Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
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COMMUNITY DEVELOPMENT Permit#: FPS2013-00150
TIGARD 13125 SW Hall Blvd,Tigard OR 97223 503 718 2439 Date Issued: 10/23/2013
Parcel: 2S112DA01400
Jurisdiction: TIGARD
Site address: 6650 SW REDWOOD LN 333
Project: Anchor QEA Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Alteration of(4)fire sprinkler heads for TI
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 10/23/2013 $67 23
12%State Surcharge-Building 10/23/2013 $8.07
Type of Use: COM Plan Review-Fire Life Safety-COM 10/23/2013 $26 89
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 $102 19
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,100.00
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 N. cation 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 OUN •y . n. 503. 32.1987 or 1.800 332.2344
Issu•d By: I A / • Permittee Signature: /N
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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
'Commercial '� FOR OI1ICI USE ONLY
i 4 i g Filic
Al " L,,, Received '� ��'1
City of Tigard Q �s% Permit No. "5� 0/ (0/SV
1 14 `J g Date/B / �7
° 13125 SW Hall Blvd,Tigard,OR 97223 OCT 2 3 2013 Plan Review
C Phone: 503.718.2439 Fax. 503 598 1960 Date/B • Other Permit /41,6/5-61,0aa
T 1 C A R D Inspection Line: 503.639 4175 �� OF TIGARD Date Ready/By lures ® See Page 2 for
Internet: www tigard-or.gov la R Notified/Method Supplemental Information
BIM DING moot
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 ®Commercial/industrial Valuation: $
❑ 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:6650 SW REDWOOD LANE New dwelling area. square feet
City/State/ZIP: PORTLAND,OREGON 97224 Garage/carport area: square feet
--Suite/bldg./apt.no.:333---- Protect name:ANCHOR QEA,LLC 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: 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.
FIRE SPRINKLER TENANT IMPROVEMENT-ADD/RELOCATE PENDENTS Valuation: $$1,100.00
APOY f"- Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stones:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
®-APPLICANT - - - ® CONTACT"PERSON BUILDING PERMIT FEES*
(Please refer
Business name:WESTERN STATES FIRE PROTECTION CO.
rofee-schedrrlJ
Structural plan review fee(or deposit): 67)3
Contact name: DARRELL FLUIT
FLS plan review fee(if applicable): O 7
Address: 13896 FIR STREET,SUITE B
City/State/ZIP:OREGON CITY,OREGON 97045 Total fees due upon application: y o��j.
Amount received: '1 /pp, /. '
Phone:(503)657-5155 Fax: :(503)657-5182
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:darrell.fluit @wsfp.us -
Commercial and residential prescriptive installation of
CONTRACTOR roof-top . nted Photo Voltaic Solar Panel System.
Business name:WESTERN STATES FIRE PROTECTION CO. Submit two( ets of roof plan with connection. .'
and fire departmen : cess,along wit. • 110 Oregon
Address: 13896 FIR STREET,SUITE B Solar Installation Specie . •checklist.
City/State/ZIP:OREGON CITY,OREGON 97045 Permit fee(i. ..es pla - iew. administrative fees . S180.00
Phone:(503)657-5155 Fax:(503)657-5182 Sta - urcharge(I 2%of permit fee): 521.60
CCB lie.: 104570 Total fee due upon application: $201.60
Authorized signature:t/ - ,� This permit application expires if a permit is not obtained
./� within 180 days after it has been accepted as complete.
Print name:DARRELL FLUIT Date: 10/23/13 * Fee methodology set by Tn-County Building Industry
Service Board
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)