Loading...
Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2015-00100 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/23/2016 Parcel: 25101 DC05000 Jurisdiction: Tigard Site address: 13410 SW 76TH AVE Project: ALBERTINA KERR CENTERS Subdivision: PACIFIC RIDGE Lot: 2 Project Description: Install delayed egress access system on three doors.Install new digital transmitter. Contractor: METRO ACCESS CONTROL Owner: ALBERTINA KERR CENTERS 2525 NE COLUMBIA BLVD ATTN: JERALD A HOFFERT PORTLAND, OR 97211 424 NE 22ND PORTLAND, OR 97232 PHONE: 503-258-7568 PHONE: FAX: 503-285-1793 FEES Description Date Amount Specifics: Permit Fee-MF 02/23/2016 $177.52 12%State Surcharge-Building 02/23/2016 $21.30 Type of Use: COM Plan Review-Fire Life Safety-MF 02/23/2016 $71.01 Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 02/23/2016 $10.00 Occupancy Grp: R-3 Height: ft 11x17) 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: Yes Total $279.83 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $10,000.00 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 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 N. __ •_• 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 di •ct questions to 0 • by calling 503.232.1987 or 1.800.332.2344. Is ed By: ,i_/ / Permittee Signature: } 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 _. Ft)R t)FFlcl: t SI Oyl.l AV. City of Tigard DateivReceived k t lea s -7- Permit No.: ^/J✓t 1is-....00 i cp 13125 SW Hall Blvd.,Tigard,OR 97' J Plan Review P' 1 r e t tl IN . Phone: 503.718.2439 Fax: 503.598. ".t•.") Date/By: P N l,F-„ ... other Permit: I WARD Inspection Line: 503.639.4175 9.j%�i . Date Rea.y :y: curls: ® See Page 2 for Internet: www.tigard-or.gov Om q t, Notified/Method:# ,7itb � Supplemental Information J r n. + "' ii3-e10t J7kW LC. TYPE OF WO • REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction 0 De ' 4�'' Permit fees*are based on the value of the work performed. -i , Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration/replacement 0 O fer: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 111 amt a mg ®Commercial/industrial Valuation: $60511t - ❑Accessory building 11Multi-familyNumber of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: //Y/0 S W 76 7 ii. AVC - New dwelling area: square feet City/State/ZIP: y-/ q a y4 0 P Lj�72)- 3 Garage/carport area: square feet Suite/bldg./apt.no.: / Project nam ! / Covered porch area: square feet Cross street/directions to job site: f ,l b r-IIIN keg Cf -5 Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST r Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rotnded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. s Valuation: $ �-- f N sT U_t t;a ` c s5-.s4'St 11J� /01<>t :�.. • ©0 1" I p j ,�, �1,0-1 j t 11__ Existing building area square feet tU. t7C-&- New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name: AZ. hev thug /f e Y r Cell ler; Type of construction: Address: (/z H 2-2 h J. Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON NOTICE Business name: /7c7 r a /A e C ess Coil 7.roe- All contractors and subcontractors are required to be Contact name: )7;',�/h /lV�lPAY licensed with the Oregon Construction Contractors Board 9under ORS 701 and may be required to be licensed in the Address: 2 S' 2 r- NEI ( O L.Gt,m 11'cc /34_ vi jurisdiction in which work is being performed.If the City/State/ZIP:f y7w,S / (2,t? 9' 7 2// applicant is exempt from licensing,the following reasons y 7 © q� apply: Phone:( 503)//__51r — (J/7/4' Fax::(S03) 2.O . - /7/ 3 E-mail: To I7 H /C e �G1 rot &a t'$ - Cow CONTRACTOR BUILDING PERMIT FEES* Business name: e 7ir0 cy5 �o 47k0' (Pleaserefarojeet schedule) toe� Permit fee: Address: 2 c 2r /V,f Co l•-c,Of 61 k G41,• State ) permit fee of(12%surcharge : City/State/ZIP: fa r7- o/v J> 0 r 9'72 // FLS plan review(40%of permit fee): Phone:(903) 59'5- C/7 /4' Fax:(5'03) 2 gq- [ 79'3 (Due upon application submittal.) CCB lic.: 7 6 0 g/ Total permit fees: Amount received: Authorized signature t' .,....14e...--- This permit application expires if a permit is not obtained Print name: pDate: -2_3_ O within 180 days after it has been accepted as complete. YKlG 5 F. t'J"v'c��2 f// * Fee methodology set by Tri-County Building Industry J Service Board. I:\Building\Permits\FPS-PermitApp_071514.doc 440-4613T(11/02/COM/WEB) FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. 11111 is City of Tigard 'l COMMUNITY DEVELOPMENT DEPARTMENT TransmittaLetter COMMUNITY I i.A I± 0 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Mm) DATE R ii� I EP DEPT: BUILDING DIVISION FF9 1 2016 FROM: TO h� r u � �' 4:111���' � �.`��� y BUILDING DIVISION COMPANY: /`7.7` 0 4 «es-55 Co yi 7fr di b PHONE: 503 5?c- q7/6 FXT //.2r By:ems' RE: / 3 `l l6 514/ 7 fi h- Ave ., T y4 g5(14 lO o ( G O (Site Address) (Permit Number) (Project namec�rMsubdivision" naive and loçç4 , r ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 3 Revisions: it i Y c A t.R r r Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: ///S9,eGG ye Gay e/ t .res/ are r55 SySie'rn pfa '' k2 Yee Jaars. e o e oC' / 'a lel- ter , : , . ce- , '1 rig, I ort etu t, Y aI,o Y41sh7' . . FOR pFFICE USE ONLY Z Routed to Permit Technician: Date: ((c, Initial . ty 7.0 Fees Due: ❑ Yes FP-do Fee Description: Amount sue: $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 1