Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
_ COMMUNITY DEVELOPMENT Permit #: FPS2011 -00149
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/10/2012
• Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15115 SW SEQUOIA PKWY 200
Project: Lingo Systems Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: Adding Smoke detector for fire alarm.
Contractor: WEST SIDE ELECTRIC CO INC Owner: PACIFIC REALTY ASSOCIATES LP
1834 SE 8TH AVE ATTN: N PIVEN
PORTLAND, OR 97214 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 231 -1548 PHONE:
FAX: 503 - 736 -0677
FEES
Description Date Amount
Specifics: Permit Fee - COM 12/07/2011 $51.09
12% State Surcharge - Building 12/07/2011 $6.13
Type of Use: COM Plan Review - Fire Life Safety - COM 12/07/2011 $20.44
Class of Work: ALT Type of Const: IIIB Info Process /Archiving - Sm $0.50 (up to 12/07/2011 $3.50
Occupancy Grp: B Height: ft 11x17)
Stories:
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: Yes
Battery Calcs Provided: No Cut Sheets Required:
Total $81.16
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $226.00
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 Notifi .tion 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 dire.. questions . OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: Permittee Signature•: a'
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.
2011 -12 -07 13:55 WEST SIDE ELECTRIC 15037360677 » 035981960 P 3/17
Building Permit Application OiNi2t -' •i
Fire Protection System �� 12C( :CtVCd For( o1 I R I.. r. sl: ONLY
City of Tigard � ' j \ Da n : / ,, g Pdfntii N,,.: 7 m, 1,— i !>Lj••f
f • 13125 SW Hall Blvd., Tigard, OR 9722:3
!! O 1;
, IUI
Phone; ,54;3.718.2439 Fax: 503.598.19 1,-\/
' PPatelI D RV : Cw _ 1 :� OFhar Nina
--
TIC A R l� Inspection Line; 503.639 S Ready /ily: trifle. I IA See Page 2 for
Internet; www.ligard- ur.gov ' . ` �l h" ified/Method: - 6 � Supplemental Information
O'
1 r ww,aaaa2 alr3,, " t).i r1 Y° + � '�. a I f° wr,' T1 A lqg i m3 Nip A " 'p A p_T_
❑ New construction ❑ Dernof Permit fees* are bused on the value of the work performed.
-. --- indicate the value (rounded to the nearest dollar) of all
ra Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
jr "*"'"`. w ,+ �1 _ work indiwued on this application.
Val uaClolt: S
❑ I- and 2- family dwelling ® Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms;
❑ Muster builder 0 Other: Number of bathrooms:
. Qii 'E INF t ' i1OI1! ' ll, 6 • Total number of floors:
Job site address: 15115 SW SEQUOIA PARKWAY New dwelling area: square feet
City /State /GIP: TIGARD /OR/97224 Garage /carport are square feet
Suite/bldg. /apt. no.: 200 Project name: I.INGO SYSTEMS Covered porch area: square feet
Cross street/directions to job site: _ area: - square fcct
Other structure area: square feet
rr tCir:l:� FS'T
f +Nr 1715FiC"
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
INSTALLED SMOKE DETECTOR AND CONNECTED �� + ,p I "'�r� " "° work indicated on this application,
t wx
NSTAI. i. ED TO PHONE SYSTEM. Valuation; $$22(1.00
Existing building area: square feet
T New building area: square feet
„ ( `l l' 0 ftTY ' rx ; . , ,111 4 : h ,. i ' ) $T , " / i Number of stories:
Name. Type of construction; •
Address: Occupancy groups:
City /State/7.I P: Existing:
Phone: ( ) t'ax: ( ) New:
,rw lit" A '� f, re "iali - -- l s r. " t r 5 . r .'r� i
.,.: t '. �. 4 A . 1 1 'ml Vn� { .,. . ' A :, e r - a . ,fn. t', i�if
Business name: All contractors and subcontractors are required to he
-
• 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. lithe
Cft /Statc/ZiP: applicant is exempt from licensing, the following reasons
y . - apply: .
Phone; ( ) Fax: ( )
E -mail;
t' W `' J ., ii y (, l i l � �.' I_ tr' 1::A420 :7.01.- °I3f r`� PtiiMII TEES
6.r
Business name: WEST SIDE ELECTRIC C.O. INC..
l'cmmit. fee: 72.46
Address: 1834 SF Rrrr AVE. _ .
State surcharge (12 % tee); 8.70
City /State /ZIP: PORTLAND /OR/97214 _ FLS plan review (40% of permit fee): •
Phone: (503)231-154S Fax: (303) 736 -0656 _. _ (Due upon cgplication.l
CC'S lie.: 13306 - I .. 'Fatal permit fees: 51.16
- Amount.receivcd; I 1
Authorized signature:
air This permit application expires if a permit is not obtained
Print name / Date: /• 7 7 / within 180 days after it has been accepted as complete.
t L - Fee methodology set by Tri- County Huilding industry
Service Board.
440- 4613'1'(31 /uz/COM/WGB)
1: lauiluii* \NGrmitaPS 1 02/01/11