Permit j o C ITY OF TIGARD BUILDING PERMIT
PE RMIT #: BUP1999 -00214
,�1�;► DEVELOPMENT SERVICES DATE ISSUED: 5/24/99
13125 SW Hall Blvd., Tigard. OR 97 3 (5031.639 -4 7 ,/j , PARCEL: 2S112DD -01600
SITE ADDRESS: 15755 SW SEQUOIA PKWY y
SUBDIVISION:
16 / � 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: 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: $ 430.00
Remarks: Relocate 3 sprinkler for lights, delete 1 sprinkler fro wall removal.
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 Final 6ph k ' QL&/ f - /4
5PCT DST 5/24/99 $1.25 99- 315628 V
PRMT DST 5/24/99 $25.00 99- 315628
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: / i fq- SA.
Is ed By: 'I P. deak-4/1A-4-116Q
Call 639 -4175 by 7 p.m. for an inspection the next business day •
4 Fire Protection Permit Application Plan Check#
:iir OF TIGARD Commercial or Residential Rec'd By
13125 SW HALL BLVD. Date Rec'd
r'IGARD, 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
Permit # fS4P /'Z9 coo/i
Called
Job Name of Development/Project Type of System (Complete A or B as applicable)
PA- e- 1 ( = i c 0. o1Z -90'RAW Cie
Address Address n A.) Sprinkler Wet ® Dry ❑
1 S 7 5 S s S` 0. Oil; l_/} "'WAY
Name Standpipes
efIrC_TRvSr
Owner Mailing Address Hazard Group
Additional
City/State Zip Phone Information Density
Name 'Q //�� Design Area
CORT t .lf Dizal -kop J1L l 1-1alf
Occupant Mailing Address K. Factor
1s"? SW Svol PKwy •
C' /State Zip Phone A.1) Sprinkler Project Valuation $ ��
City/State b1Z gi224 4307 —
Contractor Name 1' B.) Fire Alarm
(Sprinkler or 1" E S S ? C.v.
Alarm company) Mailing Address Submittal Shall Include Battery Calculations YES ❑
Prior to permit q 384- Sin! TIGAf&ti Sir
issuance, a City/State Zip Phone Individual Component YES
Cut Sheets
P
of all icenses y T1 _ GAdu O 91224- 62-0- !P l4_0 .B.1) Fire Alarm Project Valuation $
are required if State Const. Board Lic.# Exp. Date
expired in COT (A Project Valuation Subtotal & or B ov
database 4.3'64-L. 0'2_ - DS - t>0 1 ( ) $ 43 . "
Name
Permit fee based on valuation $ 2S„l,
Mailing Address (see chart on back)
Architect g 5% Surcharge $ 1 15
City/State Zip Phone FLS Plan Review 40% of Permit $
)escribe work A.) New 0 Addition 0 Alteration 0 Repair 0 TOTAL $ , to be done:
B.) Modification to sprinkler heads only: Plans required: Submit three sets of plans, including a vicinity map and
1. 1 -10 heads= No plans required
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: 4 correct, that I am the owner or authorized agent of the owner, and that plans submitted
:iditional Description of Work:
are in compliance with Oregon State laws.
Reto - rte 3 spit_ F-1 ft. k. 1 Gti rs
Del...-- 1 SP2 Fog- W(l-L 1113").1 VA- . SI attire of Owner /Agent Date
A.) In Existing Building �I New Building 0 • 1)2,--lifir/CA?Q— , /z q / C ,
9 Buildin C on Pera Phone _
I
Data B.) Commercial a Residential 0 - (O z - to( L i r)
FOR OFFICE USE ONLY:
No. of stories: Plat #; - : Map/TL#: ,,,%.
Dtuii - -
Sq. Ft:
Notes
Occupancy Class Type of Construction
L16 l-F f'
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V
i
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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7 /2 /99 Activities for Case #: BUP1999 -00214
2:34:42 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPC007 Application received 5/24/99 GEO RECD No Hold BON 5/24/99
BUPC008 Permit created 5/24/99 GEO DONE No Hold BON 5/24/99
BUPC779 Sprinkler inspection No Hold BON 5/24/99 •
BUPC784 Sprinkler Final 5/24/99 5/24/99 6/21/99 TLP PASS No Hold AKJ 6/21/99
BUPC100 (F) Issue permit 5/24/99 DEB DONE No Hold DST 5/24/99
BUPC960 Case Finaled 6/21/99 AKJ • DONE No Hold AKJ 6/21/99
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hoir Inspection Line: 639 -4175 Business Line: 639 -4171
BUP 7 -0S, 2.
Date Requested (4" - -1 G� / AM PM Bap I 9 /7-66e)
Location I SASS S"ef t,(,D ► L- Suite 10 1 MEC
Contact Person ' ,) Ph ;51%2SN PLM
Contractor Ph SWR
IL Tenant/Owner e(' GU') 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
Susp'd Ceiling
Roof
Misc:
PART FAIL
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 �(i/ / Other Date ! Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.