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Permit
4 CITY OF TIGARD ORIGINAL B UILDING PERMIT PE MIT #: BUP2000 -00256 SUED: 6/28/00 r; DEVELOPMENT SERVICES DATE IS ` " ,.� I- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 14945 SW SEQUOIA PKWY 170 PARCEL: 2S112AD -01000 SUBDIVISION: ZONING: I -P 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: 5N : sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 1 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: 760,00 Remarks: Installation of 6 fire sprinkler heads. Owner: Contractor: FIRESTOP CO 9384 SW TIGARD ST TIGARD, OR 97223 Phone: Phone: 620 -6140 Reg #: LIC 00063846 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Final PRMT DST 6/28/00 $50.00 0003318 FIRE DST 6/28/00 $20.00 0003318 5PCT DST. 6/28/00 $4.00 0003318 Total $74.00 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 mi itee • Signature: Issued By: Call 639 -4175 by 7 p.m. for an inspection the next business day t P 4 Fire Protection Permit Application Plan Check# CITY OF TIGARD Commercial or Residential Rec'd By ..654. 13125 SW HALL BLVD. Date Rec'd h'di.: ,p- TIGARD, OR 97223 Print or Type Date to P.E. (503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST — Pemmit # AgAZT –0_42.25 Called Job P IReeelopnjeaeP.jectn Type of System (Complete A or B as applicable) Address Adt 4 1 • s SO- nr, UO /A P t % A.) Sprinkler Wet N. Dry ❑ Name oe litsr J Standpipes j Owner Mailing Address Hazard Group 1 5 ' g L 4CeellOI11 A , 6 w 3 � e Additional ( rr city/ YDI�I 7� , OM en gip, Pho 'b3 Information Density d /o Name 6E0 D r5 , hue C Design Area ICov Occupant l ls Address fl, K. Factor Ci /State zi Pho A.1 Sprinkler Project Valuation $ 1 Z 1, ,re 9nz � WV Contractor Name gj l l// ,� �1 �� , B.) Fire Alarm (Sprinkler or r Alarm Company) Makny / m2� y �^ Submittal Shall Include Battery Calculations YES ❑ Prior to permit �GJJ jj ((�� V� - ✓ ' issuance, a City/State Zip Phone Individual Component YES ❑ copy 1j (Web ea '/1223 670 cut Project of all licenses 6.1) Fire Alarm Project Valuation $ are required if State Const. Cont. Board Lic.# Exp. Date expired in COT 0 3 g 4 6 .Z ] g / o 4 Project Valuation Subtotal (A & or B) $ v database f/ Name o An / S./ Permit fee based on valuation (see chart on back) $ 5o Architect Mailing Address Sl i (o 5F_ 201 e x, Surcharge $ • • Cf'v re i9p 97 4 7;72:11 FLS Plan Review 40% of Permit $ Z© Describe work A.) New 0 Addition 0 Alteration Repair 0 A to be done: TOTAL $ 1 `f B.) Modification to sprinkler heads only: I 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. e,A� I hereby acknowledge that I have read this application, that the information given is Number of sprinkler heads: �./� 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: /f d 3 In is efy 4 �j ,,,)�/ / /0Jm ` 69 4 7 , 116 Si nature of gent Date � A.) In Existing BBGildding e wB G 6 /ZS /00 Building Con ct Person Name Phone f Data B.) Commercial Residential ❑ /3/ZU tCE D. pEnO ro / �� _(o 1 40 FOR OFFICE USE ONLY: No. of stories: Plat # Map/11.#: Sq. Ft: - Notes Occupancy Class Type of Construction is \dsts \forms \firesupr.doc 7/2/99 . 11;\ • Valuation of Project Permit fee Tax 8% FLS 40% 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 is \dsts \forms \firesupr.doc 12/23/99 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ,/ ( ��3 U - va BUP v7a0D-Gt0 .7 S V7 e 7 7 D AM PM BLD Location / `� / 7 5 � �i�.m -� - Aki d y Suite /7 MEC Contact Person Ph eDa 0 cv / y d PLM Contractor Ph SWR U I Tenant/Owner .Pe) 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 Fire Sprinkler Fire Alarm (00P> ' /� L Aq.S6 Susp'd Ceiling �! Roof Misc: gp in PART FAIL I 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 • Approach /Sidewalk 30/ Ext ' '/ Other DInspe _ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.