Permit CITY OF TIGARD BUILDING PERMIT
, * PERMIT #: BUP1999 -00215
1 � � DEVELOPMENT SERVIC DATE ISSUED: 5/24/99
13125 SW Hall Blvd., Tigard, OR 97223 (0 r PARCEL: 2S112DA -00800
SITE ADDRESS: 15055 SW SEQUOIA PKWY 150 /
SUBDIVISION: 44 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: 3N : sf N: S: E: W:
OCCUPANCY GRP: B 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:
Remarks: Modification of fire sprinkler system.
Owner: Contractor:
PACIFIC REALTY • FIRESTOP CO
15350 SW SEQUOIA PKWY #300 9384 SW TIGARD ST
PORTLAND, OR 97224 - TIGARD, OR 97223
Phone: Phone: 620 -6140
Reg #: LIC 00063846
. FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT DST 5/24/99 $25.00 99- 315629 Sprinkler Final
5PCT DST 5/24/99 $1.25 99- 315629
Total $26.25
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 rm itee -
Signature: / _�A / A t - i D L
// , an
Issued / • a _,_,L, '1
•
\ Call 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection Permit Application Plan Check#
ITY OR TIGARD Commercial or Residential Rec'd By
3125 SW HALL BLVD. Date Rec'd
IGARD, OR 97223 Print or Type Date to P.E.
iO3) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST
Permit*
Called
Job Name Developmen+t/�Project (/11 Type of System (Complete A or B as applicable)
PtC1 i CA (1. apo V�ln�
v D'L
Address Address A.) Sprinkler Wet Isi Dry p
1 SO SS Si,J SFnvot n 1
Name Q Standpipes
1 ►'r- 'T4Lv
Owner Mailing Address Hazard Group
Additional
City/State Zip Phone Information Density •
Name Design Area
EMco..)SBL'r SP A.c.kr
Occupant Mailing Address K. Factor
City/State Zip Phone A. 1) Sprinkler Project Valuation $ (p-1S- v1.-'-
Contractor Name B.) Fire Alarm
F
(Sprinkler or p_ STt)1 C rr A) •
Alarm Company) Mailing Address , Shall Include Battery Calculations YES 0
Prior to permit 01314 te) Ti GA M& l'.
issuance, a City/State Zip Phone Individual Component YES 0
copy Cut Sheets
of all licenses T1Glo OR. q"i22.3 tiro - b 140 B.1) Fire Alarm Project Valuation $
I are required if State Const. Cont. Board Lic.# Exp. Date
I expired in COT Project Valuation Subtotal (A & or B)
•
database (031,4 -Ifl ®Z - ob - o o j ( ) $ (07 C.- _
Name Permit fee based on valuation $ _ „b
Architect Mailing Address (see chart on back) Z-J —
5% Surcharge $ , 1.6
CityrState Zip Phone FLS Plan Review 40% of Permit $
) escribe work A.) New 0 Addition 0 Alteration }8k Repair 0 -2..(1,7.S.
o be done: TOTAL $
B.) Modification to sprinkler heads only: Plans including required: Submit three sets of and
1. 1 -10 heads= No plans required the location of the nearest hydrant.
plans, g a vicinity map ma
2. 11 += Plan review required Y
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
:ditional Description of Work: are in compliance with Oregon State laws.
9..E1.0 eq -'ss S sp t.. Pp w^ t.LtiW wi%-
A D1a - S P Q- ■ to NE .V./ ReST Rao pi S Signature of Owner/A9ent Datri
A.) In Existing Building 0:1, New Building (D / f1t. fE k r / t7
i
Building Co t Pe Name V Phone 1 _ f
Data B.) Commercial Residential 0 V� 2-0 Vp T v
FOR OFFICE USE ONLY:
No. of stories: Plat # Map/TL#:
OI.ily t-
Notes
Occupancy Class Type of Construction •
1.-t G>}T
i:\firesupr.doc
CITY OF TIGARD
BUILDING PERMIT FEES
TOTAL
•
STATE BUILDING
VALUATION OF PERMIT F.L.S. TAX PERMIT
PROJECT FEES (40 %) (5 %) FEES
1 -1500 25.00 10.00 1.25 36.25
1,501-1600 26.50 10.60 1.33 38.43
1,601 -1,700 28.00 11.20 1.40 40.60
1,701-1,800 29.50 11.80 1.48 42.78
1,801-1,900 31.00 12.40 1.55 44.95
1,901 -2,000 32.50 13.00 1.63 47.13
2,001 -3,000 38.50 15.40 1.93 55.83
3,001 - 4,000 44.50 17.80 2.23 64.53
4,001 -5,000 50.50 20.20 2.53 73.23
5,001 -6,000 56.50 22.60 2.83 81.93
6,001 -7,000 62.50 25.00 3.13 90.63
7,001 -8,000 68.50 27.40 3.43 99.33
8,001 -9,000 74.50 29.80 3.73 108.03
9,001- 10,000 80.50 32.20 4.03 116.73
10,001-11,000 86.50 34.60 4.33 125.43
11,001- 12,000 92.50 37.00 4.63 134.13
12,001- 13,000 98.50 39.40 4.93 142.83
13,001- 14,000 104.50 41.80 5.23 151.53
14,001- 15,000 110.50 44.20 5.53 160.23
15,001- 16,000 116.50 46.60 5.83 168.93
16,001- 17,000 122.50 49.00 6.13 177.63
17,001- 18,000 128.50 51.40 6.43 1.86.33
18,001- 19,000 134.50 53.80 6.73 195.73
19,001- 20,000 140.50 56.20 7.03 203.73
20,001- 21,000 146.50 58.60 7.33 212.43
21,001- 22,000 152.50 61.00 7.63 221.13
22,001-23,000 158.50 63.40 7.93 229.83
23,001- 24,000 164.50 65.80 8.23 238.53
24,001- 25,000 170.50 68.20 8.53 247.23
25,001- 26,000 175.00 70.00 8.75 253.75 •
26,001- 27,000 179.50 71.80 8.98 260.28
27,001- 28,000 184.00 73.60 9.20 266.80
28,001- 29,000 188.50 75.40 9.43 273.33
29,001- 30,000 193.00 77.20 9.65 279.85
30,001- 31,000 197.50 79.00 9.88 286.38
31,001- 32,000 202.00 80.80 10.10 292.90
32,001- 33,000 206.50 82.60 10.33 299.43
33,001- 34,000 211.00 84.40 10.55 305.95
34,001-35, 000 215.50 86.20 10.78 312.48
•
35,001- 36,000 220.00 88.00 11.00 319.00
36,001- 37,000 224.50 89.80 11.23 325.53
37,001- 38,000 229.00 91.60 11.45 332.05
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