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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. t: \Building\Permits \FPS- PermitApp.doc 10/01/09 440 -4613T(11 /02 /COM/WEB)