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Permit o CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT li g : COMMUNITY DEVELOPMENT Permit #: FPS2012 -00127 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/01/2012 Parcel: 2S113AC00101 Jurisdiction: TIGARD Site address: 16655 SW 72ND AVE 400 Project: Microlnterconnects Subdivision: COUNCIL VIEW ACRES (LOTS 21-44) Lot: 37 Project Description: Add (5) new sprinklers and modify (5) existing sprinklers Contractor: FIRE ONE FIRE SYSTEMS INC Owner: PACIFIC REALTY ASSOCIATES LP PO BOX 734 ATTN: N PIVEN OREGON CITY, OR 97045 15350 SE SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 557 -9050 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee - COM 08/01/2012 $69.92 12% State Surcharge - Building 08/01/2012 $8.39 Type of Use: COM Plan Review- Fire Life Safety - COM 08/01/2012 $27.97 Class of Work: ALT Type of Const: IIIB Occupancy Grp: B Height: ft Stories: Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet 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 $106.28 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $1,150.00 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: 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 t 'HD Fire Protection System AUG 0 1 2012 FOR OFFICE USE ONLY Received ' o/U I? — 1/o /o� City of Tigard Date/13 /B : D I I 9— c� Permit No.: Ihi ° 13125 SW Hall Blvd, Tigard, OR 972230 OF TIGARD Plan Review {� , M „' �- GO r 0 Phone: 503.718.2439 Fax 503.598.►�¢Q�E L BUILDING �� Datr/B : Other Permit: L:I.(,f al l � - K D Inspection Line: 503.639.4175 ��J Y J Date Ready/By: B See Page 2 for Internet: www.tigard- or.gov Notified/Method: / Supplemental Information TYPE OF WORK REQUIRED DATA: I- 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 Rf ,Addition/alteration/replacement ❑ Other equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation $ ❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building Multi - family Number of bedrooms: ❑ Master builder ❑ Other. Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: ' ke 1,55 S� 72_ New dwelling area: square feet City/State/ZIP: ‘ (7 RQ - i f--2 7 2:2 Garage /carport area: square feet Suite/bldg. /apt. no.: 1 7 dd Project name: 3\g O i rJl cttolJK'15 Covered porch area: square feet Cross street/directions to job site: '7UnIx.3z_,,D 17 K D7 Deck area: square feet ID JQ't P \ Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. S v►Ehs)S -\--e-, Rc.t,ePnooKi Valuation: 115oa $ (N ,,.5 `).. \.. fNL� , \SiZ '2 ND S t .» Existing building area: 5402_ square feet 7c, C� I L.I X1.7 ( t)Q-I 11J c.1 1 Sax) New building area: 5 0 ? square feet ❑ PROPERTY OWNER I ' TENANT Number of stories: 1 Name: . kCerc 1 N�.f.AcCO1Iv1fL_TS Type of construction: if .„ - _ _.- --- I1 -- `, Address: ' (e(41 Sc S �7 1 ZN 9 Occupancy groups is I s - Z ilk City/State/ZIP: 1-% ( c tw._ ClOU Existing: Phone: (5t ) Fax: ( ) New: APPLICANT ❑ CONTACT PERSON NOTICE Business name: 'V c2,...._ Fv ,Q S � e S ))4C,_ All contractors and subcontractors are required to be Contact name: �� .� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: T 750x --17,y jurisdiction in which work is being performed. If the Q applicant is exempt from licensing, the following reasons City/State/ZIP: 6R� -,e.� CAI I C.12- / 70 S apply: Phone: ( te� .3 ) 551 ..4i 3 I Fax: :(5,3) SS E -mail: CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: - 1121E_ 6N Permit fee: Address: City/ State/ZIP: State surcharge (12% of permit fee): A, FLS plan review (40% of permit fee): Phone: ( ) u1/4`� `' I Fax: ( ) (Due upon application) CCB lic.: Ii 1 M t . ' q_71 L )S A Total permit fees: � I rm Amount received: /D(o . a e Authorized sign. re: !W .► illffirtylr.1 This permit application expires If a permit is not obtained Print name: 03 ` 1 Zee L '7'7 I Date: ©' within 180 days alter it has been accepted as complete. • (� ' Z • Fee methodology set by Tri- County Building Industry Service Board l:\Bu ldvg\Pemriu\FPS-PennitApp.doc 07/01/11 440- 4613101/07/COM/WES) • City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: El Addition I 1 -10 heads: No plan review required. ,i Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional de cription of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler ® Wet ❑ Dry Additional Standpipes KO Information: Hazard Group 0 rJggy Density Design Area K. Factor Sprinkler Project Valuation: $ j ) a _ 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 2 sets of plans at submittal. Plan review fees arc required at submittal. http: / /www.tigardor.gov /city_hall /departments /cd /docs /FPS- PeanitApp.doc 02/01/g