Permit ry CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
r COMMUNITY DEVELOPMENT Permit#: FPS2023-00106
TIQARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/26/2023
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 215
Project: Sedgwick Claims Management Services Subdivision: Lot: 2
Project Description: Fire sprinkler permit:Add and relocate heads for TI.
Contractor: Owner: PACIFIC REALTY ASSOCIATES
ATTN: N PIVEN
15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/26/2023 $91.44
12%State Surcharge-Building 09/26/2023 $10.97
Type of Use: COM Plan Review-Fire Life Safety-COM 09/26/2023 $36.58
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 09/26/2023 $5.50
Occupancy Grp: B Height: 25 ft 11x17)
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: 0.1 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Reg:
Battery Calcs Provided: Cut Sheets Required:
Total $144.49
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
jelprules
are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may/ obtain' s copy of the rules
Issued By: P Permittee Signature: �� �-
Callll 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous placeon p p the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.