Permit 101 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2014-00060
T[C;A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/07/2014
Parcel: 1S135BB00700
Jurisdiction: Tigard
Site address: 10685 SW GREENBURG RD
Project: Ewing Irrigation Subdivision: HILLSBORO Lot: PTS 1-2
Project Description: Backflow replacement.
Contractor: OREGON UNDERGROUND INC Owner: EWING IRRIGATION PRODUCTS INC
PO BOX 777 3441 E HARBOUR DR
CLACKAMAS,OR 97015 PHEONIX,AZ 85034
PHONE: 503-657-6123 PHONE:
FAX: 503-656-2061
FEES
Description Date Amount
Specifics:, Permit Fee-COM 04/07/2014 $123.72
12%State Surcharge-Building 04/07/2014 $14.85
Type of Use: COM
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 $138.57
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 ::: lPermittee•
Issued By: • Signature:
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Call 503. ' y 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
Fire Protection System (A�j��1 FOR OFFICE USE ONLY
City of Tigard *NJ" :" Permit No.: t 1 i_ b 4, co(o.
II - 13125 SW Hall Blvd.,Ti 97223 A tbt Plan Review
Phone: 503.718.2439 Fax: 503.59>�960 1'' DateB : Ott Permit:
T I G A k n Inspection Line: 503.639.4175 PQ �� Date Ready/By: H See Page 2 for '
Internet: www.tigard-or.gov oiIN NA`O� Notified/Method: Supplemental Information
T \ 1
IA TYPE 6�t REQUIRED DATA:1-AND 2-FAMILY DWELLING ' ••
D New construction ���Demolition Permit fees*are based on the value of the work performed.
Addition/alteration/replacement 0 Indicate the value(rounded to the nearest dollar)of'al1
® reP equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. •
❑ 1-and 2-family dwelling ®Commercialfndustrial
Valuation: $
El 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:10685 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Tigard,OR Garage/carport area: square feet
Suite/bldgJapt.no.: I Project name:Ewing Irrigation Covered porch area: square feet '
Cross street/directions to job site:At Cascade Ave.Entry 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.
Replacement of 8"DDC and Vault to satisfy TVWD Requirement Valuation: $55,000.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I 0 TENANT Number of stories:
Name:Ewing Irrigation Products,Inc. Type of construction:
Address:3441 E Harbour Dr. Occupancy groups: •
City/State/Z1P:Phoenix,AZ 85034 Existing:
Phone:( ) Fax:( ) New' •
® APPLICANT ❑ CONTACT PERSON
NOTICE
Business name:Oregon Underground,Inc. All contractors and subcontractors are required to be
Contact name:Tom Rasch licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:PO Box 777 jurisdiction in which work is being performed.If the •
City/State/ZIP:Clackamas,OR 97015 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)657-6123 I Fax::(503)656-2061
E-mail:tom @oregonunderground.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Oregon Underground,Inc (Please refer to jar schedule) .
Permit fee:
Address:PO Box 777 • -
City/State/ZIP:Clackamas,OR 97015 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)657-6123 Fax:(503)656-2061 (Due upon application)
CCB lic.:116182 Total permit fees: Li l 3K5--7
Authorized signature: . Amount received:
This permit application expires if a permit is not obtained
Print name:Thomas R Rasch Date:4/7/2014 within 180 days after it has been accepted as complete. -
* Fee methodology set by Tri-County Building Industry
Service Board.
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