Loading...
HomeMy WebLinkAboutPermit (2) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2023-00019 Tf G.ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/19/2023 Parcel: 1 S134AA01900 Jurisdiction: Tigard Site address: 10115 SW NIMBUS AVE 700 Project: Fogon Crioile Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: B Project Description: Kitchen hood suppression 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: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 04/19/2023 $123.72 12%State Surcharge-Building 04/19/2023 $14.85 Type of Use: COM Plan Review-Fire Life Safety-COM 04/19/2023 $49.49 Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 04/19/2023 $125.50 Occupancy Grp: B Height: 25 ft 11x17) Stories: 1 Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Unknown 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 $313.56 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 forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: / \/ Permittee Signature: Cal .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. , Building.Permit Application Fire Protection System I DR urru I: t.SE(INT1 City W Tigard 7 ' �'0?� Reserved 023 '03_� 1c1 .� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 ,,, b l-i,, Date/By: $ -2 Other Permit: t 1 r,1 t,,, Inspection Line: 503.639.4175 ❑ Ip�r-. p; +C to Ready/By: 0/ 5706 06 Allis; 65 See Page 2 for Internet: www.tigard-or.gov r,� ' DING i.2 LJ�VI`,I�� i1ied/Metfmd;���V 1111 YJ (/[7 Supplemental Information ' 4 e5 in 'Peso( TYPE OF WORK REQUIRED DATA:t-AND 2-FAMILY DWELLING tr-I New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition alterationereplacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION� work indicated on this application. ❑1-and 2-family dwelling Ll/ C'ommercial/industrial Valuation: $ ❑Accessory building El Multi-familyNumber of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: \0 li\5 `�W 1.,,,,y 'A Av_ 5 t„A.,,, -7,n New dwelling area: square feet City/State/ZIP: "1"; pt C 0 K i (Ai as; Garage/carport area: square feet Suite/bldg./apt.no.: -106 Project name: FOg cJ0 C-cidj\0 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: ( Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. =ns` (l c -- L.t,000 -s•1 �eW a / Valuation: $ aS© 00 ff YT_ .St{ i25$I C/1''\ vD SYrlia2 o- teAL'K GJG;.►/f .. Existing building area: square feet � New building area: square feet 0 PROPERTY OWNER E TENANT Number of stories: Name: Type of construction: Address: \O i\ S tM hit+,\zt'vs ie- $o312 1 00 Occupancy groups: City/Stale/ZIP: —rt,n,ra 0 , °1-1 a.a3 Existing: Phone:( ) Fax:( ) New: Er APPLICANT 0 CONTACT PERSON NOTICE Business name: PACs�- Atom Op "'' L. All contractors and subcontractors are required to be Contact name: Gq,f,e y e rt a 1 7 licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: Gj 00 U )511/4tn $�t jurisdiction in which work is being performed.If the City/State/ZIP: \ e w10e,5 Si\3 - applicant is exempt from licensing,the following reasons apply: Phone:((o4?}1-k38-4s a. Fax::( ) E-mail: CA eke. rr1C.-Ci�V.,.•:-P-o.,, ..-.:.,Ve.-y, c ,,,.. CONTRACTOR BUILDING PERMIT FEES* (Please refer so fee schedule) Business name: S A(tryQ. AN, re `IQ-, Permit fee: Address: State surcharge(12%of permit fee): City/State/ZIP: FLS plan review(40%of permit fee): Phone:(b03)e4 48D,z. Fax:( ) (Due upon application suhmittdl.) CCBIic.: a38-JQa Totalpermitfees: Authorized signature: �,.ram Amount received: �----...._Y This permit application expires if a permit is not obtained Print name: Cack f`,g j pe n y Date: ea 1 g,O k,a 3 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. 1./aaiklelO msa2,FPS-PamiApp031016 dor 4404613T(11701/COMIWEa) 4