Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
q
>x ..r:. COMMUNITY DEVELOPMENT Permit #: FPS2010 -00027
Date Issued: 04/08/2010
tT IG 'AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S112DB00300
Jurisdiction: Tigard
Site address: 7233 SW KABLE LN 500
Subdivision: Lot: 0
Project: Nuance Systems
Project Description: Connect existing sprinkler piping to 1" drops for TI.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224 Permit Fee - COM 04/08/2010 $112.96
12% State Surcharge - Building 04/08/2010 $13.56
PHONE: 503 - 624 -6300 Plan Review - Fire Life Safety - COM 03/25/2010 $45.18
Contractor:
FIRESTOP CO
3203 NE 65TH ST. #2
VANCOUVER, WA 98663
PHONE: 360 - 718 -8604
FAX: 360- 718 -8603
Type of Use: COM
Class of Work: ALT Type of Const: IIIB
Occupancy Grp: B Height: ft
Stories: 1
Commercial Sprinkler Svstem:
Sprinkler Required: Yes Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $171.70
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 3875
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 Oregon
Utility Notification Cen e . hose s are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
orr difct questions
k ( ns to OUNC calli .246.6699 or 1.800.332.2344.
[Issued By: /;' ermttee gnature: Pi Si 111 � (( Rd
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 Application PLtruAQ, (mo
Fire Protection System
RECEIVED FOR OFFICE USE ONLY
City of Tigard y �I Received
`J g Date /B : -_� Permit No.: sa X1 0 -.0 401427
IIIII 13125 SW Hall Blvd., Tigard, OR 97223 �A Plan Review 1 i
Date / B ' L 1 `•
� Phone: 503.639.4171 Fax: 503.598.1960 MAR �' `� " IMIE Other Permit: a 00:5
T 1 G A R D Inspection Line: 503.639.4175 p p� f� Date Read 1 : ' ® See Page 2 for
Internet: www.tigard - or.gov C O TIGARD Notified /Method: "D a � ' 0 :I Supplemental Information
3UILDING
DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
RI Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: S
❑ 1- and 2- family dwelling 0 Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: - 7 Z 3 3 S (A) KA (3 Le LA 1 E New dwelling area: square feet
City /State /ZIP: po (ZTLAI,J D I O IZ , 6 1 11.1- 4- Garage /carport area: square feet
Suite /bldg. /apt. no.: S O O Project name: NVAOCE. S`( STEM S 1 114 C., Covered porch area: square feet
Cross street/directions to job site: so/ -7 2.. n - kA (3.1 LA E . Deck area: square feet
EA cT d F 000 S 01,1 bATEI DATE V Q PL-'( Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ '3 $ 7 5
Co ►JNec-r - ro Ex 1ST 1 N G F■YLE SIpyLIN KLE.
F l 1'1 N 6 A- N o 10 s TA t,t_ 1.1 E vJ 1 t I t r2-.o p S To Existing building area: 1 745 square feet
ACCoM TE0 1 K1 =N1Q (to JEMEN 7 New building area: square feet
rig. PROPERTY OWNER ❑ TENANT Number of stories: t
Name: PM- 1 F 1 G (LEa L-'rY ASS oc AT t✓ S I Ll° Type of construction:
Address: 1 5 3 5 0 SW S E Q v o 1 A PA tKwRY A 3o 0 Occupancy groups:
City /State /ZIP: Po 1?.. LA1JD1 0 Q_ t 9 12.- 2- 4 Existing: / c_-2.1 F- Z
Phone: (5 -- (0300 Fax: (503) 62.4 - - 77SS New:
_! APPLICANT ❑ CONTACT PERSON NOTICE
Business name: F) (Le s -T-6 P LO , All contractors and subcontractors are required to be
Contact name: 11,0 12_6-.E- N licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 3 2.o 3 1J E ( S TT, S T , S PAC Z jurisdiction in which work is being performed. If the
A NLo v 'JER WA t ) `1 8 6 apply: applicant is exempt from licensing, the following reasons
City/State/ZIP: �State :
Phone: ( 36p) 7 1 g - o 4- Fax: : ( 36o) 71 S -9 6 0 3
E -mail: g1eC. (So -Fj Yes-i-opGo ri"1.
CONTRACTOR TOR BUILDING PERMIT FEES*
SAM M E A S /� 1� (Please refer to fee schedule)
Business name: E Permit fee: 1 1 Z M G
Address:
State surcharge (12% of permit fee): 2 .
City /State /ZIP: FLS plan review (40% of permit fee):
4
Phone: ( ) Fax: ( ) (Due upon application.)
CCB lic.: 1 Q, 3 219 Total permit fees: : — I i •'7o
Amount received:
Authorized signature:
ep � This permit application expires if a permit is not obtained
Print name: - 4�..(n0.v1 S„,__ Date: 3 /L5"' 1 O within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \FPS- PermitApp.doc 10/01/09 440- 4613T(I I /02 /COM/VEB)