Permit (101) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a COMMUNITY DEVELOPMENT Permit#: FPS2016-00151
T t C;A P.1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/01/2017
Parcel: 1 S 126DC00900
Jurisdiction: Tigard
Site address: 9530 SW GREENBURG RD
Project: Greenburg Apartments Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: Building 3-Fire alarm for 6 unit apartment building
Contractor: INTEGRATED WEST TECHNOLOGIES LLC Owner: RES-OR TIGARD LLC
38751 DUBARKO RD 730 NW 107TH AVE STE 400
SANDY, OR 97055 MIAMI, FL 33172
PHONE: 503-476-2106 PHONE:
FAX: 503-826-0926
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/01/2017 $134.48
Type of Use: MF 12%State Surcharge-Building 02/01/2017 $16.14
Plan Review-Fire Life Safety-COM 02/01/2017 $53.79
Class of Work: NEW Type of Const: VB
Occupancy Grp: R-2 Height: ft
Stories: 3
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: No Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $204.41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $5,112.00
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 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
Fire Protection Syste—ri .1, -- - -,,,,
unECH\IE ...,01 FR I 1 .s1
City of Tigard Received 9 4. 0.. ,
pen:*No.: cp5pei 62-co/57
, 40 13125 SW Ball Blvd., ga
Tird,01A M2S 1 2016
, - Phone: 503,7182439 Fax: 503.598,1960 pat
en ,( OtherPennit: 4uPoley5----oo.3.; '
ii,.;A R i) WPM don Line: 503.639.40,51Ty OF. fiGivii,) Date Ready IY: ,..,, 1'4.4Set Page 2 for
Internet. www.tigard-or.u14-11' Notated/method: 7 ....1/ /e,.., ..t. ' IIISuppieraeatal Information
BUILDING; 13IVISrA\-
44711t- 611. ..._
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
KNew construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other:
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
0 I-and 2-family dwelling 0 Commercial/industrial
0 Accessory building __. XMulti-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: Ci S50 —IR 0 New dwelling ama: square feet
City/State/ZIP: ---"c‘t, 11442,„.) Garage/carport area: square feet
Suite/bldg./apt.no.: ..„.Project name: jit.).1504,6"Zob, Covered porch arca: square feet
Cross street/directions to job site:
Deck area: square feet
/ Ge$s 20114-Jua_L7-- _ _ Other structure area: square feet
REQUIRED DATA:CONIMERCIAL-USE CHECKLIST
.,.... ....____ ... . _
Subdivision:
i Lot no.,: fax. 3 Permit fees*are based on the value of the work performed.
— --
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:
........ equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ ,i
-- ---at ALaitarirs ..'"apikSIE-fle•--- ,..
*
Existing building area..
square feet
New building area: square feet
0 PROPERTY OWNER 1 0 TENANT Number of stories:
Name: ,. . -,-.,,, Type of construction:
Address: 7q/.0 * ,w ( a..*toje.0.10-U--"go Suo 174" C... Occupancy groups:
City/State/ZIP , AR.0 (5.12.., 97z-z,5
Existing:
A
Phone:(93)Liz $• 1\1:.i,-5 Fax:( )
New:
Ott APPLICANT 0 CONTACT PERSON
NOTICE
Business mime: i tATt.00...i.re c ivitd„. 4.s.r. i , „cAx.....10i,j0LI.LEs,,,... _ All contractors ansubcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: akteks
under ORS 701 and may be required to be licensed in the
Address.: 3815 t *.N.)ts -"Ax> . jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: 9 70 s-s- apply:
Phone:(51).9 L(%. eZ,traio Fax::(5'03,) eat., • //(i,9
E-mail: is,4 rt,A4 r P (., pit..... , Ckm,....
CONTRACTOR
BUILDING PERMIT FEES*
(Please refer tole or schedule)
Business name:
Permit fee:
Address: "5A_
State surcharge(12%of permit fee):
City/State/Z1P:
FLS plan review(40%of permit fee):
Phone;( ) I Fax:( ) (Due upon application submittal)
CCB lic.: i"1 S”kk'S Total permit fees:
.....,_.
_____.....
Amount received:
Authorized signature: c....a., -
This permit application expires if a permit is not obtained
Date: ef ,,z_ * . Fee withmineth180 daysiosyse
afttebryitTrihas beenaccepted
Buildingaceepedas complete.
Print name: Ctkat.... LO A.Tr"? oit.
Industry
SerViet Board.
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