Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
ill : COMMUNITY DEVELOPMENT Permit#: FPS2016-00014
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/23/2016
Parcel: 2S101AC01600
Jurisdiction: Tigard
Site address: 7150 HAMPTON ST 201
Project: EBS Associates Subdivision: None Lot: None
Project Description: Fire alarm-Extend fire alarm system
Contractor: WESTERN STATES FIRE PROTECTION Owner: NEIMEYER, JOHN
13896 FIR ST STE B 15 82ND DR STE 210
OREGON CITY, OR 97045 GLADSTONE, OR 97027
PHONE: 503-657-5155 PHONE:
FAX: 503-657-5182
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/23/2016 $123.72
12%State Surcharge-Building 02/23/2016 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 02/23/2016 $49.49
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 02/23/2016 $5.00
Occupancy Grp: B Height: ft 11x17)
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: Yes Alarm Type: Automatic
Pull Station Required: Yes Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $193.06
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $4,200.00
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 r es adopted by the Oregon
Utility ification Ce -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ay obtain a copy of the rules
or di ct questions to OUN• • calli . 503.232.1987 or 1.800.332.2344.
411
lss ed By: 0 0 / 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 project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applicat'
lit
Fire Protection System 'VED FOR OFFICE USE ONLY
Received �ry� V
Ill 11 City of Tigard Cep Date/13y: //O / Permit No.:�j0, �?�jj�(Q t:eitJ�
13125 SW Hall Blvd.,Tigard,OR 9T2EB 2 2 016 Plan Revr
i Phone: 503.718.2439 Fax: 503.598.1960 DateBy:111 POI ' ( Other Permit:kziA,ro//o-QQ4y1,
T I G A R U Inspection Line: 503.639.4175 j I I'Y' "�f'"1'19/ A ii1) Date Re..• Iuris: HI See Page 2 for
Internet: www.tigard-or.gov v '1D Notified/Method. //'(. Supplemental Information
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0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
P% Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the J�t
e o ,rt , � .,. a (1. �, work indicated on this application.
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
1.o . a t`► ®) i, y�x i`t t 1 frs„ � �� Total number of floors:
Job site address:.1(S-D AeMerO JJ 5-r(LW New dwelling area: square feet N
City/State/ZIP: 1 ( A-4,O D t2 -L12Z3 Garage/carport area: square feet
Ori /bldg./apt.no.: 2_01 I Project name: Covered porch area: square feet
Cross street/directions to job site: rj 5 7.4 6,0 °!ii-T 3' Deck area: square feet
Other structure area: square feet
ti ta ar oy 4 6+ta°a F e .,,,it,, t,(tKNto.
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
} ;s I :10, e..a wit,y t - ,,' - work indicated on this application.
,1 DO -°°
I� ���1�_ � 6�n/ 0 �'. 1 A.( �ItI`/0C[f� !'a � ,/ Valuation: $�-{2
Itt. f ka i- ,vl'J Oe- • /x�/ Existing building area: l square feet
New building area: square feet
„via'*
,. ; ad,f 0 ��)ip) k r slit ;; � 's�a;'`"`a " �, Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
r '
.tom �� r Ftiw.
ti< 8 'A � ?r r# yes w` "3t I $t`us' ;014
a , ' *
a . .:. . aa� r zx x v s m � �
Business name: �S'�1EYL� c rpr-( rk 0,6 F(' 'TV C.T1,0 All contractors and subcontractors are required to be
Contact name:(0%e S(Or O(&,'T-pcrt.'D t1-.11---* licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15ga !6 ft t/L 5"c S u,t-i "?, jurisdiction in which work is being performed.if the
City/State/ZIP: 0 �0 NI C c'1 V�e. 9 7 b(4 applicant is exempt from licensing,the following reasons
apply:
Phone:(Ctqj)22t ' 1(3b II Fax::( )
E-mail: , L. 0 UL1. ►L L- S0 ,
ro ags 'mo w rs, ° ' ,,,- ai
.. $®.
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Business name: iLv a3£n Permit fee:
Address: '!��`
State surcharge(12%of permit fee):
City/State/ZIP:
' FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal.)
CCB lic.:101- 7O Total permit fees:
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name: S uo-c- *JbA/ �Q�c�2 . Date: Z--1,2moo t within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I.\BuildingWermits\FPS-PermitApp_071514.doc 440-4613T(11/02/COM/WEB)