Permit A CITY OF TIGARD BUILDING PERMIT
•
PERMIT #: BUP2000 -00225
r � DEVELOPMENT SERVICES DATE ISSUED: 06/19/2000
r l ll '
�_ W 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 09416 SW WASHINGTON SQUARE RD PARCEL: 1S12600-01107
SUBDIVISION: K -8 ZONING: C -G
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: 5N : sf N: S: E: W:
OCCUPANCY GRP: M 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,898.00 _,
Remarks: Sprinkler changeout in existing commercial building. ,.
Owner: Contractor:
PPR WASHINGTON SQUARE, LLC WYATT FIRE PROTECTION INC.
PO BOX 23635 9095 SW BURNHAM
TIGARD, OR 97281 TIGARD, OR 97233
Phone: Phone: 684 -2928
Reg #: LIC 000640
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Sprinkler Rough -In
PRMT KJP 06/16/200C $59.25 0002901 Sprinkler Final
5PCT KJP 06/16/200C $4.74 0002901
FIRE KJP 06/16/200C $23.70 0002901 ORIGINAL
Total $87.69
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. ,
Permitee V./______'-
Signature:
Issued By: 7/ 7 % ''
Call 639 -4175 by 7 p.m. for an inspection the next business day
•
' 'IL Fire Protection Permit Application Plan Check# 6 - 5 9 C '
CITY OF TIGARD Commercial or Residential Rec'd By /C Ji"
13125 SW HALL BLVD. Date Rec'd -, - /, 3 — coo
TIGARD, 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# i / 2uvO-0019S
Called .1 (• ' • An
Job Name of Development/project Type of System (Complete A or B as applicable)
Address Address U n_1 a A.) Sprinkler Wet a Dry 1=1 q 41(6, 5,1,0. UJQ5h ICU
Name Standpipes
P, P. R . 1 KfAS4 • ,AA le , ) LL-C, -
Owner Mailing Address Hazard Group
p, o , boy,. 23135 Additional
City/State Zip Phone Information Density
TigCCro, a_ 9
Namd Design Area
Occupant Mailing Address K. Factor
City/State Zip Phone A.1) Sprinkler Project Valuation $ 2 l 8 01 S
Contractor Name B.) Fire Alarm
(Sprinkler or \ i *A+ -(',Q ?rot) tti Oil
Alarm company) MailingiAddress Submittal Shall Include Battery Calculations YES ❑
Prior to permit q Hold 5 , i3 , 'Buy rtha- m
issuance, a City/State Zip Phone Individual Component YES ❑
ro Cut Sheets
of all licenses l Y a (,pt , R 7 (Og4 ��
V B.1) Fire Alarm Project Valuation $
are required if Stateonst. Cont. Board Lic.# Exp. Date
expired in COT
database l 407 ^7 DS- l O I r 02 Project Valuation Subtotal (A & or B) $ 2 } 8c
Name Permit fee based on valuation $
Architect Mailing Address (see chart on back) 5q,
$4 Surcharge $ 4 t14
City /State Zip Phone FLS Plan Review 40/0 of Permit $
23 ■ 1 0
Describe work A.) New 0 Addition 0 Alteration( Repair 0 TOTAL $ U`,�� 663
to be done: CVO
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: 3i 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:
Signatur o %wne Age Date
A.) In Existing Building j� New Building ❑ �i. ' / 3 0 d
Building ontac erson ame Phone
Data B.) Commercial p. Residential ❑ pal 4 2 r �/�J,
FOR OFFICE USE ONLY:
No. of stories: Plat4V i $ - , �, >. r,Map/TL#, " '' " . -, :: ' { `
�fi ` Li . n �'' M1 w9� .'.>i'+ 3 'x . - "a� °Yr: #': ,•+ e
Sq. Ft: , , a : , ,,i, 45 - +,w "� .. ;. 't M.f" r . a ",a' . ;. z'.;;', >. ;t"
'Notes n ,:�-s ,x ��.� . .,�� r , , �� .�,..,� .,.. a., �;"
Occupancy Class Type of Construction ;`sue'' yp', �;
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
i:\dsts\forms\firesupr.doc 12/23/99
OVER - THE - COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL (STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT:
CLASS OF WORK: FLOOR AREAS: EXTERIOR WALL CONSTRUCTION
TYPE OF r; FIRST SQ FT. N: S: E: W.
TYPE OF - 1
CONSTR: V iJ SECOND SQ FT. PROTECT OPENINGS ?:
OCCUPANCY GRP: a1 THIRD SQ. FT. N: S: E: W:
OCCUPANCY LOAD: TOTAL SQ. FT. ROOF CONSTR: FIRE RET:
STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED:
BSMNT?: MEZZ ?: GARAGE SQ. FT. OCCU.SEP.RATED:
FIRE FIRE SMOKE HANDICAP
- - SPRINKLER. ALARM: DETECTOR: ACCESS
COMMERCIAL INSPECTION ACTIONS ( FEE MENU
Foot/Found Post/Beam 61
1' $ Permit Fee
t)
Masonry Framing 2 Plan Review
Insulation Shear Wall $ 8% State Surcharge
Firewall G p Board $ FLS Plan Review
Suspended Ceiling Sprinkler Rout -in $ Add'l Permit Fee
Sprinkler Fin. Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach /Sidewalk $ Inspection
Miscellaneous Final $ MIS Fee
FOR OFFICE USE ONLY:
TYPE OS USE OPTIONS (COM= commercial; CMS = commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW =new; Add = addition; ALT = alteration; ACS = accessory;FND- foundation;
OTR= other; DEM= demolition; REP= repair; FPS =fire protection system, NOTE: USE OTR FOR FENCES, RETAINING
WALLS, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES)
I \ovrcntr2 doc (DST) 9/99 -
CITY OF TIGARD BUILDING INSPECTION- DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
pp�� BUP ?.BOO -On 2,Z S
Date Requested �1 1" 1072 OJ AM PM BLD
'
Location A, Itv�CSk ‹q 1) Q/l Suite MEC
Contact Person Ph CO 21) S7 PLM
Contractor JJ1�[[ Ph SWR
UILDI Tenant/Owner K - _,,'A=EA-= = 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 n t r
Firewall I / /
e Sprinkl
ire Alarm
Susp'd Ceiling
Roof
Mis
Fi
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 [ I 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
Approach /Sidewalk `
AD e Date O Inspector �✓ l�l Ext
O r
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP a 000 "0005 1'
Date Requested 6' 3D AM PM X Bup 000 D®,a -
Location 4 ? t/ / ( i A 7 2 l a ( Suite k - - - 2 5 MEC a 0 0 0 --OO . S' -
Contact Person . Ph PLM
Contractor Ph SWR
Tenant/Owner As',.i ELC
Retaining Wall ELR
Footing Access:
Foundation • FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN \ , r te
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation �� _Z /IL -601
Drywall Nailing J �_y( fl
Firewall
e Sprinkle the."'
Fire Alarm 1� 0 k U Ali V 8 V '-c °'v`
usp d Ceili
Roof
Misc:
Final SpVii/l/N
(/ / l�
PASS PA T FAIL - I
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
_PASS PART FAIL
/1CH
Post & Beam
Rough In
Gas Line
Smoke Dampers
PASS FAIL
ELECT L
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
A roach /Sidewalk //)�/f `
Other Date it v) Inspector ,4 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.