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Permit q CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT : . 11 COMM DEVELOPMENT Permit #: FPS2011 -00116 Date Issued: 10/04/2011 T[ GA R.D 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Parcel: 1 S1266C01506 Jurisdiction: Tigard Site address: 9020 SW WASHINGTON SQUARE RD 450 Project: River City Travel Subdivision: Lot: Project Description: Remove (11) heads and move (16) heads. Contractor: AFP SYSTEMS INC_ Owner: WISCO REAL ESTATE EQUITY FUND I 19435 SW 129TH 1501 SW TAYLOR ST STE 100 TUALATIN, OR 97062 PORTLAND, OR 97205 PHONE 503 - 692 -9284 PHONE: FAX. 503 - 692 -1186 FEES Description Date Amount • Specifics: Permit Fee - COM 09/27/2011 $67.23 12% State Surcharge - Building 09/27/2011 $8.07 Type of Use: COM Plan Review - Fire Life Safety - COM 09/27/2011 $26 89 Class of Work: ALT Type of Const: IIB Info Process /Archiving - Sm Sheet (up to 09/27/2011 $9 00 Occupancy Grp: B Height: ft 11x17) Stories: 5 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 $111 19 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $1,100.00 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 -00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 232.1987 or 1.800.332 2344. - Issued By: _ - Per mittee Signature: 0n I /1 , �- AUW t k /I Call 50 •39. , v', 0r . for the next available inspection date. This permit card shall be 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 ApplicationRECIEIVED Fire Protection System ['OR.OFFICr USE ONLY . City of Tigard SEP 2 7 20 Date/13 F a7KL PernntNo 1 ,5 ,ll 00 :::, 0 13125 SW Hall Blvd., Tigard, OR 9 Plan Review s Other Peunit: N- Phone: 503.639A171 Par: 503.k.' .41 OF TIGARD 'Dates : •ry �u/'aoll cello TRlARD Inspection Line: 503.639.4175 o ILDING DIVISION Date Ready : l . , ludo to See Page 2 for Internet: www.tigard- or.gov No "-d/Method: Supplemental Information i `, Le_, - - = TYPE OF,:WORK + - ,} IRECDDATA: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 VIAddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the 'CATEGORY' OF CONSTRUCTION - = - "- work indicated tin this application. ❑ 1- and 2- family dwelling 0 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: 9 Q 10 5� W P, k I N e� ON S Q °J A K 3. 6, New dwelling area: square feet City /State /ZIP: —1--1 %a,c.r p (2, (1- d 2, - Garage /carport area: square feet Suite/bldg. /apt. no.: ti 5 a Project name: ?..,`, uQ, c C t y j C CxJ e. Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I 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 equipment, materials, labor, overhead, and the profit for the DESCRIPT =OF, WORK _ - _= - work indicated on this application. QM 1 �V I\ ..c.\ � t 1` IO `os/� �Q' 1ko .cK\ S Valuation: $ I 0 Existing building area: 1% square feet New building area: 31 S( square feet ❑ -PROPERTY OWNER - , ' - _ -' 0 TENANT , - - ' Number of stories: s Name: Type of construction: C al L r Cu ,\ Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: APPLICANT., ` ,CACERO T-- PSN.- ' � A .:...- ` �.'-- :- '. - - " -- .. ❑ O - -- - - . _ NOTICE:.:_,,' = '_ = �.. Business name: k T' "7 . S STC.r^S 1"c_ , All - contractors and subcontractors are required to be Contact name: \,....41..., O n �� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 6y 7 S S v4 \'Ze1 'IL Av t✓ jurisdiction in which work is being performed. If the City /State /ZIP: r�Q`�� r Q,t ct — I.. V 2._ applicant is exempt from licensing, the following reasons apply: Phone: ('u3) U92. — 92.kLI - Fax:: (Col) IR -8 3 4 E -mail: 0 co- 41 OS e S S - Co rc• ," , - - .•CONTRe1�.CrOR -,..- _ -_; -' -°' ` _ _- - - - - -' BU ILDING PERMIT FEES" - - , -_ r - (Pleirse refer to (ee sahedule) - Business name: A , c e vv Cy rh-s I eC . Permit fee: C I Address: 1 l - S 5 S1.-- 17- R /a v a- ," c A A j' � N , Q R. O Z. State surcharge (12% of permit fee): City /State /ZIP: TLS plan review (40% of permit fee): Phone: (5' U — 9 '7 % `k Fax: (Spy is e Z- 1,S( u (Due upon application) CCB lie.: 01 5 Total permit fees: Authorized signature: Amount received: #11/ / 9 This permit application expires if a permit is not obtained Print name: W gt,S S 4 h g, c, Date: q (2'Z /II within 180 days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board. f :'BuitdingwermitstFPS•PermitApp doe 03/23/06 440- 4613T(111O2ICOMJWEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. IN Alteration ® 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: t - 1\ We.ue%, «ovv. 1- Q.a6 Type of System (Complete A, B, C or 'D as applicable): A.) Commercial Sprinkler - , ❑ Wet ❑ Dry Additional Standpipes Information: I1azard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B.) Type I - .Hood Fire Suppression System - - Flood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: " Individual Component ❑ Yes _ Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone System) 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: sq. ft. Fire Protection Permit Fees 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. I: \Bull ding \Pemuts \FPS- PcmitApp.doc 06/25/08 2