Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a • COMMUNITY DEVELOPMENT Permit #: FPS2012 -00092
T f GA R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/14/2012
Parcel: 25101 BB01400
Jurisdiction: Tigard
Site address: 12006 SW GARDEN PL
Project: CD! Custom Decorators Subdivision: CROW PARK 217 Lot: 2
Project Description: Install (2) sprinklers to new office
Contractor: FIRE SYSTEMS WEST INC Owner: WALTON CWOR PARK BC 8 LLC
600 SE MARITIME AVE #300 BY CTMT - WALTON RE TAX
VANCOUVER, WA 98661 4678 WORLD PARKWAY CIR
ST LOUIS, MO 63134
PHONE: 360 - 693 -9906 PHONE:
FAX: 503 - 289 -2208
FEES
Description Date Amount
Specifics: Permit Fee - COM 06/14/2012 $51.09
12% State Surcharge - Building 06/14/2012 $6.13
Type of Use: COM Plan Review - Fire Life Safety - COM 06/14/2012 $20.44
Class of Work: ALT Type of Const:
Occupancy Grp: 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: 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: $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. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / /
Issued By: d� ` Permittee Signature: ..,%%
Call 503.639.4175 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
etininfieb all FOR OFFICE USE ONLY
City of Tigard Received
PlDate/ an Re e y: - /0 (Z/ F Permit PS a 'o0... p i' -, pry
n 13125 SW Hall Blvd., Tigard, OR 97223 view �
' Phone: : 503.718.2439 Fax: 503.598.1960 Date/By: /) A 0•1L_ 0t�OV
B Other Permit: /'
TIGARD Inspection Line: 503.639.4175 DateReady/By: runs: El SeePage2for
Internet: www.tigard- or.gov Notified/Method: ( ( Co Supplemental Information
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- — ' = - ..-.. - . . -' 4, � OIt E r � -_ • . _ •- = `c � > :74‘-•••,.:',---. � a el!IIt!JDae• •� @sfo?� E.I :_ ., to _
❑ 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
-f t<"� -d '",. _ s :U > e €':° - Oslft ;U` :: = s work indicated on this application.
❑ 1- and 2- family dwelling 0 Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
,.-,,.- :•. _ _ -: :•ti -ate- ,7..> �. ,�, - ^;- n aT .. .
a =te - - "a4.. -- = - U-, q •, • T . # oR • 1 a ilrgs p Is:t T10ly -, = o = ;" Total number of floors: • -•- , h- tt --1_ - w o :,:-- .. -. _ . • . s 7- = .q' •.
Job site address: 12006 SW Garden Place New dwelling area: square feet
City /State /ZIP: Tigard, Oregon Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Custom Decorators Covered porch area: square feet
Cross street/directions to job site: SW Hall BLVD Deck area: square feet
Other structure area: square feet
y f
Subdivision: I 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
�,,., �__ _ s., ,., ,w.. equipment, materials, labor, overhead, and the profit for the
t �� ._•? s isgiii*-iii_OI4 °WORK 4 ;y"P' = :` :L " • l ; work indicated on this application.
i . .a,_ t -- •tea o hs .__ .._ . _ r-` :'i -, ... ` "� u
Installed Valuation: $480.00
2
() pendant sprinklers to new office
Existing building area: square feet
New building area: square feet
Number of stories:
Name: Custom Decorators Type of construction:
Address: 12006 SW Garden Place Occupancy groups:
City/State /ZIP: Tigard, Oregon Existing:
Phone: ( ) Fax: ( )
New:
.- f amIn • -, , --� N ;, - 4" ' • a ''', , t 1.. CONT P s s r* { � ., • . . : . � `]1Q t = x ' I i a ;; - ._
.- ,i ` . r. - - '•' - _ x. ._ - -e-i -r �`�l.,i?7f ;:r _±:'._ 1, '9" f YS -• i -= �cu::. r � ibt.L� d ��. E_ - .. ia�i -
Business name: Fire Systems West
r � + '.. (Plens&re e mJ - y & .—� —
Structural plan review fee (or deposit):
Contact name: Richard Case
FLS plan review fee (if applicable):
Address: 600 SE Maritime Ave. Suite 300
City /State/ZIP: Vancouver R A 98661
Total fees due upon application:
Phone: (360) 693 -9906 Fax: : (503) 289 -2208 Amount received:
4+77* o: ek2t - 'r r `s'E'•` - 'i" .a ,
E -mail: dickc (afiresystemswest.com .._> _..'' -. � + '_
-.r: = ' .a-: - ; ,: 4�. •- •;� - :: Commercial and residential prescriptive installation -��
: � � .� -r•'>� -,_ -= ~ �'� _ ��-- ,-•;`t *` -;r .; �:' lion of
:.• x - sue-" 'i:nr : = _.. w ? 'r4 •• . -i•Z. . ; ;!i . , 1, 9- C-x -,. roof -to - d Pho toV Itai
- �., ��• ,,. - �:._ ., .- .._ � : �_�;.�.�ra �a, ".; > rr� p �„ o cSolazPanelSystem.
Business name: Fire Systems West Submit two (2) set:: roof plan with connect'. - retails
and fire department acc- , • ong with r = • 010 Oregon
Address: 600 SE Maritime Ave #300 Solar Installation Specialty Co, a -i. list.
City /Slate /ZIP: Vancouver, WA 98661 Permit fee (includes r : review $180.00
and ad •-.- trative fees):
Phone: (360 -) 693 -990 Fax: (50 289 -2208 State sure 2% of permit fee): 1.60
( V CCB lie.: 49732 -.. Total fee due upon application: $201.60
Authorized signature: ! This permi application expires if a permit is not obtained
within 18 days after it has been accepted as co mplete.
Print name: !2 t .... G Date: 1 : - / - , - $ 7 --- ,,_ - _::._ * Fee methodology set by Tri -County Building Industry
Service Board.
:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11 /02 /COM/WEB)