Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
■' COMMUNITY DEVELOPMENT Permit#: FPS2016-00153
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/01/2017
T I 'A It C� g Parcel: 1 S 126DC00900
Jurisdiction: Tigard
Site address: 9580 SW GREENBURG RD
Project: Greenburg Apartments Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: Building 5-Fire alarm for 12 unit apartment building
Contractor: INTEGRATED WEST TECHNOLOGIES LLC Owner: RES-OR TIGARD LLC
38751 DUBARKO RD 730 NW 107TH AVE STE 400
SANDY, OR 97055 MIAMI, FL 33172
PHONE: 503-476-2106 PHONE:
FAX: 503-826-0926
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/01/2017 $188.28
12%State Surcharge-Building 02/01/2017 $22.59
Type of Use: MF Plan Review-Fire Life Safety-COM 02/01/2017 $75.31
Class of Work: NEW Type of Const: VB
Occupancy Grp: R-2 Height: ft
Stories: 3
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: No Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $286.18
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $10,224.00
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 -. .•- . OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
,09-4 -.07"PritiATV
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 ApplicatioA .„„,
lkiEt)
Fire Protection SysterHEL/F ,0,,0, , ,, , , ,, 0\1 \
City of Tigard
0J 7223 31 2016 rter- 9 b iMI Permit No.. i.- 2_6/(0-off)153
" 13125 SW Hall Blvd.,Tigard,OR 7223
Inlaid
: 3 Plan Review ;:,
Phone: 503.7IL2439 Fax:(4ftr?Sa40 TIGARD
Ilki
'•A - sir
Date/11 : ,illikik, AP °tiler Permit:Ju atow-oe,3
Ti,.,„,, Inspection Line: 503.639.4114" Date Rea.41":;:. ....„ et Ste Pogo 2 for
–'''''.'- Internet: www.tigard-or.guILDING DIVIS;UN Notifiwimetho,F7,4„- / - 1--- lial Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
KNew construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION —
work indicated on this application.
Valuation: $
0 1-and 2-family dwelling 0 Commercial/industrial
._.
O Accessory building .7 Multi-farnily Number of bedrooms:
..0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
.._ _
Job site address: ice° .3‘,0 C)21e.sostsve.tz ""*"'" c) New dwelling area: square feet
City/State/ZIP: --"ritk, 1:442.0 eii2,„ 43-72.2.:75 Garage/carport area: square feet
Suite/bldg./apt.no.: Project narne:62E Aye,40.6.- .
Ap T s Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.:61*5 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.
AValuation: S/6, 2.24
---- -7Et. L.rrirero's *"telP_S-T-EThete--....
Existing building area: square feet
_
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Gras,tAietime.to **--iZIwto vkAr-4,0v s tr, krts Lhc., Type of construction:
Address: 7 Li L 0 4.,„ 1,0015Vit.1)m-kio -"..' ur r:a."" _ Occupancy groups:
City/State/ZIP. 1 )t i j A 2,0 tra. ciitz.15
Existing:
Phone:(93)(....-4 s. we,-it, Fax:( )
New:
Nt APPLICANT 0 CONTACT PERSON
NOTICE
Business name: 1 tek it_ a 0. . . 44...1444,..0L,I.*.lg. All contractors and subcontractors are required to be
Contact name:
licensed with the Oregon Construction Contractors Board
CNAtts. ,.. at
under ORS 701 and may be required to be licensed in the
Address: 3 815 L_-tiy_eautig.42._. -Fa) .._ ._ jurisdiction in which work is being performed.If the
— applicant is exempt from licensing,the following reasons
City/State/ZIP: 5 to.10%,1 S-S- apply:
Phone:(5'0,5) tot,• .z.kot. Fax::(TO) ii12,co. ' i((a
E-mail: 1 NI r EtsV i r e. C> -ML .
CONTRACTOR BUILDING BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name
Permit fee:
:
Address: "S-....-
ArAt AS Att.o'4Z. —
State surcharge(12%or permit fee):
City/State/ZIP:
—
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal)
—
CCB lie.: Ins-vs Total permit fees:
Amount received:
Authorized signature: ;)
C : .0.4r
.4`40,' -
. ...,.... .__............., This permit application expires if a permit is not obtained
Print name: i A-1-r5
within 180 days after it has been accepted as complete,
jokate„ 0,... Date: at 3C/zott., I
* Fee methodology set by Tri-County Building Industry
Service Board.
iAnuitautpeertsiityPS-PermilAus 031016 dor 44G46131(11/021COMAVE11)