14150 SW 119TH PLACE cn
0
cn
0
r�
D
n
m
14150 SW 1191" PLACE
CITYOF T I G A R D ___ MASTER PERMIT
T `' PERMIT#: MST1999-00138
DEVELOPMENT SERVICES DATE ISSUED: 4/20/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 14150 SW 119TH PL PARCEL: 2S'10BA RED10
SUBDIVISION: REDWOOD VISTA ZONING: R-4.5
rLOCK: LOT: 010 JURISDICTION: TIG
REMARKS: New SF - Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQOIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT* 23 FIRST: q77 sf BASEMENT: at LEFT: 10 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 989 at GARAGE: 440 at FRONT: 40 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: t FINBSMENT: of RIGHT: 5
OCCUPANCY GRP: H3 BpRM: 4 BATH 3 TOTAL: d VALUE: S 145.945 24 REAR: 20
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR nRAINS: SEWER LINES: 10 SF RAIN DRAINS: I CATCH BASINS:
TUBISHOWERS: GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
MECHANICAL OTHFr:FIXTURES:
FUEL TYPES FURN<101K• 1 BOILICMP<31-11P: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN"HOOK: UNIT HEATERS: HOODS: 1 OTHER UNITS: I
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: I
_ ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1010 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: 1 PUMPIIPRIG ATION: PER INSPECTION:
EA ADD'L 500SF: 3 01 400 amp: 201 400 amp: 1st W/O SVCIFDR: 00 SIGN/OUT LIN LT PER HOUR:
LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIW SIGNALIPANEL: IN PLAN I:
1AANU HMISVCIFDR: 601 • 1000 amp: 6014amps•1000v: MINOR LABEL:
1000♦amplvolt:
Reconnect only: PLAN REVIEW SECTICN
J•4 RES UNITS: SVCIFDR>•226 A.: >600 V NOMINAL: CLS AREAISPC Oct.
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO IL STEREO: VACUUM SYSTEM: X AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: X 0TH: IRRIGATION BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL.
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA7TELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 4,820.51
FOUR D CONSTRUCTION FOUR D CONSTRUCTION This permit IS subject to the regUlations contained In the
Tigard Municipal Code,Slate of OR Specialty Codes and
BE BOX 1 O 7 BE VE 1 ON, all other applicable laws All work will be done In
BEAVERTUN,OR 97075 BEAVERTON,OR 97075 accordance with approved pluus This permit will expired
work is not started within 180 days of 13suanon.or if the
work is suspended for more than 180 days. ATTENTION
Phone: Phone: Oregon law requires you to follow rules adupted by the
Oregon Utility Notification Center Those rules are set
Rep N: LIC 000711, forth In OAR 952-001-0010 through 952-001-0080 You
may 0tain copies of these rules or direct questions to
OUNC by calling(503)248-1987.
REQUIRED INSPECTIONS
Erosion 844-8444 Post/Beani Mechanica Electrical Service Gas Line Insp Electrical Final
Grading Inspection Crawl Drain/Backwater Electrical Rough In Insulation Insp Mechanical Final
Footing Insp PLM/Underfloor F1dl.Ing Insp Rain drain Insp Plumb Final
Foundation Insp Mecharlcal Insp Shear Wall Insp Water Service Insp Final inspection
Post/Beam Structural Plumt,Top Out Low Voltage Appr/Sdwlk Insp Building lal I
Issued By : ' ' —_ Pbrmittee Signature :
Call (5U3) 339-4175 by 7:00 p.m. for an inspection needed the ne business ay
CITYOF TIGaARD SEWER CONNECTION PERMIT_
DEVELOPMENT SERVICES PERMIT#: SVvR1999-0007
13125 SW tlalf Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/20/90
SITE ADDRESS; 14150 SW 119TH PL. PARCEL: 2S 1 l OBS,-RED 10
SUBDIVISION: REDWOOD VISTA ZONING: P 4 5
BLOCK- LOT: 010 JURISDICTION. 11(7,
TENANT NAME: FOUR D CONSTRUCTION
USA NO: FIXTURE UN'!TS:
LASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:.
INSTALL. TYPE: LTPSWR IMPERV SURFACE:
Remarks:
Jwner:
FOUR D CONSTRUCTION CO — FEES
PO BOX 1577Type By Date Amount Receipt
BEAVERTON, OR 97075 PRMT BON 4/20/99 $2,300.00 99-314701
INSP BON 4i201'99 ;35.00 99-314701
Phone: 590-0805
Total $2,335.00
Contractor:
Phone:
R,)g #:
Required Inspections
Sewer Inspection
Tnis Applicant aorees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
180 days from :ne date issued l he total amount paid will be forfeited if the permit expires. The Agency does nit
guarantee th%accuray of the side sewer laterals. If the sewer is not located at the measurement given, the installer
shall prosN,:ct 3 feet it, all directions from the distance given. If not so located, the installer shall purchase a"Tap and
Side Sew,.` Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the C',regon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You rr ay obtain copies of these rules or direct questions to OUNC by calling (503) 246-1 7.
Issued by: _�� �1l_._ Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next bU ess day
CITY'OF TIGARD Residential Building Permit Application Plan Check# y-ash
1'x125 SW HALL BLVD. Additions or Alterations Recd By 7
TIGARD, OR 97223 Single Family Detached or Attach 3d (Duplex) Date Recd y
V 503-639-4171 Date to P.E. `�9
F 503.684-7297 Date to DST '
t� Permit# 1�(1" 'r f,('' 1
Print or Type �/ Called 0 niZ_
Incomplete or illegible applications will not be accepted
Name of Project
Job �i Name
Address iteAddress� �J� �- Architect Mailing Address
. L(,) tib
tJ t
Name — 'y/state Zip Phone
2 9/6/
Owner I Wiling Address� -- ?��
Cit State Phone Engineer Address
_ 4ae�?7;::::7 67. _i'; o�s S.'
Genell:,, Name Cit /State Zip Phone
Contractor ° •.�✓97 2..s=f G�292
v rJ� Describe work New Addition O Alteration O Repair O
Prior to parrot
Mailing Address to be done:
_ _
issuance,a copy City/State Zip Th- one Additional Description of Work:
of all licenses
are required if Oregon Const.Cont.Board Exp Date PROJECT
expired in COT Lic#
database 7/O 77 I /— 00 VALUATION $ � �k2 0 0 �j
Mechanical Name NEW CONSTRUCTION ONLY:
Sub' �' . N Sq. Ft. House: Sq. Ft. Garage
Contractor Ma ng Address /9� U
Prior to permit ;'2 '' S �,(j 7 Indicate the restricted energy installation by the electrical
issuance,a copy y/State Zip Phone subcontractor in the followrareas
of all licenses - J C — ? O=��3 Restricted
are required if Oregon Const.Cont.Board Exp Date Energy Alarms
expired in COT Lie.#� Installations
_database _ _ / Irrigation
Plumbing Name - l� 1� S stem
Sub- (check all that
Contrac'or Mailing Address Corner Lot Y St YF�S NO
_ check one e �y
'S S ��°��'' Has the Subdivision Plat recorded? T
Prior to permit City/State ZI Pone N/A NO
issuance,a copy f//G[ J
of all licenses are Oregon Const Cont.Board Exp. Date
required if Lic#J ; 7
expired in COT !r I Nearby acknowledge that I have read this application,that the
database Plumbing Lic # Exp Date information given is correct,that I am the owner or authorized agent
�� of the o ner, and that plans submitted are in compliance with
Ore f a I ws
Name S at e f r/ t
Date
Electrical
Sub_ Mailing Address tac rson a Phone#
Contractor - 7.Sf u .L,
City/State Zip Phone
Prior to permit
issuance,a copy ��2 �c � �
of all licenses are Oregon Const Cont Board Exp Date FOR OFFICE USE ONLY:
required if Lic# flat# Map/TL#
expired in COT 93 _ ,Is / 4 e
database Electrical Lic.# Exp Date Sstbacks Zone. Solar-- I F)A _
Electrical Super%isor Lic 0 Fxp Date — Engineering Approval: PI ipg Approval: TIF:
VIS 7/.aLoi /O —
:ldstslformslsfaddalt doc 11/20/98
FOUR D CONSTRUCTION CO mb —
POST OFFICE 80X 1577 ■ BEAV[RION,OREGON 47075 ■ PHONE(503)590-0805 ■ FAX(503)590-1751
X107 ��AN
G,o
sit r r-.�lvc�.
W
00
� ` `'► ick
POR c y
Ada-
'
Rejw � �n ups � ���- 20 �
� -�KNy
- IY, ,R
LA s
2- Sl
7'7PA�/l F Oh M I r
ie 1VeAr�1ClN,y
s 1.1,v
3��
r FOUR D CONSTRUCTION CO. -z lbbny�
bill
Fr)ST OFFICE BOX 1 E,7; ■ BEAVERTO'J.OWG-ON 97075 ■ PHONE(503)590-0805 ■ FAX(503)590-1751
�1 oT ,z AN
3� ._,�:.��----�-�----.�-- - _ �___.,��•��SQL T r..tnvc a,
9 \
oe o d w
z
PQ
POR cy
rC o- c) iii 340 SC Ale,
)'e,1w000L ui � � , 77uRiNy 1��= 20 �
�T 19�R off, �2e9 0� 9 � a`OPU MA
� 3G�
- REQ I o 0
6
v '1Ve 4'ARI�,�S
� CL 3
3a
FOUR D CONSTRUCTION C_0
POST OFFCE BOX 1577 ■ BEAARTON,OREGON 97075 ■ PHONE(503)590-0805 ■ FAX(503)590-1751
AN
3 - , ___ __ -_ S/L T .enc
of M ~" w
N°�'� ���• ` 3101.
c '
2 0
Re J o o t L) s7�4 � ALAR/may
c"i
R L)
2 l0 S I I�
TRAtiS�� �v
�D7 w N6 �Anl(IN,y
3a
Fire Protection Permit Application Plan Check#`()—xhv
CITY OF TIGARD Commercial or Residential Recd By j y 7
13125 SW HALL BLVD. Date Recd $2—
TIC^RD, OR 97223 Print or Type Cate to P E. it q''
OL 639-4171, x. 304 Incomplete or illegible applications will not be acr,epted Date io DST
Pemiit# f OI°J
✓1 l�`/ /—�l� b -� ( (L Caned 1 _
Job Name or Development/Proleci _ Type of System (Complete A or B as applicable)
4 D CiJLhT►2��t�, .�r _
d
Address SW i�t A.) Sprinkle; Wet Dry E]
Name t7 Standpipes
Owner Mailing Address Hazard Group
V-b &, S"'37Additional t_IG
City!State Zip Phone Information Density
"Tic), C"C C\ rt.
Name Design Area
Occupant Mailing Address— — K. Factory --
CttylState zip Phone A.1) Sprinkler ProjecValuation
Contractor Name B.) Fire Alarm
(SprinklbFIM-
Alarm Company) Making AddressSubmittal Shall Include Barery Calculaflons -T`;ES ❑
Prior to permit Z-41z N111 IL ALE
issuance,a City/State Zip Phone LlnTdmduil Component YEScopyets
of au licenses 9'4?-IC) 2Z'3- B.1) Fire Alarm Project Valuation $
are required if State Const.Cont.Board Lic.# Exp.Date
expired in COT ==_•-��-•---�---_ _
'abash C"QQIS 3 14 �w Project Valuation Subtotal (A 8 or B) $
Name Permit fee based on valuation
Architect Mailing Address _______ (see chart on back) >'
5% Surcharge $ Z -70
City/State Zip Phone --- -
FLS Plan Review 40% of Permit
$
Describe work .)New t Addition O Alteration O Repair U
to be done TOTAL $
B.) Modificatl)n to sprinkler heads only. -
1. 1.10 reads-No plans required Plans required Submit three sets of plans,includi ig a vicinity map and
2. 11— Dion review required the location of the nearest hvdrant.
I hereby acknowledge that I have read this application that tht information givoo Is
Number of sprinkler heads C; coned,that I am the owner or authonzed agent of the owner.and that plans submitter)
Additional Description of Work: �— are in compllarce with Oregon State aws
atu of Owner/Agent Date !�
A.)In Existing Funding ❑ New Building 1,
Building Contact Person Name Phone
Data 8.) Commercial ❑ Residential ❑ (-DO hk Uh
FOR OFFICE USE ONLY:
_
.Vo of stories: —" Plat# _ MaplTL#:
Sq. Ft
Notes
Occupancy Class Type or Construction — l—�---
L__
i:'rttresupr.doc
CITYD?F *ARD
BUfLDINaPERML FEES
TOTAL
STATE BUILDING
VALUATION OF PERMIT F.L.S. TAX PERMIT
PROJECT FEES (40%) (5%) FEES
1-1500 25.00 10.00 1.2.5 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 55.8'
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 6250 25.00 3.13 90.63
7,001-8,000 68.50 27.40 3.43 99.33
8,001-9,300 74.50 29.80 3.73 108.03
9,001-10,000 8050 3220 4.03 116.73
10,001-11,000 86.50 3460 433 125.43
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 41.80 523 151.53
14,001-15,000 110.50 44.20 5.53 160.23
15,001-16,000 116.50 46.60 583 1 j8.93
16,001-17,000 122.50 49.00 6.13 177.63
17,001-18,000 128.50 51.40 6.43 186.33
18,001-19,000 134.50 53.80 6.73 '19573
19,001-20,000 140.50 56 20 7.03 203.73
20,001-21,000 146.50 58.60 7.33 212.4 3
21,001-22,000 152.50 6100 7.63 22.1. 13
22,001-23,000 158.50 6340 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 70.0 , 8.75 2.53.75
2.6,001-27,000 17950 71 's0 8.98 260.28
27,001-28,000 184 00 "160 920 26680
28.001-29,000 188.50 7540 943 273.33
29,00'-30,000 193.00 1; 20 9.65 279.85
30,001-31 061 197.50 i 9.00 9.88 286.38
31,001-32,000 202.00 8080 1010 292.90
32,001-33,000 20650 82 60 1033 299.43
33,001-34,000 211 00 8440 10.55 30595
34,001-35,000 215.50 86.20 10.78 312.48
35,00.1-36,000 22000 88.00 11 00 319.00
36,001-37,000 224.50 8980 11.23 325 53
3.1,001-38,000 22900 91 60 11.45 332 05
tiresupr.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ( BUPA
Date Requested t (C C C AM M yPM BLD
c j�v Suite MEC `
Location < <�G
�'� .._— Ph � �'_ PLM
Contact Person SWR
Contr C Ph -
ELC
BUIL Tenant/Owner ELR
Retaining Wal!
Footing A� 3ess: FPS --
Foundation SGN
Ftg Drain
Crawl Drain Inspection Notes: _ SIT
..---
Slab - —
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear —_
Framing — ------
Insulation --- —_
Drywall Nailing _ -
Firewall ------
J - ----- - ----
ler
l:lrgAlar�1 � -
Susp'd Ceiling -------------------- ---------- ----
Roof --- - -- -- — ----- ---
Misc. _
mal
A 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 Line
Smoke Dampers _-_-- -- ---
Final -
PASS PART FAIL "-
ELECTRICAL _ --- -- --- --_-__- -_ —
Senrice - --------------------------
Rough In _ - -
UG/Slab
Low Voltage -- -'—
Fire Alarm -
Final —
fSanitary
ASS PART FAIL. ----- -SITE
/Grading
Sewer required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Drain [ )Reinspection fee of$ qacBasin [ I Unable to inspect-no access
[ J Please call for reinspection RE S /1
Fire Supply Line 7
2
ADA n /� Ext
Approach/Sidewalk Date I O -�V Inspector -._
Other
Final
PASS PART F!'�IL_ DO NOT REMOVE this inspection record from the jobs e.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST q9 -9-001 2 �
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP i
(Date RequestedAM PMBLD
Location -I S b ( �n Suite MEC
Contact Person Ph -7 2t, " S PLM
Contractor Ph SWR
BUILDING Tenant/owner ELC -
Retaining Wall EL R
Footing Access:
Foundation 51L FPS
Ftg Drain SGN
Crawl Drain Inspection Nc;tes: —
Slab — ---- — --- --- SiT _
Post&Beam -
Ext Sheath/Shear _
Int Sheath/Shear
Framing
Insulation
Drywall Nailing ;_ ---
Firewall ^�
Fire Sprinkler 'c_ —.
Fire Alarm
Susp'd Ceiling -- ---
Roof
Misc: —
Final —�
P231
PART FAIL -------_-------- ----- --- -
Postt3, Beam — ----------�__.._ ---------------_..�—�. ---- -------
Under Slab
Top Out ---
Water Service -----------._—_ _—
Sanitary Sewer
Rain-Drains
NP-A-W PART FAIL
1WECHANICAL
Post&Beam - —
Rough In
Gas Line -- - ---
Smoke Dampers
Final ---
PASS PAR) FAIL
ELECTRICAL
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL _
SI
Backfill/Grading — — - -- -- —
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ required before next inspection Pay?!::'y 'iall. 13128 SW Hall Blvd
Catch Basin ( ]Please call for reinspection RE: ( J Unable to inspect-no access
Fire Supply Line — -_--- y
ADA Jr
Approach/Sidewalk Oats I � � � � Inspector _� Ext
Other t --
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the Job site.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
ROBERTS ELECTRIC INC
5759 SSV 48TH
PORTLAND, OR 97213
Electrical Signature Form
Permit #: MST1999-00138
Date Issued:
Parcel: 2511 OBA-RED10
Site Address: 14150 SW 119TH PL
Subdivision: REDWOOD V ASTA
Block: Lots n1n
Jurisdiction: TIG
Zoninq: R-4.5
Remarks: New SF - Path 1
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required.
Please have the appropriate individual from your company sign below and return this Electrical Signature
Form prior to the start of the work to the address above, ATTN Building Dept.
No electrical inspections will be authorized until this cornplet�d form is received
AN INK SIGNATURE IS REQUIRED 014 THIS FORM
UWNLR EIEC T RICAL CCN TRACTOR:
FOUR D CONSTRUCTION ROBERTS ELECTRIC INC
PO BOX 1577 5759 SW 48TH
BEAVERTON, OR 97075 PORTLAND, OR 97213
Phone #: 590-0805 Phone #: V-244-7754
Req #: slip 38866
LIC 9389
ELE 34-23C
f
Signature of Supervisinq Electrician
If you have anv questions. please call (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BI-VD.
TIGARD, OR 9722::
IMPORTANT PERMIT NOTICE
G + B PLUMBING
PO BOX 1269
HILA SBORO, OR 97123-1269
Plumbing yignat're Form
Permit #: MST1999-00138
Date Issued:
Parcel. 2S110BA-RED10
Site Address: 14150 SW 119-IH Pi-
Subdivision. REDWOOD VISTA
Block: Lot: 010
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF - Path 1
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work
No plumbing inspections will be authorized until this completed form is received
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNi-R. PLUMBING CONTRACTOR:
FOUR D CONSTRUCTION G + B PLUMBING
PO BOX 1577 FO BOX 1 269
BEAVFRTON, OR 97075 HILLSRORO, OR 97123-1269
Phone #. 590-0805 Phone #: 640-5770
Reg # I Ir. 00000199
PI M 34-44PB
x h,
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN Building Dept
If you have anv questions, please call (503) 639-4171. ext. # 310
CITY OF TIGA(�D BUILDING PERMIT
PERMIT#: BUP1999-00362
DEVELOPMENT SERVICES DATE ISSUED: 8/26/99
13125 SW Hall Blvd.,Tiqard, OR 91223 (5� - 131 PARCEL: 2S110F3A-RED10
Si i E ADDRESS: 14150 SW 119TH PLINAL
SUBDIVISION: REDWOOD VISTA ZONING: R-4.5
BLOCK: LOT: 010 JURISDICTION: TIG
REISSUE: _ FLOOR AREASEXTERIOR 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?: _ R_EQD 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: � / 0c,
Remarks: Fire $u pression system
Owner: Contractor:
FOUR D CONSTRUCTION GRINNELL FIRE PROTECTION
PO BOX 1577 GRINNEL.L.. CORP
BEAVERTON, OR 97075 590p2.11 N MARINE DR
Phone: PP Tl_ N78T9Q807203
Reg#: L is 000632
FEES REQUIRED INSPECTIONS_
Type By Date Amount Receipt�Y Sprinkler Rough-In
PRMT BON 8/12/99 $38.50 99-317516 Sprinkler Final
5PCT BON 8/12/99 $2. 70 99-317616
FIRE BON 8/12/99 $15.40 99-317616
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
riot 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
Pennitee
Signature' .I , .'
Issued By:
Call 639-4175 by 7 p.m, for an inspection the next business clay