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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 2:. COMMUNITY DEVELOPMENT Permit#: FPS2013 00161 T I G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/13/2013 Parcel: 1 S126DC03300 Jurisdiction: Tigard Site address: 9900 SW GREENBURG RD 130 Project: TIAA-CREF Subdivision: LEHMANN ACRE TRACT Lot: 4-5 Project Description: Fire alarm for TI:(1)panel,(5)horn strobes,and(4)strobes. Contractor: SAFE TECHNOLOGY GROUP INC Owner: ATHERTON REALTY PARTNERSHIP 6400 NE HWY 99 STE G375 2100 S WOLF VANCOUVER, WA 98665 DES PLAINES, IL 60018 PHONE: 360-699-2130 PHONE: FAX: 360-719-1527 FEES Description Date Amount Specifics: Permit Fee-COM 11/13/2013 $112.96 12%State Surcharge-Building 11/13/2013 $13.56 Type of Use: COM Plan Review-Fire Life Safety-MF 10/31/2013 $45.18 Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 11/13/2013 $4.00 Occupancy Grp: B Height: ft 11x17) Stories: 2 Info Process/Archiving-Sm$0.50(up to 11/13/2013 $4.00 11x17) 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: Battery Calcs Provided: Yes Cut Sheets Required: Yes Total $179.70 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $3,700.00 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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: Call 5 . . 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. Building Permit Application �,1 �,) Fire Protection System ��+ � rt)IZ orF►c�. 1.. . o.LI � � Received City of Tigard Permit No.: `J g Date/By:_ I 3 t r Fps S t 3._[SV(�i 13125 SW Hall Blvd.,Tigard,OR 97223 `1013 Plan Revie ►.. Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 OC� Date/By.�1'" f 1 Y�1 l 111140/3—U4a5 Inspection Line: 503.639.4175 g ��� Date Ready/By: 3 rris: See Page 2 for Internet: www.tigard-0r.gov ®, �1� ®�Notified/Method:���� �3 , Supplemental Information 01 _V1S ' 1641 0 TYPE OF Wa1L l 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:9900 SW Greenburg Rd New dwelling area: square feet City/State/ZIP:TIGARD OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:130/160 Project name:TIAA/CREF 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,and the profit for the DESCRIPTION OF WORK work indicated on this application. FIRE ALARM,1 NAC PANEL,5 HORN STROBES,4 STROBES Valuation: 5$3,700.00 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: 2 Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: B Phone:( ) Fax:( ) New: B 0 APPLICANT ❑ CONTACT PERSON NOTICE Business name:SAFE TECHNOLOGY GROUP INC. All contractors and subcontractors are required to be Contact name:JASON SWEET licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:6400 NE HWY 99 SUITE G375 jurisdiction in which work is being performed.If the City/State/ZIP:VANCOUVER WA 98665 applicant is exempt from licensing,the following reasons apply: Phone:(360)699-2130 Fax::(360)719-1527 E-mail:SALES @SAFETECHNOLOGY.NET CONTRACTOR BUILDING PERMIT FEES* Business name:SAFE TECHNOLOGY GROUP INC. (Please rejerrojeeschedule) Permit fee: Address:6400 NE HWY 99 SUITE G375 State surcharge(12%of permit fee): City/State/ZIP:VANCOUVER WA 98665 FLS plan review(40%of permit fee): Phone:(360)699-2130 Fax:(360)719-1527 (Due upon application.) CCB lic.:173731 Total permit fees: Authorized signature: �'/ � 5• Amount received: This permit application expires if a permit is not obtained Print name:JASON SWEET Date:10-29-13 within 180 days after it has been accepted as complete. • Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Petmits\FPS-PermitApp.doc 02/01/11 440.4613T(II/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only ❑ Addition ❑ 1-10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: _ Additional description of work: Type of System (Complete A,B, C or D as applicable): A.) Commercial Sprinkler ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: I $ C.) Fire Alarm Submittal shall Battery Calculations ® Yes include: Individual Component ® Yes Cut Sheets Fire Alarm Project Valuation: $ 3700.00 D.) Residential Sprinkler(Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $198.75 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 7,201 and greater $404.39 Sprinkler Project Square Footage: sq. ft. Fire Protection Permit Fees Project valuation subtotal (see A,B&C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (12%of permit fee): $ 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. \\safeserver\d\SAFE\Forms\Use these forms\Permit Apps\Tigard\FPS-PemmitApp.d1 02/01/11