Permit CITY OF TIGARD BUILDING PERMIT
P ERMIT #: BUP2000 -00178
Ali i ?, DEVELOPMENT SERVICES DATE ISSUED: 6/8/00
- -!- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15230 SW SEQUOIA PKWY 120 PARCEL: 2S112DA -00300
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: : 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: $ 950.00
Remarks: Modification to eleven (11) existing sprinkler heads.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES F1RESTOP CO
15350 SW SEQUOIA PKWY #300 -WMI 9384 SW TIGARD ST
PORTLAND, OR 97224 TIGARD, OR 97223
Phone: Phone: 620 -6140
Reg #: LAC 00063846
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT GEO 5/9/00 $50.00 0002027 Sprinkler Final
5PCT GEO 5/9/00 $4.00 0002027 EXPIRED .
FIRE GEO 5/9/00 $20.00 0002027
Total $74.00
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Z.
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
CS
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.
Permitee e
Signature:
Issued By:
Call 639 -4175 by 7 p.m. for an inspection the next business day v
VI
BU P - Building Permit ELC - Electrical Permit
J Inspection Description Date Passed By 11 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 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 4 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
Final inspection
PLM - Plumbing Permit
I Inspection Description Date Passed By
BUP - Fire Protection System Permit Plumbing underslab
IN Inspection Description Date P" By Crawl drain
S • rinkler underfloor /slab WirrAMINPIIM Post/beam plumbing
S • rinkler rou:h -in ,� .. , , �_, o �_ 1 Plumbing top -out
• AH''''� ° �" RP /backflow preventer
11113711ANIP2OMMI Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
4 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 I 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 -00178
icol DEVELOPMENT SERVICES DATE ISSUED: 06/08/2000
13125 S W Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DA -00300
_- SITE ADDRESS: 15230 SW SEQUOIA PKWY 120 .
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: , , F LOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: A c 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: $ 950.00
Remarks: Modification to eleven (11) existing sprinkler heads.
Owner: Contractor:
PACIFIC REALTY ASSOCIATES FIRESTOP CO
15350 SW SEQUOIA PKWY #300 -WMI 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 GEO 05/09/200C $50.00 0002027 Sprinkler Final
5PCT GEO 05/09/200C $4.00 0002027
FIRE GEO 05/09/200C $20.00 0002027 ORIGINAL
Total $74.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
.,
Pe mi itee
Signature: „S ,,). `�! 4/ ,, .,
1 mwo Issued By: .` .. /
all 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection Permit Application Plan Check# S '
CITY OF TIGARD Commercial or Residential Rec'd By
13125 SW HALL BLVD. Date Rec'd 6 7 itt
TIGARD, OR 97223 Print or Type Date to P.E. G -Od
(503) 639 - 4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST 51 !/b
Permit # 008 64 /3'$ '
GO-Fr .11 AI MMoss x
Called S- d� -0 d IV Y'
Job Name of Development/Project Type of System (Complete A or B as applicable) Al
arc R.-UST PIEC. p Pim
Address Address 4Y A.) Sprinkler Wet [21 Dry ❑
152 5u) seau 71 s l PK.0■1 . 120
Name Standpipes
PAC F-te_ RE4l -T1 A-SSbC_.
Owner Mailing Address Hazard Group
l5 c) FAT) 5ECDa.b1P1/4 Peia,,y4 Additional
City/State Zip Phone Information Density
Po2-n pros , D(2_91224 62_4--- (Zoo
Name Design Area
PACTPW T- S PEC. P(N,Ct.
Occupant Mailing Address K. Factor
152 5tJ 5EMID)11- PeiN 4 .
City/State Zip Phone A.1) Sprinkler Project Valuation $
Poet or1 T t 7zz,4 �
Contractor Name B.) Fire Alarm
(Sprinkler or rl 2 STOP , •
Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑
Prior to permit 9.9)". so T 4e J T c
issuance, a City/State Zip Phone Individual Component YES ❑
copy Cut Sheets
of all licenses TIC {}12h , D R-- 97223 (oZD-(43)4C) B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT (0354 2/s �a4 Project Valuation Subtotal (A & or B) $ �� 4
database _F
Name � Permit fee based on valuation $
,`�blr4.-.X 4. ^ t� t1Y\l5}-I (see chart on back) ��
Architect Mailing Address
iro Surcharge $ tt _ oo
City/State Zip Phone FLS Plan Review 40% of Permit $
00
Describe work A.) New 0 Addition 0 Alteration K Repair 0 TOTAL $
to be done: ^11}
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: 1' 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:
Signature of Owner /Agent Date
S f 9 DO
A.) In Existing Building n New Building ❑ / I I oe_e� 1
Building Co D��Pe 4 � me Phone
B.) Commercial ❑ Residential ❑ TT C �� / 2 . 0 - to 1 /TO
FOR OFFICE USE ONLY:
No. of stories: Plat # Map/TL #:
Sq. Ft:
•
- Z5 /f.2 .6q - br) 3on
Notes 1_ p
Occupancy Class Type of Construction I�
•
is \dsts \forms\firesupr.doc 7/2/99
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