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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 11 11 COMMUNITY DEVELOPMENT Permit #: FPS2010 -00138 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/07/2010 TIGARD • Parcel: 2S113AB01201 Jurisdiction: TIGARD Site address: 16290 SW UPPER BOONES FERRY RD Project: Dow Aerosciences Subdivision: PACTRUST BUSINESS CENTER Lot: 0 Project Description: Adding (12) and relocating (4) sprinkler heads. Contractor: FIRESTOP CO Owner: PACIFIC REALTY ASSOCIATES 3203 NE 65TH ST. #2 15350 SW SEQUOIA PKWY #300 VANCOUVER, WA 98663 PORTLAND, OR 97224 PHONE: 360- 718 -8604 PHONE: 503 -624 -6300 FAX: 360- 718 -8603 FEES Description Date Amount Specifics: Permit Fee - COM 12/07/2010 $123.72 12% State Surcharge - Building 12/07/2010 $14.85 Type of Use: COM Plan Review - Fire Life Safety - COM 11/12/2010 $49.49 Class of Work: FPS Type of Const: IIIB Occupancy Grp: B Height: ft Stories: 1 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Hazard: LT Density: 0 Design Area: 0 K Factor: 5,6 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $188.06 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $5,000.00 Residential Square Footage: 0 Fire Alarm Valuation: $0.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Sp; 'alty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is n: started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the/ ules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -00$0. You 'ay obtain a copy of the rules or direct questions . ' NC by calling 503.2 . c or 1.. c Issued B. Vii' Permittee Signature: 1 - Cal • .639.4175 by 7:00 a.m. for the next available inspection date. 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 • Received r ... , Fire Protection System RE cov - FoR oFFIC,E. USE ONLY . City of Tigard Permit No.: I ... `J Tigard OV 2010 Date/By: �I �Ti �Q i r /0 .5a20a 10/14 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.19 Date/By: ( I /'E' / 0 Other PermieCUOX0 a —60 ;2,3 l - I ci `IZ D CITY OF TIGARD Line: 503.639.4175 Date Ready /By: 1u ® See Page 2 for Internet: www.tigard- or.gov IGARD Noti %hod: �! 34 r i� Supplemental Information Ar ING DIVISION 4 TYPE OF WORK I i I V 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 IIKc dition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ,�� Valuation: $ 111 1- and 2- family dwelling Itl"C mmercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder El Other: Number of bathrooms: • JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 (0 41,0 S(A) 0 PPP I'' Nt S Fe/V-4 r--, New dwelling area: square feet City /State /ZIP: 1 . A p b /. 6 r- t 9i z 2- 4- Garage /carport area: square feet Suite/bldg. /apt. no.: 6 a 6 • a Project name: to IA ) A Cs Q.L � E NC€. -7,1 Covered porch area: square feet Cross street/directions to job site: 1 I p� Deck area: square feet W S ■ t b 0 ,1L N n A ! v l �t t w V PP Et Roo iES F 4, Other structure area: square feet I 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 /� ^ 1 /� C DESCRIPTION OF WORK � work indicated on this application. A b b A a 0 JL cA r E f t bErs ,� 5 Valuation: $ 5 , o-p-© ec ESS/ f �d - J n �' �. f2 /� ��3 VEM - Existing building area: square feet lam E - Av - - New building area: j 1 y 5 Z square feet .PROPERTY OWNER ,/� ❑ TENANT Number of stories: Name: IA G 1E1 L 12E Aif t Y C 'f A.L -ria_ 's Type of construction: SV Al &, it \ - s, Address: \ 5 3 5 0 Stn) SG a v o j A p k v\/`i , Occupancy groups: City /State /ZIP: po IL t i _ A , o 011-2-2-4- r 1 Existing: 'g Phone: (5y 3) 1 ,�T - 7 �l ? Fax: ( F� 13) z4- - i 1 S New: B j, APPLICANT ❑ CONTACT PERSON NOTICE • Business name: 1 3- p e...,,„ pA N (1 L_I__G All contractors and subcontractors are required to be Contact name: S G.-e f d A (Z C_ '[-AK ER_ under ORS with the and may be required to Contractors licensed Board under ORS 701 and may be required to be licensed in the Address: S2-03 N E (G Cr= Si! ST, S FA ce Z jurisdiction in which work is being performed. If the City /State /ZIP: VAN �o V a � \ Az , q j6,63 applicant is exempt from licensing, the following reasons / apply: Phone: (o) 118 - S 6 0 4- Fax: : ('360) - 718— $ 603 E-mail: be. b.„ 9 re e- b f t'r e' `' T- e O. co v' CONTRACTOR BUILDING PERMITFEES* Business name: SA 6A E AS A ga V (Please refer to fee schedule, Permit fee: Address: State surcharge (12% of permit fee): City /State /ZIP: FLS plan review (40% of permit fee): y U Phone: ( ) Fax: ( ) (Due upon application.) 77, J 7 I CCB lic.: I S 3 Z -71 Total permit fees: Authorized signature: tef-44-J Amount received: '/q tyC� A - s an._ / f This permit application expires if a permit is not obtained Print name: 2j sEI` ( b .- �� N Date: 1` f ? j / f 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. doe 10/01/09 440- 4613T(I I /02/COM/WEB) 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 2 heads: Plan review required. ❑ Repair Number of sprinkler heads: 12 - t4 �►�►1 1_EI.YATE Additional, description of work: A b b 4 Z& L -ocA - T S T P - - I / A L E IzS Sc.A P I PE g- N rpA i3 (2 Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler Wet ❑ Dry Additional Standpipes Information: Hazard Group D 1-1 '2.. Density Zt� Design Area hi /A. K. Factor 5 , Sprinkler Project Valuation: ' 4 55- dzfv 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: Permit 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 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 (12% 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. T: \ Building \Permits \PPS - PermitApp.doc 70/01/09 2 FIRESTOP COMPANY,LLC 3203 NE 65 STREET, SPACE 2 VANCOUVER, WA. 98663 OFFICE: (360) 718 -8604 FAX: (360) 718 -8603 LETTER OF TRANSMITTAL RECEIVED TO : CITY OF TIGARD NOV 12 2010 13125 SW HALL BLVD CITY OF TIGARD TIGARD, OR. 97223 BUILDING DIVISION ATTN: DAN NELSON RE: SUBMITTALS ON DOW AGROSCIENCES TI FROM: ROBERT GREEN DATE: 11/11/10 INCLUDES: 3 SETS OF SHOP DRAWINGS, SPRINKLER HEAD CUT SHEETS, BUILDING APPLICATION PERMIT CC: FILE X Urgent X For Review X Please Comment X Please Reply