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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT ` {1 COMMUNITY DEVELOPMENT WHIM Permit FPS2011 -00004 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/11/2011 Parcel: 1S126BC01506 Jurisdiction: Tigard Site address: 9020 SW WASHINGTON SQUARE RD 430 Project: Farmers Insurance Subdivision: Lot: 0 Project Description: Relocating (4) existing sprinkler heads. 2/3/11, reprint to correct project name. Contractor: AFP SYSTEMS INC Owner: WISCO REAL ESTATE EQUITY 19435 SW 129TH 1501 SW TAYLOR STREET, SUITE 100 TUALATIN, OR 97062 PORTLAND, OR 97205 PHONE: 503 - 692 -9284 PHONE: 503 - 294 -0400 FAX: 503 - 692 -1186 FEES • Description Date Amount Specifics: Permit Fee - COM 01/11/2011 $51.09 12% State Surcharge - Building 01/11/2011 $6.13 Type of Use: COM Class of Work: ALT 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: $0.00 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 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct • • -stions to 0 UNC b calling 503.232.1987 or 1.800.332.2344. Issued By: %O Permittee Signatu Call 503.639.4175 by 7:00 a.m. for the next available inspe •ate. 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. ,, CITY OF TIGA FIRE PROTECTION SYSTEM PERMIT °' ' COMMUNITY DEVELOPMENT Permit#: FPS2011 -00004 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/11/2011 Parcel: 1 S 126BC01506 Jurisdiction: Tigard Site address: 9020 SW WASHINGTON SQUARE RD 430 Project: State Farm Subdivision: Lot: 0 Project Description: Relocating (4) existing sprinkler heads. Contractor: AFP SYSTEMS INC Owner: WISCO REAL ESTATE EQUITY 19435 SW 129TH 1501 SW TAYLOR STREET, SUITE 100 TUALATIN, OR 97062 PORTLAND, OR 97205 PHONE: 503 - 692 -9284 PHONE: 503 - 294 -0400 FAX: 503 -692 -1186 FEES Description Date Amount Specifics: Permit Fee - COM 01/11/2011 $51.09 12% State Surcharge - Building 01/11/2011 $6.13 Type of Use: COM Class of Work: ALT 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: $0.00 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 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 300332.2344. Issued By: I, Permittee Signature: �� . . _ Adi i iil‘lli Ca I/ 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. JAN -10 -2011 MON 09:38 AM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 02 Building Permit ApplicationRE C-EI V ED Fire Protection System n N 1 1 2011 Folk t)I�I IC I 'ViP ONI City of Tigard • R yy���� I © 11 %.; ; remit N..: F ? iL' 61)I 0 IN v 13125 SW Hell Blvd., Tigard, OR 47 ry of TIGARD Ptnn l Roviaiv Phone; 503.639.4171 Pax: 503.5 Me rermie ( r, Inspection Line: SD3.639.4115 ' - DIVISION 1'1rlt)y. —^ "l g ot f or 7r3 IA I i A It i j alto Ready/Tiy; i Bl ipp . ro 1'pQo 2 f littered: www.tigurcl ar.gov �Notificd/teleifitrd: i " Liemeutnr tnrormntion ' 'i li*O k W, Vo tic : ::. ; .. ! 7. i QUiiiii6i)A;E ii 4iN1iiiii; 1ll4x!pW i.1,iNCr ❑ New construction 0 Demolition Penult ices* fire based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ® .h dditiunlniterntian/re p lacomonl El Other equipment, materials, labor, overhead, and the profit for the P; '1 A CA,. GO I , ,O h a -• " ' work indicated on this application. Li 1. and 2- 111mily dwelling 54.Comrncrcinl /industrial Valuation: 5 ❑ Accessory building ❑ Multi- fatally Number of bedrooms: 0 Master builder 0 Other, Number of bathrooms: � I , + ) 1� AT,T ,;! Total number of floors: IQI;. S17'R iT!jC +t�liiY 1�TT; �# �, C.o .. , . , ; ors: Job site address. y V �. S New dwelling arcs: square feet CltylSlute!L[P: - garage /carport area: square feet Suite/lticlg,Japt. no.: Project name: Covered porch area: square feet Cross street/directions to job silt: , Deck arc : square foci Other structure area: square feet i4..Q411[( D T'.6„xt r Cd 1t[E01 I$'i': ,: n; Subdivisio -�, Lot no.: Permit fees' are based on the value of the work performed, Tax map/parcel no.: Indicate the value (rounded to the nearest dollar) of nil equipment, materials, ialtnr, overhead, and the profit for the ti4' 1S?l? •i!VO4C 1 ! V ' work indicated on this application. r _ .. I ......�� q Vahietfoti: $ i t„(1). tZ 1 �y t jY1-.(,,J• m � _ Laxisling building arm Vo 1.4 square feet Now building emu: I SOL) square feet : ti' ('(1QQPERTYa4iiiiiR .,oANF I : : Number of stories: i2 Nome: . 0 ' -% Type of construction: Address; 90 a— , S iQcl S IQ, fI 30 — Occupancy groups: City /State /%lP: Or Phone: Existing: Fox: ( ) _ 7,... I r� New: trONY � � f � .; a t L * NQ'�[CF ' Business name: F - ,,_ All contractors and subcontractors are required to be Contact name: 3 r„ J Reclined with the Oregon Constrnction Contractors Board Address: i under ORS 701 and may be required to be licensed in the i 9 4 1 s ,� j Vt. Jurisdiction in which work is being performed. If the City /Stale /ZIP: t-1-1 o .14r� e 1� applicant Is exempt from licensing, the following reasons i -- apply: . Phone: ( ‘ q L .gag ,, . i .. I FnX::( ). &�: _ U 55 C, — l+ mail SiW� c* cTI , n i % � IOR iI i �.i. BUJE INt;P 11 + Business name; pain' S frrr�.er�.rQt h „r, Address: Penult fee: City/Slate/ZIP: Slate surcharge (12% of permit fee): P1.S plan review (40 %ofpermit fee): Phone: ( ) Fax: ) _ fThie' upon rrpp/irntforr) CCI3 lie.: 2 7 5 1•1 Total permit fees: Authorized signature: t, Amount received: This permit application expires if n permit Is not obtained Print name: 31 v„,. t , G Date: -7,-j i 1 within 180 days utter It has been accepted as complete. J . Pee methodology set by Tri•Counly Building Industry lanuitdlnak PrumliMPS•Pmoir4p400 ororteb 4 40 T(1 1/02/CObU1V1111) Service Board. JAN -10 -2011 MON 09:38 AN AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 03 City of Tigard: Fite Protection Permit Checklist Page 2 - Supplemental Information i fi , , i Desc1l� cwo'ktobedone 1.) D New 2.) Modification I.o Sprinkler heads only El Addition 1 -10 heads: No plan review required. 1 q d. ua.n Alteration D 11+ heads: Plan review required. q Repair Number of sprinkler heads: Ad o al dcsc l iption of wor] i h. __ . ' s tem Coin `lete'A` B 'C ar D as a l .) Commercial Sprrinkler d Wet , J Dry Additional Standpipes Information: I Iaaatd Grog Density Design Area .,w. K Factor —� Sprinlcler Project Valuation: $ :ressitn S s«tn • ! , Mood Project Valuation: $ C.) Fire Alttrin Submittal shall Battery Calculations Ycs incluclo: Individual Component Q Yes Cut Sheets Fire Alarm Project Valuation: $ ), eaidential Sprtnklct (Stand Alone Sytatein) • Square Footage: Permit Fee: 0 to 2,000 $187,50 2,001 to 3,600 $232,50 3,601 to 7,200 $292 50 7,201 and greater $381,50 Sprinkler, Project Square Footage: eq. ft. Fire �'tpF�ciioti>l�errii Fees _ Project valuation subtotal sec A, ]3 & C above): $ Permit fee based on ro ec.t valuation see fee schedule : $ Permit fee based on square footage (see D above): $ State Surchar e 12% of permit fee): $ FLS Plan Review (40% of permit fee): $ --� �_ TOTAL: $ Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. mBuildins \pentif \FPS•y iapp.d 06/25/05 2 JAN -10 -2011 MON 09:38 AM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 05 • ' �- __ . 1 • 0 • 0 �n1 iniimil11��� �....Y.� . . / - . tia, IR .,t � IAA , 1 1 111110 .,. . • . ciz, ,.. . • vl ' Al ' -��t L, p h - f1 1411.111 IllhIIIIIo _... _ _ Cl 111)11L11111 • (r�l� � l ' I tirlei t w cX a' . ry= I 1 h I '� � ��© p Q ° it . h�'i 1J JI, IaNe n. urn mum drrrnnit T„hrrl' it lO I� 11119* , �7f1 n n, 0.�� CV • ;; — 0 C 1 , loom . inn, n.l nr T_ Co (f) o ,iDTaC° N OTES'- . .. • • .. q $ �'I FROT�L'TFt2f, • . , ., - . ., • ,....,, RG�.UC�r.• y • PE�aE,�T . • ALL • ALL woad , 4: elt iv EPA' Wct4L llil PRAIS Y: e) . ' C11E3:10a) Eft - DAT j - '7 -1.1 • ' ARonacis • • . Peod LID n _ • • • tM' -t' RE Y: • • I111111U1 . �. : FP- 1 of 1 •