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Permit
,, CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT ! ' COMMUNITY DEVELOPMENT Permit #: FPS2011 -00152 Date Issued: 12/14/2011 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S112AD01000 Jurisdiction: Tigard Site address: 14945 SW SEQUOIA PKWY 110 Project: Sterling Communications Subdivision: PACIFIC CORP CENTER BLD 9 Lot: Project Description: Install pre engineered clean agent fire suppression system. Contractor: OREGON COMPUTER POWER LLC Owner: PACIFIC REALTY ASSOCIATES LP 11512 SE 37TH AVE ATTN: N PIVEN MILWAUKIE, OR 97222 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 655 -8100 PHONE: FAX: 50- 655 -2059 FEES Description Date Amount Specifics: Permit Fee - COM 12/13/2011 $551.18 12% State Surcharge - Building 12/13/2011 $66.14 Type of Use: COM Plan Review - Fire Life Safety - COM 12/13/2011 $220.47 Class of Work: ALT Type of Const: IIB Info Process /Archiving - Sm $0.50 (up to 12/14/2011 $18.00 Occupancy Grp: B Height: ft 11x17) Stories: 1 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Unknown 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 $855.79 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $51,740.00 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 • ' ork is not started within 180 days of issuan or if wor • suspended for more the 180 days. ATTENTION: Oregon law requires yo to folio • - . es adopted by the Oregon Utili Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 -00 /0090. Yt may Co .in a copy of the rules or irect questions to OUNC b' ca • g • .. 32.1987 or 1.800.332.2344. Is ed By: / / r Permittee Signature: Call 503.639.4175 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 RECERECEIV ., t " OFFICE USrONLY City of Tigard n 20 ii Dat ve x / i T.d 7)I Permit No.: 15 / . .//- C / � • 13125 SW Hall Blvd., Tigard, OR 97223' EC 1 3 Plan Revie �� Ea . Phone: 503.718.2439 Fax: 503.598.1960 Date/B : AN 1 Other Permit: 1 . 1 �. t l� Inspection Line: 503.639.4175 CITY OF TIGABD Date R - :'-,: y: tuns: ® See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: Supplemental information • TYPE OF WORK REQUIRED DATA 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 ❑ Addition/alteration/replacement ® Other: equipment, materials, labor, overhead, and the profit for the • ' CATEGORY OF .CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling Valuation: $ ® Commercial /industrial ❑ 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: 144345 ssit) SEiv�C7I L, P,.. i( 4 I I o New dwelling area: square feet City /State/ZIP: - ��'+,b , ©p Cki + Garage carport area: square feet Suite/bldg. /apt. no.: 11 3 Project name: F1 - b ri D 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 • DESCRIPTION' OF WORK • • work indicated on this application. Install pre - engineered clean agent fire suppression system Valuation: l $51,740.00 I' , A A_square feet New building area: square feet ' o , ®'PROPERTY OWNER I j ' ' 0' TENANT Number of stories: Name: PacTrust Type of construction: Address: Occupancy groups: City /State/ZIP: Existing: Phone: ( ) Fax :( ) New: • .'® APPLICANT • . 0 CONTACT PERSON .- NOTICE Business name: Sterling Communications All contractors and subcontractors are required to be Contact name: ---RD licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: t 4..q4.-C, 6G0 (..x.11pl P4 w� l I 0 jurisdiction in which work is being performed. If the "+� 1 applicant is exempt from licensing, the following reasons City / State/ZIP: - A26 , C1a" 4 apply: Phone: (5E3 q (b - S a Fax: : (SO3 GOO 110 eS E-mail: - €0lin @ s'7 l- -, ki C ° ! - CONTRACTOR = , BUILDING PERMIT FEES* - Business name: Oregon Computer Power (Please refer to fee schedule Permit fee: 66'° 583•. r Address: 1 I I 2.. S ►^ t\U F State surcharge (12% of permit fee): 6:Wit 66.14 City /State /ZIP: I I A 1 E (� ° t FLS plan review (40% of permit fee): n ) #7 12 - Phone: 933 ,* _ . 1 ,,��n 0 _ Fax: ( .. .. a _x upon application.) ✓`�' CCB lic.: 194450 7 G ( , Total permit fees: 59 Authorized signature: Amount received: 637' T This permit application expires if a permit is not obtained L (� 'n n Date: within 180 days after it has been accepted as complete. Print name: 4, . t�l 03 A « T it 20, , • Fee methodology set by Tri- County Building Industry Service Board. 1: \ Building \PernitaWPS- PernitApp.doc 02/01/11 440- 4613T(1 /02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: 1.) El New 2.) Modification to sprinkler heads only: El Addition ❑ 1 -10 heads: No plan review required. Alteration ❑ 11 + heads: Plan review required. ❑ Repair Number of sprinkler heads: 0 Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ 37430.00 B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ® Yes include: Individual Component ® Yes Cut Sheets Fire Alarm Project Valuation: $ 14310.00 D.) Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $198.75 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 7,201 and greater $404.39 Sprinkler Project Square Footage: sq. ft. Fire Protection Permit Fees Project valuation subtotal (see A, B & C above): $ 740.00 Permit fee based on project valuation (see fee schedule): $ 551.18 Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ • .14 FLS Plan Review (40% of permit fee): $ 227. TOTAL: $ 844.79 Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. C:\ Users \RobertR \AppData \Local \Microsoft \Windows \Temporary Internet Files \O11/B5B7 \FPS- PermitApp- Sterling Communications.docx 02/01/11