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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT II I ' • COMMUNITY DEVELOPMENT Permit #: FPS2012 -00025 T i GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/22/2012 Parcel: 2S113AA00700 Jurisdiction: Tigard Site address: 16444 SW 72ND AVE B5 Project: Spec Space Subdivision: ROSEWOOD ACRE TRACTS Lot: D Project Description: Add (6) fire sprinklers to existing system. Contractor: FIRESTOP CO Owner: PACIFIC REALTY TRUST 3203 NE 65TH ST. #2 ATTN: N PIVEN VANCOUVER, WA 98663 15350 SE SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 360 - 718 -8604 PHONE: FAX: 360 - 718 -8603 FEES Description Date Amount Specifics: Permit Fee - COM 02/22/2012 $77.99 12% State Surcharge - Building 02/22/2012 $9.36 Type of Use: COM Plan Review - Fire Life Safety - COM 02/22/2012 $31.20 Class of Work: FPS Type of Const: Info Process /Archiving - Sm $0.50 (up to 02/22/2012 $0.50 Occupancy Grp: B Height: ft 11x17) 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: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $119.05 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $0.00 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. u may obtain a copy of the rules or direct questions to OUNC b calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspect' n 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 Fire Protection System RECEIVED Foli OrFICI: usl: ONI.i City of Tigard Date/By: a / � 2 / 4 2 ; • _ . . . _ e a II I g a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 FEB 2 2 2012 Date/By: Other Permi eu4.eo o? ilea ?7 Inspection Line: 503.639.4175 Date Ready/By: kris' ® See Page 2 for TIGARD Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: 7 /( Supplemental Information RI JII .PING 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 (rotnded to the nearest dollar) of all ddition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 11 l- and 2- family dwelling �_Commercial/industrial Valuation: $ - ❑ Accessory building El Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: / Le (� 1}L4 • ?a 6, A-0.7- New dwelling area: square feet City /State /ZIP: fir Z b , o Garage /carport area: square feet Suite/bldg. /apt. no.: I Project name: 1- r (An iU-� 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: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rotnded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. y� ^` b J, \ S 7 Z t (U L � Valuation: $ / 5 ) 0 MP—, Existing building area square feet New building area: square feet 7—PROPERTY OWNER ❑ TENANT Number of stories: Name: / 7 y-1 . `'-i J tiT. Type of construction: _ Address: Occupancy groups: City/State /ZIP: Existing: Phone: ( ) Fax: ( ) New: APPLICANT CONTACT PERSON NOTICE Business name: I %I it cf-,-,-(7) LL 1 All contractors and subcontractors are required to be Contact name: `� L l L� licensed with the Oregon (Instruction Contractors Board `'�� under ORS 701 and may be required to be Ikensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) I Fax: : ( ) E -mail: CONTRACTOR BUILDING PERMIT FEES* AI Business name: I ` �5` p p (l re% p A (Please refer to fee schedule) Permit fee: Address: '571)3 ,) Le j . S ( . State surcharge (12% of permit fee): City/State /ZIP: U r-C L - b j w FLS plan review (40% of permit fee): Phone: ( ) Fax: ( ) (Due upon application.) CCB lie.: Total permit fees: /79 , 0-5 Authorized signature: /2..--------- Amount received: This permit application expires if a permit is not obtained - l � A / within 180 days after it has been accepted as complete. Print name: fti All L) i/t- Date: Z - � L3 Z * Fee methodology set by Tri-County Building Industry Service Board. I:\ Building \Permits\FPS- PermitApp.doc 02/01 /2011 440- 4613T(I1/02/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: d Addition ?n-1-10 heads: No plan review required. teration ❑ 11+ heads: Plan review required. ;ftl Number of sprinkler heads: (0 Additional description of work: ) Lj ) Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler X- Wet ❑ Dry Additional S tandpipes ✓ Information: Hazard Group LA A 14-- Density , I 0 Design Area ),573 ) K. Factor 6 ■ ,, f st Sprinkler Project Valuation: $ 4 5O(j B.) Type I - Hood Fire Suppression System Hood Project Valuation: I $ 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 three (3) sets of plans at submittal. Plan review fees are required at submittal. I:\ Building \Permits \FPS- PermitApp.doc 02/01/2011 2 VY 4/ a 113,0 11,1.4.0 TENANT IMPROVEMENT `, m. �G+ • (pr N,_,.}, . T� VACANCY UPGRADE. � om 11 ,444 f:W 7:N11 AVI? a0''7,a� *t '^�r��a NOAH) 011 !1/:•:!4 ---------4 � PM! 1 12100 'V + ro PROJECT NARRATIVE ` � 0nm ` ,. � N . .•�.�m II ..H. ..... .• ... . ..,.,.. _ � . NAM .a. ni.cwvwa ,".wr..I ,.. "...n �' rri aa te' w1• MAUs DOOM m.mron. . M... 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