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Permit 1 14 ' CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT ®.. COMMUNITY DEVELOPMENT Permit #: FPS2012 -00062 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/20/2012 Parcel: 25101 AB00100 Jurisdiction: Tigard Site address: 12023 SW 70TH AVE Project: Red Rock Center, Phase II Subdivision: Lot: 0 Project Description: Sprinkler monitoring system. Contractor: T & L COMMUNICATIONS INC Owner: FRY, DOUGLAS PO BOX 87387 23077 SW NEWLAND RD VANCOUVER, WA 98687 -7387 WILSONVILLE, OR 97070 PHONE: 360 - 737 -9725 PHONE: FAX: 360 - 737 -9648 FEES Description Date Amount Specifics: Permit Fee - COM 04/19/2012 $72.61 12% State Surcharge - Building 04 /19/2012 $8.71 Type of Use: COM Plan Review - Fire Life Safety - COM 04/19/2012 $29.04 Class of Work: ALT Type of Const: VB Info Process /Archiving - Sm $0.50 (up to 04/19/2012 $5.50 Occupancy Grp: B Height: ft 11x17) Stories: 2 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: Automatic Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $115.86 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $1,250.00 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 -00 . may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1......; - .2344. C Issued By Permittee Signature: Cal . 75 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. Fire Protection System � ►, t ; . ,�: y ," ; /,` o�_, .: ,,;;. Building Permit Application � FOR OFFICE USE ONLY City of Tigard C � \� Date/B , q r" Permit No.: 5A) �aZ — ( I • 13125 SW Hall Blvd., Tigard, OR 972 1 0, �. Plan R - • .. 1 � ' �� �f lJ� 1 • her Permit: I e Phone: 503.639.4171 Fax: 503.598.1960 p AA� Date/B : A `1 fv /� f J•1, i [i �� ( 7 T I G A R D Inspection Line: 503.639 p. O � �Gr l OY Date R e : y: ® See • age 2 for Internet: www.tigard- or.gov l5 Notifie 11 �� TYPE OF WO � � S Information � � W . ` G � , W t tr REQUIRED DATA: AND 2- FAMILY DELLING ❑ New construction ❑ Do ition 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 El Commercial/industrial Valuation: $ m ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: B INFORMATION FORMATION AND LOCATION Total number of floors: Job site address: 70th Avenue New dwelling area: square feet City / State/ZIP: Tigard, OR Garage/carport area: square feet Suite/bldg. /apt. no.: I Project name: Red Rock Center 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, a_ nd the pro fit for the DESCRIPTION OF WORK work indicated on this application. sprinkler monitoring system Valuation: . $ 5 " Existing building area: : f square feet New building area: square feet ... _ ...... _ " . ❑ PROPERTY OWNER 0 TENANT Number of stories: " Name: Type of construction: Address: Occupancy groups: City /State/ZIP: Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: T &L Communications, Inc. All contractors and subcontractors are required to be Contact name: Ross Bushaw licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: PO Box 87387 jurisdiction in which work is being performed. If the City / State/ZIP: Vancouver, WA 98687 applicant is exempt from licensing, the following reasons apply: Phone: ( 360 ) 737 - 9725 I Fax: : ( 360) 737 - 9648 E - mail: office @tl communications.com CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: T &L Communications, Inc. Permit fee: Address: PO Box 87387 State surchargee pr-7, City / State/ZIP: Vancouver, WA 98687 FLS plan review (40% of permit fee): Phone: ( 360) 737 - 9725 Fax: ( 360) 737 - 9648 (Due upon application.) CCB lic.: 67787, Portland Metro 6981 Total permit fees: � , R - n ) Amount received: }/15 , - Authorized signature: 4M✓� I*t�1 . This permit application expires if a permit is not obtained Print name: Larry Bushaw CU! Date: 4/19/2012 within 180 days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board. I:\Buildingwermits \FPS- PermitApp.doc 0323/06 440- 4613T(11/07JCOM/WEB)