Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2014-00141
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/03/2014
Parcel: 1 S135BC01100
Jurisdiction: Tigard
Site address: 11101 SW GREENBURG RD
Project: Computer Solutions Tech Subdivision: HILLSBORO Lot: PTS 1-2
Project Description: Fire sprinklers-adding(21)heads
Contractor: AFP SYSTEMS INC Owner: GREENBURG SPACE CENTER LLC
19435 SW 129TH AVE PO BOX 91305
TUALATIN,OR 97062 PORTLAND, OR 97291
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics:, Info Process/Archiving-Lg$2.00(over 09/03/2014 $2.00
11x17)
Type of Use: COM Info Process/Archiving-Sm$0.50(up to 09/03/2014 $2.00
Class of Work: ALT Type of Const: 11x17)
Occupancy Grp: Height: ft Permit Fee-COM 09/03/2014 $112.96
Stories: 12%State Surcharge-Building 09/03/2014 $13.56
Plan Review-Fire Life Safety-COM 09/03/2014 $45.18
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 $175.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $3,100.00
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 estions tOQUNC by calling 503.232.1987 or 1.800.332.2344.
Issu d By: ` 1// Permittee Signature: 111111. ,
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
Fire Protection System R M
M LD Received City of Tigard 3,-g 4 ,1•, Fi°520/�—DO/�l!
Date/By:
Permit No.:
1,11114
_ ` 13125 SW Hall Blvd.,Tigard,OR 9 ` 8 2 014 Plan Review 9-z .i /1 n r,/� /
Phone: 503.718.2439 Fax: 503.S�Q�' DatdBy: �, Other Pernik Sl tt/ y_ /�
T I u \...> Inspection Line: 503.639.4175
CITY Ui- I HD Date Ready/By: furls See Page 2 for
Internet: www.tigard-or.gov otifed/Method: /I( , Snpplemettal
information
a 11IV , H RI 11 `_
TYPE 1 F-WORK.. u;; , REQUIRED DATA:1 AND,2 FAMILLY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rouded to the nearest dollar)of all
►ddition/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 CQ Commercial/industrial
Valuation: S
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
/lt f JOB SITE'.INFORMATION,`AND LOCATION. Total number of floors:
Job site address: S U 3 CV O,,,(p J PA New dwelling area: square feet
City/State/ZIP: c,„4 r 0 P-' Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: e_0(40.164 ,0%14-/—e4)....... Covered porch area square feet
Cross strect/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAAL-USE CHECKLIST l
Subdivision: Lot no.: Permit fees*are based on the value of the work performed. 1
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 application.
_ a Valuation: $ 3, (�
Existing building area square feet
New building area: square feet
0 PROPERTY OWNER ( 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
.APPLICANT f ❑ CONTACT PERSON NOTICE
Business name: A f P .6 L.0.4.44us cttk.er. . All contractors and subcontractors are required to be
Contact name: Ct><:s � licensed with the Oregon Construction Contractors Board
�' " under ORS 701 and may be required to be leensed in the
Address: 1Ql s 5 Sw 1.2-41 - l jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
l 4, v�-r U °YZGYaL - apply:
Phone:(40%) (O elt 2.,•°►'2454 , Fax::( o3) CO12-•l lee,
E-mail: tkso-in.-0_, cL(p S cis• Cd✓I-'
CONTRACTOR BUILDING PERMIT:FEES*
Business name: -5 4rt,.t- ar�i 0.ioa,1C, (P1`ererel°Permit lee:
Permit fee:
Address:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%ofpermit fee):
Phone:( ) -I Fax:( ) (Due upon application.)
CCB lic.: (D 1 s 3 414 Total permit fees:
Authorized signature: Amount received:
O This permit application expires if a permit is not obtained
Print name: Sr�Ja p_w 4..t V 0-∎(1-4 Date: Q.( l i q within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board
tABuitdinglpermitsVP3-PennitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11101 SW GREENBURG RD, TIGARD, OR,
97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2014-00141
Chip Barnett
Violation Summary:
Inspector Contractor