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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT l COMMUNITY DEVELOPMENT Permit #: FPS2011 -00119 Date Issued: 11/01/2011 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel: 1 S134AA01900 Jurisdiction: Tigard Site address: 10115 SW NIMBUS AVE Project: Nimbus Center Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: B Project Description: Fire alarm Contractor: PROTEC INC Owner: ROBINSON, CONSTANCE A 720 NE FLANDERS ST BY KILLIAN PACIFIC LLC PORTLAND, OR 97232 -2763 500 EAST BROADWAY, STE 110 VANCOUVER, WA 98660 PHONE: 503 - 235 -4000 PHONE FAX: 503 - 235 -0363 FEES Description Date Amount Specifics: Permit Fee - COM 10/04/2011 $51 09 • 12% State Surcharge - Building 10/04/2011 $6.13 Type of Use: COM Plan Review - Fire Life Safety - COM 10/04/2011 $20 44 Class of Work: ALT Type of Const: VB Occupancy Grp: B Height: ft Stories: 1 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: Yes Alarm Type. Automatic Pull Station Required Smoke Detectors Req: Battery Calcs Provided Cut Sheets Required: Yes Total $77 66 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation. $0 00 Residential Square Footage 0 Fire Alarm Valuation: $350.00 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 1 811 •4. Issued By: Permittee Signature: Cal 503. • 9.4175 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. Building Permit Application Fire Protection System FOR OFFICE USE ONLY Cl of TI and R eceived ' `� - �J g 519 Date /B V E Permit No EN / de 1 r 13125 SW Hall Blvd., Tigard, OR 97 Plan Revie �� `' Phone. 503.718 2439 Fax 503.598.9 r lo �1 DateBy (/ LZ ' `'jb�;� Other Permit TIGARD Inspection Line. 503.639 ` t� Date Ready ey H See Page 2 for Internet www tigard-or gov O " � Notifie. -thod /, 9/ de ,. Supplemental Information aSIGI � � 1 l/ '°.°"*. »; �. =' ;;.�'!bt�`�` - " -_ - '..ti ^�' "'€�aa,rr��a °rah °�.+n ,:a�� - a,yF':7 d�;" - :�_ �.•mr^!,.out�u�r!�i' c sa�,r: - _" _�„ i ,r a - - - = = « , � • rr�s "i"'nr 1:'�'a_ ' =d* .. -. 4 ,ttTYPE " OF.,tWO�K , ' - /;; 1, REAL) �ED DA: : 1- ` �NDa2 - F MItiY,DWELLIIVG , g� a' �,;�v �`.i�: >- ��P�� , !�.�����a�. � .. ' a� 9 ,� � . - �_, ,ate - e - , �; - - , �,� ��,� , � i6„4 .•ar �_�_ _- �nx_:� • , 1:1 New construction ❑ iS olition Permit fees* are � based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all le Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ,µ,,,, , .- n° 'z e;• ' !" ",. „w ,: . . =ter �.;. ';r,. E r = o_ 1*,,,,, ° " work indicated on this application. s '" ' .,. .' CA TE GORY O "C -` . ' « -;�, 1: o t ,� ..�„ 4o--7=-4 ,= 'n' � � =�i �.r - �, �� aka aka «�:h. sww�,r�:�v �� °` .ChN,I(�t,' -,� - ,. ❑ 1- and 2- family dwelling Commercial/industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: El Master builder ❑ Other: Number of bathrooms: -! dam; i tl Total number of floors: _ ;; aJOB €SITE INFORMr1TION. r LOC�"ATIO' °= == ,• , :i 7 , , .�.� �= "��uAd�h`.��E.., -. .rnu• �^�a�.� �A�C�:a�'� €'z,t*- '�i"t� - ... =� ��tr�a i`�'��a.�, a�� .,, ". Job site address: 10 ll5 $ .i K 1tiBV5 New dwelling area: square feet City /State /ZIP: ---- clo,. i ®� 0 112, - z3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: NI1q05 eZMI`Efe / �k l-L CER -e. Covered porch area: square feet Cross street/directions to job site: / Deck area: square feet Other structure area: square feet REQUIRED-DATA: : C',OMMERCIA'I -USE CIIE( I iiii 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 equipment, materials, labor, overhead, and the profit for the ,7 ' r .,4 : °� ' , Uu work indicated on this application. k , I)ESGRIPTIOIV ° ° °OFWORK�'-' �,,a,'' °:li PP acs, �,� ._„ „ ��:_ >_9�a� ����_ , � ��ro;i��. • a _ �,���!aa. I , ��� _ ����� �t�S(., T `1 �.��^.. Ins 11_ A . gyp -bk,© ` O Mve M. CXiSrm, FI Valuation: S '� � — �j 1 - p l�IME L Existing building area: square feet New building area: square feet = .� - '''''''';;.:9 "- - h!b"i.n"' E °- - 3 _t=. _ �'�� - -- � °. �4.i81RkA6 Tom'- `d:' -: - . =eee'S �& , µ Zdike , . PERTY"OWNER t ` 9 '` TENANT ^ .,, Number of stories: Name: re SUelAce_s — o ? Type of construction: Address: a .S72 L S C Cotu/tt /3 0- W}4 .* ,2 VD Occupancy groups: City /State /ZIP: V, - M CoVi 012 VV* q' e jD ( Existing: Phone: ( Sipo) (¢i3 -36 ` { Fax: ( ) New: - „ kid =, y ., �,° �� , ,. __ 7 „ , .:354'" , �.� `�r,,w��s�r. ia. �:�:, � _ r °. !,.:,vi,[ , , ° � _ , ... . ,, A ®;'CONTACT PERSON = - ( �r ep��a'n, ..,.. , .,. s " , ,,,. „ A �a�, � ••� °. � >c� „W �.�, ; „��; °,.•;�`. _ � �r°,��a� . ®snh�i>� �'_ '� "�� °; "' � ". "�„ � NU�,hc.°aI�CaE: ,,_.:°„ „ . ','ik'ai „I;- ' Business name: ' 6– , (4. L All contractors and subcontractors are required to be Contact name: F 1 C.. –s e u t .ej 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: r, !' F' i:- m�.; t 4 ` ' <CNTRA ' rt? °ar ,.u,'”` _ s , 'i :"7:::1 , = ,B � E ES* il 1 r.�� v �,�, ..s;,�o.a nrt� �. :iii a �iei� O :�;; � �wil�,!�l�aa��, ,. ' - i�,_ _ �,It:l�l� i:TII:DING_P •RMIT.FE "� - , .-: ,_ , rt c e ,F• peer p ' : E4�� °Y b(Fleaser e feimyeeschednk)� 13- aeel' p!ill Business name: CpQp c f N L' Permit fee: s 40 cr Address: 1E FL,i4-/LiD672..5 State surcharge (12% of permit fee): 4 Cit /State /ZIP: P � lii�-ii_m_ � 2 °(� 2.. 3 I PLS plan review (40% of permit fee): Phone: (503) 23 S- tj'pOQ Fax: (03 ,733 03 ( 3 (Due upon application.) . Zd • •] ti CCB lic.: 5 5 41 Li Total permit fees: 7 7, (p(,7 Authorized signature: Amount received: 7 7 c 6 This permit application expires if a permit is not obtained Print name: (i I . L Toek5 Date: /0/V f j( within 180 days after it has been accepted as complete. * Fee methodology set by Tri -County Building industry • Service Board. I \Building \Permits \FPS - PermaApp doc 02/01/11 440- 4613T(I1 /02 /COM /WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information .�.�,�,,.__�- x- ,_ —� � e .� -= "ate -:�= `., ,"�,�`� ` �,,_,�t�, t ,re" , �'s.,iw � - .�� _ = _ - - Describ'e4*Toilfitoxbe -done: t .. :_ E:: . V_ 1=__ = „ s y x w..,.z.,.o�� ..: ,�-- ,�w.� -.,o -= _ . F. 4. -s-.�> �,n �_�'re" 4, fr"E- z.���.t G Y t��` , �c�!._� L� : s �z�,� = - 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: .t - a,"'" _ PJ ;z: r .. ;a -= Typeof Systern B;C o as ,app licable):; .� "�` I! `, .� ; :.f. _ -. �t i ii �� - r i r i ih BlilkN � y Y Lit � - q', = ,007-0 ,a I''; _�:,ry 1 = Ape ``s - -,-- -. �:,,.1, °t;' �. C" .'�$Y'_ ' Alta7" '„ ' Yi '!" �ait� .: �iw . ; � '. " '.� d: " - - d�! n?� _m- .= - I�' G 1 1 ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ • "'- �8fi1 ""7. =_ - :,tea= - -'.a�,a..,yr�y a, '•G <,,' -Afi r,�"= -_ _ =' -t; "''•7a` „, tee¢;- e °g�,t:_,.r._ -.�. �„P:w� "»Y:= "',.._s-. J . -- : '_ B) , ;Type, I-3aod FireSippresson Systeiar _ ,,u Hood Project Valuation: $ "�r __- ; °t. ", 'w N, -_- -- ..,z- v xniq�rya . '1.i�' � ',7 =' ;' -a 1 ) 4Al t � f r _4 a '�•� s' �.�'" z -' `, .. N , toi . r ,.;.. : s .., '� n i k ,( Ann_ �' Submittal shall Battery Calculations ❑ Yes include: Individual Component 11. Yes Cut Sheets � !. Fire Alarm Project Valuation: $ 3 So., 9O .�i s .. ,, iF��w' x ? ., - . {'' � A;r :., w«hm,, n `A .p,�x.m„ ''' -� �ii,.`(4x I F, eis _ - -` +Y �- - _ - r. Vi a,, i` r. 4 0"4:041., Alone System)�� µ a� a Square Footage: Permit Fee: � � � " 0 to 2,000 $198.75 2,001 to 3,600 $246.45 U 3,601 to 7,200 $310.05 ' � ' 7,201 and greater $404.39 4*Pligr Sprinkler Project Square Footage: sq. ft. dµ ", C , ._ = x ?': aI�M ^' . ,�. °,;,' _. �= ,., 5,! p!! Fi7!4�iilfi �,- - -_ 4'_-__." �'�"�.' , ;%ar ;; �, - _ _ ',: ~ i Fires Protect> on Perm <'Fees = ^ , ? ' ' 0, a,.r ', - „ti te e , iii � �,. : . ' ..e.,�r_ -�, ...._,�,,P , ,_ m_, _.,. ..,,.. ;& �� r .�.- „r , I '�P'I` _ Project valuation subtotal (see A, B & C above): $ 356 ©O Permit fee based on project valuation (see fee schedule): $ 5 t =041 Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ (� o l5 FLS Plan Review (40% of permit fee): $ �p . qU TOTAL: $ btu Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. http / /www.tigard -orgov /city_ hall /departments /cd /docs /FPS - PermitApp doc 02/01/17