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" _. I COMMUNITY DEVELOPMENT Permit#: FPS2009 -00048
r Date Issued: 06/04/2009
'TIGARD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
; L.: 47 ,, -,,,,, _ Parcel: 2S113AA01100
Jurisdiction: Tigard
Site address: 16588 SW 72ND AVE, BLDG# B11
Subdivision: OREGON BUSINESS PARK I Lot: 0
Project: Spec Space
Project Description: TI relocate less than (10) heads.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
ATTN: N PIVEN, 15350 SW SEQUOIA PKWY
Permit Fee - COM 06/04/2009 $62.50
#300 12% State Surcharge - Building 06/04/2009 $7.50
PHONE:
Contractor:
CROSSFIRE SPRINKLER CO
17400 SE 82ND DR
CLACKAMAS, OR 97015
PHONE: 503 - 210 -5506
FAX: 503 - 210 -5538
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
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 $70.00
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 1000
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 Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to�OUN�C( OOO����LL l ( �
bbyy calling 503.246.6699 or 1.800.332.2344.
Issued By: ` �� J \ Perm ittee Signature: (L � a 0
���.J ) %'1
.1
CaII 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.
4
gF K' CITY OF TIGARD
FIRE PROTECTION SYSTEM PERMIT
�t "V: „
,`y ; COMMUNITY DEVELOPMENT Permit #: FPS2009 -00048
,,T A
I G RD! 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 06/04/2009
Parcel: 2S113AA01100
Jurisdiction: Tigard
Site address: 16588 SW 72ND AVE, BLDG# B11
Subdivision: OREGON BUSINESS PARK I Lot: 0
Project: Spec Space
Project Description: TI relocate less than (10) heads.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
ATTN: N PIVEN, 15350 SW SEQUOIA PKWY
Permit Fee COM 06/04/2009 $62.50
#300 12% State Surcharge - Building 06/04/2009 $7.50
PHONE:
Contractor:
CROSSFIRE SPRINKLER CO
17400 SE 82ND DR
CLACKAMAS, OR 97015
PHONE: 503 - 210 -5506
FAX: 503- 210 -5538
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler Svstem:
Sprinkler Required: Yes Sprinkler Type: Wet
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 $70.00
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 1000
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 Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: q/( „ • /I ` 0,1) Permittee Signature: <
40
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.
` ,, _ ' � ' i ` ' - .'` I OFFICE USE ONLY
Building Permit Applicatimi - ` - ' - ,! •
tity-°fTualatin J U �! of 4 gol'� 44 Date received: Permit # 520O9 . a:04 Q
e i4 ,
Tualatinr0R-97062 ° ' V r, ` "'!'. /I' Date Issued: By: Receipt:
P . .,, _!. e• .1 , .A. i s 'Uri i,l'
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TYPE OF WORK
REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition
Permit fees* are based on the value of the work performed.
Addition/alteration/replacement ❑ Other: Indicate the value (rounded to the nearest dollar) of all
CATEGORY OF CONSTRUCTION equipment, materials, labor, overhead, and the profit for the
work indicated on this application.
❑ 1- and 2- family dwelling Commercial /industrial Valuation
❑ 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: \ LS - 1.6 7 :B L S w 12( 4
New dwelling area: square feet
City/State /ZIP:
Garage /carport area: square feet
Suite/bldg. /apt. no.: I t. ,o� \ \ Project name: R - •e— spec_
Cross street/directions to job site: 204.E Covered porch area: square feet
Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Permit fees* are based on the value of the work performed.
Subdivision: Lot no.: Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
work indicated on this application.
DESCRIPTION OF WORK
Valuation
2 E.L. O l.C. Irk-40 Existing building area: square feet
l 'o._ S J 4 171.0 ii 10 0 New building area: square feet
Number of stories:
PROPERTY OWNER ❑ TENANT Type of construction:
Name: P4G \tZ�S Occupancy groups:
Address: 15 35(13 SU-) S c„( pt A Re...W-4 -4‘3%.c, Existing:
City/State /ZIP: ?tax 40 zi cm. 4 ,1 220 New:
Phone: (1D3) G ( Fax: (565) 12A 1155 BUILDING PERMIT FEES*
❑ APPLICANT ❑ CONTACT PERSON Please refer to fee schedule
Business name: Ca.c. L I2.0 FEE TYPE AMOUNT DATE
p PAID
Contact name: M - cV - / 1 , Ej Fv41: PERMIT FEE
Address: PLAN CHECK FEE
City/State /ZIP: (Due upon application)
FIRE LIFE SAFETY FEE
Phone: ( ) Fax: : ( ) (Due upon application)
STATE SURCHARGE
E -mail: (12% of permit fee)
CONTRACTOR OTHER
Business name: C n.055Ft12,L Set tJ1LlJ?.2 TOTAL FEES
Address: \ — Aoo S 7✓ C 4 cl 1 :::xLNt) t
NOTES:
City/State /ZIP: C L ACazNMRS e2 '91ot';D
Phone: ( •Jt) 2. \c, SSo(o Fax: (5ti) 2 k `6TIg —7 �l
CCB Iic.: • AL, 70.00
Authorized _ .4 This permit application expires if a permit is not obtained
signature: % within 180 days after it has been accepted as complete.
Date: �1 * Fee methodology set by Tri- County Building
Print name:
1 . ,n/a
c.. L - �t. oP L & - O - ') Industry Service Board
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