Permit 1
� -. CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP1999 -00510
r + ; DEVELOPMENT SERVICES DATE ISSUED: 12/21/1999
,.� 1 " 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15350 SW SEQUOIA PKWY 150 PARCEL: 2S112DA -01400
SUBDIVISION: PP1996 -048 ZONING: I -P .
BLOCK: LOT: 002 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: 3 -1 HR •
•
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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 800.00
Remarks: Fire suppression system .
Owner: Contractor: •
PACIFIC REALTY ASSOCIATES - DELTA FIRE INC
15350 SW SEQUOIA PKWY P.O. BOX 4010
STE 300 TUALATIN, OR 97062
TIRA OR 97224 • Phone: 620 -4020
Reg #: LIC 00064174 .
FEES REQUIRED INSPECTIONS
Type By Date . Amount Receipt Sprinkler Rough -In
FIRE BON 11/24/1995 $20.00 99- 320009 Sprinkler Final
PRMT DST 12/21/199C. $50.00 99- 320581
5PCT DST 12/21/199C. $4.00 99- 320581 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. ATT TION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. ose rules are set forth in OAR 952 - 001 -0010 through OAR 952-001-1987. You
may obtain a cop of 1 ese rules or direct que tions to OUNC by calling (503) 246 -1987. .
Permitee , I - ('
Signature:
//
Issued By: � j /.iL_
Call 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection Permit Application Plan Check #,/- 71 C--
G:TY OF 7T1GARD Commercial or Residential Rec'd By
13125 S 1 � ACL BLVD. Date Rec'd / /-.
TIGARD, OR 97223 Print or Type Date to P.E. I Z 2 . '”
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST / - - 3- _ -__i h
Permit# 0 - 5
Call d e - 6 -IV
5
Job Same pf Develo.nw ct C Type of System (Complete A or B as applicable)
Address Address /� A.) Sprinkler Wet Dry ❑
) 5 JS S W ,.SP-1 D; A Artf
e U Standpipes
' C4Ls )-
Owner Mailing Address Hazard Group
S ' - X v SIrJ S u oi A- M r' Additional
City /Stat p Phone I Information Density
N rn� y�22 Y
a ' Design Area
5E.. P, 2 AmiF Co.
Occupant Mailing Ad ress K. Factor
/S Sn Sw .S �a A 4�. ico
City/State � 1i Phone y A.1) Sprinkler Project Valuation $ -
f fevi d, 47
Contractor Nye � • B.) Fire Alarm
(Sprinkler or �(I
Alarm Company) ail i ng Address A �rc Submittal Shall Include Battery Calculations YES ❑
Prior to permit /�7 Lj j 5 7 2 ND A4 L
Individual Component YES ❑
issuance, a City/State - Zip Phone , Cut Sheets
d al
censes al WA�fJ 6,- f2aa IP B B.1) Fire Alarm Project Valuation $
are required if State Const. Cont. Board Lic.# Exp. Date
expired in COT / �/ �� Project Valuation Subtotal (A & or B) $
database (P
Name Permit fee based on valuation $
(see chart on back)
Architect Mailing Address 8% Surcharge $
City /State Zip Phone FLS Plan Review 40% of Permit $ .:3, l o o
Describe work A.) New 0 Addition Alteration Repair 0 TOTAL $ LX�
to be done:
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: correct, that I am the owner or authorized agent of the owner, and that plans submitted
Additional scription of Work: in compliance with Oregon State laws.
g nature of r , er • ,en , / Date `�
A. In Existing Building New Building ❑ I �� / ! /4 G z 4
9 9 9 r � � /
Building IrContact Pe ;_ e hone
Data B.) Commercial "K Residential ❑ ' Ate' 1 ' 'WV 6.14 - (169-19 I — FOR FFICE USE ONL :
No. of stories: Plat # Map/TL #:
Sq. Ft:
Notes
Occupancy Class Type of Construction
is \dsts \ form s \firesupr.doc 10/14/99 _ - -