Permit CITY OF T I G A R® BUILDING PERMIT
P ERMIT #: BUP1999 -00318
A r DEVELOPMENT SERVICES DATE ISSUED: 8/5/99
' .- I 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 11899 SW TREEHILL CT PARCEL: 2S1106A -RED12
SUBDIVISION: REDWOOD VISTA LOT: ORIGINAL URISD R-4.5
BLOCK: LO 0 12 TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R3 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: $ 2,100.00
Remarks: Installation of a 13 -D residential sprinkler system.
Owner: Contractor:
FOUR D CONSTRUCTION CO GRINNELL FIRE PROTECTION
PO BOX 1577 GRINNELL CORP
BEAVERTON, OR 97075 2870 NW 29TH AVE
Phone: P p Phone NRi15RR2b
Reg #: LIC 000632
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT GEO 7/27/99 $38.50 99- 316814 Sprinkler Final
5PCT GEO 7/27/99 $2.70 99- 316814
FIRE GEO 7/27/99 $15.40 99- 316814
Total $56.60
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Pemtitee / .,
Signature: . ,1 . _
Issue. 1 c P 4 - 04' I
Call 639 -4175 by 7 p.m. for an inspection the next business day
• . tI titifr.�
Fire Protection Permit Application Plan Check /'J
CITY OF TIGARD Commercial or Residential Recd By / i'v
13125 SW HALL BLVD. Date Recd - -
T1C ARD, OR 97223 Print or Type Date to P.E. 7'
(5 . 639 -4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST 7-77- '
Permit # q//99f /$'
Called - 5
G r V ess - g'3)
Job Name of Development/Project Type of System (Complete A or B as applicable)
Tes►vea-‘ i'A L NOaAE 14 w5
Address Address A.) Sprinkler Wet S tSP Dry ID
i i 5/1 saJ r,,ernfl C.T.
tIgine 0.I✓\S�Yf/„C,CfrtT/1 Standpipes
Owner ding Address Hazard Group
D i 77 Additional L% f.t`rkZ
ity/State Zip..- Phone Information Density t ;fl We•%•.ai -to
„,.. Design Area Z KprsT 1<EabTe
Name
p 't 2ts tvokt AA- sex c, gem S
Occupa Mailing Address ST+t� K. Factor � 1
\ \S SvJ 't .E.EH( I( CrT. �' - [1 Z
City /State Zip I Phone A.1) Sprinkler Project Valuation $
Ti - (like O,DA.`17o75 ����
Contractor Name L / , • B.) Fire Alarm
(Sprinkler or Name , Kee Pe
Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑
Prior to permit a b70 NW Zc1 A J
issuance, a City/State Zip Phone(pt) Cut Sheets Component YES ❑
copy Zz3-►St S
of all licenses �0 r Pr.I DL 47,110 B.1) Fire Alarm Project Valuation $
are "%quired if State Const. Cont. Board tic.* Exp. Date
expired in COT 3,20.5- 3 -I14_co Project Valuation Subtotal (A & or B) $0210 c.
'abase
—
Name Permit fee based on valuation $ C P
(see chart on back) 7
Architect Mailing Address or e% Surcharge $ I� n . -)
City/State Zip Phone FLS Plan Review 40% of Permit $
i S•yo
Describe work A.) New VC Addition 0 Alteration 0 Repair 0 /�
to be done: TOTAL $ sG.
B.) Modification to spnnkler 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 aopUrabon. 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
compliance with Oregon State laws.
Additional Descnption of Work: 13 D - us it p erAi 4 r /
SP4ak cot. S srer1 i - 1- 1 � - `j
`� ignature of . Agent Date
A.) In Existing Budding ❑ New Building fit 364 SC ..\ I4 Z- (_51:•37_7- 15 z5
Building Contact Person Name Phone
Data B.) Commercial ❑ Residential jg[
•
FOR OFFICE USE ONLY:
Plat # - Map/TL#:
No. of stories: Z - -
. „ZS/ /D el? -/? .1 /-t
Sq. Ft:
• Notes
Occupancy Class Type o Construction
is \firesupr.doc
01/10/2000 Activities for Case #: BUP1999 -00318
2:23:16 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
BUPA005 Application received 07/13/1999 BON RECD No Hold GEO 07/27/1999
BUPA010 Permit created 07/27/1999 GEO DONE No Hold GEO 07/27/1999
BUPA030 Plans routed to PE 07/27/1999 GEO SENT No Hold GEO 07/27/1999
BUPA762 Sprinkler Rough -In 08/06/1999 RB PASS No Hold AKJ 08/08/1999 double check req'd to be tested,
protect all lines in attic with
visqueen, check at insul
BUPA763 Sprinkler Final 12/30/1999 KS PASS No Hold AKJ 01/02/2000 see back flow test report
attached
BUPCO24 Plans Approved by CPE 07/27/1999 RDP DONE No Hold RDP 08/04/1999
BUPCO22 Plans Approved /Routed to DSTs 07/27/1999 RDP DONE No Hold RDP 08/04/1999
BUPA055 DST Post - Review Completed 08/04/1999 GEO DONE No Hold GEO 08/04/1999
BUPA075 Ready to issue 08/04/1999 GEO DONE No Hold GEO 08/04/1999
BUPA085 (F) Issue building permit 08/05/1999 DST DONE No Hold DST 08/05/1999
BUPA950 Case Finaled 01/02/2000 AKJ DONE No Hold AKJ 01/02/2000
BUPA763 Sprinkler Final RB No Hold RB 01/10/2000
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171
6T De 3/R)
Date Requested f ji6/0 AM D / 9�P BLD
Location 1 / g 9 9 , Suite MEC
Contact Person Ph ag7 PLM • k dd2.2-<8.
Contractor Ph SWR ► ,
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation Access: FPS
Ftg Drain
SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
1•
ire Alan. P •
Susp'd Ceiling
Roof
Misc:
• • S PART FAIL
• • = ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas
Smoke e Dampers
Final
PASS PART FAIL
ELECTRICAL \�
Service
Rough In 1
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 J�
Approach /Sidewalk Date )/ b V Inspector Ex
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.