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Permit y CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit #: FPS2011 -00142 T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/22/2011 Parcel: 1 S 135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 150 Project: Corvel Healthcare Subdivision: METZGER, TOWN OF Lot: 9 Project Description: Alteration of 1 -10 sprinkler heads. Contractor: AFP SYSTEMS INC Owner: LINCOLN CENTER LLC 19435 SW 129TH BY SHORENSTEIN PROPERTIES LLC TUALATIN, OR 97062 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503 - 692 -9284 PHONE: FAX: 503 - 692 -1186 FEES Description Date Amount Specifics: Permit Fee - COM 11/22/2011 $51.09 12% State Surcharge - Building 11/22/2011 $6.13 Type of Use: COM Plan Review - Fire Life Safety - COM 11/22/2011 $20.44 Class of Work: FPS Type of Const: IIB Occupancy Grp: B Height: ft Stories: Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Unknown 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 $77.66 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $500.00 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. 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 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / lX Issued By: z•( / Permutes Signature: ®`Y ,Z. // / Call 503.639.4175 by 7:00 a.m. for the next available inspection date. �/ J ` 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. NOV -21 -2011 MON 02 :58 PM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 02 RECEIVED BuildIn„ Pernnit Application NOV 21 2011 Fire Protection System von Ohri(�h: USI ()Nis City of Tigard CITY OFTIGARD Re Dotal : ea i/f , rcrefinuN.. :S • %, - a i3t25 SW Hoe Blvd., Tigard, oll�m DIVISION Plan Rerial t jttfv"lp /f 0002 yte ! Phone: 503.639,41.7..1 Fax: 509. Datc/By: OiherIb - rRiAit)) Inspection Lim: 503.639,4175 DatoRendyfRy; Owl 61 See Pap 2for Internet: www.tigard- or.gov Nopfied/Mothod: SupplementalInforntntlon ... ..............•..vi.c .,. :,..�� .,. ,. .. ,.. ..T.,.... .iiti.ga..l..,r••,A ......,, .,...rl::d, .. .,. ..,,g•Kk. k W . ..,.. r'f !..4 ., L 0 New construction VI Dctnolition Permit fees' are based on the value of the work performed. $tdicate the value (rounded to the nearest dollar) of all n Additlon/alteratlon/ replacement ❑ Other. equipment, matelots, labor, overhand, and tic profit for the -,; 4;: d; a; �y.:., iy �: ,:•. al, p.,.:�:,r :,:.,�a „�rv., a .9[I,,•;.e'... .: � +�.!;v ,., .;ram v. . ,,n:h'�r 1 . , � � work indicated on this application. l i ��,: ` , '1 - +, ,n ,4,iI7•. . COkI liX1G” r0�y: "' „•�. ? gar it :l ',:; Valuation: S El I- and 2- family dwelling Co mercinl /industrial -- 0 Accessory building 0 Muni-family Number of bedrooms: © Master builder 0 Other: Number of bathrooms: l I 4 1 f �y r 'l7i x , 4 �' YI 7 J_4 v. i Total number of floors: ' r as „ . r ;� .,�_,.•' � 13 JSJ,�� ��;a>�,�rr,��ly ���? rl h 6 ..,c: 9 r � ;' + •._,•.�:..` Job site address: 1'O z +V cy l e a 3.,_.r Cl C L . a., ra tiz. New dwelling area; square feet City /State /ZIP: ; , .. � c , Cj'7 x Z Gara &e /cavort area: square feet Suitc/blclg./apt. no.: 5 /SO j Project name: Cc) c v tom\ Covered porch area: square feet Cross street/directions to job site: Peck urca: square feet Other structure area: square feet — *.f),V.J TD;1Ri,.Tig:,CO : 04.0c4 S Iii 9T Subdlvtlo: tot no.: e value ((rounded toverhead, th nearest no.: of the work, performed. Indicate th enrest dollar of all Tax map/parcel q i pment, materials, ls, labor, and the profit for the ut ',!, ;;i,! , H I"i: „ , ! i, n � r t �) luii �// yyt gtr „ 1 r! + � � !S ' i : nclicttted on t his application • : ,�FSC�ITY ,ll l.•,r 1 ,�• :0 , 11 r P Work i — .. Valuation: $ 0'0 —4 • Existing building urea; square feet Now building area; square feet ';; F. ; .',I , 5:: '`i .,, ROP. t TY ".. ,N . NIi> ;u, ,. i, „ „ . ..i: r F A1�iT,,, S i lii!t. i ?;i Numberafatories: r •L. �:•� ,,..''':,...'iv: � L . .( �.,... SA. rF +< .,,. �':,.ra: *p, �I 1, ,f;: Nome; Typo of construction: ar�j Address: Occupancy group ,/.; City/Slate/ZIP: E - xiating: Phone: ( ) Fax: ( ) New; ___ 61 -, ;2 ,,,,„ :5 Air i i y 4 8 r' ,s'c 'r p .r � r r 4 ',r i '.. :, �1�.1 4� ;$. l', l i �Irl'.I.4 .r�1..il: n Y � 47.�> F-,'r�!'l -440! • �f41 r r ,'�I r�,1 I y M�'".g 1 � • �,�. tl ' 4 1! r r , ∎ „ �w..;.� 6 a.,... --� �'; I .'. -1r_ �: }�4r ar "'!,o, ,, d i ` , 'I�a , i'•Ql�.,._.,.aA 1 1,, ) ` it Business name: ca ,51 \ e _„ All contractors and subcontractors are required to be Contact name: 011.- „Si I licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to he licensed in the Address: % % It 6 4 , 1 0 rL.1- \--- &y c_ jurisdiction In which work is being performed. if the City /Slate /ZIP' 'TO \ % r� 0 . at " C 7— apply ant Is exempt from lIcenshrg, the following reasons uP Phone: (T ) C:. -- 9'ZA O s . 1 Fax: : ($3 '5) tsc t - t‘ ( -4 _ E -mail: ;,a:a, ' ; , rte : ; •,,, ,,; . .n.' ;r -a :. �:, ., :r:. ; : r ,,, •_ 1 • 11 1 I ,. /�/� ' n (1�r'(� f } i , '; < �¢ fit, I r - 4 'fi -h .. . .,.,`'"� } r �� 77 r�, tit ` 1 , «•; 4. �.:•u;•^ a �• , t •, fi t(:,; , r ! , : q ,' 7 1 ,.1 I 1+V � F \A h'A T # ;I i 1 ' 1 0' 7 7 F I 1 1 ::,; I , .1 41,. fir f ,.,1 g ` t0 f h0 ), `A S.”: , l � .11n :,. , . ' or i , •, r _ ! ;:a � ' (PlehreieJ'��'ro7L ,4iek t__`I: Business name: 7 p •., � fit. r.-e5 I 1 ( '1 4 ' — - Permit tee: Address: ICd IA, 3€” S1rl yell r 1,. A e,, —, State surcharge (12%ofpennit fee): — ,- City/Stale/ZIP: �"'a` G� " n 0 e -' qi 0 �? FLS plan review(409'oofpermit fee): hone: G Q? Vi l_ . 2,,,r1f �CA Ito.: { 44 _ Tax: (,jO )� p�Z iI� (Due upon application.) Total penult fetes: Authorized signature: 1 Q'.,. s Amount received; '7 ? (p� i '/ 7 This permit application expires if a permit Is not obtained I feint name: Ik kg 01.,,0.,,ti I Tate; i (!» 1 t ) I within 180 days after It bus been accepted as emnplete. — + fee methodology set by Tri- County Building Industry Service Board. • r:laulldin kibrmhOPP3•ParmitApp. 0)/3!06 490- i613T(1)/07/COMAV6a) NOV -21 - 2011 MON 02:58 PM AUTOMATIC FIRE PROTECT FAX NO, 5036921186 P. 03 City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information DeRCt•lbe.;tviii:lt to.be,donr:: 'r::'':: .::........... ,,,, •:.::::::,:: ........ 1.) 0 New 2.) Modification to sprinkler heads only: Q Addition Kt 1 - hcads: No plan review required. E;) Alteration ❑ 11+ heads: Plan review required. ❑ Repair. Number of sprinkler heads: _ Additional description of work: ;Type;of System ( :A''B'C''oile.) ai? .:... cable :'':'!'; -;:,: > r.:,:;.:.;:, , •,;,w';; >,; 'A) Qmjitersaal Wet Additional Standpipes Information: Hazard Group Density Design Area K, Factor S riiildet Project Valuation: $ B;).;i X j F.:Hood Frie Soppzeasion S slew •.'::.. . 13ood Project Valuation: 1 ( ), Fite Alai in Submittal shall Battery Calculations _j Yes include; Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ ., . ., :aa:.'::: J:�ti:;;': .;iii • !i+ifr: D` .0 P iri+4l:S rinitl . t . ),!� ............... o. S ti Alo a ,., • _ .,, , S rare Footage: Permit Fee: 0 to 2,000 $ 187.50 ,: <,;:: Sfry - ::i%i' 1 3 600 3na i; j k «: 2,00 to � 232.50 3,601 to 7,200 � i a - $ $292.50 7,201 and greater j $381.50 Sprinkler Project Square Footage: eq. ft. '`� k' oisct, a ,Peziii t: Fece � •<.,, i ,' Pro ect valuation, subtotal see A B & C nbovcj $ Permit fee based on project valuation (sec 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 plane at submittal. Plan review Fees arc required at submittal. t :\ Building \Permits\ PPS.PrrmitApp.Jor 06 /25/09 2 - 11gartl, vt e uu t �r 503- 639 -4171 ••'o id'nrri AUth.rina 03/03