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Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit #: FPS2010 -00004 T t G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/29/2010 ,, Parcel: 1S1260000300 Jurisdiction: TIGARD Site address: 9451 SW WASHINGTON SQUARE DR A16 Subdivision: Lot: 0 Project: Vans Project Description: Add and /or relocate approx. (44) fire sprinkler heads. Owner: FEES PPR WASHINGTON SQUARE LLC Description Date Amount 2235 FARADAY AVE STE #O Permit Fee - COM 01/21/2010 $145.24 CARLSBAD, CA 92008 12% State Surcharge - Building 01/21/2010 $17.43 PHONE: Plan Review - Fire Life Safety - COM 01/21/2010 $58.10 Contractor: WYATT FIRE PROTECTION INC. 9095 SW BURNHAM TIGARD, OR 97223 PHONE: 503 - 684 -2928 FAX: 503- 684 -9657 Type of Use: COM Class of Work: ALT Type of Const: IIB Occupancy Grp: M Height: ft Stories: 1 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Yes Hazard: ORD1 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 $220.77 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 6530 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 Utilit . ification - . -r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or . irect questions to 0 •y a 'ng 503.246.6699 or 1.800.332.2344. I. sued By: ( i /0 / r , / Permittee Si. ature: • Call 503.639.4175 by 7:00 a.m. for an inspecti n that • ess 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 ^ FOR OFFICE USE ONLY M il City of Tigard DateB d Permit No.: '1 13125 SW Hall Blvd., Tigard, 0B C Plan Review "„"`'' Phone: 503.639.4171 Fax: 503.5983 1V 11 p 1 2010 Date/By: .• I/ 10 Other Permit: Ap /�/N TIGARD fied Inspection Line: 503.639.4175 Date Ready By: / /G� luris• 0 a Page 2 for Internet: www.tigard - or.gov Noti/Method: J / Supplemental lnformation t'ITY OF T9 �y '/'/r _ TYPE G O , v 1 S O B4.7 REQUIRED DATA: 1- 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 ddition/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 commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 9 4/51 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: / t 51/d ),AJ 45'1/llaIN/ D . New dwelling area: square feet City /State /ZIP: .f a/ -gyp 1 9 ,7 12, -- 3 Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: VA-MS C WA () . 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. �.r- Valuation: 5 6 / 5� e' P � /A i Ji � /�?/ J Cam'`/ ) -� J 4 � t Existing building area: square feet n �� !t 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: pr.PPPLICANT ❑ CONTACT PERSON NOTICE Business name: 6 �e.. :revz__ 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: CONTRACTOR BUILDING PERMIT FEES* Business name: 1 /`+ 0.1-1 f/, p,e0 -2) DAJ (Please refer to fee schedule) �J n y� Permit fee: 1y /?6. -. 2T Address: go 95 s ui 804, /+ sr .� p� State surcharge (12% of permit fee): /7. 1/3 City/State /ZIP: 6 'i e / ©//� L / 711-- 7 ) FLS plan review (40% of permit fee): �g . /0 Phone: (5D3) l9gl�- zZB Fax: ( 503) 05 j-- 965 (Due upon application.) CCB lic.: CO 107 7 Total permit fees: 1, / Authorized signature: • Amount received: 4 .9 , n,, 7 ? This permit application expires if a permit is not obtained Print name: at56((j ., `('"! f' Date: ©/ — 20 -/ 0 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I: \Building/Permits \FPS- PermitApp.doc 03/23/06 440- 4613T(1 l /02 /COM/WEB) Building Permit Application Fire' P rotection System )f FOR OFFICE USE ONLY • City of Tigard / Permit No Received n iil y g RE DateB Al /1G �irr„ ° 13125 SW Hall Blvd., Tigard, 0 Plan Review' •.,. a , t ' Phone: 503.639.4171 Fax: 503.598. n 1 2010 Date/By: (ANN) 1 ( 10 Other Permit: f. TIGA Inspection Line: 503.639.4175 JI B Date Ready /By: j /� Juris: 10 See Page 2 for +i :` Internet: www.tigard- or.gov Notified/Method: ADD fied/Method: i' / Supplemental information c► � OF T ! 7 . ^'' . m y /�/1.. Ql �i1R �� +;+ . � �` � s rt•s��`��" "i ..j � � �0 , � ° � y '� ,r �,4.. r ;,E ' R' f'H U1RFrll'tDATA 1 A�F >AM:[L� DWE INC �"� ^� ' "ii ,' :.- „i -1 7Y .7r ,.�' . RCI,'t` .�.: A A � ; s i z Q� �s,.s 14 . zsa 2 t c . l � rr_w � ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all lddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ?' t t* x " 1- x.- : 'r, 1` te --, } .4 , r i work indicated on this application. . ,. x � "` gc .N I-; i CATECORYe , OF�C O N * r e - ., e .. c 4t w .:: . t . ? " . Valuation: $ ❑ 1- and 2- family dwelling •commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 'Y f�'"z'4, n�fl",,•�`--•.,9"!;ci 3 . v t ' 3- iJOB SITEJANFOKMATION A�Nall i gi ' floors: �.w.,�'R' rn ...�5 % �' �ar� u� :xsr,,t���:r�9a.�.�..wr.�, _-.0 nA.'��a`..r rrr_, .1.a., ,a rtrt11 �c.� ?� Total number of Job site address: 9 . Sid WAt5WA'j0g 1) New dwelling area: square feet 1 City/State/ZIP: -ii G A- 2n ` 0g_ 9 -7 Z - Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: VA-A150 J,4 5g . Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet �� , $`r �',: ,� ..yam. REQUIRED A = TA COM T.It adEfrISE I Subdivision: 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 a -l.a b, r "iskikyYf M xy;.x!N +w : 8i:• -- aa . .° a,r 11 r> - �r r ,r. R, work indicated on this application. +, y , �,�,., f' x s• .: DESCRIPT ONOF WO ti{ b 4)9 t9x. R LOC/t-�t ti f / ✓4-- 44 Valuation: $ 6 5 .e...) , P / t ;/L ` 3 e / " ! ,- i 1,4� Existing building area: square feet i !� C `" , New building area: square feet p�0 r r T &N T, ' ` ` , t Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone: ( ) Fax: ( ) New: to }g( --a.. ec i nr sec i M, `e u ® „� ast{y� is x r i-• -'3:t c t. n.. r e c v "''''1P...17- CO tPERSON e • a- „ . � � 3'� � ��. » ._ `�, +' .uv.�...< x«,x .-faielza�x'A�„j wr `. a,r.. :�'! . � t � "" t " a w ar ; . t;f :€- ,��,.��.;e. ,.,., ``�,.. � , _. , , , ts . � 'E• N.� ...' ;'" .r Business name: W/(7 1 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: 4 . gi p• .:, : . V Yr _ -..,'` '#,ii..kj rx 'f:�t e �+.j�r• -� ,,,�.5 « T s ,�t° y t . —$V CONTRACII O.R ix' l ' : 4 BUILDIN ` �� try .. � `�f.: , � ��...� .�..`, A -� ,- I'�RMIT�Fs,EFS ,• � ..-s , ° .a. r..t ,. a. -.. u.:.. ,.�.... >, P .,.4Fai"..� ?. ex.me y.�, a. . t: ., �. «. 1 . .gz t *'� j : t T �, m g ,�. t k j Y4 i yf �� r c ,) 0 � ti A'' «.l (P.leasetrejcr,t f d�tle1.x �� Business name: r �(� go 95 sv/ B , . I' �� Permit fee: �l�s� Address: J / �- / u State surcharge (12% of pe p, tY 6 � J o/L / 7 Zz mvt fee): /7. y3 Ci / State/ZIP: FLS plan review (40% of permit fee): � / Phone: (5(23) ,14L zgz0 Fax: ( 593 &5¢- 9657 (Due upon application.) CCB Iic.: Co #07 7 Total permit fees: A a /� 1 ' Amount received: it aao .i1 Authorized signature: j e , / I , ) This permit application expires if a permit is not obtained Print name: (J4' / (�� / -/f4/) I Date: D/ — 20 -' 0 within 180 days after it has been accepted as complete. * Fee methodology set by Tri -County Building Industry Service Board. 1: \Building\Permits \FPS- PermitApp.doc 03/23/06 44 0- 4613T(I I /02/COM/WEB)