Permit - - , CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
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a COMMUNITY DEVELOPMENT Permit #: FPS2010 00012
Date Issued: 02/11/2010
T t G AR 1? 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1 S136CD01000
Jurisdiction: Tigard
Site address: 11745 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Aarons Furniture
Project Description: Install 15+ heads for TI.
Owner: FEES
MONAGHAN FARMS, INC Description Date Amount
14120 EAST EVANS AVE
AURORA, CO 80014 Permit Fee - COM 02/09/2010 $69.92
12% State Surcharge - Building 02/09/2010 $8.39
PHONE: Plan Review - Fire Life Safety - COM 02/09/2010 $27.97
Contractor:
FIRE SYSTEMS WEST INC
600 SE MARITIME AVE #300
VANCOUVER, WA 98661
PHONE: 360 - 693 -9906
FAX: 503 - 289 -2208
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: M Height: ft
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type:
Standpipe Required: Hazard: .
Density: Design Area:
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $106.28
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 1200
Residential Square Footage:
Fire Alarm Valuation:
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: I ki_A‘ 1 ' Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 x P€ 0 1 TE PL z_6
Commercial RFC F'Ifl FOR OFFICE USE ONLY
City of Tigard FEB 0 9 2010 Received Permit No.: t r. xO (U • 00Q La
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie� I Q z! (1 1 r
Phone: 503.639.4171 Fax: 503.598.196 v p�
Date/By: �//►I% ��(,� 1 Other Permit: 117rre
TIGARD w Inspection Line: 503.639.4175 `4 t 1 h" ; : n t 4GA Date Ready /By: l See Page 2 for
"1 `l r Notified/Method: 1 ` � (1 uri Supplemental Information
Internet: www.tigard- or.gov o mo 1b19�1 ®�� q �
TYPE OF WORK REQUIRED DATA: I- AND 2-FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded 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 dwelling Commercial /industrial Valuation: $
❑ 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: 11-74 ri1GI F IC I - 1 A.+ Y New dwelling area: square feet
City /State /ZIP: r,A F, OA - q/ Z L3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: AAR° S ELL Yilkuy e 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.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
/AI 'TAU— ?ON O»'T97�+Il /jC.SYLS Valuation: $ iZc3T+
Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: 'pp _T i7yn Type of construction:
Address: 4 X 6 5' 1AITZglA/pr 'J/ _ ' Ay Occupancy groups:
City/State/ZIP: ' — r11. 1 e OR 9 7 1 7 . 3 Existing:
Phone: ( ) Fax: ( ) New:
INPAPPLICANT ❑ CONTACT PERSON NOTICE
Business name: Fi` e cypnrms wrjr All contractors and subcontractors are required to be
Contact name: J ASaar S f}/v+ O$ J licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: C,, 0 U S e j" orz...11 vti « , 'YQti, :.#3 0 v jurisdiction in which work is being performed. If the
City /State /ZIP: VO-A/c s_ %i' T� C. 4' 981n�Z applicant is exempt from licensing, the following reasons
apply:
Phone: (74„,t, ) C. et 3 ci l ,,C Fax:: ( )
E -mail:
CONTRACTOR
Business name: ( %5,..1 BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP:
FLS plan review fee (if applicable):
Phone: ( ) Fax:( )
CCB lie.: 4, Z Total fees due upon application:
7 Amount received: 101, . 2 O
Authorized signatur J e �^ This permit application expires if a permit is not obtained
rYP within 180 days after it has been accepted as complete.
Print name;,,,.„A5 Ai 5/10 t.( Date: Z — 7 - / 0 * Fee methodology set by Tri County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB)