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Permit °`y CITY OF TOGARD FIRE PROTECTION SYSTEM PERMIT �' COMMUNITY DEVELOPMENT Permit #: FPS2012 00177 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/06/2012 Parcel: 2S112DA01400 Jurisdiction: Tigard Site address: 15350 SW SEQUOIA PKWY 150 Project: Harrison CPA Subdivision: 1996 -048 PARTITION PLAT Lot: 2 Project Description: Relocate (2) fire sprinklers Contractor: WESTERN STATES FIRE PROTECTION Owner: PACIFIC REALTY ASSOCIATES 13896 FIR ST STE B ATTN: N PIVEN OREGON CITY, OR 97045 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 657 -5155 PHONE: 503 - 624 -6300 FAX: 503 - 657 -5182 FEES Description Date Amount Specifics: Permit Fee - COM 12/06/2012 $59.16 12% State Surcharge - Building 12/06/2012 $7.10 Type of Use: COM Plan Review - Fire Life Safety - COM 12/06/2012 $23.66 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 $89.92 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $750.00 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 Notifi - . - =.ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You -y ob -in a copy of the rules or direct • •estions to O C b ailing 503.232.1987 or 1.800.332.2344. Issued ::y: / �� Permittee Signature: j • Call 503.639.4175 by 7:00 a.m. for the next available inspectio 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 Commercial FOR OFFICE USE ONLY City of Tigard Rece Date i/B „ ved ©�� Permit No.: ��s //) —00 1111 ° • 13125 SW Hall Blvd., Tigard, OR 9 R G\\tJ E Plan Review Phone: 503.718.2439 Fax: 503.59 /B : Other Permit: T I G n K D Inspection Line: 503.639.4175 DEC O 6 2C112 Date Ready /By: /iris: El See Page 2 for Internet: www.tigard - or.gov Notified /Method: Supplemental Information TYPE OF W QV REQUIRED DATA: 1- AND 2- FAMILY DWELLING � Permit fees* are based on the value of the work erformed. ❑ New construction e mohtron p 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. dwelling Valuation: $ ❑ I- and 2-family g ®Co mmercial /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: 15350 SW Sequoia Parkway New dwelling area: square feet City/State /ZIP: Portland, OR 97224 Garage /carport area: square feet Suite/bldg. /apt. no.: 150 Project name: Diana Harrison, CPA, P.C. Covered porch area: square feet Cross street/directions to job site: SW Upper Boones Ferry Road 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. Relocate sprinklers for new wall layout. Valuation: $$750.00 Existing building area: 3943 square feet New building area: 3943 square feet ® PROPERTY OWNER ❑ TENANT Number of stories: 2 Name: Pacific Realty Associates, LP Type of construction: IIB Address: 15350 SW Sequoia Parkway, Suite 300 Occupancy groups: City /State /ZIP: Portland, Oregon 97224 Existing: B Phone: (503)624 -6300 Fax: (503)624 -7755 • New: B ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: Western States Fire Protection Company (Please refer lo fee schedule) Structural plan review fee (or deposit): Contact name: Steve Jones FLS plan review fee (if applicable): Address: 13896 Fir Street, Suite B City /State /ZIP: Oregon City, OR 97045 Total fees due upon application: $89.92 Phone: (503) 657 - 5155 Fax: : (503) 657 - 5182 Amount received: E - mail: steve.jones @wsfp.us PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: Western States Fire Protection Company Submit two (2) sets of roof plan with connection details and fire department access, along with the 2010 Oregon Address: 13896 Fir Street, Suite B Solar Installation Specialty Code checklist. City/State /ZIP: Oregon City, OR 97045 Permit fee (includes p lan review $180.00 and administrative fees): Phone: (503) 657 -5155 ^ Fax: (503) 657 - 5182 State surcharge (12% of permit fee): $21.60 CCB lie.: 104570 / \ Total fee due upon application: $201.60 Authorized signature: - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Steve Jones Date: 12/6/2012 * Fee methodology set by Tri-County Building Industry Service Board. 1: \Building\Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB)