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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT e • COMMUNITY DEVELOPMENT Permit#: FPS2012 -00089 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/21/2012 Parcel: 2S110DCO2200 Jurisdiction: Tigard Site address: 15660 SW PACIFIC HWY A -1 Project: Petco Subdivision: 1997 -016 PARTITION PLAT Lot: 2 Project Description: Fire alarm for TI Contractor: T & L COMMUNICATIONS INC Owner: TRC MM LLC PO BOX 87387 5973 AVENIDA ENCINAS STE 300 VANCOUVER, WA 98687 -7387 CARLSBAD, CA 92008 PHONE: 360 - 737 -9725 PHONE: FAX: 360 - 737 -9648 FEES Description Date Amount Specifics: Permit Fee - COM 06/21/2012 $102.20 12% State Surcharge - Building 06/21/2012 $12.26 Type of Use: COM Plan Review - Fire Life Safety - COM 06/07/2012 $40.88 Class of Work: FPS Type of Const: VB Info Process /Archiving - Sm $0.50 (up to 06/21/2012 $9.50 Occupancy Grp: M Height: ft 11x17) Stories: 1 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: Smoke Detectors Req: Battery Catcs Provided: Yes Cut Sheets Required: Yes Total $164.84 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $2,500.00 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: Permittee Signature: f I VVV 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. Fire Protection System (7D Building Permit Application FOR OFFICE USE ONLY i City of Tigard JUN 07 2012 Received 7 ; /I� PermitNo.� _ - �I� `!, C ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie / T/�� /!/ EIS other Permit: Phone: 503.639.4171 Fax: 503.598.1e 1 S OF ��A� Date/B : `A jot I I G n R D Inspection Line: 503.639 BUILDING DIVISION Date Ready : : � ®See Page 2 roe Internet: www.tigard- or.gov Notified/Method: I /!�� Su pplemental ln rormation 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: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 15660 SW Pacific Hwy New dwelling area: square feet City /State/ZIP: Tigard, OR 97224 Garage/carport area: square feet Suite/bldg. /apt. no.: I Project name: Petco 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. Valuation: �- _ Fire alarm tenant improvement • °`���� Existing building area: . .square feel .. • New building area: square feet ❑ PROPERTY OWNER l ❑ TENANT Number of stories: - Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE 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 CONTRACTOR BUILDING PERMIT FEES* Business name: T &L Communications, Inc. (Please refer rn fee schedule Permit fee: Address: p0 Box 87387 State surcharge (8% of permit fee): City / State/ZIP: Vancouver, WA 98687 FLS plan review (40% of permit fee): Phone: ( 360) 737 -9725 Fax: ( 360) 737 -9648 (Due upon application.) CCB lic.: 67787, Portland Metro 6981 Total permit fees: Amount received: yG , Pty Authorized signature: ' This permit application expires if a permit is not obtained X within 180 days after it has been accepted as complete. Print name: Larry Bushaw Dat e: 6/ 1 /2012 * Fee methodology set by Tri- County Building Industry Service Board. 1:1BuildingTermiis \FPS- PermitApp.doc 0323 /06 440- 4613T(11/02/COM/WEB)