Permit I.
CITY OF TIGARD
'- 1Y,,, ,\ DEVELOPMENT SERVICES BUILDING PERMIT
N PERMIT # • BUP96 -0632
.. ..:_.. 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 12/19/96
PARCEL: 25112AD -00900
SITE ADDRESS...: 14800 SW SEQUOIA PKWY
SUBDIVISION • • ZONING:I —P
BLOCK • LOT •
REISSUE: FLOOR AREAS • - -- EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.: _ FIRST . 0 sf N: S: E: W:
TYPE OF USE...:COM SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:3N . ... 0 sf N: S: E: W:
OCCUPANCY GRP.:B TOTAL . 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD • 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET..:
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. $ : 500
Remarks: Fire suppression system — Adding two heads to existing system
Owner: -- -- FEES - - - - --
HOME DEPOT type amount by date recpt
14800 SW SEQUOIA PKWY PRMT $ 25.00 DRA 12/12/96 96- 287652
FIRE $ 10.00 DRA 12/12/96 96- 287652
TIGARD OR 97224 5PCT $ 1.25 DRA 12/12/96 96- 287652
Phone #
Contractor:
SOUND FIRE PROTECTION INC
10756 SE HWY 212
CLACKAMAS OR 97015 -0000
Phone #: 655-3775 $ 36.25 TOTAL
Reg #..: 70003
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Sprinkler Final
Tigard Municipal Code, State of Ore. Specialty Codes and all other _
applicable laws. 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 sore
than 180 days.
P e r m i t t e e S i nature: M h[Gc7101k - VA - —
Issued By: a w
Call for inspection — 639 -4175
1 Protection Permit Application Plan Ch: . . '`CZ C -
CIT OF TIGARD j 4(0 Commercial or Residential Recd By Nen
13125 SW HALL BLVD. 9 1/ Date Rec'd )g, -19—.'"9.6
TIGARD, OR 97223 ` Print or Type Date to P.E. tz.- 1')14O
(503) 639 -4171 Ext. 304 I - •mplete or illegible applications will not be accepted Date to DST
Permit* i P 1p 01.032—
Called
Name of Development/Project
Job Type of System (Complete A or B as applicable)
� c t 7 if Pt 13nV E.
Address Address A.) Sprinkler Wet ❑ Dry tic
1 1.4 e, OU sw Se Par1Cwc.,i Standpipes
Name Efr / A,
\N O A t o.....-Al— Hazard Group
Owner Mailing Address Additional
ity St Zip Phone )
ho �� Information Density �' V
Design Area
Name k i �'
Al el S
c_' �'�`--. K. Factor
Occupant Mailing Address ✓ ,
o G to •9 - `C a5t..vat.
Sprinkler Project Valuation $ o n
City/State Zip Phone , ,
`�a-r d 4 � �� 3 � B.) Fire Alarm
COT usiness ax or Metro # Exp. Date
�
5' ` ` Submittal Shall Include Battery Calculations YES ❑
Contractor Name
S c u t t^ e f t iTL.E PeAft A C.It ttxn `1n. - Individual Component YES
(Sprinkler or Mailing Address Cut Sheets
Alarm II) SE__ j4wy Z.tZ
Company) City/State Zip phone Fire Alarm Project Valuation $
C t4cIC . Ca_ 4 ila 15 , OS r -3°7"1 S Project Valuation Subtotal (A A or B ) $00--- O 6
Attach Copy State Const. Cont. Board Lic.# Exp. at 1 Q ,
of - 700 v ///7/c7 7
Permit fee based on valuation $ oo
Current COT Business Tax o Metro . Exp. Date
Licenses `34 83 /6 1 it 9 7 (see chart on back) C�
Name 5% Surcharge $ 1 , 5---
Architect Mailing Address FLS Plan Review 40% of Subtotal $ to. GC)
City/State Zip Phone TOTAL $ Qi g3-
n
Describe work A.) New 0 Addition 'FL Alteration 0 Repair 0 PLANS MUST BE SUBMITTED, approved and a permit issued prior to installation.
to be done: Three sets of plans and site plan (and vicinity map) required which shows location of
nearest hydrant
B.) Basement 0 HoodNent 0 Spray Booth 0 I hereby acknowledge that I have read this application, that the information given is
Complete 0 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.
Additional Description of Work:
A OL.ck , I wo > t tle∎i r 114 a d1 -Pd r Signature of Owner /Agent Date
/Z / Z 9
6 w~� - Jic� a !'o V- c 6a o� C �iw Y� � /
A.) In Existing Building New Building ❑ Contact Person Name Phone
Building &b )Arc. k.rr &SS -3 7
Data B.) Commercial I. Residential ❑ FOR OFFICE USE ONLY:
Plat # - MaplTL#: - - -. .
No. rilite tories: 2S I I D_ ' TdO
Sq. Ft: [(Do Notes
Occupancy Class Type of Construction
O2.ot14 arg..1 t,Jo,, to
i\dsts\firesupr.doc
8/96
CITY OF TIGARD s r. •
BUILDING PERMIT FEES
TOTAL
PLA STATE BUILDING
VALUATION PERMIT FLS i - EV W TAX PERMIT '
OF PROJECT FEES . (40 %) , : mo o) 5% FEES
1 -1,500 25.00 �00 16.25 1.25 52.50
1,501 -1,600 26.50 10.60 .23 ' 1.33 55.66
1,601-1,700 28.00 . 11.20 18.20 1.40 58.80
1.701-1,800 29.50 11.80 19.18 1.48 61.96
1,801 -1,900 31.00 12.40 20.15 1.55 65.10
1,901 -2,000 32.50 13.00 21.13 1.63 68.26
2,001 -3,000 38.50 15.40 25.03 1.93 80.86
3,001- 4,000 44.50 17.80 28.93 2.23 93.46
4,001 -5,000 50.50 20.20 32.83 2.53 106.06
5,001 -6,000 56.50 22.60 36.73 2.83 118.66
6,001-7,000 62.50 25.00 40.63 3.13 131.26
7,001-8,000 68.50 27.40 44.53 • 3.43 143.86
8,001 -9,000 74.50 29.80 48.43 3.73 156.46
9,001-10,000 80.50 32.20 52.33 4.03 169.06
10,001-11,000 86.50 34.60 56.23 4.33 181.66
11,001-12,000 92.50 37.00 60.13 4.63 194.26
12,001- 13,000 98.50 39.40 64.03 4.93 206.86
13,001- 14,000 104.50 41.80 67.93 5.23 219.46
14,001 - 15,000 110.50 44.20 71.83 5.53 232.06
15,001- ; 6.000 116.50 46.60 75.73 5.83 244.66
16,001 - 17,000 122.50 49.00, 79.63 6.13 257.26
17,001 - 18,000 128.50 51.40 83.53 6.43 269.86
18,001 - 19,000 134.50 53.80 87.43 6.73 282.46
19,001 - 20,000 140.50 56.20 91.33 7.03 295.06
20,001-21,000 146.50 58.60 95.23 7.33 307.66
21,001 - 22,000 152.50 61.00 99.13 7.63 320.26
22,001-23,000 158.50 63.40 103.03 7.93 332.86
23,001 - 24,000 164.50 65.80 106.93 8.23 345.46
24,001- 25,000 170.50 68.20 110.83 8.53 358.06
25,001 - 26,000 175.00 70.00 113.75 8.75 367.50
26,001- 27,000 179.50 71.80 116.68 8.98 376.96
27,001- 28,000 184.00 73.60 119.60 9.20 386.40
28,001-29,000 188.50 75.40 122.53 9.43 395.86
29,001 - 30,000 193.00 77.20 125.45 9.65 405.30
30,001- 31,000 197.50 79.00 128.38 9.88 414.76
31,001- 32,000 202.00 80.80 131.30 10.10 424.20
32,001- 33,000 ° 206.50 82.60 134.23 10.33 433.66
33,001-34,000 211.00 84.40 137.15 10.55 . 443.10
34,001-35,000 215.50 86.20 140.08 10.78 452.56
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24- Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 BUP �� �� 3�--
0
¢ /iS'o2 5 Date Requested 10 - 9 - qU AM PM BLD
Location `� 0 i9D vtd a.- / Suite MEC
Contact Person J, Ph 65 -3775 PLM
Contractor bow td. dab Ph SWR
BUILDING Tenant/Owner A CUP ,480 VE ELC
Retaining Wall ELR
Footing Access:
Foundation 6Zi x[ R /� ,e FPS
Ftg Drain K�G�/` - :CC J� cJ u SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear -
Int Sheath /Shear
Framing
Insulation
Drywall Nailing .
ffiFe Sprinkle
Fire Alarm
Susp'd Ceiling
Roof -
Misc: .
Fina ✓
ii PART FAIL
= = 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 f A p proach /Sidewalk Date g o"" - q 8 Inspect ( Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. V ,
ti