Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
lig1e p COMMUNITY DEVELOPMENT Permit#: FPS2022-00171
Date Issued: 1/9/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134AA01900
Jurisdiction: Tigard
Site address: 10115 SW NIMBUS AVE 600
Project: Donburi Factory Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: B
Project Description: TI: Install new fire protection system.
Contractor: PACIFIC FIRE SUPPRESSION LLC Owner: ROBINSON, JERRY CHRISTOPHER TRUST
500 N MAIN ST DIETRICH, NANCY BISHOP
NEWBERG, OR 97132 9701 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97222
PHONE: (603)438-4822 PHONE: 360-601-9113
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 01/09/2023 $102.20
12%State Surcharge-Building 01/09/2023 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 01/09/2023 $40.88
Class of Work: NEW Type of Const: VB Info Process/Archiving-Sm$0.50(up to 01/09/2023 $125.50
Occupancy Grp: A-3 Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Dry
Standpipe Required: Hazard: UNK
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $280.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set fo in OAR 95 001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
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Issued By: (,cy
Permittee Signature: — -) iit7/.7C
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.