Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS201000008
r F5! Date Issued: 03/04/2010
T t G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S102BA00302
Jurisdiction: Tigard
Site address: 9814 SW TIGARD ST
Subdivision: Lot: 0
Project: Barrier Corp
Project Description: Install dry chemical fire suppression system in open front paint booth.
Owner: FEES
TIGARD INDUSTRIAL LLC Description Date Amount
5805 JEAN RD
LAKE OSWEGO, OR 97035 Permit Fee - COM 02/02/2010 $123.72
12% State Surcharge - Building 02/02/2010 $14.85
PHONE: Plan Review - Fire Life Safety - COM 02/02/2010 $49.49
Contractor:
UNITED HEALTH & SAFETY EQUIPMENT
4611 NE MARTIN LUTHER KING JR
PORTLAND, OR 97211
PHONE: 503 - 249 -0771
FAX: 249 -0572
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: F -2 Height: ft
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Dry
Standpipe Required: No Hazard:
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 $188.06
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 4400
Residential Square Footage: 0
Fire Alarm Valuation: 0
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 ques ions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: c Permittee Signature:
CaII 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
Fire Protection System V � g ,, „ n( tr f f { �y O O (
II ICI . 0 \1 1 , im w ' . tl1ry`QG y'j
h;; City of Tigard Receives G y
` ` y t t3 ! ermo.: +/� .4 140 �r
0�A DatelB : / /0 P it No.: 3
13125 SW Hall Blvd., Tigard, OR 97223 C "gi' 1� Plan Review 7b
9 ®,J / N,Kt
ti+ Ph one: 503.639.4171 Fax: 503.598.1960 Other Permit:
+Lb
1 :, 1 :6 A R D Inspection Line: 503.639.4175 0� C ` y. DateB ; % y: � � 1Z See Page 2 for
Internet: www.tigard- or.gov v ec. \ a � ik,/ o ' 7 /' � upplemental Information -4611
TYPE OF WORK ,-,< '414)1 / REQUIR D1 D • D. 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition y Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
p Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ .
❑ 1- and 2- family dwelling 0 Commercial /industrial y 00 Q!
❑ Accessory building ❑ Multi - family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
9g/471 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ( - - S(,.) Ti- y GriZ-c.0 S +, New dwelling area: square feet
City /State /ZIP: "1 A RO Q , 2 1 . Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Ru.Qil �,Q Cox() 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: 1 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
� n / �LJ� D DESCRIPTION OF WORK work indicated on this application.
-NH S L i Q l
Q . C •Prty) Z4 j 1 SCA CS'S10 ► S---e S-1-(-11 S-1-(-11 Valuation: $
^
I VX O d rr _ i - p t g o J Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER [0 TENANT Number of stories:
Name: gc jai/ tom? C,94_ Type of construction:
Address: get 0 3 ,S £._) -- c - ,/. y e 31- . Occupancy groups:
City /State /ZIP: 1 w Existing:
� q 7 Z.2 � g=
Phone: (q)1) 639 — `{ ( G j L Fax: (6 ) 604 - /`ci.s New:
(p APPLICANT ❑ CONTACT PERSON NOTICE -
Business name: ( -1 Al 4 r`) 1-1 e CvVtO SG. t All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
�' (� r 7 I Q under ORS 701 and may be required to be licensed in the
Address: 1-1 , ✓h L . k _ 1)2 ; 6 i ✓{) jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP:
0,9 (-4'Govt 0 ) 2 , ? L i / apply:
Phone: ( c n ) ) . - ` f i - 0 - ) 1 1 Fax: :: ( ) . `/ G/ O0,s-- 7 .
E -mail: a g ctH, 4 - 1 / /e., 41U S k K'”, C d✓ t 'l
CONTRACTOR BUILDING PERMIT FEES*
Business name: t) A i T e l' c-:---, ea 4 1, 9 ee-k/ (Please refer to fee schedule)
Permit fee:
Address: 40 a l ,() k /h'1.. L : k , 'Jp , R 4iD- State surcharge (12% of permit fee):
City /State /7_IP: , . Q'Z q 2 . t ( FLS plan review (40% of permit fee):
Phone: ( 563 ) 2(.( y'- Q'� 4 Fax: (')V3 ) 2Y y._ O - 7 2,_ ( Due upon application.)
CCB lic.: ( c j_Gl 0 /( /� Total permit fees: /A
Amount received: /S'. al'
Authorized signature: Ci
\�/ . This permit application expires if a permit is not obtained
Date: �_ Z - Z� t O * within 180 days after it has been accepted as complete.
Print name:
ti t (4L Q Fee methodology set by Tri -County Building Industry
Service Board.
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