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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT s COMMUNITY DEVELOPMENT Permit#: FPS2014-00064 C1 ft and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 04/15/2014 T[Co.;1 Tigard 1 S 1266001506 Jurisdiction: Tigard Site address: 9020 SW WASHINGTON SQUARE RD 250 Project: LoanStar Home Lending Subdivision::CONDO,THE SUPPLEMENTAL PLAT Lot: 25-4 Project Description: Adding and relocating a total of(6)sprinkler heads. Contractor: FIRE ONE FIRE SYSTEMS INC Owner: WISCO REAL ESTATE EQUITY FUND I PO BOX 734 1501 SW TAYLOR ST STE 100 OREGON CITY, OR 97045 PORTLAND, OR 97205 PHONE: 503-557-9050 PHONE: FAX: 503-557-9268 FEES Description Date Amount Specifics: Permit Fee-COM 04/15/2014 $61.85 12%State Surcharge-Building 04/15/2014 $7.42 Type of Use: Class of Work: 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 $69.27 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 o 9332- 344` / Issued By: ignature: iG _ , ./ . < <l� • Cal I 75 by 7:00 a.m.for the next available' -pection 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 (112 O 11 I( I I `,1 (1\I1 City an c.,„ Received Permit No.:�' f Ti d g �� Date/B : II 1 / Z.!r i _ r ^OW6 III • 13125 SW Hall Blvd.,Tigard,OR 9 + I ■ �O`� Date/B view Other Permit: - at Phone: 503.718.2439 Fax: 503.59 ` f _ T I G A It 1� Inspection Line: 503.639.4175 �V`� O Date Ready/Sy: �� See Page 2 for Internet: www.tigard-or.gov pQ �`��►�^ Notified/Method: p Supplemental Information TYPE OF WORKCj``©�7 REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Debi n Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling ' m Comercial/industrial Valuation: $ ❑Accessory building ID Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors. Job site address: 90101 co %,r It it)43_01,2 5G-tw >s7- D1 . New dwelling .- .: square feet City/State/ZIP: [i G-.&R.17 j T1i a Garage/ .•.ort area: square feet Suite/bldg./apt.no.: Project name:Sv C 25 U -jr# a- L b*h., Cover.i porch area square feet Cross street/directions to job site: k W y Z,(1 D- k 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. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this rpplic on. At)D Otk LW-r41- ■ (_‘I') \LY. .1s Valuation:'/ PAt ` -� p 1 e 1 Existing building area square feet New building area: square feet ❑ PROPERTY OWNER firTENANT Number of stories: Name: L b 5-ry,vit. Type of construction: Address: a(b 7,0 5 W WAr�f-,der--o ff S(Q '�0 Occupancy groups: City/State/ZIP: i i�, �� Existing: Phone:( ) 1 ` Fax:( ) New: &APPLICANT CONTACT PERSON NOTICE Business name: .F. \�i' S15_ All contractors and subcontractors are required to be Contact name: 1L L�� 1Q 11�(_, { ---1 licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: F.o t fx '13 1 jurisdiction in which work is being performed.If the City/State/ZIP: C�� )(d e� ,� d�, CI")U 5 applicant is exempt from licensing,the following reasons apply: Phone:( ) 351 ^(3 4,5 Faz:(9,.))555 7 -' 4S E-mail: �NC�- i g-� 0t 3 r c,- CONTRACTOR BUILDING PERMIT FEES* Business name: (Please refer to fee x /e heda Permit fee: Address: L City/State/ZIP: ��ME I't /t ` 0 State surcharge(12%ofpermit fee): FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application.) CCB lie.: Q 0( 14 0 /1I it Total permit fees: 6 ci ,)"-i / Amount received: G 9,,l7 Authorized signature: -7441117 ..064 This permit application expires if a permit is not obtained Print name: A _ A� a x! Date: y._./,,5 I within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board I:\Building\Permits 1FPS-PermitApp.doc 02/01/2011 440-46131(11/02JCOM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work to be done: 1.) ❑ New 2.) Modi tion to sprinkler heads only ❑ A 'on 1-10 heads: No plan review required. teration ❑ 11+heads: Plan review required. ❑ Repair Number of sprinkler heads: t_ Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler yVet ❑ Dry Additional Standpipes Information: Hazard Group LA k1 Density „ l Q Design Area S K. Factor 'J %c Sprinkler Project Valuation: $ 5 Q 1, B.) Type I- Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $198.75 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 7,201 and greater $404.39 Sprinkler Project Square Footage: sq. ft. Fire Protection Permit,Fees Project valuation subtotal(see A,B&C above): $ Permit fee based on project valuation(see fee schedule): $ Permit fee based on square footage(see D above): _$ State Surcharge(12%of permit fee): $ FLS Plan Review(40%of permit fee): $ TOTAL: $ Plan review requires a completed application and three(3) sets of plans at submittal. Plan review fees are required at submittal. I:\Building\Permits\FPS-PennitApp.doc 02/01/2011 2