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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT I COMMUNITY DEVELOPMENT Permit #: FPS2011 00092 TIGARD 13125 SW Hall Blvd Tigard OR 97223 503.718.2439 Date Issued: 08/09/2011 Parcel: 2S 112 DA00800 Jurisdiction: Tigard Site address: 15115 SW SEQUOIA PKWY 110 Project: Integrated Services Subdivision: PACIFIC CORPORATE CENTER Lot: 2 Project Description: Relocate (15) sprinkler heads and add (15) new sprinkler heads. Contractor: CROSSFIRE SPRINKLER CO Owner: PACIFIC REALTY ASSOCIATES 17400 SE 82ND DR ATTN: N PIVEN CLACKAMAS, OR 97015 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 210 -5506 PHONE: 503 - 624 - 6300 FAX: 503 - 210 -5538 FEES Description Date Amount Specifics: Permit Fee - COM 07/19/2011 $112.96 12% State Surcharge - Building 07/19/2011 $13.56 Type of Use: COM Plan Review - Fire Life Safety - COM 07/19/2011 $45.18 Class of Work: ALT Type of Const: IIB Info Process /Archiving - Lg Sheet (over 07/19/2011 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Hazard: LT 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 $173.70 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $3,920.00 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 w. not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you ollow the rules adopted by the Oregon k Utility Notifi +--r -nter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -01 -0090. ou ay obtain a copy of the rules or direr estions to O . calling 503.232.1987 or 1.800.332.2344. Issu dBy / /,, Permittee Signature: j V Call 503.639.4175 by 7:00 a.m. for the next available inspec . oate. 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 Fire Protection System RE CEIVED FOR OFFICE USE ONLY . City of Tigard JUL 19 2 01 1 Da // � Permit NohOS� //..., 'p p 9 - 6' .. 13125 SW Hall BlvdTigard, OR 97223 t t ` Other Permil � 4 j/ -5O J Phone: 503.639.4171 Fax: 503.598.19 oI' t n Date /B : �f ��L ���. Ti GARD Inspection Line: 503.639.4175 D U I�IN �!J Date Ready :y: ® See Page 2 for Internet: www.tigard- or.gov 0 DNISION Notified/Method: !1 M Supplemental Information � ... ., H, ,. 5`., . , TYPE WORK ., .,,.,�,.. -.. ,. ,,• ", . \` o RE'< UIREDDA�A`" 1 =AN� FAMILS =,;'; ...,.o-... ..,,� -.. .., .Z mss.... `��a:: �' .. \..M .. •��,; w , .., ,,, , �; .'i. < - , „ n.,...,,K ,. ,, ,,.y„'� .a " ^ y . , a .w a`.4;..,�:, `.. `z,3;g'g > �` �`. °t +.. : ,A�d�:,� " .. ..L. E ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the . -- q- 0 - ^''' :; • work indicated on this application. '' GAiT1 GURY`O COI!3.aT1tL1,Gi, . '4 ::,., % % �` < \�;�: , ' <`�� ,.. ...r`, _;.��a�x� -���:� ._�.. ..-km ,w,%,,,,, - =tea: ES =�::, \ :.,, t::.",-11411:50 Ill 1- and 2- family dwelling ® Commercial /industrial < Valuation: $ ❑ Accessory building El Multi-family Number of bedrooms: El Master builder El Other: Number of bathrooms: At'':':-'-4: - --- <. ' -,'-''z: Total number of floors: a ..��� ' ?IClB�3i 'i'E "IIY�O "RMA'TIUIYANTf� OGr1�' U1V Job site address: 15115 SW SEQUOIA PKWY New dwelling area: square feet City /State /ZIP: Portland, OR 97224 Garage /carport area: square feet Suite/bldg. /apt. no.: 110 / Project name: INTEGRATED SERVICES INC Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet RE6iTIR1iD;61T'A:CON6IERGI7 [JSE °C''IiECKGiST,V Subdivision: 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 all ` : ,,,.,,: ° ,`:.?:.- :.:,.,,,„ 6 , ..,: :, :..., -" .. „ M:,.; ,.,:,Y,.;,. , `; , a and the profit for the equipment, materials, labor, overhead, d a e o r \`;< M �' ,-, :d i W , z:4 -s' A `',,.." . work indicated on this a ...,. - -. DIM SCRTPTION Q ORK ,,&; :: , .! application. �," ��:� „rR., '�i� .., � uR \�..:��'�<, .,�. :;:. ...i�n��z• @ < \' " v'"s"'lro;.�.i�•4t: 3:,:; "�� „�� >�tiivi�,, 2=" j RELOCATE SPRINKLER HEADS = 15 Valuation: $$3,920.00 NEW SPRINKLER HEADS = 15 Existing building area: square feet New building area: square feet PROPERTY OW/ ER TENANT . '3a Number of stories: Name: PacTrust Type of construction: Address: 15350 SW Sequoia Pkwy - Suite 300 Occupancy groups: City/State /ZIP: Portland, OR 97224 Existing: Phone: (503)624 6300 Fax: ( ) New: I < „ , ,. ,5, ..,,,,r AP, - , ONTxA PERS , N. (:a.:: : , ,." ", ,- -. , � . -.. -, A NT � .,_.: � :.. � C"1' - - � : \t`:� . �.•• .c: -3� \:: "..• .�" :�,,,�•a:`.. _,._�.c. Y . .:: a . " - / e" "M"•�. "a•.�i�� -a ,mow,. - , , l�lJ l�lL" , \, , Business name: 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: y C- R : -.. � `� >`' ; B L I1 L 1 )t PVGT 'ERMIT�F E ES, ° � . Business name: Crossfire Sprinkler Company , . -,... v „ ' ,z{P1ease'refer t0Je" sch n 's; - ,*` °,-> ii *%�,, Permit fee: //a 7 6 Address: 17400 SE 82 " Drive • State surcharge (12% of permit fee): /3 , .5- 4 City /State /ZIP: Clackamas, OR 97015 FLS plan review (40% of permit fee): g sr/cP Phone: (503) 210 -5506 Fax: (503) 2 0 -553: (Due upon application.) q , rB lie.: 174746 3/� /.....1/ j ; W C ' Total r f ,,2 `` / 9-/2' Amount received: /'7 70 Authorized signature: .>.i►� --r4/ This permit application expires if a permit is not obtained Print name: Timothy A : Date: 7/12/11 within 180 days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board. I: \Bunding \Permits \FPS - PermitApp.doc 10/01/09 440- 4613T(1 I /02 /COM /WEB) • City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Y ^� r ' \•, .. .>F ..�;�::.. ;� a :Y•'•'"''•.•' Descrxlie:wark to be d ©rxe.M; 1.) El New 2.) Modification to sprinkler heads only: ❑ Addition El 1 -10 heads: No plan review required. ® Alteration ® 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: 30 Additional description of work: 1 to A: <,B ., i��D`�as -a Ali ° a ' le� �:.� .: wAts pritt,7I P F ;.v A.. , ,•Commerctal.S rrn kler ..,r,..r :;,.;: -;��: �4�'; ' ® Wet ❑ Dry Additional Standpipes Information: Hazard Group LIGHT Density • Design Area K. Factor 5.6 • Sprinkler Project Valuation: $ 3920 H opt p,ire Su ressii rijSr stieim . Hood Project Valuation: $ ? ma :�.. • -� -F, .Fir .Alarm . .,.. ...,...:. Submittal shall Battery Calculations ❑ Yes include: Individual Component El Yes Cut Sheets Fire Alarm Project Valuation: $ • �iRIjk&l kler >Sta d o e�5: < stern » y���� Square Footage: Permit Fee: " °, 0 to 2,000 $198.75 ;„ " ,. .A -0� -' ' -J -'.., .- •,- : \., or 2,001 to 3,600 $246.45 ` 3,601 to 7 200 $310.05 "' "3 a ' `° 7,201 and greater $404.39 q R Sprinkler Project Square Footage: sq. ft. Man__ e fi Project valuation subtotal (see A, B & C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (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. C: \Documents and Settings \CAD \My Documents \ Permits \tigard pemit.doc 10/01/0