Permit J ,
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
2 °` COMMUNITY DEVELOPMENT Permit #: FPS2009 -00005
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/10/2009
Parcel: 1S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 375
Subdivision: Lot: 0
Project: Mastercare
Project Description: Add (2) heads.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
CALIFORNIA ST 49TH FL Permit Fee - COM 03/09/2009 $62.50
Tax - 12% State Surcharge 03/09/2009 $7.50
PHONE:
Contractor:
AFP SYSTEMS INC
19435 SW 129TH
TUALATIN, OR 97062
PHONE: 503 - 692 -9284
FAX: 503 - 692 -1186
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes 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 $70.00
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 500
Residential Square Footage: 0
Fire Alarm Valuation: 0 •
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: (,.._- q ^ <�C��)vv V n n Permittee Signature: S I� ‘ " - l l" O ( in
�(
Call ��50��3.6633999. by 7:00 a.m. for an inspection that business day. X11 ] i 7 � ) ` (,t J �
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
MAR7052009 THU 0216 PM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 01
J 1.
Fire Protection System
>uildin Permit A licat' D t'�Qlt OFFICE US1.ON ;\•
City of Tigard �� Rencivect
`J
r 9 Th,t n Review -7
..•$: • Q� Pc mdl No, �S2oo� . C`rJ605
' 13125 SW Hail Blvd., Tigard, OR 97223 ~
. ' Phone: 503.639.4171 Fax: 503.591 U 4 ' . rtme.7iy. Oilier Perak
Inspection Line: 503.639.4175 DateReud rndc. 6'J I it Page
TIL.,AItI) pig yBy: 7 7 gc2For
Inieruel: www.tigard -or,gov C o' r fiGPaV . Tkailictl/Mullaa I t l (7 supplemuuta,l lurorrnnlrpn ..
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0 New construction 0 Demo] ' Permit fees* are based on the value of the work performed_
T - Indicate the value (rounded to the nearrst dollar) of all
�t 4dt litionfaiterntian /repiacenlent ❑ Other:
txluipment, materials, o
r a rials, labor, overhead, and the profit for the f
,' 4'Z' , : V
}� r4. 1 .,, a,!;11%t` o1;: ^tiry .0,.. •r•J(? ,,, i .7,� ,u •t: -i,, ',;.i + ql : indicated PP lieaL[o
d i �4it�� 1w lIY!'n, rit• 1N* E��' �SC'Fr � �>�l]� `(� � �! F � : " u { t �. �' • ,� "T • workindi Ca this u n.
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Valuation: s
❑ I- and 2- family dwelling Commercial /industrial _
❑ Accessory building I Multi- family Number of bedrooms:
El Master builder 0 Other: Number of bathrooms:
' l j �; . 4 'F I ,.:r, N ,l i �} �,:lqt°`� n si t 4 '" ," "iii i rj� t d . 1, `.'� ',stir p y' +t ", i'�' '•'1:11A. t' I tif. l Total number of floors: 7 f iL,l ,ii , ';:,t'h' % /n" .:, _.5 .,1e .." r . ,tIG'. 1. �y IL,„, I "il r.
x ! + _ r• ,Pt ,h L+ f ": Wit, iFS�:11T' a�N, d���Sd — - . ___ _ ..^^
Job site address: I Q Q 061.t..) 6-rti IattrA, R-p, New dwelling area: square fact
City /State /ZI J ! Ourrtge /carport area: square feet
Suitelbldg. /up1 no,: Project na g Covered porch area: square feet
Cross street/direction to,jobtsiitte Deck area: square feet
`� fY tr%>1�,. Other structure area: square tent 6
. �.4 �. Qt 1 )• r , m 5 "` .I : 1,' . , i , r , riN ,y,
t i
Subdivision; Lot no.: Permit fees* are based on the value of the work performed. '
fax map/parcel no.: _. _ Indicate the value (rounded to the nearest dollar) of all
tf A,�� - W r {- , . " i " v ,.. t I � I •„gyp' q , r . .�' ".. F: '141111A equipment. materials, labor, overhead, and the profit for the
� S.rl"rgw `�e5� - kiln ' ' ' 4 , {4 {'r� r1 ,S 1 1 r 1 i hll . r o 9' , i r , t 114, , . �i t, - i work indicated on this a iicatiur, —
- , r Valuation: $ . 6 .1ss , arm -
Exi sting bui lding tires: . 4 ' ;Z ) square feet
New building area: ,,:2,690 square feet •
1 1'r' t �{ F s r i I t r, �n. >:>N7,7 }�� '"t " n� �.:�: I ,;�(, r' � i i l ;'�j, �j� 'J��y$b: �t � °i ji U rpxpt 4 1 � rat y �
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turMs;
Name: Type of construction:
- L. _ • Address: .... u Occupancy groups:
City /State /ZIP:
Phone: ( ) Fax: ( )
i.:rti�,r 1 ":` ,�t i , :' ; . a_'4 } ," � d'tr�.,:,1a111•! .;(: >'i1Y + "'� 5 ;... :.� {a ,S. f;,U ::�n ran � I; ,:tii ^I,r New: •
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"Business name: n
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�i ��l 1 • All contractors and subcontractors arc required to be i
Contuct nutne: / licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Addresa: ��{ �( 1, (kA _~ jurisdiction in which work is being performed. if the
T
CCity/State/Zip: `� }I —t-�t l n applicant is exempt from licensing the tollowittg reasons
ly'
Phone: ( Imo) l� 1 , Fax:: ( .i� ) 0 I 1 I
E-mail: ____ I
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Dusuieua name: 1• r, ( /1 � it "fA 1'1 Ri l; .i .{' . rl } � ,i u^ a W .y�t r;jJ
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Addre s: G f — ~ •� -- Permit fee: I
ti. * - !_�>t3e - - ' State surcharge (8% of permit ibc);
City /State /Z1P: r A ld I V ` ' 0 . .'
T I.S plan review (4U %ol'permit Ina)
Phone: 2'y2 Li Fax: ( .6 t Z r- I ig'l-- N • (Due u. on a• • iratian. .
CCD lie,: G 2 S Total permit ices; —
Authorized •ignatur Amount received;
This permit application Expires if a permit It out obtained
Print name: . A% .$,,,, t • rao, Date: r j ' l within ISO days after it has been accepted as complete.
= - • Pee methodology set by Tri- Cpuntyl3uildingIndustry
• Servicc Board.
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