Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111 s COMMUNITY DEVELOPMENT Permit #: FPS2013 -00003
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/22/2013
Parcel: 1S 135DA02500
Jurisdiction: Tigard
Site address: 11155 SW HALL BLVD 41
Project: St. James Apartments Subdivision: METZGER ACRE TRACTS Lot: 10
Project Description: Install 13R fire sprinkler system in 4 units that had fire damage. Units 41, 42, 43 & 44.
Contractor: WESTERN STATES FIRE PROTECTION Owner: KAULUWAI CORPORATION
13896 FIR ST STE B 2445 -A MAKIKI HEIGHTS DRIVE
OREGON CITY, OR 97045 HONOLULU, HI 96822
PHONE: 503 - 657 -5155 PHONE:
FAX: 503 -657 -5182
FEES
Description Date Amount
Specifics: Permit Fee - COM 04/22/2013 $156.00
12% State Surcharge - Building 04/22/2013 $18.72
Type of Use: COM Plan Review - Fire Life Safety - COM 01/10/2013 $62.40
Class of Work: ALT Type of Const: VB Info Process /Archiving - Lg $2.00 (over 04/22/2013 $2.00
Occupancy Grp: R -2 Height: ft 11x17)
Stories: 2 Info Process /Archiving - Sm $0.50 (up to 04/22/2013 $11.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard:
Density: .05 Design Area: 900
K Factor: 4.3
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $250.62
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $7,520.00
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 Noti . •• • enter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dire questions to 0 C by lin• 503.232.1987 or 1.800.332.2344.
Issue. By: # , ,00 i 1 Permittee Signature: l
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_ _
Commercial FOR USE ONL1
City of Tigard (, )- C1 � 0 .5,R /3���
`•1 DEC 2 6 2012 Received
g Date /B .� Permit No 1 6 03
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.19�yITY OF TIGARD Date/By: . Other Permi /OaQ/a DQa(� it
f G A R D Inspection Line: 503.639.4175 Date Ready /By: / /� 7 / 3 1 ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified /Met hod: Supplemental Information
TYPE OF ■OR REQUIRED DATA. D 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
0 Addition/alteration replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUC work indicated on this application.
❑ I- and 2- family dwelling ❑ Commercial /industrial
Valuation: $
ID Accessory building 0 Multi - family Number of bedrooms:
• ❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11155 SW Hall Blvd New dwelling area: square feet
City /State /ZIP: Tigard, Oregon 97223 Garage /carport area: square feet
Suite/bldg. /apt. no;,P I Project name: St James Apartments Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
t Other structure area: square feet
����
uN I'r 4F S REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: \ Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: a / Indicate the value (rounded to the nearest dollar) of all
\\\[[[ equipment, materials, labor, overhead, and the profit for the
DESC ON OF WORK work indicated on this application.
i at
install 13R fire sprinkler system n 4 units th t had fire damage Valuation: $3.7..,-5-26:00
y .� U Existing building area: square feet
• r
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:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee sclredule)
Business name: Western States Fire Protection Co.
Structural plan review fee (or deposit):
Contact name: Darrell Fluit
Address: 13896 Fir Street, Suite B FLS plan review fee (if applicable):
City/State /ZIP: Oregon City, OR 97045 Total fees due upon application:
Phone: (503) 657 -5155 Fax: : (503) 657 -5182 Amount received: 0'? el.)
E -mail: darrell.fluit(i�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 Co. 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 plan review $180.00
and administrative fees):
Phone: (503) 657 -5155 Fax: (503) 657 -5182
State surcharge (12% of permit fee): $21.60
CCB lic.: 104570
�� Total fee due upon application: $201.60
Authorized signature: , /) � Z This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Darrell Fluit I Date: 12/24/12 * Fee methodology set by Tri-County Building Industry
Service Board.
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