Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
114
aCOMMUNITY DEVELOPMENT Permit#: FPS2016-00149
13125 SW Hall Blvd.,Ti Date Issued: 02/01/2017
and OR 97223 503.718.2439
;Al=.t� 9
Parcel: 1S126DC00900
Jurisdiction: Tigard
Site address: 9510 SW GREENBURG RD
Project: Greenburg Apartments Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: Building 1-Fire alarm for 6 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 $134.48
12%State Surcharge-Building 02/01/2017 $16.14
Type of Use: MF Plan Review-Fire Life Safety-COM 02/01/2017 $53.79
Class of Work: NEW Type of Const: Info Process/Archiving-Lg$2.00(over 02/01/2017 $24.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: 3 Info Process/Archiving-Sm$0.50(up to 02/01/2017 $10.00
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: No Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $238.41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $5,112.00
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:1 / 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.
Buildin Permit A' I lien"'! 1 __
Fire Protection System FOR 011'R L L SE°NIA
City of Tigard Received
Permit No.:r-
• 13125 SW Hall Blvd.,Tigard,OR 97223AUG 3 1 2016
Plan Rev Revi
et
ill1(4,:( Other Penn&Atz#9094/5--6033f)
' II Phone; 503 718 2439 Fax. 500,-.VV:VOF. 1 i( ARL) • , ,
Date/By. .
RI) Inspection Line: 503.639.41 7,5, ••..'.' ' 63 Sec Page 2 for
T I GA .
Ull D1NC 1.8 \ilq11-16' Date Read ,--,e?../.9_ 14., ..ovie
Internet: www.tigard-or.gov ID f__ A Li v ,,,p„ir'. Notified/Medial: Supplemental Information
/____e_ ,,efz _t .'_____
TYPE OF WORK REQUIRED DATA;I-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
9 AdditioWalteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: $
D I-and 2-family dwelling 0 Commercial/industrial .
Number of bedrooms:
0 Accessory building XMulti-family
Number of bathrooms:
9 Master builder 0 Other:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: Ci 5),D "NA) Clia*E saiit-t 2-l> 7RD, _ New dwelling area: square feet
City/State/ZIP: —7\6 Atlit) 0 a, 9 77-7-.5Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:G2F .01500 I,7....0, 4 :(sCovered porch area: square feet
_
Cross street/directions to job site: Deck area: square feet
---
V-V4u- Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: 106#' / Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
'fax map/parcel no.:
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
---- ---124._ 44. LAArYN ''"IiSTE-ri"--- Valuation: , 5 Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Gars. Aepp,c) vAi
INA 6 u C M.E.sQ115. Le—C- Type of construction:
_
Address: 71410 (.,,., c,„4%.,,,,s5,,,,LL,---go S-6,„z c_ Occupancy groups:
City/State/ZIP7-71\..)AR,0 cycz. 57 z-z.'5 Existing:
...
Phone:(9.3)GT 5. 1\16-5 Fax:( ) New:
Olt APPLICANT 0 CONTACT PERSON
NOTICE
Business name: 1 rATtabct.AT.E.c) Li.)tsr.,--rl_c..„...x„....c.Lat Es All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: as4fAs. LL)A-res
under ORS 701 and may be required to be licensed in the
Address: 3815 I -1- -R•c, • jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: S A.1.301 be- q -7c, gs- apply:
-
Phone:(5.0 ) --,
ti /to' • 2.kcAD Fax::(5-1:) ) g2 Co • M.a
_
F-mail: /N reb\4 r"P. (>MA(t... . C-t>vv•- ...
CONTRACTOR BUILDING PERMIT FEES*
(Please refer+else schedule)
Business name:
Permit fee:
Address: 5-4 0:.
z1____.iiEp_s)__f..__ .
— State surcharge(12%of permh fee):
City/State/ZIP:
FI,S plan review(40%of permit fee):
Phone:( ) I Fax:( ) (Due upon application submittal.)
Total permit fees:
(TB lie,: I-15 kk,S
Authorized signature: Amount received:
-This permit application expires if a permit is not obtained
Print name: wav, kii,.., ATV> Date: Bi 3\ 7_01.6 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I 113011(11(44ermits,FPS-Pennit App,o11016(10c 440-4013 T(I 1 02'COMV013)