Permit (100) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
�' COMMUNITY DEVELOPMENT Permit#: FPS2016-00150
13125 SW Hall Blvd.,Ti Date Issued: 02/01/2017
il(;; 11.f) and OR 97223 503.718.2439 9
Parcel: 1 S 126DC00900
Jurisdiction: Tigard
Site address: 9520 SW GREENBURG RD
Project: Greenburg Apartments Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: Building 2- Fire alarm for 4 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 $112.96
12%State Surcharge-Building 02/01/2017 $13.56
Type of Use: MF Plan Review-Fire Life Safety-COM 02/01/2017 $45.18
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 $171.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $3,408.00
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 or 1.800.332.2344.
Issued By: Permittee Signature:
aG
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 Applicat`
IItCFPFire Protection System r
City of Tigard AUG 3 1 2016 Received
74
I Permit No. mien/!o o /SD" 13125 SW Hall Blvd.,Tigard,OR 7223I Phone: 503.71$2439 Fax: 503.11,91.144001: I - j r IDlaatRBeview9!l /b
Date/B R (.b Other Pcnnit: 4 p p1�=x.33
i!t tr ti Inspection Line: 503.639.4175 1.1i�M!€�� a 1v1 tea N Bate Rea .: y Ste Pare z r
Internet: www tigard-orgovti- ! w= Notiftedlivietltod: / /4 im Supplemental tnforuattee
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_ TYPE OF WORK REQUIRED DATA:t-AND 2-FAMILY DWELLING
,New construction 0 Demolition - Permit fees*are based on the value of the work performed.
Indicate the valuerounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: value(
rounded
materials,labor,overhead,and the profit for the
_Y ^� CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling 0 Commercial/industrial w Valuation: $
❑Accessory building Multi-family Number ofb«9moms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors;
Job site address: CIS 20 '5W C>laie u12.ta A New dwelling area: square feet
City/State/ZIP: "`\ �
p i2. Garage/carport area: square feet
Suite/bldg./apt.no,; Project name t ii-3,I—:?-4>. AFts, Covered porch area: square feet
Cross street/directions to job site: .:
Deck area: square feet
- Ic� —. __. W Other structure area: square feet
jjj
REQUIRED DATA:COMMERCIAL-USECNcaliS'I`
Subdivision ,
;
Lot no.; n ' ' ',. Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
7 krAtarv'� _ .5 ry--- ___ Valuation: p
Existing building area: square feet
�� New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: ff 4S $1o/4 L... ..
l 1� `�' -�6J C— Type of construction:
Address: L.b oaatht.G a ZiSt....0r
Occupancy groups: ,
City/State&ZlP - "t` i& .I) b't^a . 972:4 ,
Existing:
Phone:(*9$7)GT S' kJ Fax:( ) New:
1 (APPLICANT 0 CONTACT PERSON
NOTICE
Business name: it_ +a"" . , All contractors and subcontractors are required to be
Contact name: kittS Lr..A...'t licensed with the Oregon Construction Contractors Board
Address; under ORS 701 and may be required to be licensed in the
-i 1 v4 A.20,40 .D jurisdiction in which work is being performer.lithe
City/State/ZIP: - applicant is exempt from licensing,the following reasons
apply:
Phone:(51). ) Lib. . Fax::('S'O ) eVii ' al*8
E-mail: /tit t"E'6'41" . CrvkAtt_ . A o--
CONTRACTOR BUILDING PERMIT FEES*
Business name: {P7eassreleru)eexclretlrxfc)
Address: Permit fee:
5A01.1,. AS Adv
City/State/ZIP: State surcharge(12%of permit fee):
Phone: ELS plan review(40%of permit fee):
{ ) Fax:( ) 'Due upon application submittal.)
CCI3 lie.: ins-kl� Total permit fees:
Authorized signature; Amount received:
._._.__ ,, r� This
permit application expires if a permit is not;obtained
Print name: Date: } within 180 days after it has been accepted as complete.
t Ttz„),A * Fee methodology set by Tri-County Building tnduaay
Service Board.
1y1 itdir ;Permsi,Fm.Feria o3toISdee 440-46 T 11,02/GOMrWOB)