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Permit
/� CITY CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00637 ° v COMMUNITY DEVELOPMENT DATE ISSUED: 1/4/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 113AD - 01900 SITE ADDRESS: 16640 SW 72ND AVE B10 ZONING: I -L SUBDIVISION: OREGON BUSINESS PARK I LOT: 009 JURISDICTION: TIG PROJECT: VERIS Project Description: Fire alarm for TI REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 4,484.00 Owner: Contractor: PACIFIC REALTY ASSOCIATES HSM ELECTRONIC PROTECTION SERVICES 15350 SW SEQUOIA PKWY #300 -WMI 15495 SW SEQUOIA PKWY PORTLAND, OR 97224 TIGARD, OR 97224 Phone: Contact #: PRI 503 - 968 -3300 Reg #: LIC 161567 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [TAX] 8% State Surcha 12/13/2007 $6.72 [FLS] FLS Pin Rv 12/13/2007 $33.58 [BUILD] Permit Fee 12/13/2007 $83.95 Total $124.25 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 exp' - ' work,'. not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requi --s yo o - • *ow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 throug , 0 Ill-0100. You may obtain a copy of these r - • -ct • -s • ns to OUNC by calling 503.246.6699 or 1.800.332.2344. / Issued = I Ati/tta Permittee Signature:1` , j A 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. r ', acs to3Dasrc�Fs f L,GAC:3 ?2.-- Building Permit Application Fire Protection S stem REC�� FOR OFFICE USE ONLY City of Tigard Dat �2 i 3 0 7 Permit No.:2.erM9 37 • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ` 11 Phone: 503.639.4171 Fax: 503.598.1960 E C 1 3 Z 001 Date/By: � Q i (vOther Permit: T 1 It D Inspection Line: 503.6394175 f f WD Date Ready :: / m See Page 2 for Internet: www.tigard - or.gov CITY OF ! i t Noti . - .4k) i1 G / ' / h.. • ( C/. Supplemental Information • BIIIMINGDIVlSION `/ / 4 4 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 ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ❑ Accessory building El Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION � LOCATION Total number of floors: Job site address: , 61t-(O 5L3 7 Z " New dwelling area: square feet City /State /ZIP: 'r ,54-d 0 ( 9 7 Z Z y Garage /carport area: square feet Suite/bldg. /apt. no.: f Z Project name:: Ue,'S 7,3 jL,. 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: 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. pk4 !4 c A l f_ ( 5) /%4 c intA ( p(I l ( Sit 1- �- S Valuation: $ /L/ f ©i, C-1- " � Eisting bui lding area: square feet CO ^ ) a i - �qw� Oi l MQ,•A r i New building area: square feet cg PRPROPERTY OWNER I ❑ TENANT Number of stories: Name: f - 1 - 1 -1 t) 5 r- Type of construction: `' 5 Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: APPLICANT ❑ CONTACT PERSON NOTICE Business name: c l _ 1 c l o e Cia),1 9 ? - ! C t , ' 6 1 / 1 All contractors and subcontractors are required to be Contact name: t f / 4^� C� 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: apply Phone: � applicant is exempt from licensing, the following reasons ( ' ) 7 qg n ^ ? 3 3• ( ) Fax: E -mail: CONTRACTOR ` BUILDING PERMIT FEES* I ' Business name: p91 �� t L f( t6/1 ,,i p.) es � C/ (Please refer to fee schedule) 19-195 5 S W its Fk u Y Permit fee: Address: City/State /ZIP: �i CV^� �� C� Z ti . State surcharge (8 %of permit fee): FLS plan review (40% of permit fee): Phone: (5'0 —33� Fax: ( ) (Due upon application.) CCB lic.: t/i s a 7 `0 if /0 Total permit fees: v ial -Is- Authorized signs w Amount received: _�/ This permit application expires if a permit is not obtained Print name: ,4�= Date: 0. " * within 180 days after it has been accepted as complete. _ Fee methodology set by Tri -County Building Industry • ( 1 S Board p G I:\ Building \Permits\FPS- PermitApp.doc 03/23/06 4404613T 11 /02/COM/WEB ! d ( / Q I C` 1 City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: Type. of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler ❑ Wet ❑ Dry Additional Standpipes • Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: I $ C.) Fire Alarm • Submittal shall Battery Calculations ❑ Yes include: Individual Component `f" Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $187.50 . 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 7,201 and greater $381.50 Sprinkler 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 (8% of permit fee): $ FLS Plan Review (40% of permit fee): $ TOTAL: $ Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I: \ Building \Permits \FPS - PermitApp.doc 2