Permit y n CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS201500074
T RJ ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/30/2015
Parcel: 2S112DD01400
Jurisdiction: Tigard
Site address: 15686 SW SEQUOIA PKWY
Project: Courtyard by Marriott Subdivision: PACIFIC CORPORATE CENTER Lot: 5
Project Description: Fire Alarm-Replace existing system with new.
Contractor: WESTERN STATES FIRE PROTECTION Owner: PACIFIC REALTY ASSOCIATES LP
13896 FIR ST STE B PO BOX 58990
OREGON CITY, OR 97045 SEATTLE,WA 98138
PHONE: 503-657-5155 PHONE:
FAX: 503-657-5182
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/30/2015 $355.04
12%State Surcharge-Building 04/30/2015 $42.60
Type of Use: COM Plan Review-Fire Life Safety-COM 04/30/2015 $142.02
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 04/30/2015 $6.00
Occupancy Grp: R-1 Height: ft 11x17)
Stories: 4 Info Process/Archiving-Sm$0.50(up to 04/30/2015 $17.50
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: Yes Alarm Type: Automatic
Pull Station Required: Yes Smoke Detectors Reg: Yes
Battery Gales Provided: Yes Cut Sheets Required: Yes
Total $563.16
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $27,000.00
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
issuan - _ • . irk is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
• y Notification Ce 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 OUN• .. allin 503.232.1987 or 1.800.332.2344.
Issued By: 1110,/ Permittee Signature: A,
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
Commercial FOR OFFICE USE ONLY
Received
City of Tigard ECEIVE Date/B : 'AVIV PermitNo..4 j -a j ,
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review,
Phone: 503.718.2439 Fax: 503.59 Date/B : l r Other Permit:
#�P9� 2 3 2015 ` ■
TIGARD Inspection Line: 503.639.4175 Date Ready luris: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: J Iy `f- Supplemental Information
a1.11LL 111IG_DivisIoN as ^..,tln.4 Qowi.4 Lau. -
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction El Demolition 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 the
CATEGORY OF CONSTRUCTION work indicated on this application.
ID 1-and 2-family dwelling ,Commercial/industrial Valuation: $
Accessory building Number of bedrooms:
El ry g ❑Multi-family
❑Master builder 111 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ( c-6 S[e SUtJ E.JQ V 0 ■ OK:-ik.) New dwelling area: square feet
City/State/ZIP: '"T\C.— \--) 0e 97024-I Garage/carport area: square feet
Suite/bldg./apt.no.: 'Project name:C.00la ) EN ti( . Aer T Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
S\D CANZ-aAS13 1 _. 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 application.
Valuation: $
Existing building area: square feet
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:
Et APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
n Structural plan review fee(or deposit):
Contact name: 1J (4 %U.,62___
Address:138g ce ct 61--- FLS plan review fee(if applicable):
City/State/ZIP: rp-0 �(--y U2 i 7,J�� Total fees due upon application:
/ Amount received: ,_
Phone:( ) (Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: a re--KC'�L�t' IJJS`FQ• us
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: l am T.--( _..1E_ { i:-T c"_ l t \ Submit two(2)sets of roof plan with connection de •.
and fire departmen : cess,along with the 21 : Oregon
Address: 1' (,9'(..ti t. t e_ sT Solar Installation Specia Code the ' t.
City/State/ZIP: Cpm...C10.0 (IT/ 02- 7Q1-g Permit fee(includes pl• view $180.00
�` and adm..• rative fe• •
Phone:(�) �57 • s---1 SS Fax:( (A S7 • S/ Z o
8� State surchar• 12/o of permit fee): $21.60
CCB lie.: r D"t S70 Total fee due upon application: $2 . 0
Authorized signature: permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: )CO ( 1L _ Date: if- Z3 •/s * Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/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
15686 SW SEQUOIA PKWY, TIGARD, OR, 97224
Commercial - Fire Protection System
998 Alarm Final
Scheduled
FPS2015-00074
Jeff Grove
Nfpa 72 received
Violation Summary:
Inspector Contractor
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
15686 SW SEQUOIA PKWY, TIGARD, OR, 97224
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2015-00074
Jeff Grove
Nfpa 72 received
Violation Summary:
Inspector Contractor