Permit (4) INa CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
• ' COMMUNITY DEVELOPMENT Permit#: FPS2014-00114
-r t G A R,O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/03/2014
Parcel: 2510113E301500
Jurisdiction: Tigard
Site address: 12244 SW GARDEN PL
Project: Colossae Church Subdivision: CROW PARK 217 Lot: 3
Project Description: Fire alarm,modification for TI
Contractor: T&L COMMUNICATIONS INC Owner: WALTON CWOR PARK BC 8 LLC
PO BOX 87387 BY EQUITY OFFICE MANAGEMENT LLC
VANCOUVER,WA 98687-7387 PO BOX A-3879
CHICAGO, IL 60690
PHONE: 360-737-9725 PHONE:
FAX: 360-737-9648
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/03/2014 $220.56
12%State Surcharge-Building 07/03/2014 $26.47
Type of Use: COM Plan Review-Fire Life Safety-COM 07/03/2014 $88.22
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 07/03/2014 $9.00
Occupancy Grp: A-3 Height: ft 11x17)
Stories: 2
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Yes Alarm Type: Automatic
Pull Station Required: Yes Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $344.25
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $13,750.00
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 N.vii enter. Those rules are •rth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or di e•uestions to OUNC b�? -fling 503.23••r 00.332.2344. /
I.s •d By: �p /, /� / / Permittee Signature: j 1;' / \ /
. 1503.639.4175 by 7:00 a.m.for the next available inspecon 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 FOR OFFICE USE ONLY
Received -lied
City of Tigard DateB : i ,� Permit No.: t(�„A
• 13125 SW Hall Blvd.,Tigard,OR 9 filECEIVF--r?
P lan Re'e
Phone: 503.718.2439 Fax: 503.598.196SU ` 4 DateBy,,/� 7 ' 4 Other Permit: 64 p/y ��
T I G A K D Inspection Line: 503.639.4175 Date Rea.y 'y: Juris. ® See Page 2 for
Internet: www.tigard-or.gov (wry r. -0 .AD, Notified/Method: -0-/(.( lY1 — Supplemental Information
(V-i unn u�.w il■ a,J z,,,.8*-
TYPE OF' REUIRED DATA: AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rotnded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwellin� Valuation: $
y � ®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12244 SW Garden PI New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Colossae Church 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: I Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value(rotnded 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.
Fire Alarm'tenant Improvemet Valuation: $$13,750.00
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
Business name:T&L Communications,Inc. All contractors and subcontractors are required to be
Contact name:Larry Bushaw licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be lcensed in the
Address:PO Box 87387 jurisdiction in which work is being performed.If the
City/State/ZIP:Vancouver,WA 98687 applicant is exempt from licensing,the following reasons
apply:
Phone:(360)737-9725 I Fax: :(360)737-9648
E-mail:office @tl-communications.com
Business name:T&L Communications,Inc.
Permit fee:
Address:PO Box 87387
State surcharge(12%of permit fee):
1 City/State/ZIP:Vancouver,WA 98687
FLS plan review(40%ofpermit fee):
Phone:(360)737-9725
CCB lie.:67787
Fax:(360)737-9648 (Due upon application.)
Total permit fees:
Authorized signature:
I Amount received:
I This permit application expires if a permit is not obtained°L"‘1.1a
Print name:Larry Bushaw Date:6 24-14 within 180 days after it has been accepted as complete.
• Fee methodology set by Tri-County Building Industry
Service Board
j2P'5”'
I:\Building\Permits'FP5.PermitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12244 SW GARDEN PL, TIGARD, OR, 97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2014-00114
Jeff Grove
Nfpa 72 received
Violation Summary:
Inspector Contractor