Permit (139) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
e '> COMMUNITY DEVELOPMENT Permit#: FPS2017-00014
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 03/07/2017
f�t\R.L� 9
Parcel: 2S 112 DA01300
Jurisdiction: Tigard
Site address: 6640 SW REDWOOD LN 300
Project: Portland Clinic Subdivision: 1996-048 PARTITION PLAT Lot: 1
Project Description: Fire alarm-Modification of(17)devices
Contractor: TEAM ELECTRIC CO Owner: PACIFIC REALTY ASSOCIATES
9400 SE CLACKAMAS RD. ATTN: N PIVEN
CLACKAMAS, OR 97015 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-557-7180 PHONE: 503-624-6300
FAX: 503-557-8201
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/06/2017 $112.96
12%State Surcharge-Building 03/06/2017 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 03/06/2017 $45.18
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Sm$0.50(up to 03/06/2017 $9.00
Occupancy Grp: B Height: ft 11x17)
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: No
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $180.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $3,600.00
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 System qz
l'-',.1,. FOR OFFICE USE ON
City of TigardBE( 1 V ,¢ Received �� /14J016/7"46/f9/Date/B : i Permit No.:
11,1 " 13125 SW Hall Blvd.,Tigard,OR 97223,
C 6-L 6 Plan Review O& �(P�
Phone: 503.718.2439 Fax: 503.598 l t' Date/B �i Other Permit:
ilr�:. IOarsr .-a�3�
-FSt " �: fI,/ri'. 1•,', : See Page
qf2 for
TIGARD
orTIGARD Inspection Line: 503.639.4175 ,,.., Date Ready t y:
Internet: www.tigard-or.gov TOr. t Notified Method: `ry ►IlorisSupplemental Info
rmation
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�fi/e❑d, %ew construction
/rmF i ' /. ❑Demolition
Mfr ., ! P�:rmifees*'-are,based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
tr f ! f )",: work indicated on this application.
' " r # f ,. �` err Valuation:`fif 7,,2” f; /, $1-and 2-family dwelling ®Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
.. .. ',,,,,,//w. �1,�„ . -'frt?� f = 7.I 1 : � # ff";, l �'
Total number of floors: —
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Job site address:6640 SW Redwood Ln. New dwelling area: square feet
City/State/ZIP:Tigard Or.97224 Garage/carport area: square feet
Suite/bldg./apt.no.:3`d Fl ko I Project name:Portland Clinic Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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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
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l' '' ' �` " t=- ° I' : 1 lit 1,�</f/v, / ,/4",,,,,,,,,
�, ,77„, , ,. work indicated on this application.
Renovation of 3`d floor fire alarm Valuation: $3600
Existing building area: 2400 square feet
New building area: square feet
;, t t ' a `!f�! f a Number of stories: 3
Name:Portland Clinic Type of construction: remodel
Address:6640 SW Redwood Ln Occupancy groups:
City/State/ZIP:Tigard Or.97224 Existing: x
Phone:( ) Fax:( __) New:
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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::( )
-i E-mail: (�
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ilk ri... S / °�`I .r„ .d: , /" ffrJ{.J' f'fr,,,,,;(„/'>44.,-",; „/„„_74,,,,,,A � ,fJ r '% ,% r '! t ,,. x �!,,' , J1 ! S < r��f, ld: 4*�r ;!r,/, /! r..;fe" J,'f'� , / ,,,rryIrrt ,r r `r. : fF , � i`,RBusiness name:Team Electric Company
Permit fee:
Address:9400 SE Clackamas Rd
State surcharge(12%of permit fee):
City/State/ZIP:Clackamas Or.97015
FLS plan review(40%of permit fee):
Phone:(503)557-7180 Fax:(503)557-8201 (Due upon application submittal.)
CCB lic.:173043 Total permit fees:
�j CC'`p n� Amount received: '
Authorized signature: /� t'//
This permit application expires if a permit is not obtained
Print name:Michael Trusheim Date:2/16/17 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doe 440-4613T(11/02/COM/WEB)