Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2010 -00076
T t G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/11/2010
Parcel: 1 S 136 DC04400
Jurisdiction: Tigard
Site address: 11945 SW 70TH AVE
Subdivision: DARTMOUTH SQUARE Lot: 30
Project: TVF &R Command Center
Project Description: Fire Alarm for TI.
Owner: FEES
TUALATIN VALLEY FIRE & RESCUE Description Date Amount
20665 SW BLANTON ST
ALOHA, OR 97007 Permit Fee - COM 08/11/2010 $379.22
Plan Review - Fire Life Safety - COM 07/22/2010 $151.69
PHONE: 503 - 649 -8577 12% State Surcharge - Building 08/11/2010 $45.51
Contractor:
E C COMPANY
PO BOX 10286
PORTLAND, OR 97296
PHONE: 503- 224 -3511
FAX: 503- 295 -3012
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: B Height: ft
Stories: 3
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Yes Alarm Type: Automatic
Pull Station Required: No Smoke Detectors Req: No
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $576.42
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 0
Residential Square Footage: 0
Fire Alarm Valuation: 30000
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 50, • •9 or 1 : r!. 322344
Issued By// i • 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.
Buildin ' Permit A t t lication
Co 1. ercial .5 V\15) FoR OFFICE oNI.,v'
City of Tigard ,. O DatRe/Bea Permit No.: <r!�
° 13125 SW Hall Blvd., Tigard, OR 972234 `1,0 Plan Review ► ' *" ram,
0 .. 1 Permit: £ , `� q ) Date/B : � 1 Other
`'�rA
Phone: 503.639.4171 Fax: 503.598.1960 • do t o o di ,
r 1 G n It D Inspection Line: 503.639.4175 , +rp� Date R . y l: y: tuns: See Page 2 for
Internet: www.tigard- or.gov `4 ^s K �e ` , ! // I M 7/ — Supplemental Information
\ e
TYPE OF WORK 31`- 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
® 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: 11945 SW 70 ave New dwelling area: square feet
City /State/ZIP: Tigard, Or 97 Garage /carport area: square feet
Suite/bldgiapt. no.: Project name: TVF &R CBOC 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.
Install Fire Alarm Valuation: $30,000.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Tualatin Valley Fire & Rescue Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name: EC Company All contractors and subcontractors are required to be
Contact name: Adam Hanson licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 2121 NW Thurman st jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97210 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -3511 Fax: : (503) 295 -3012
E -mail: adamh @e -c- co.com
CONTRACTOR
Business name: EC Company BUILDING PERMIT FEES*
Address: 2121 NW Thurman st (Please refer to fee schedule)
City /State /ZIP: Portland, OR 97210 Structural plan review fee (or deposit):
Phone: (503) 224 -3511 Fax: (503) 295 -3012 FLS plan review fee (if applicable): 151.69
CCB lic.: 49737
Total fees due upon application:
Amount received: r ell. 73
Authorized signature: This permit application expires if a per t is not obtained
s within 180 days after it has been accepted as complete.
Print name: Andrea Stinget - ThZ : 10 * Fee methodology set by Tri-County Building Industry
Service Board.
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