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Permit (30) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 114.,..- 44 ' COMMUNITY DEVELOPMENT Permit#: FPS2019 00096 Date Issued: 07/16/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 101 AA02900 Jurisdiction: Tigard Site address: 12123 SW 69TH AVE Project: Compass Oncology Subdivision: WEST PORTLAND HEIGHTS Lot: B Project Description: Fire sprinkler. Adding 12 sprinkler heads.for TI. Contractor: DELTA FIRE INC Owner: SDC TIGARD CORPORATE CENTER INC 14795 SW 72ND AVE ATTN:ANDREW HARPER PORTLAND, OR 97224 101 CALIFORNIA ST, 26TH FLOOR SAN FRANCISCO, CA 94111 PHONE: 503-620-4020 PHONE: FAX: 503-620-1058 FEES Description Date Amount Specifics: Permit Fee-COM 07/16/2019 $166.76 12%State Surcharge-Building 07/16/2019 $20.01 Type of Use: COM Plan Review-Fire Life Safety-COM 07/16/2019 $66.70 Class of Work: NEW Type of Const: VA Info Process/Archiving-Lg$2.00(over 07/16/2019 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: Info Process/Archiving-Sm$0.50(up to 07/16/2019 $50.00 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Hazard: LT Density: 01 Design Area: 1500 K Factor: 8.0 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $305.47 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $8,769.00 Residential Square Footage: 0 . _ Fire Alarm Valuation: $0.00 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 9 2-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.334p Issued By: •=rmittee Signature: / - Call ��.4175 by 7:00 a.m.for the next a .d.: e ins!. -0. •a This permit card shall be kept in a conspicuous place on . ob site . ompletion of the project. Approved plans are required on the job si the time • each inspection. Buildin! Permit Application Fire Protection System FOR OFFICE USE ONLY City d /, /• ��1 ( —/��N`v` ! 1 n Permit No.c T '. r 13125 Sof W HallTigarBlvd.,TiReceived gard,OR 97223 J L t? i 7 Date/By: [/� ` ( /Plan Review 1 II Phone: 503.718.2439 Fax: 503.598.1960 Date/By: /, «. ) I 1 Other Permit: TiG.A k 17 Inspection Line: 503.639.4175 Date Ready/By: / i Juris: See Page 2 for Internet: www.tigard-or.gov t:.:.11'.- _ .''i •tified/Me�: ! 7 ®9" /41 Supplemental Information i_ - Norq v Al tyi'VC ab` ❑New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ►1 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the I-. T �= ' '' .',11,,,..„ work indicated on this application. J fir ,. � � : �TE+tG2X FCU '�'+ ��TI©N :w � �>< �. � �-' Valuation: $ 0 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: ,x JOB SI.' FO• fl"AND LOCATION' Total number of floors: Job site address:12123 SW 69Tn AVE New dwelling area: square feet City/State/ZIP:Tigard Oregon 97223 COGe1, et55 aywipg� Garage/carport area: square feet Suite/bldg./apt.no.:LINAC Project name: LGenr� ((// Covered porch area: square feet Cross street/directions to job site:69t"&Franklin Deck area: square feet Other structure area: square feet rr, x eal$ t / ¢ 1 1a :.-z w IST= '. 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 P k n s,lame C l t WORK va � /, work indicated on this application. Install new fire sprinklers as noted for LINAC portion of building 62) fValuation: $8,769.00 Existing building area:1'f II Ibpi) square feet New building area: 1100 square feet -' ❑ PROPER1 i'€- R 4. -,Av .' ' 1+v: Number of stories: 1 Name:CO MPASS ONCOLOGY WESTSIDE CANCER CENTER Type of construction: Type II-A Address: Occupancy groups: 1 City/State/ZIP: Existing: Light • Phone:( ) Fax ( ) New: n/a 4 4 ► va CN a► A C1 e +i, ',1a . � V st �� . �x ..AT' :, 4 � !. f < Aly �" .' ''...4' Business name:DELTA FIRE INC/CCB 64174 All contractors and subcontractors are required to be Contact name:ANGELA CARTALES licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 14795 SW 72ND AVE jurisdiction in which work is being performed.If the I., City/State/ZIP:PORTLAND OR 97224 applicant is exempt from licensing,the following reasons ani Phone:(503)620-4020 X-109 Fax::(503)620-1058 E-mail:angic@deltafire.com ;,, - . ' 6NTRRA,ry _ I. :t X444;, ,44444-" 4 Business name:DELTA FIRE INC K.BIIILDING:FE �, moi•"I 1Pkasese er wfee ';uke)`' 4 Permit fee: Address:SAME AS ABOVE State surcharge(12%of permit fee): City/State/ZIP: FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application submittal.) CCB lic.:64174 Total permit fees: "? Amount received: Authorized signature. �y -/� L This permit application expires if a permit isnot obtained Print name: 1!°1 a .rt j f Date:7/15/2019 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:\BuildingTermits\IPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)