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Permit IN v CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT C COMMUNITY DEVELOPMENT Permit #: FPS2013 -00004 Date Issued: 01/09/2013 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Parcel: 1 S126BC01506 Jurisdiction: Tigard Site address: 9020 SW WASHINGTON SQUARE RD 410 Project: MacDonald Env Subdivision:VASHINGTON SQUARE ESTATES NO Lot: 108 Project Description: Relocate (3) heads and add (3) heads for TI Contractor: AFP SYSTEMS INC Owner: WYSE INVESTMENT SERVICES 19435 SW 129TH AVE 1501 SW TAYLOR ST STE 100 TUALATIN, OR 97062 PORTLAND, OR 97205 PHONE: 503 - 692 -9284 PHONE: 503 - 294 -0400 FAX: 503 - 692 -1186 FEES Description Date Amount Specifics: Permit Fee - COM 01/09/2013 $59 16 12% State Surcharge - Building 01/09/2013 $7.10 Type of Use: COM Plan Review - Fire Life Safety - COM 01/09/2013 $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' $800.00 Residential Square Footage: 0 Fire Alarm Valuation $0.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility No Cgon Cen - Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090 You may obtain a copy of the rules or dire questions to OUNC 0 c- • • l - 232.1987 or 1 800.332 2344 Issu d By: /�� Permittee Signature: . ignature: ,� i 1 ' :_ / i r % t i Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. JAN -09 -2013 WED 01:06 PM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 01 Building Permit ApplicationRECEIVED Fire Protection System I 0 9 2013 l +Olt OUft('1.. tlSl.; O;VI,1' City of 'Tigard Kc eiv i f i puma No.: �' 20/27/31040/ a 13125 SW Nall Blvd., Tigard, OR 9 OF TIGARD Plan lz w -�^ ' Phone 503.639,4171 Past: 503.SS1$ p ygy . Other Portal; 1 I 1 „A li 1 , inspection Lino: 503.639.4175 D DING DIVISION Rate Ready/Ry; rani &) Sce rage 2 for !! Internet: www.tigard•or.gov Natifio iIMethod: S upplemental lnformn(lon ,<. :. ?I_ `_ g 1 .: Lei : �. `.•. � � ' ,, .,.., ,_ l . ,.; ., . . ''O:A..... .. . +: ; • ;3 � "°,; 3,�� - :s', _, ` , s,� pE/ * 1. - . . iD� - : ..�" e •. • M1111;, • .'. • - n b�i a:;, r,: � { t ; ,fi, i'": Z. : Fl, i;: p ,v�.y�,cv�.i \:�'�id:v'.,,�•�.a • =' ". ., ti t ! K,, : 'C „ .... .Vi :' .,. .. ❑ New construction [j Demolition Penult fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all rdlddltion/niteraliontrep lacemenl ❑ Othor equipment, materials, labor, overhead, and the profit for the „ y _ o . ; r O 7 " work Indicated on this application. ';. ..i `... , •?w. ti. :CA • " G g1t Y p !C - N : - ; :r, ❑ I- and 2 dwelling M.Commcreiul/ndusttinl Vnlunllon: S ❑ Accessory building ❑ Muni-family Number of bedrooms: 0 Master builder ❑ Other: Number of batlirooms: -' � ,1"' r : K e ms' Total number of floor;: Job site address; q p , (� S W W p,�,,,�,, ,, t" .. NOW dwelling area: square feet City/State/ZIP: T Damge/cotport area: square foot Suite/bldg apt. no.: / D I Project name: 1 �rrt) Covered porch area: sginlrc feet Cross street/directions to jab site: Deck area: square feet Other structure area: square feet CtEQ�J 1s1 iiii carii it Cl i -CIS.E CriE K�: Subdivision: Lot Ito.: Permit tees' 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 -` „ t';, -'; . - -4n' 3� „ . ,.,..., ., ;'�)? ......,(.,,,A � •:'is x.0..:44';'- 4 ` ,`. ;,!', ,,�< work indicated on this application. • • A : Valuation: S CO" g` 3 t rifkl A , ' Existing building area: p K squaw tees Now building area: tb U square feet • ❑ PRoI' tx V� ::'; "•=::\ r' . Number of stories: N 1a E i ,� 1 _ 'type of construction: Address: 9 G�iJ S l� 11) r.r ,'tp,� °� a 1:tA hlA . b Occupancy groups: •^"��� Occu arc au City /State/ZIP r� C) �— Basting. Phone: ( ) J Fax: ( ) Now: .s`::: t;' - i"'y�,:• ; rt, t } n a!, Y: '.•M1l' , . • y� - .. ' pi ' • + -k'. ;i- af.., r � , t ft f'1 A $4 : ``a•:: r s : z..., -.. _,; � =.4 , s r4 ,'=..rNo p r'" , ; i'.K ' t :' < ; , 1 . r <., r ,. 1Y:,,.:.1..,34..-..;):,,,A , . _ f , ,,. , A • • ,, „, , '', ...... <, ..A - :i6 . _ ,.. wr ` = . 4 , - ,,, : ' ::: ; ` 1,F s' ' "r '"' a : ,r Business name: 1A r f All contractors and subcontractors are required to be ' a Contact name: JLVh licensed with the Oregon Construction Contractors Board under ORS 701 and may be required lobe licensed in the Address: 5 S ' d, l jurisdiction in which work is being performed. If the City /Slatc/ZIP: © , applicant Is exempt from licensing, the following reasons u apply: 1111311°: ( ) Vi l„(t'1i'l Fax :: ( ) 692 -1 la L Atilt. si.. .i'F p 5 f` Sl CcD . , . . ;3 °y s•r„ , N,. r.i - S.`q'j • "1`i`A= --1'� {Y,.i. ' Gr l ,'.77.'► . ,,Y R „ ' i " ,, .' .CANT C[ O R ',• " w c•. , .._ 1 ' ' 1t . .., -' � ,,. �, : ,. , .: � ,.. .. "•AUf�1 (?. iC'3.•, Business name: 1 7f, `i` % "; A ' .. !L eli Address: LJp`. Permit fee: - — City/State/ZIP: - - Slate surcharge (12% of permit fee): - ILS plan review (40 %ofpenttil fee): Phone: ( ) Fax: ( ) (Due upon npnikarion.) CCB lie.: lc,/ 5 3'-1 Total permit fees: Authorized signature Amount received: Tilts permit nppllrellou expires If a permit Is not obtained I Print name: J lt,A ig I Dats: 1'4- i 3 I within 180 days offer It has been accepted as complete. Alle`� - + Fee methodology set by Tri- County building Industry Service Board. T.lauaNln8li'ermhiWPS•Pc0N1App 03{22106 440-4613T(31/071COMtAVFa) JAN -09 -2013 WED 01:07 PM AUTOMATIC FIRE PROTECT FAX NO. 5036921186 P. 02 City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Desc '1be work to be.. done: . 1) ❑ New 2.) Modification to sprinkler heads only ❑ Addition -14. 1 -10 heads: No plan review required. Alteration ❑ 11+ heads: Plan review required. ❑ Repair / Number of sprinkler heads: 10 Additional description of work: faatreeSk 3 o..a Lo Chi.* L i k lea Hsu - 5 T ° e of. stein Com lete:A •B C`or D:as a licabie : :. ••_ :A. m ` ercla rinklet. , s',. 1`f/et ❑ Dry -- Additional Standpipes Information; IIaaard Grou . L,, ( 4,:c Density 110 Design Area j' bO K. Factor C, lo Sprinkler Project Valuation: $ - — :;11:,), •' yfpe•'Y s`•:Hood•Fire Suppression S tein Hood Project Valuation: I $ C,)'Fiue Marna Submittal shall Battery Calculations 01 Yes include: Individual Component 0 Y'cs cut Sheets Fire Alarm Project Valuation: $ D ' Reside, t S r rildc S cl Alone S ste ia), • Square Footage: Permit Fee: 'a' 0 to 2,000 $187.50 2001 to 3,600 $232,50 3,601 to 7,200 $292.50 7,201 and greater $381,50 Sprinkler Project Square Footage: sq. ft. • ;• Fire Pro ectioa Peewit Fee Project valuation subtotal (see A, B & C above): $ Permit fee based on pr oect valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ _ State Surcha ge_(12% of permit fcc): $ - FLS Plan Review (40% of permit Fee): $ - - TOTAL: $ Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. i :\avildingVermita t)s- PcrmitApp.dao 0025 /08 2