Permit CITY OF TIGARb BUILDING PERMIT
P ERMIT #: BUP2000 -00133
c , � l� DEVELOPMENT SERVICES DATE ISSUED: 04/26/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DD -01601
SITE ADDRESS: 15755 SW SEQUOIA PKWY 100
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: p5 FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: .PCT f 1 FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : 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: $ 1,400.00
Remarks: Fire sprinkler system for tenant improvements.
Owner: Contractor:
PACIFIC REALTY DELTA FIRE INC
15350 SW SEQUOIA PKWY P.O. BOX 4010
SUITE 300 TUALATIN, OR 97062
TI onD, OR 97223 Phone: 620 -4020 ORIGINAL
(]
Reg #: LAC 00064174 r�
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
FIRE GEO 04/14/200C $20.00 0001458 Sprinkler Final
PRMT KJP 04/26/200C $50.00 0001706
5PCT KJP 04/26/200C $4.00 0001706
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: _)- aff—
Issued By: 12s2_,L..„....,_,5„..)
7e Call 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection Permit Application Plan Check # y -34
CITY OF TIGARD Commercial or'Residential Rec'd By
13125 SW HALL BLVD. Date Rec'd /
TIGARD, OR 97223 Print or Type Date to P.E. 'R--
(503) 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST n
y-_. Permit # �`VaciLO -co/33
• 7 4 -- P/r0UWe/ Called ���Zy- �
Job Name of Development/Project
Oa X , l U-e Type of System (Complete A or B as applicable)
Address Address
/:r gEou PtwY 7/i7 A.) Sprinkler Wet [� Dry ID
Name /pp .
'AC/ g( - CO/ U .2 t' 7- Standpipes
Owner Mailing Addres
i , - a S @5 /4. d Hazard Group
City/State Zip Phone Additional
ff1i,23 Information Density
Name
Dn Z-VA) PiZ V v� E:5- Design Area
Occupant Mailing Address
04.5 /Ia ' Im ]D/ s �0/ K. Factor
P city/State Zip Phone
0,22 v / 02_ 972/0 ,%.j2/ - f3 . A.1) Sprinkler Project Valuation $ i L j
Contractor N i vi
/)
(Sprinkler or r, 6 ec / /iJ - B.) Fire Alarm
Alarm Company) Mailing Address
Prior to permit /41715- S - 72.N15 6 . Submittal Shall Include Battery Calculations YES ❑
issuance, a City /State Zip Phone
copy
Individual Component YES ❑
of all licenses / �/<D/1c726zo'O� Cut Sheets
are required if State Const. C nt. Board Lic.# Exp. D to . B.1) Fire Alarm Project Valuation $
expired in COT I
database 4/7 tl IQ Pr Valuation Subtotal (A & or B) $ )
. Name ! �0 0 , 6-0 I
Permit fee based on valuation
Architect • (see chart) fl
M ailing Address
City/State Zip Phone 8% Surcharge $
Describe work A.) New 0 Addition.QY Alteration_0' Repair 0 FLS Plan Review 40% of Permit $ Z vi+ °t1a .
to be done: TOTAL $
B.) .Modification to sprinkler heads only: j,.
1. 1 -10 heads= No plans required
2. 11 += Plan review required Plans required: Submit three sets of plans, including a vicinity map and
-------- ----- ---------------------------- the location of the nearest hydrant.
Number of sprinkler heads: I hereby acknowledge that I have read this application, that the information given is
Additional Description of Work: correct, that I am the owner or authorized agent of the owner, and that plans submitted
are in compliance with Oregon State laws.
Signature of Own /Agent ' Date /
A.) In Existing Building New Building ❑ f �, CZ et/Pilo v
/'
Building t �.' .
Data B.) Commercial EY Residential ❑ n c t ra p Phon, (0 �� y , No. of stories: FOR CE USE ONLY:
• Plat # Map/TL #:
Sq. Ft: . _
Occupancy Class Type of Construction Notes
i:\dsts\forms\firesupr.doc 2/2/00
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 21.02 105.1.0 388.87
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 \f resupr.doc 2/2/00
i
05/26/2000 Activities for Case #: BUP2O00 -00133
•
12:54:41 PM
Assigned Hold Updated `
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC005 Application received 04/14/2000 GEO RECD No Hold GEO 04/20/2000
BUPC008 Permit created 04/20/2000 GEO DONE No Hold GEO 04/20/2000
BUPC012 Plans routed to Plans Examiner 04/20/2000 GEO SENT No Hold GEO 04/20/2000
BUPCO26 Approved plans routed to DSTs 04/20/2000 RDP DONE No Hold RDP 04/20/2000
BUPCO24 Plans checked /approved by PE 04/20/2000 RDP DONE No Hold RDP 04/20/2000
BUPC783 Sprinkler Rough -In 05/05/2000 TLP PASS No Hold AKJ 05/07/2000
BUPC784 Sprinkler Final 05/16/2000 TLP PASS No Hold AKJ 05/16/2000
BUPCO29 DST post - review completed 04/24/2000 BON DONE No Hold BON 04/24/2000
BUPC090 Ready to issue 04/24/2000 BON DONE No Hold BON 04/24/2000
BUPC100 (F) Issue permit 04/26/2000 KJP DONE No Hold KJP 04/26/2000
BUPC960 Case Finaled 05/16/2000 AKJ DONE No Hold AKJ 05/16/2000
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line;,, 639 -4171
- • 1 / BUP WOO — 00/
Date Requested S/ / S / b AM PM BLD
Location 15 SS 5.e./ /4.0) ( Suite / 00 MEC
Contact Person 1 01/1/(-1 Ph CO �^� 026 PLM
Contractor Uu Ph SWR
UILDI Tenant/Owner OrQ 61 • 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
Firew.
I.
Susp'd Ceiling •
Roof
Misc:
■ PART FAIL
'-':_, 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 Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for re'nspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
•
Other Date Inspector Ext
Final
PASS PART FAIL DO N T REMOVE this inspection record from the job site