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Permit
_ T q CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT a", COMMUNITY DEVELOPMENT Permit #: FPS2012 -00121 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/10/2012 Parcel: 1 S135ACO2500 Jurisdiction: Tigard Site address: 9208 SW MANDAMUS CT Project: Longstaff Apartments Subdivision: ASHBROOK FARM Lot: 25 Project Description: Building 7 fire alarm Contractor: WESTERN STATES FIRE PROTECTION Owner: J.T. SMITH CO 13896 FIR ST STE B 5285 MEADOWS RD SUITE 171 OREGON CITY, OR 97045 LAKE OSWEGO, OR 97035 PHONE: 503 - 657 -5155 PHONE: 503 - 975 -7639 FAX: 503 - 657 -5182 FEES Description Date Amount Specifics: Permit Fee - MF 09/10/2012 ,$134.48 12% State Surcharge - Building 09/10/2012 $16.1• Type of Use: MF Plan Review - Fire Life Safety - MF 07/31/2012 $53'.79 Class of Work: FPS Type of.Const: VB Info Process /Archiving - Lg $2.00 (over 09/10/2012 $6.00 Occupancy•Grp: R -2 - Height: ft 11x17) Stories: 2 Info Process /Archiving - Sm $0.50 (up to 09/10/2012 $14.00 11x17) '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: No Alarm Type: Automatic Pull Station Required: No Smoke Detectors Req: Yes Battery Calcs Provided: No Cut Sheets Required: Yes Total $224.41 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $6,000.00 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 • - " - " . OUNC by calling 503.232.1987 or 1.800.332.2344. Issu d By: // Permittee Signature: % Call 503.639.4175 by 7:00 a.m. for the next available ins •pion 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 ` '.. i � FOR OFFICE USE ONLY City of Tigard .Received 7 �� i/, Permit / - OO a 13125 SW W Hall Blvd., Tigard, OR 972 JUL 3 1 2012 P Review r x G III Date/By: / I� ( Other Permit:e��42 �erOQ 3a P 503.718.2439 Fax: 503.598.1960 Plan i' Inspection Line: 503.639.4175 (✓ ,;7 F t- tG' Date Ready/By: lu ' See Page 2 for TIGARD p li ! Internet: www.tigard or.gov PI rli .. 1 ,� . r-,;,;,,,.....,; . Notified /Method: � ® Supplemental Information .�.._.......,.... • v. •I .1 . TYPE OF WORK REQUIRED DATA: I- AND 2- FAMILY DWELLING ®-Nfe construction ❑ Demolition Permit fees' are based on the value of the work performed. Indicate the value (rotnded 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. El 1- and 2- family dwelling ercial/industrial Valuation: S El Accessory building ❑ Multi - family Number of bedrooms: El Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION q Total number of floors: Job site address: 9 a Q,f' y\nq� 9,�,v,,,S Q-i1 9a/ a , pep f 7 9, New dwelling area: square feet City/State /ZIP: "---c1 © 9 7223 923o ,e79.2. Garage /carport area: square feet Suite/bldg. /apt. no.: 7 Project name: Vq_.,e P i � - cz. te.„.. Covered porch area square feet Cross street/directions to job site: ( LD'V6J - r - 4L 1 1 Deck area: square feet , CC/V/ 7 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. cltt� ( A-ocr Yv �skrScE'(v‘ \�Srt4 To.- Valuation: '_ ) S C. 000 Existing building area square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: Q-1 PPLICANT CONTACT PERSONNOTICE Business name: ∎SST � C --�. c e -�\o -, Co . All contractors and subcontractors are required to be Contact name: ,, t licensed with the Oregon Construction Contractors Board ` r' ►' oAr' — under ORS 701 and may be required to be Icensed in the Address: \Sdgi 6 F \ -f S v- ,.- e 3 jurisdiction in which work is being performed. If the City/State /ZIP: 0 lZ£(, o e�'x` ` Q applicant is exempt from licensing, the following reasons apply: Phone: -,3) ( - SASS Fax:: ( ) E -mail: CONTRACTOR • BUILDING PERMIT FEES* Business name: S�y,,,,� AS �� , Jtir (Pteaserejerw fee schedule) Permit fee: Address: City /State /ZIP: State surcharge (12% of permit fee): FLS plan review (40% ofpermit fee): Phone: (o ) C'1 - S l'SC Fax: ( ) (Due upon application.) CCB lic.: \o)') Total permit fees: Authorized signature: ..... � �„ �.�ttttttt, Amount received: 1 This permit application expires if a permit is not obtained Print name= �crZ� o L �,-rp t . Vera_ I Dater 131 IZ o Ci.- within 180 days after it has been accepted as complete. * Fee methodology set by Tri -County Building Industry Service Board. 1:\ Building 'Permits\FPS- PermitAppdoc Rev 01/05/2012 440- 4613T(tI /02/COM/WEB)