Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2000 -00381
An' DEVELOPMENT SERVICES DATE ISSUED: 9/22/00
-44-t111 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12442 SW SCHOLLS FERRY RD 200 PARCEL: 1S1346C -00401
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: 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: $ 2,306.00
Remarks: Modification of fire protection system for commercial TI.
Owner: Contractor:
SISTERS OF PROVIDENCE IN OR BASIC FIRE PROTECTION INC
BY STEVE FOSTER 940 NE LOMBARD ST
PO BOX 13993 PORTLAND, OR 97211
Phone ND, OR 97213 Phone: 285 -1855
Reg #: sic 48641
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT CTR 9/12/00 $59.25 27200000000 Sprinkler Final
5PCT CTR 9/12/00 • $4.74 27200000000
FIRE CTR 9/12/00 $23.70 27200000000
PRMT CTR 9/20/00 $14.81 27200000000
(additional fees not listed here)
Total $109.60
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 J ules or direct questions to OUNC by calling (503) 246 -1987.
Permitee ►,
_fta
Issued By: (
I all 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protectaon Permit Application Plan Che �� ,�
CITY OF TIGARD Commercial or Residential Rec'd By
13125 SW HALL BLVD. Date Rec'd 9 - / /
TIGARD, OR 97223 Print or Type Date to P.E. 9i-el d
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST It ?p/ Permit# t/ Paor . ' 58/
Called ae?/ -( 0 44L
Job Name of Development/Project Type of System (Complete A or B as applicable)
tettheeacC W1EA \cAL t. 1n1 V
Address Address gee A.) Sprinkler Wet 11 Dry ❑
rL -Iz Sw SC.%tOLIS A.O. riCAG C)
.iSTg ,, Standpipes
Owner Mailing Address Hazard Group 1. ■.9tA.
Additional
City/State Zip Phone Information Density • `
Name Design Area Soo
hicoa Oe.Jca -- 0 4-. WLoe
Occupant Mailing Address K. Factor
ate► XZZz , L_be
City/State Zip - Phone A.1) Sprinkler Project Valuation $ 3 6
T \i, 'es-'D cz Z
Contractor Name B.) Fire Alarm
(Sprinkler or ibp c_ F0-e. foxy/.CRbt.
Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑
Prior to permit 09b w■le_ Lom 6 P41.0
issuance, a City/State Zip Phone 5s3 Individual Component YES ❑
ce py Q- , tl.ykwlp e� Cut Sheets
of all licenses e o c1 L. 'Z4S" \B55 B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT
database Lig G LA ` P / 2 / 71 Project Valuation Subtotal (A & or B) $ z 3 oS. bo
dat
Name Permit fee based on valuation
` U. Cpcts+ . $ 5.1. 'LS
Architect Mail' g Address (see chart on back)
. o $ox 5E3/ mi., Surcharge $ 4 . 1' f.
City /State Zip Phone FLS Plan Review 40% of Permit
Describe work A.) New 0 Addition 0 Alteration 0' Repair 0 TOTAL $
to be done: Qi . (oi
B.) Modification to sprinkler heads only:
1. 1 -10 heads= No plans required Plans required: Submit three sets of plans, including a vicinity map and
2. 11 += Plan review required the location of the nearest hydrant.
I hereby acknowledge that I have read this application, that the information given is
Number of sprinkler heads: 2 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.
te. \a 4.42 cofti 6..a \414:s tD
Cb4■•4 %...% AA.. ca45 • Signature of Owner /Agent Date
A.) In Existing Building [f New Building ❑
Building Contact Person Name Phone
Data B.) Commercial er Residential ❑ FOR OFFICE USE ONLY:
No. of stories: Plat # Map/TL #:
•
Sq. Ft: -
Notes
Occupancy Class Type of Construction
is \dsts \forms \firesupr.doc 7/2/99
o 40% Valuation of Project Permit fee Tax 8% FLS 40 /o Total
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
i:\dsts\forms\firesupr.doc 12/23/99
J3UP = Building Permit ELC - Electrical Permit
Inspection Description Date Passed By 1 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 final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing I Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry/Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing _ � Inspection Description Date Passed By
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
Fireproofing Lab Final Mechanical final
Structural observation
ws Final inspection
a PLM - Plumbing Permit
U r
�... Inspection Description Date Passed By
1Y —r'ire Protection System Permit Plumbing underslab
Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final /6/0 RP/backflow preventer
Fire alarm final Rain drain
d ( Storm drain
Water service
SIT - Site Permit Sanitary sewer
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 J 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 TIGARD BUILDING PERMIT' • .
PERMIT #: BUP2000 -00381
__ j l 1 � DEVELOPMENT H BMEN ) 639 -4171 DATE ISSUED: 9/22/00
SITE ADDRESS: 12442 SW SCHOLLS FERRY RD 200 PARCEL: 1S1346C -00401
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: 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 CQRR: PARKING:
VALUE: $ 2,306.00
Remarks: Modification of fire protection system for commercial TI.
•
Owner: Contractor:
SISTERS OF PROVIDENCE IN OR BASIC FIRE PROTECTION INC
BY STEVE FOSTER 940 NE LOMBARD ST
PO BOX 13993 PORTLAND, OR 97211
PRone: LATND, OR 97213 • Phone: 285 -1855
Reg #: LIC 48641
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT CTR 9/12/00 $59.25 27200000000 Sprinkler Final
5PCT CTR 9/12/00 • $4.74 27200000000
FIRE CTR 9/12/00 $23.70 27200000000
PRMT CTR 9/20/00 $14.81 27200000000
(additional fees not listed here)
Total $109.60
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 1 r
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 J ules or direct questions to OUNC by calling (503) 246 -1987. Ni
Pe mi itee 1/ e
Signature:
:1W/L
.„..._.....
Issued By: I c,E"'L / � '
IN
all 639 -4175 by 7 p.m. for an inspection the next business day
gl
CITY OF TIGARD BUILDING INSPECTION DIVISION MS
24- HeurInspection Line: 639 -4175 Business Line: 639 -4171
: UP _, - OV .3Z3
Date Requested /0 7i AM PM difperei______)--__Itl_ '
Location / Z- 0 ?-- " — 40-A-7 isuite:.: w
Contact Person Ph fit y / Z Z 4 PLM
Contractor , \ Ph SWR
UILDIfj[� Tenant/Owner U�6 R i ELC
Retaining Wall ELR
Footing Access: FPS
Foundatign
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam t )
Ext Sheath /Shear b
Int Sheath/Shear I O \ ^ n Q ( �n , -c--,. '
Framing 1 N\n5j 1 / \ Q�� - r c' (, Insulation � -7 �, —vv` S . e Drywall Nailin. VyC_
Firewall
41 ire Sprinkler
Fire Alarm p b :a p ` � � I P--s2 2 z
us 'd Ced �5�p�p "` 1 �( r
Roof I & 1 \k c-.)-- 9�� 2,C—S .A.-431/4_ ,
Misc: A A
'1
PART AIL
PLUMBING � I Gc .1"9_
Post & Beam il
Under Slab '\/-A)-Al/N1
Top Out
Water Service
Sanitary Sewer L� _ g----12--- Rain Drains e. C�- � (� —�� -�
\-.2„
PASS PART FAIL �� , ¢
MECHANICAL (5 / S C c r. I,,
Post & Beam
Rough In
Gas Line (r' /n►,A
Smoke Dampers (A-0 �e T Q 't— n + DivV it Final _
PASS PART FAIL C...." ‘ �_./
ELECTRICAL Al, �l A\ - /�, , S
Service � ` v \ l (—)2— '
Rough In
UG /Slab
Low Voltage
Fire Alarm A----e � 5 S S -l.( a- ` --4 �>s
Final / / � ^ c4 CA •
P ASS PART FAIL �1� G -�L
SITE
Backfill/Grading i°15 .l S 4 ��\ C —�A fir -6 s`. ,
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd
Catch Basin to ins ect - no access
Fire Supply Line [ ] Please call for reinspection RE: [ ] P
ADA � /f
Approach/Sidewalk Date 1 61 � � n
7 0. d Inspector ' C/` EXt i J
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
.. CITY OF TIGARD BUILDING INSPECTION DIVISION , Ms •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171
-UP .I, - 00 3e3
Date Requested 70 AM PM —id 3k /
Location /l4 '/2, 5 6 .5c 4 4 r' 7 ( ui ie ze�`a' _ MEC
Contact Person Ph g ' y / Z z ( PLM
Contractor Ph SWR
UILDII Tenant/Owner l _ ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab - SIT
Post & Beam /
Ext Sheath /Shear C. b
Int Sheath /Shear I [ , (� i
Framing Np\ n yV 0j .4/ • ■ - _ ■ 9�■ ' Insulation ��[ n —
Drywall Nailin V, .- _ ��` S (eLle- d ie-) Firewall
ire Sprinkler
Fire Alarm r 0 ._ .• I \ _ r- W
(Zusp'd Ce• r 0 S `-- "�Sil f • Aft-i..- • —_
Roof p 1 ^ _ r, �e -j\ c��- .9-../ �� ��
._ D ,
Misc: ' 1�
• PART AIL
PLUMBING . � �` C S mil` -'� EL
Post & Beam t�
Under Slab 1/,? f 2
Top Out
Water Service
Sanitary Sewer
Rain Drains ---��
Final a 1
PASS PART FAIL " ` A v •' _ I - _; AL 1110 t - �•
MECHANICAL 5 SS 4c 1 �
Post & Beam
Rough In
Gas Line r ,(^ [_Qj/ /
Smoke Dampers 6 ' i T Q .c-- -- � QjWV6 -IN
Final
PASS PART FAIL C, n % - ' t - Y S
ELECTRICAL n
Service �) ` ` S \ �_
Rough In
UG /Slab
Low Voltage r ,.
Fire Alarm S 1./ �›s
Final
PASS PART FAIL 6 G---.r z 4-
SITE
S /Grading l/ ` l&S -�` c ,- C �� • -6 s .
Sanitary Sewer f�
Storm Drain [ ] Reinspe ' n 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 EXt ��
Other Date 1, 6/‘ 0" d Inspector C I
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.