Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2010-00001
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/12/2010
Parcel: 2S101 DC04000
Jurisdiction: Tigard
Site address: 7500 SW TECH CENTER DR 130
Subdivision: Lot: 0
Project: Specialty Heating & Cooling
Project Description: Add (1) sprinkler head to new office space.
Owner: FEES
WALTON CWOR SOUTHRIDGE 12 LLC Description Date Amount
BY TTA/EPROPERTYTAX DEPT 325, PO BOX Permit Fee - COM 01/12/2010 $51.09
4900 12% State Surcharge - Building 01/12/2010 $6.13
PHONE:
Contractor:
WYATT FIRE PROTECTION INC.
9095 SW BURNHAM
TIGARD, OR 97223
PHONE: 503-684-2928
FAX: 503-684-9657
Type of Use:
Class of Work: Type of Const:
Occupancy Grp: Height: ft
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:
Total $57.22
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 0
Residential Square Footage: 0
Fire Alarm Valuation: 0
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 Orego
Utility i ication Ce Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of the r le
or d ect questions to OU C b Iling 503.246.6699 or 1.800.332.2344.
Iss ed By: r Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business /dy~.
This permit card shall be kept in a conspicuous place on the job site until com on of the project.
Approved plans are required on the job site at the time of each inspection.
_
Building Permit Application
Fire Profectioa System FOR OFFICI USE o
Received / >!QL QO~
City of Tigard _ Permit No.:
DateB : "a a
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.595.1960 DateB : Other Permit
Inspection Line: 503.639.4175 Date Ready/By: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
llIII _ OP A\URK KF~U11:}.11 I)1l -A: l 1~'U F;1A111.1' Uv\ 1:1 I.I~I:
❑ New construction I ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
4ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
( \ I I-(;(4n, op, (uysI RI_ C;l>ION work indicated on this application.
- -
Valuation: $
❑ 1- and 2-family dwelling %.Cpmmercial/industrial
❑ Accessory building ❑ Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB ',I H ICI (WK Il I W, _01) I OI',AI 1W, Total number of floors:
Job site address: New dwelling area: square feet
City/State/ZIP: l/ 2 "7 Z_ Z 3 Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
ItEQUIREI) 1) v 1 COMMFIWIAL-USI: ( 111 ( KI Iti I
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
n I)EnlI.II' CI(1\ M vv (Wk work indicated on this application.
~T/~1k)1C-J e N~it1 Valuation: $ Z77. 0-0
. / C~ Existing building area: square feet
v New building area: square feet
❑ 1'1:()1'1 KIN OA\ ',k 1, ❑ fF\:A>T Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
'~I'I'IJ( AA I ❑ (011:1( I I'f:IttiO~A ~OIIt E
Business name: ~j All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone:( ) Fax:: ( )
E-mail:
OA IIZ:ACT()K j BU111DING PFRN1I I FEES,
- - - - -
l,tiu.li ri I'r lr, lr it fee:
Business name:
f , Permit fee:
Address: 909~5 4-W V S f ,
City/State/ZIP: 3 State surcharge (12% of permit fee): 40-13
/ FLS plan review (40% of permit fee):
Phone: (SO ) lo 04- - 'Z o Fax: (03) &9 g1p ~j (Due upon application.)
CCB lic.: &4 0 7 Total permit fees:
57, iZ y
Authorized signature: i~~; Amount received:
_
This permit application expires if a permit is not obtained
Print name: V~ Date: D / r within 180 days after it has been accepted as complete.
* Fee methodology set by Tr -County Building Industry
Service Board.
L\Building\Permits\FPS-PermitApp.doc 03/23/06 440-4613T(II/02/COM/WEB)