Permit (194) CITY OF TIGARD• FIRE PROTECTION SYSTEM PERMIT
• COMMUNITY DEVELOPMENT
Permit#: FPS2018-00104
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/30/2018
T f(;r�II D9 Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16580 SW 85TH AVE
Project: Clean Water Services-0&M Building Subdivision: None Lot: None
Project Description: 0&M Building-Phase 2-Fire sprinkler supply line for new conference room.
Contractor: P&C CONSTRUCTION CO Owner: CLEAN WATER SERVICES
2133 NW YORK ST 2550 SW HILLSBORO HWY
PORTLAND, OR 97210 HILLSBORO, OR 97123
PHONE: 503-665-0165 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/30/2018 $145.24
12%State Surcharge-Building 08/30/2018 $17.43
Type of Use: COM Plan Review-Fire Life Safety-COM 08/30/2018 $58.10
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 08/30/2018 $1.50
Occupancy Grp: B Height: ft 11x17)
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes 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 $222.27
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
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: - _::_ _ .__._._ •_ _-_•, .
/dA
„Ai
i ." Tehl (0
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. ,
.'-;. f t—4 .`,-
Fire Protection System FOR OFFICE...1'SE ONI '1'
City of Tigard •1\L''',-. 2 2 ;)0';-, Received ..J...,
Date/By: g/ol'V4-.' A61/11-- Permit N9F1°S.%2•e/Cf--eC51/Or
4 13125 SW Hall Blvd.,Tigard,OR 97223 .
111
Plan Review I
: 111 Phone: 503.718.2439 Fax: 503.198ilba0 ......:: :. .....1..t.-q Date/By: e... ace_i t ; Other Permit:
-
1 i c,A R 1) Inspection Line: 503.639.4175 ,.;,t' .;i - .-• ' "- '' ' Date Ready/By: , June: til See Page 2 for
Internet: www.tigard-or.gov p Notifi-. etbod: Ar 0 it " Supplemental Information
TYPE OF WORK , REQUIRED DATA:1-AND 2-FAMILY DWELLING
New construction El 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 1-and 2-family dwelling 0 Commercial/industrial
Number of bedrooms:
0 Accessory building 0 Multi-family
0 Master builder 0 Other: Number of bathrooms:
JOB bra INFORMATION AND LOCATION IP '' ' Total number of floors:
Job site address: f65. 0 S , „, New dwelling area: square feet
-.1'
City/State/ZIP: filf,,,,,,,..,,, olt c7,2.2_41 Garage/carport area: square feet
Suite/bldg./apt.no.: .- -
Project name: Othi,61,,,,/,,Isns tra3i 1 Covered porch area: square feet
Cross street/directions to job site: Cc/VF: /2•00/1 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.
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 -4'2 - N:4 _1'0, work indicated on this application.
F
ief kit -fir Re L.-- Valuation:iAi $ (zilY7
Existing building area: square feet
New building area: square feet
,e1 PROPERTY OWNER A1.0,k l',:P, .;r0 1RNANTA, .-.41i'qt r Number of stories:
Name: dectiOi. ( /etie r 5e,oz.,:, Type of construction:
Address: -.55..di C.s'No 141614/W #1..."4/ Occupancy groups:
City/State/ZIP: (4;//.$Saco osje_ 5--7/,/,3 Existing:
Phone:( ) Fax:( ) New:
pAppiiF 4f -,,--:t, CONTACT-s PERSON ,4,Jr1,1N„o,..,6„,rtrp
Business name: VGA ex,./ (-0,43,/(44--Hout .jh All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: if; ,tue,, gr,Cirs.,,I
under ORS 701 and may be required to be licensed in the
Address: -3 4„?...?g we /,./50,0/it if.„i jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: kit 6(<5... 0?'1.- F-7/307% apply:
Phone:04--)--64p.a.....464-ir Fax::( )
E-mail: .-- )4
CONTRACTOR Ir- , '-- ' ,I,0 ,, ` ,''' , BUILDING PERMIT FEES*
(Please noir if;fee schedule) -
Business name: e47( (0,...51,-,ac4ei,
Permit fee:
Address: 333 if Ai yield 3-.A
State surcharge(12%of permit fee):
City/State/ZIP: tbriL/ 7 c4.1. ?721 a FLS plan review(40%of permit fee):
Phone:(5(6 )52 -3 i r7 Fax:( ) (Due upon application submittal.)
CCB lic.: D eci, Total permit fees:
Authorized signature: V
444/......01 Amount received:
—
This permit application expires if a permit is not obtained
Print name: 4/4,*// SOmot c Date: tr..10/j.--ir within 180 days after it has been accepted as complete.
., * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building WermitaRS-permitApp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16580 SW 85TH AVE, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00104
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor