Permit ' (.74. CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a COMMUNITY DEVELOPMENT Permit a: FPS2009-00039
T i GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/11/2009-
Parcel: 1 S135ACLC006
Jurisdiction:
Site address: 9428 SW MANDAMUS CT
Subdivision: Lot:
Project: LONGSTAFF CONDOMINIUMS
Project Description: Building 1 - Install monitored fire alarm system in new 6 unit townhouse.
Owner: FEES
LONGSTAFF LLC Description Date Amount
7050 SW CLINTON Permit Fee - COM 08/11/2009 $69.65
TIGARD, OR 97223 12% State Surcharge - Building 08/11/2009 $8.36
PHONE: 503 - 598 -7565 Plan Review - Fire Life Safety - COM 08/11/2009 $27.86
Contractor:
DMS ELECTRIC INC
8504 SE STARK ST
PORTLAND, OR 97216
PHONE: 503 - 516 -8393
FAX: 503 - 252 -6611
•
Type of Use: MF
Class of Work: FPS Type of Const: VB
Occupancy Grp: R -2 Height: ft
Stories: 2
Commercial Sprinkler System:
Sprinkler Required: Yes 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: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $105.87
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 0 ,
Residential Square Footage: 0
Fire Alarm Valuation: 2480
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 Notifi . on Center. qos I les a e set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct - estions to OUNC •\ call g .03.246.6699 or 1.800.332.2344. /
Issued :y:
,l r • r Permittee Signature: —'
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 p oject.
Approved plans are required on the job site at the time of each inspection.
Ca S rr= 9428 IMAX0,405
Building Permit Application RECEIVED
Fire Protection System FOR OFFICE USE ONLY
MAY 2 9 7409 Received
City of Tigard Date/B : ,', Permit No.: • 2 •i: • a *I .41
II C n 13125 SW Hall Blvd., Tigard, OR 97223 TIGt Plan Revie .
C I �i � [,G er Permit: f • _ co . 0 0p 1 i
Inspection Line: 503.639.4175 Phone: 503.639.4171 Fax: 503.598.1960 CITY OF Dete/B : 71 /
.. IVISIO' Date Ready Ju s: ® See Pa e 2 for
T1 GARD Internet: www.tigard - or.gov of " -d/Method: BUI],DINGD r rr / e
t ue.' _ I Supplemental Information
1
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.
❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $U11S1[00
❑ Accessory building ® Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
9L4 2$ JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9492 -SW Mandamus Ct 91.13 21 q ur..," qL( (n 14 1 gw-ini New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 q 4 92 Garage /carport area: square feet
j
Suite/bldg. /apt. no.: Bld 1 Project name: Longstaff Condos 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 (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK • work indicated on this application.
Monitored Fire Alarm System Valuation: $ Z1( ‘
Existing building area: square feet
New building area: square feet
pli PROPERTY OWNER ❑ TENANT Number of stories:
Name: Brownstone at Lincoln Park Type of construction:
Address: 7050 SW Clinton Street Occupancy groups:
City /State /ZIP: Portland, OR 97223 Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT INTACT PERSON NOTICE
Business name: RCM Homes, Inc All contractors and subcontractors are required to be
Contact name: Ron Lightner licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 7050 SW Clinton Street jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97223 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 598 -7565 x 101 Fax:: ( )
E -mail: rlightner@brownstonehomes.net
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Dms Electric, Inc.
Permit fee:
Address: 8504 SE Stark ST
State surcharge (12% of permit fee):
City /State /ZIP: Portland, OR 97216 0
, FLS plan review (40% of permit fee):
Phone: (503) 209 -9298 F : (503) 252 -6611 (Due upon application.)
CCB lic.: 118073 j Total permit fees:
Authorized signature:
Al. 43 -- Amount received: (0
1r This permit application expires if a permit is not obtained
_Print name: Paul Grushevskiy Date: 5/26/2009 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri -County Building Industry
Service Board.
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