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Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 0 COMMUNITY DEVELOPMENT Permit #: FPS2010 00112 T GAB D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/24/2010 Parcel: 2S113BA00400 Jurisdiction: Tigard Site address: 7632 SW DURHAM RD 300 Subdivision: Lot: 0 Project: Optum Health Project Description: Alteration of (9) sprinkler heads Owner: FEES BEHRINGER HARVARD WESTERN Description Date Amount PORTFOLIO LP, BY EASLEY MCCALEB & Permit Fee - COM 09/24/2010 $64.54 ASSOCIATES I, PO BOX 190700 12% State Surcharge - Budding 09/24/2010 $7.74 PHONE: Plan Review - Fire Life Safety - COM 09/24/2010 $25.82 Contractor: PATRIOT FIRE PROTECTION INC 4708 NE MINNEHAHA ST VANCOUVER, WA 70822 PHONE: 360 - 699 -4403 FAX: 360 - 699 -4485 Type of Use: COM Class of Work: FPS Type of Const: Occupancy Grp: Height: ft Stories: Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet 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 $98.10 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 1000.00 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. AU 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: 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. CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT e • COMMUNITY DEVELOPMENT Permit #: FPS2010 00112 T I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/24/2010 Parcel: 2S113BA00400 Jurisdiction: Tigard Site address: 7630 SW DURHAM RD Subdivision: Lot: 0 Project: Optum Health Project Description: Alteration of (9) sprinkler heads Owner: FEES BEHRINGER HARVARD WESTERN Description Date Amount PORTFOLIO LP, BY EASLEY MCCALEB & Permit Fee - COM 09/24/2010 $64.54 ASSOCIATES I, PO BOX 190700 12% State Surcharge - Building 09/24/2010 $7.74 PHONE: Plan Review - Fire Life Safety - COM 09/24/2010 $25.82 Contractor: PATRIOT FIRE PROTECTION INC 4708 NE MINNEHAHA ST VANCOUVER, WA 70822 PHONE: 360 - 699 -4403 FAX: 360 - 699 -4485 Type of Use: COM Class of Work: FPS Type of Const: Occupancy Grp: Height: ft Stories: Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet 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 $98.10 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 1000.00 Residential Square Footage: 0 Fire Alarm Valuation: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By4 Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application -4 Fire Protection System � • v o R o r r E (:1_ L;s E: 0.1.\ REC Received City of Tigard ,$,.. e _ Permit No ' o ^OOU�- 13125 hone : 503.639.4171 Fax 303.598. S50 Hall Blvd, Tigard, OR 97223 19 60 Date/By: S EP 2 4 2010 p� Rt Phone: Other per: 4 0 'G g 40 c; ; n Inspection Lice 503.639.4175 CITY OF TIGARD Date Ready/By 'UM Se for Internet: www.tigard-or.gov , NohfiedKKtetliod 11C ® a m Supplementallnformauon BUILDING DIVISION TYPE OF WORK 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 IgAddition/alteration/replacement ❑ Other equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONS UC.TION work indicated on this application. ❑ 1- and 2- family dwelling mmercia1industrial 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: "76 _y fjW r r 744-A---iv. ej /L%-j New dwelling area square feet City /State/ZIP: - l ( 6 7 i',4 12.-3 I Cs. 7 7.-Z- S carport area: square feet Suite/bldg./apt. no.: I Project name: c - P(u in 1-I £ (--T t-' Covered porch area: square feet Cross street/directions to job site: Deck area square feet Other structure area square feet REQUIRED DATA: COMMERCIAL-USE CHECIO.LST Subdivision: I 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. At DO C T `']p 1 e t /t- 5 u tCt. J Valuation: $ t 1 O+, o L) A - S Grt ' , �� S (: ae,t�` 6;c(-, ( k--)e--r— Existing building area: square feet wtF� S L-f Tt�' New building area square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of constriction: L Address: Occupancy groups: ©R t C City /State/ZIP: Existing: L1G� µ 0-2. Phone: ( ) Fax: ( ) New: Lt. e-7 C 1-t - 0 M PPLICANT ❑ CONTACT PERSON NOTICE Business name: p -rp__ tc, T I-^l p L r T - IL 9e . All contractors and subcontractors are required to be � Contact name: �F cci(- -1._, l KJ% licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 4'7c' g L.j r- ff__ i v..1 tJ OA t4 AA jurisdiction in which work is being performed. If the City/S Z1P: iL 1,_t_ . w A eL G q applicant is exempt from licensing, the following reasons Phone: GC3) 22:2... Cod° 1 Fax:: ( i(,) 6 l 1 44 ta E -mail: CONTRACTOR BUILDING PERMIT FEES* Business name: 1) ., (t,-r .- l R- 6 )- -- c. loc, (Please refer to fee schedule Permit fee: Address: State surcharge (12% of permit fee): City/State/ZIP: FLS plan review (4090 of permit fee}: 1.bone: ( ) I Fax: ( ) (Due upon application.) W -7O o2,Z 'rp CCB lie.: ` Total permit fees: r / 0 �� rte► 6 Authorized signature: Amount received: 90 . D / This permit application expires It a permit is not obtained Print name: � c' c LL_ l �S 1 Date: q Z'S `G 1 1811 days after it has been accepted as complete. witidn • Fee methodology set by Tri-County Building Industry City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: I.) ❑ New 2.) Modification to spruller heads only: I Addition 10 heads: No plan review required. ;4 Alteration /❑ 11+ heads: Plan review required. ❑ Repair q� Number of sprinkler heads: f Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler Wet ❑ Dry Additional Standpipes t4 f/- Information: Hazard Group La l Density , (ZD Design Area K. Factor 5 • Sprinkler Project Valuation: _ $ 1 CC,c.> B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes _ Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone System) Square Footage: Pen Fee: 0 to 2,000 $198.75 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 7,201 and greater $404.39 Sprinlder Project Square Footage: sq. ft. Fire Protection Permit Fees Project valuation subtotal (see A, B & C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (12 % of permit fee): $ FLS Plan Review ($0% of permit fee): $ TOTAL: $ Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. http: / /www.tigard- orgov /city_hall/departmenu /cd /docs /FPS- PermitApp.doc 10/01/0