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Permit ' CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT q :, ' 1 ° COMMUNITY DEVELOPMENT Permit #: FPS2010 00092 TIGARD 13125 SW HaII Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/20/2010 Parcel: 2S101 DA00102 Jurisdiction: Tigard . Site address: 13221 SW 68TH PKWY 010 Subdivision: TRIANGLE CORPORATE PARK Lot: 2 Project: Health Net Project Description: Add (2) fire sprinklers in basement. Owner: FEES GK TRIANGLE CORPORATE PARK III L Description Date Amount BB# 73- 1771- GK1130, CBRE, PO BOX 2096 WARREN, MI 48090 Permit Fee - COM 08/20/2010 $51.09 12% State Surcharge - Building 08/20/2010 $6.13 PHONE: Contractor: ELITE FIRE SYSTEMS PO BOX 26 GLADSTONE, OR 97027 PHONE: 503 - 568 -6235 FAX: 503 - 635 -4232 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: 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 $57.22 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 500 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 Noti ' • - - : Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You • : obt.' . opy of th= rules or dire• questions to OUN •y ca ' • 503.246.6699 or 1.800.332.2344. r Iss ed By: / 01e / Permittee Signature: 1. / A 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. Fire Protection System Building Permit Apgi Wil ED , ,, 'T r . ''' . . ' ' .. ' FOR OFFICE.USE ONLY Q City of Tigard a Received Qi n^ (" 0 Permit No.: d c/5 19/0- FA 13125 SW Hall Blvd., Tigard, OR 9722 - , L 1 3 ® : i , i - Diet" Phone: 503.639.4171 Fax: 503.598.1960 (� < ,� i Date/By: Other Permit: Inspection Line: 503.639.4175 CITY OF TIGARD . •I ... ' , : Date Ready/By: Jun 0 See Page 2 for Internet: www.ci.tigard.or.us BUILDING DIVISIO Notified/Method: Supplemental Information em � _.,- r s y ,. ' .. ` � � ; 0 ir:. . •mss;_ „;` �r�' °� �', ,,, Q f " ; t� , {, '�'2 - *Ti / ��.',�•.� ,, � .zx.e.:: _ .:...7 . - .. _ ;t. -....: c�a ...s - -acc Vie.. �i �r" �: - , . .e ;��.... ^.. :. a� P �- �„- _'. H;;s_. �s.Y� � Y�iII� ..,, ..;4 ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Z. Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the �-` •' - *Y•.,Y�a4 - :e + c `r mss if 4 F"' ��'�� : u0 � 91 � F � . ,�"��� "` work indicated on this application. ❑ 1 and 2- family dwelling ® Commercial/industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder 0 Other: Number of bathrooms: €,. A I il o • - ® V �D�o" °a ; _.°: To number of floors: Job site address: \ 3 1_1 ( Sy „ 68 T ef At�4.. 4 a r New dwelling area: square feet City /State/ZIP: —i— lG r*rz OC'L - - 5 Z. 3 r Garage /carport area: square feet Suite/bldg. /apt. no.BA Project name: `4 ESL; v4 1 ., 4 € Covered porch area: square feet Cross street/directions to job site: $ y t 2Yl 1,,,LCl ro co a -rt+ Deck area: square feet o 1'ad 2..t C (.S A — ,-,,c,..„-.. t Pi 1,? A 24c..t eLc,..._ Other structure area: square feet t., cs i t' © lei u , ` ; - 00111SEXTEEMC ISrP 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 yv , 2 c ri rr .' .., a .,� - ' = Sgt r- - . k `E l: b 5 . .',, �, x a ; > RI : t p i . C work indicated on this application. ' .:r zew�ut..� : tea..- .. a -r �..s... �:. - dtm X :; evm. �` T, t.` ' .�.�..�'; =and ,�+- .�.,a,� C7x.7 Valuation: $ A00 2 S e 2k..<<-c..t_tr2. S 5 O . Existing building area: square feet New building area: Z 3 8 square feet -- i `• .M p �R ii : as ...,t ' ,.. in Number of stories: (; S ME.N i Name: Type of construction: co tV c. . (sr .E L Address: Occupancy groups: Ot;t t Le_ City /State/ZIP: Existing: Phone: ( ) Fax: ( ) New: z a `' J ,.... � 1' e `°r. . , t > �? any QUA/ g w 6 1� . y 5 o rs F Qs4.# : a a a - . m . �._ n _ , 7ss n a _ s ,.sal g..:. 't , ,,, ,, . ®TslCE ; w � ` Business name: Lk l t_ is t (Z ,(L S YST E.(wt S L .C. , All contractors and subcontractors are required to be Contact name: R t Ltd Imo. �� t Q tv�Z licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: k a CaZ O W % t.-%.. AM E: T (' g, # 10 2, jurisdiction in which work is being performed. If the City/State/ZIP: applicant is exempt from licensing, the following reasons ‘ACE S L t AI N. 09.. 9 7 OG8 apply: Phone: (5 . 4 7 5 5 —11 O Fax:: (5 4 - s 5 . 4 Z. 3 2. E -mail: E` Tel t R 0__SY S i 6.-INk S e° AtioO . O Business name: s (. tM W F i liV 1 D k I,r $ * ri kit' :ie<sw.1 :F^.n FArhi if ... -ter Address: Please refer to fee schedule. City /State /ZIP: c 9 Fees due upon application 51. Phone: ( ) Fax: ( ) Amount received 4 le • ( 3 CCB lic.: \ - 110 - 77__ L Date received: J 7 a' Z Authorized signature: , — / This permit application expires if a permit is not obtained /// within 180 days after it has been accepted as complete. Print name: t2 661 AZt] (3 (Nip ER _ Date: B — Zp — (v * Fee methodology set by Tri- County Building Industry - Service Board.