Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
111111 * COMMUNITY DEVELOPMENT Permit#: FPS2014-00027
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/20/2014
Parcel: 1S126BC01506
Jurisdiction: TIGARD
Site address: 9020 SW WASHINGTON SQUARE RD 250
Project: LoanStar Home Lending Subdivision:CONDO,THE SUPPLEMENTAL PLAT Lot: 25-4
Project Description: Adding(3)horn strobes
Contractor: FIRE PROTECTION SERVICES Owner: WISCO REAL ESTATE EQUITY FUND I
5573 SW ARCTIC DRIVE 1501 SW TAYLOR ST STE 100
BEAVERTON,OR 97005 PORTLAND,OR 97205
PHONE: 503-590-3732 PHONE:
FAX: 503-628-6214
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/20/2014 $67.23
12%State Surcharge-Building 02/20/2014 $8.07
Type of Use: COM Plan Review-Fire Life Safety-COM 02/20/2014 $26.89
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 02/20/2014 $2.00
Occupancy Grp: Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 02/20/2014 $0.50
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $104.69
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,100.00
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 • uspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility • ification Center. hos- rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir• t questions to OUNC b ailing 58, 2.1987 or 1.800.332.2344. (�
Iss ed By: / / Permittee Signature: y�
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.
Fire Protection System RECEIVE Building Permit Application FOR OFFICE USE ONLY
City of Tigard FEB 1 3 2014 Dateived ,./®/y Permit No.: rPSaD/ -2064?
1111 'I " 13125 SW Hall Blvd.,Tigard,OR 97223 �/ r ry Plan Review Q /��,/�Ob�j
Phone: 503.639.4171 Fax: 503.598.1960 CI 1 1 OF 1 IGARU DateB : 4 �r�� Other Permit: /e2G{(� 7 r
^ Date Ready Juris ® See Pa e 2 for
Inspection Line: 503.639.4175 B BUILDING NG n sio ady •y Page Internet: www.tigard-or.gov �+�IwI,Y�/ I1`I� lJ ( Notified/Method: ; �'�- Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
El
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 Z Commercial/industrial
❑Accessory building 12 Multi-family Number of bedrooms:
1=1 Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9020 SW Washinton Square Rd New dwelling area: square feet
City/State/ZIP:Tigard OR Garage/carport area: square feet
Suite/bldg./apt.no.:250 Project name: Loanstar Home Loans Covered porch area: square feet
Cross street/directions to job site:Scholls Ferry rd 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.
Adding 3 horn strobes/strobes to existing system Valuation: $S1,100.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax: :( )
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name:Fire Protection Services Inc (Please refer to fee schedule)
Permit fee:
Address:5573 SW Arctic Dr
State surcharge(8%of permit fee):
City/State/ZIP:Beaverton Or 97005 0
FLS plan review(40%of permit fee):
Phone:(503)590-3732 Fax:(503)628-6214 (Due upon application.)
CCB lic.:154333 Total permit fees:
Authorized signature:
Amount received: —69------
- This permit application expires if a permit is not obtained
Print name: David M Phipps
/ Date:02-13-2014 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1 Building Permits\FPS-PermitApp doc 03/23/06 440-4613T(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9020 SW WASHINGTON SQUARE RD 250,
TIGARD, OR, 97223
Commercial - Fire Protection System
998 Alarm Final
2014-02-24 00:00:00
FPS2014-00027
PASS - No C of O
Violation Summary:
Inspector Contractor