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Permit
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CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT ':_ COMMUNITY DEVELOPMENT Permit #: FPS2009-00084 TI GARI7 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/06/2009 Parcel: 2S113AC00103 Jurisdiction: Tigard Site address: 7204 SW DURHAM RD 300 Subdivision: Lot: 0 Project: Consumer Cellular Project Description: Fire alarm modification Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 Permit Fee - COM 10/06/2009 $62.50 PORTLAND, OR 97224 12% State Surcharge - Building 10/06/2009 $7.50 PHONE: 503 - 624 -6300 Plan Review - Fire Life Safety - COM 10/06/2009 $25.00 Contractor: T & L COMMUNICATIONS INC PO BOX 87387, 2800 NE 65TH AVE SUITE A VANCOUVER, WA 98661 PHONE: 360 - 737 -9725 FAX: 360- 737 -9648 Type of Use: COM Class of Work: FPS Type of Const: IIIB Occupancy Grp: B 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: Yes Alarm Type: Automatic Pull Station Required: No Smoke Detectors Req: No Battery Calcs Provided: Yes Cut Sheets Required: Yes Total $95.00 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 0 Residential Square Footage: 0 Fire Alarm Valuation: 1252 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility ification - ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may o- a a copy of the rules or ect questions to •U syc. g 503.246.6699 or 1.800.332.2344. Is ued By: . .I Permittee Signature: ✓ 1 Call 503.639.4175 by 7:00 a.m. for an inspection that busines ay. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Ho <n 3-E-4-c_ 1 5 trcbz_ -- /q69 S uJ O (ha v v v- c: _ Fire Protection System Building Permit Applica E DEIVE FOR OFFICE USE ONLY _ City of Tigard p 017211611,11 P'y 1 0 2009 Received Permit No --IQ ' f 1, r . DateB ' i 13125 SW Hall Blvd., Tigard, OR 9 Plan Review � T , Phone: 503.639.4171 Fax: 503.59$.19¢ VF TIGARD Date/B ` 1 ` (© � Other Permit: T[GARD Inspection Line: 503,639.4175 CI I 1 Date Rear.: See Page 2 for Internet: www.tigard or.gov BUILDING DIVISION Notified /Method: M� Supplemenlal Information ... -- ,";:,' • z. _ lip, v ... .,:.:... o.=1 � ; �.•�: �,�.;, "•x €, O UIRED = D'ATA1= 'AND'2= FA V W -�: „ =: cuF, ,;��' � :• i.b., = >? a "` REQ, rD ELGING 's , ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all D Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the Mitt -:. , ,zr,= ,,.•�, ;:weuki.-ss ";:5�•ssif :g:,:,;• R ",i+T i:Z =. °��, ±��? ; i'� °s�'� a° � ��„ ,.s �:.,�, s�,,,,,, � = >2 work indicated on this application. . , ` ` : _ .,: , CA - U,RY v � CONSTRUCTIOIV ' `' - ;,' : i,'• . :x,.:;,, - `,- tip,,.- ;ter- . =�.� .. .. .: ... ... .... .�:�a � ✓ >rv�q_s• �i',E ¢;<� �s :� 4-... El 1- and 2- family dwelling El Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ' Total number of floors: ; ;x,s. C.;, ot* v;,,v.v.t. } ,. ,.r,- , .:z ";;'< €°' x' ` ,M,,, SI :,;.4 F'OR1VtAT10N AI1' < „ . , ;, ,,e; Job site address: 7204 SW Durham Road New dwelling area: square feet City /State /ZIP: Tualatin, OR 97224 Garage /carport area: square feet Suite/bldg. /apt. no.: 300 Project name: Covered porch area: square feet Cross street/directions to job site: C A. t.4./ f,2 ect.t -t-a-evz- Deck area: square feet Other structure area: square feet i REQUIRED D9 ;CO114Mt r REIk - USE.CHECKEI'ST: 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 ::.; la;:> 3 ;.,, ,> „ and the profit for the a :?:; .. ; T.: :, -,. > work indicated lication t on this application. �.,- _E .:-:. -�. �;��,,�DESCRIPTION,OF' WORK; E,, � ,''�,,;,,:, , . � =,F PP Fire alarm modification for tenant improvement Valuation: $ 1,252.00 NI__ ( 4 A7 57720 ( ) s r Existing building area: square feet New building area: square feet <: i. =,�r.PRO$ER`1'Y- 'QWNER<xt' , ; •„ � "xEA NT-= •,� %i> , Number of stories: ,;,�.',. � &i't`;' :t'4•' a `'era "fie`:. ^ , Name: Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: �, PPLICANT , ,,,, �> A.a,._..,,a` � ",�..:«:a:. =, =� ,•.,,., ,�, .,.� Ma.� , A �;:.,,. ,,,, �,; � , „ ,,,: ,,, ,.� ., CO1VCT :I'ERSONc' g ; ., .. ,.. .. .,, r... .,, rt ,, .. ,..,..,. >:., ,,. .. -, ... ,r...._..._ ....... .. ... .... .,, mss:.;': ����. `` ::� vai4 fig; .. � � - �N. .�;- ::, -:� Business name: T &L Communications, Inc. All contractors and subcontractors are required to be Contact name: Ross Bushaw licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: PO Box 87387 jurisdiction in which work is being performed. If the City /State /ZIP: Vancouver, WA 98687 applicant is exempt from licensing, the following reasons apply: Phone: ( 360 ) 737 -9725 Fax: : ( 360) 737 -9648 E - mail: office @tl- communications.com .,- - , - _:,: ; a..,,,, : ... •,:....,,: Sy r ..., 7,,,,,„, - >;BtR[:DmP;ERMIThFEES:.. : i;, Business name: T &L Communications, Inc. '` ; ' :k4' '•' •• (PleaserefertafeeMiedule) r - ,011: : ,- .,Gi Permit fee: 6 .2.5 V Address: p0 Box 87387 City /State /ZIP: Vancouver, WA 98687 State surcharge (8% of permit fee): , 5 FLS plan review (40% of permit fee): Phone: ( 360) 737 -9725 Fax: ( 360) 737 -9648 (Due upon application.) a, _ •C,O CCB lic.: 67787, Portland Metro 6981 Total permit fees: 9 d Authorized signature: (') Amount received: This permit application expires if a permit is not obtained Print name: Larry Bus W Date: 09/08/2009 within 180 days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board. I:\BuildingWermits \FPS- PermitApp.doc 03 /23/06 440- 4613T(11/02 /COM/WEB)