Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2010 -00003
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Date Issued: 01/14/2010
T I GA R O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S113AB01201
Jurisdiction: TIGARD
Site address: 16505 SW 72ND AVE
Subdivision: PACTRUST BUSINESS CENTER Lot: 0
Project: Liberty Mutual
Project Description: Add new head at new wall that breaks coverage.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224 Permit Fee - COM 01/14/2010 $56.47
12% State Surcharge - Building 01/14/2010 $6.78
PHONE: 503 - 624 -6300
Contractor:
CROSSFIRE SPRINKLER CO
17400 SE 82ND DR
CLACKAMAS, OR 97015
PHONE: 503 - 210 -5506
FAX: 503- 210 -5538
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: Design Area:
K Factor:
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $63.25
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 645
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: (,O Permittee Signature: ,
(Z 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.
m
Building Permit Application
Fire Protection System RECEIVED , I i I( 1 L • O \1)
City of Tigard Permit No.: '� P • • , r ta
-.1.14 - -.
DatelB : _
13125 SW Hall Blvd., Tigard, OR 97223 A 1 3 2010 Plan Review
1 Plow: 503.639.4171 Fax: 503.598.19b0 p ; Other Permit: I 4•41146
' Inspection Line: 503.639.4175 Date Ready /By: i
„ . Intanet: www.tigard-or.gov CITY OF TIGARD •
Notified/method: ,
BUILDING DIVISION
_ _ _
❑ New constriction 0 Demolition Permit fees* are based on the value of the work performed.
® Additionlaltaation/replact merit Other: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
- --7 _== work indicated on — k 'nd'cated o this application.
1- and 2-family dwelling Valuation: $
El y g ®C ommerctaVindustnal
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builds ❑ Other: Number of bathrooms:
Total number of floors: • _r =_ : ._.:._. : .__
Job site address:16505 SW 72 Ave New dwelling area: square feet
City /State/ZIP: Portland, OR 97224 Garage/carport area: square feet
Suite/bldg. /apt. no.: I Project name: Liberty Mutual Expansion Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: I Lot no.: Petnut fees* are based on the value of the work performed
Tax map /parcel no.:
Indicate the value (rounded to the nearest dollar) of all
_ materials, labor, overhead, equipment, m t labo , and the profit for the
i x_–_ i . _ = – work indicated on this application.
Add (1) Pendent Sprinkler Head at New Wall/ Doorwal that breaks coverage Valuation: $$645.00
Existing building area: square feet
New building area: square feet
- — -z = . Number of stories:
Name: PacTrust Type of construction:
Address:
Occupancy groups:
City / State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State/ZIP: applicant is exempt from licensing, the following reasons
- apply:
Phone: ( ) I Fax:: ( )
E -mail:
Business name: Crossfire Sprinkler Company –_– — . -._ .,:. _.. .... _,
Permit fee:
Address: 17400 SE 82 Drive
City / State/ZIP: Clackamas, OR 97015 State surcharge (12% of penult fee):
FLS plan review (40% of permit fee):
Phone: (503) 210 -5506 Fax: (503) 210 -5538 (Due upon application.)
CCB tic.: 174746 �� 1 110" Total permit fees:
Authorized signsg� '• Amount received: (o3 • a5
ii Amount This p ermit a pplication expires Ira permit is not obtained
Print name: Timothy A Bishop Date: 1/12/2010 within 180 days after it has been accepted as complete.
" Fee methodology set by'ili -County Building industry
Service Board.
I:% Building \Permiits\FPS•Perr°i1App.doc 10/01/09 440- 4613T(11/02/COM/WEB)
1 l,nt A PL.s. ..Irlep
Buildim2 Permit Application
Fire Protection System RECEIVED ] t,u t,. u I .� , t,l Received
Cri c l S wiH i sl OR 97223f AN 1 3 2010 pa Pemnl No.: C 9 • • • • r gl
Mom: 503.639.4171 Fax; 503.598.1 D Other mot: re b • • /`
11 ``� , �t�d w Line: 0 CITY OF TIG Date Ready/By:
Notified/Method:
BUILDING DIVISION
_
--" l _ _ _ _. -_ _ _ _
. — -_ ,. _
- �.,..�_ � _ -- ate' _ -- _ _.. � _.�
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
IS Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
work indicated on this application.
Valuation: S
❑ 1- and 2- family dwelling ® Commercial/industrial
Accessory building Number of bedrooms:
❑ ry g ❑ Multi- family
❑ Master builder ❑ Other: Number of bathrooms:
Total number of floors:
Job site address:16505 SW 72 Ave New dwelling area: square feet
City/State/ZIP: Portland, OR 97224 Garage/carport area: square feet
—
Suite/bldg. /apt. no.: Project name: Liberty Mutual Expansion Covered porch area square feet
•
Cross street/directions to job site: Deck area: square feet
Other structure area: square fat
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
work indicated on this application.
Add (1) Pendent Sprinkler Head at New WaW Dooms! that breaks coverage Valuation: $5645.00
Existing building area square feet
New building area: square feet
-- s _.._ ....
1 �� _ , -- __.._._._ Number of stories:
Name: PaeTrust Type of construction:
Address: Occupancy groups:
City/State/Z1P: Existing:
Phone: ( ) Fax: ( ) New:
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. if the
City/State/ZIP: applicant is exempt from licensing, the following reasons
apply.
Phone: ( ) I Fax:: (
E - mail:
Business name: Crossfire Sprinkler Company
Permit fee:
Address: 17400 SE 82 Drive
City/State/ZIP: Clackamas, OR 97015 State surcharge (12% of permit fee):
FLS plan review (40% of permit fee):
Phone: (503) 210 -5506 Fax: (503) 210 -5538 (Due upon application)
CCB lic.: 174746 ■1111111P . Total permit fees:
lar7 Amount received: (0 • o5
Authorized signs
-�■� This permit application expires if a permit is not obtained
Print name: Timothy A Bishop I Date: 1/12f2010 within t80 days after it has been accepted as complete
• Fee methodology set by Th -County Building Industry
•
Service Board.
1' \euilditgWPami6VP5•PeraitApp.doe 10/01/09 44046131(11/02/COM(WEB)
t M- d-k d A
-Now
iBuiDdiag Permit Application
Fire Protection System RECEIVED
City of Tigard
id Permit No.: 1P
P
13115 SW Hall Blvd., Tigard, OR 97223AN 13 2010 new
Phme: 503.639.4171 Fax: 503.598.18 , Other Permit
s~ ea 503.639.4175 4CITX OF TIGARD dy/"Y: 7i! I
BUILDING Pt~c 2 for
g DIVISION , . Sappkmxaw lero rmatloa
i.
❑ New const vdon ❑ Demolition Permit fees' are based on the value of the work performed,
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteation/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®CommerciaUir►dustrial
Accessory building ❑ Multi-family Number of bedrooms:
❑
❑ Master btailda ❑ Other: Number of bathrooms:
Total number of floors:
Job site address: 16505 SW 72a0 Ave New dwelling area: square feet
City/State/ZIP: Portland, OR 97224 Garage/carport area: square feet
Suite/bldg./apt. nD.: Project name: Liberty Mutual Expansion Covered porch area: square feet
Cross street(directions to job site: Deck area: square fat
Other structure area: square feet
Subdivision: Lot no.: Permit fees" are based on the value of the work performed.
Tax map/parcel hho.: Indicate the value (rounded to the nearest dollar) of all
_ equipment, materials, labor, overlmad, and the profit for the
_ work indicated on this application.
Add (1) Pendent Sprinkler Head at New WaIU Doorwal that breaks coverage Valuation: $5645.00
Existing building area square fat
New building area: square feet
Number of stories:
Name: PaeTrust Type of construction:
Address: Occupancy groups:
City/Statc/ZlP: Existing:
Phone:( ) Fax: ( ) New:
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
apply.
Phone:( ) Fax::(
)
E-mail:
Business name: Crossfire Sprinkler Company
Address: 17400 SE 82nd Drive Permit fee:
City/State/ZIP: Clackamas, OR 97015 State surcharge (12% ofpemtit fee):
FLS plan review (40% of permit fee):
Phone: (503) 210-5506 Fax: (503) 210-5538 (Due upon application.)
CCB lic.: 174746 Total permit fees:
Amount received:
Authorized signs
"-:~W giii-~ This permit application expires ira permit Is not obtained
within 180 days after it has been accepted as complete.
Print name: Timothy A Bishop Date: 1!12!2010 • Fee methodology set by Tri-County Building Industry
Service Board.
1:tBuildiaatPamb\rPS•Pe miMpp.doc 10101/09 4404613T(11MVC0WWEB)
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