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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT s • COMMUNITY DEVELOPMENT Permit #: FPS2013 -00046 T [ GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/17/2013 Parcel: 1S134AA02100 Jurisdiction: Tigard Site address: 10300 SW NIMBUS AVE P -A Project: FMC Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: 3 Project Description: Demo existing heads and repipe approximately 48 new pendants and 2 uprights for new tenant Contractor: AFP SYSTEMS INC Owner: FRESENIUS MEDICAL CARE, NA 19435 SW 129TH AVE 5251 DTC PARKWAY TUALATIN, OR 97062 GREENWOD VILLAGE, CO 80111 PHONE: 503 - 692 -9284 PHONE: 303 - 712 -1814 FAX: 503 - 692 -1186 FEES Description Date Amount Specifics: Permit Fee - COM 04/02/2013 $123.72 12% State Surcharge - Building 04/02/2013 $14.85 Type of Use: COM Plan Review - Fire Life Safety - COM 04/02/2013 $49.49 Class of Work: ALT Type of Const: Info Process /Archiving - Lg $2.00 (over 04/17/2013 $2.00 Occupancy Grp: Height: ft 11x17) Stories: Info Process /Archiving - Sm $0.50 (up to 04/17/2013 $4.00 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: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $194.06 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: 4 j4j ? t Permittee Signature: il 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 RECEIVED Fire Protection System FOR OFF I( I I 'l ()\I.t City of Tigard APR 0 2 2013 Re «i ved P ermJIN a. g Daere s' 4 a- i 3 (1 v 1 3 — CONI • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi = Phone: 503.718.2439 Fax: 503.598.1960" �G Datem : 10,77 , e rli( 1: Other Permit: / u 0 , — evo© T 1 G A R D Inspection Line: 503.639 BUILDING DNISIO I Date Re „ - : y : 7 /3 I1 ns 6 0 See Inge 1 for Internet: www.tigard- or.gov Notified/Method: 4 ' Supplemental Information V ille Lv/ TYPE OF WORK R ED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rotnded to the nearest dollar) of all 4- 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 0 Commercial /industrial Valuation: S ❑ 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: . (; ( L� 0 ;] (A. urr New dwelling area: square feet 1 � City /State/ZIP: I C” C Garage/carport area: square feet Suite/bldg. /apt. no.: K ...-c- I Project name: Ern C S l k ) 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: I 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. t t Valuation: S ` �, (,�� r� a' ' 1; L i P v C-�1i ep, p ot) h 1 Existing building area ?. K square feet 1.i V New building area: 5 CI square feet 0-. P ROPERT Y OWNER I - ] TENANT Number of stories: I Name: Type of construction: Address: 1 (: 5L� } <� ll� IV tivh b Occupancy groups: City /State/ZIP: • ck twt� OK Existing: Phone: ( ) ) Fax: ( ) New: ❑ APPLICANT •- CONTACT PERSON NOTICE Business name: �' n — � �� 4 „. All contractors and subcontractors are required to be Contact name: i t licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1 ti `i v acii,A. Ave_ jurisdiction in which work is being performed. If the City/State/ZIP: L. C applicant is exempt from licensing, the following reasons h' �eJ G li apply: Phone: ( ) L 1L - i s • I Fax:: ( ) (c i Z 1 1 t E -mail: , l I M f'f, 1In f I S.:3 ( L. i ti CONTRACTOR BUILDING PERMIT FEES° Business name: !Please refer tol« schedule) Address: Permit fee: City /State/ZIP: State surcharge (12% of permit fee): Phone: FLS plan review (40% ofpermit fee): ( ) Fax: ( ) (Due upon application.) CCB lie.: L.,.) 5 LA Total permit fees: _ Authorized signature: 7 Amount received: 1 ( ( g , U This permit application expires if a permit is not obtained Print name,;` T ,�, ` rDate: 4-1.1 3 within 180 days after it has been accepted as complete. ' Fee methodology set by Tri -County Building Industry Service Board •Eauildinel 'enniteFPS- ParmitApp.doc Rev 01/ 05/2012 440- 4613T(11/02/COM/WEB) .."'W . s AFP Systems, Inc. RECEIVED ED Automatic Fire Protection APR 0 2 2013 0 0 19435 SW 129 Avenue o SYSTEMS Tualatin. OR. 97062 .. (503) 692 -9284 CITY OF TIGARD 3� a ( 503)692 -1186 fax BUILDING DIVISION 49 pRo-re TRANSMITTAL TO: CITY OF TIGARD DATE: 4 -1 -13 13125 SW HALL BLVD. TIGARD,OREGON Attn: PLAN REVIEW SUBJECT: FMC SCHOLLS (x) ENCLOSED ( ) PLEASE FORWARD ( ) SUBCONTRACT ( ) EXECUTED (X ) FOR APPROVAL (X) DRAWINGS ( ) APPROVED ( ) FOR SIGNATURE ( ) CALCULATIONS ( ) APPROVED AS ( ) FOR YOUR USE ( ) CHANGE ORDER ( ) NOTED ( ) FOR CORRECTION ( X) PRODUCT DATA ( ) UNAPPROVED ( ) FOR PAYMENT ( ) LIEN RELEASE ( ) PLEASE RETURN ( ) PERMIT APPLICATION ( ) PERMIT CHECK FEE ( ) O & M MANUALS ( ) Other Sincerely, FP Systems, Inc (503)692 -9284 (503)692 -1186 Fax OR CCB 67534 WA AFPSYI *091 BZ CA 936000 CO 1263 HI 30820