 31.82 159.10 588.67
45,001 - 46,000 404.50 32.36 161.80 598.66
46,001 - 47,000 411.25 32.90 164.50 608.65
47,001 - 48,000 418.00 33.44 167.20 618.64
48,001 - 49,000 424.75 33.98 169.90 628.63
49,001 50,000 431.50 34.52 172.60 638.62
is \dsts\forms \firesupr.doc 2/2/00
CITY OF TIGARD BUILDING INSPECTION DIVISION Ms
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Date Requested 3f ZS' AM PM _BLD
Location 12(4 SC�1.1 1 S ` �0 A Stjite{ __MEC
Contact Person I All Ph 50-2,3) -MI PLM
Contractor Ph SWR
UILDI Tenant/Owner ELC
Retaining Wall ELR
Footing Access: {� {�
Foundation V l ° j _ n � . FPS
Ftg Drain �'
SGN
Crawl Drain Inspection Notes:
Slab t7)..IQY'
SIT
Post & Beam
Ext Sheath /Shear
Ina mingth /Shear 4 4vw r ^ \ //� _� Framing I V [� [T 1( (J1_ e)
Insulation JJ/
Drywall Nailing ` //\ V1/" •
Firewall •
Fire Sprinkler
FireAlarm/ ( , � 71, t
Susp'd Ceilin.
Roof c: 7(14,17. I • Z- • 3 3
S FAIL
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 �f
Approach /Sidewalk Date q-o/b Inspector v .A. Exj> t C
Other.
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 2000 '0066
Date Requested , �,1 �� (� AM PM BLD
Location I ) ► -/ �, Lt1l � // Suite MEC
Contact Person ma/ UL Ph 231-1/1 PLM
Contractor Ph SWR
LDIN� Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: /1J,� piro)/- STN
P Poost st l
& Beam 0-4/1&
Ext Sheath /Shear I l
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire S • rinkler
• • • eiling
Roof
Misc:
Final 1g J Q
PASS PART FAIL
PLUMBING
Post & Beam ,� ``,,�� ` n r
Under Slab Ve C� V v �y
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 Date if tJ ( Insp ec t or f
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.