Permit .1 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111 e • - COMMUNITY DEVELOPMENT Permit #: FPS2012 -00178
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/06/2012
Parcel: 2S 112 DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 198
Project: Computeration Subdivision: 1996 -048 PARTITION PLAT Lot: 2
Project Description: Relocate (2) fire sprinkler heads and plug (1) head.
Contractor: WESTERN STATES FIRE PROTECTION Owner: PACIFIC REALTY ASSOCIATES
13896 FIR ST STE B ATTN: N PIVEN
OREGON CITY, OR 97045 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 657 -5155 PHONE: 503 - 624 -6300
FAX: 503 - 657 -5182
FEES
Description Date Amount
Specifics: Permit Fee - COM 12/06/2012 $59.16
12% State Surcharge - Building 12/06/2012 $7.10
Type of Use: COM Plan Review - Fire Life Safety - COM 12/06/2012 $23.66
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $89.92
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $716.00
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 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 •btai a copy of the rules
or direct que ' s to y calling 503.232.1987 or 1.800.332.2344.
Issued B .. er'�i 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 proj • ct.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial EGE \JEO Recei FOR OFFICE USE ONLY
City of Tigard Date /B : ved /2 ' i/ 2
Permit No.:/P 9 . ' 9-0/2.--00/76 • 13125 SW Hall Blvd., Tigard, OR 9722 r 2� IZ Plan Review
Phone: 503.718.2439 Fax: 503.598.116� O 6 Date /B : Other Permit: 4464.7_,,,Q
Inspection Line: 503.639.4175 '^ JN
Date Ready /By: Juris: Ei See Page 2 for
T I G n K U
Internet: www.tigard- or.gov 1 OF C� 1 -�/ Z IG re QQ(� D Notified /Method: Supplemental Information
� "
sth1. �GO'J
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.
Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15350 SW Sequoia Parkway New dwelling area: square feet
City/State /ZIP: Portland, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: 198 Project name: Computeration, Inc. Covered porch area: square feet
Cross street/directions to job site: SW Upper Boones Ferry Road Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL USE
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
DESCRIPTION OF WORK work indicated on this application.
Relocate sprinklers for new wall layout.
Valuation: $$716.00
Existing building area: 1950 square feet
New building area: 1950 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Pacific Realty Associates, LP Type of construction: IIB
Address: 15350 SW Sequoia Parkway, Suite 300 Occupancy groups:
City /State /ZIP: Portland, Oregon 97224 Existing: B
Phone: (503)624 -6300 Fax: (503)624 -7755 New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Western States Fire Protection Company (Please refer 1n fee schedule)
Structural plan review fee (or deposit):
Contact name: Steve Jones
FLS plan review fee (if applicable):
Address: 13896 Fir Street, Suite B
City/State /ZIP: Oregon City, OR 97045 Total fees due upon application: $89.92
Amount received:
Phone: (503) 657 -5155 Fax: : (503) 657 -5182
E - mail: steve.jones @wsfp.us PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Western States Fire Protection Company Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 13896 Fir Street, Suite B Solar Installation Specialty Code checklist.
City/State /ZIP: Oregon City, OR 97045 Permit fee (includes p lan review $180.00
and administrative fees):
Phone: (503) 657 - 5155 Fax: (503) 657 - 5182 State surcharge (12% of permit fee): $21.60
CCB lie.: 104570 Total fee due upon application: $201.60
Authorized signature: / �� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Steve Jones !/ Date: 12/6/2012 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building\Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I 1 /02 /COM /WEB)