Approval/Inspection Conditions
(For Fire Marshal’s Office Use Only)
PERMIT #
____#:______________________________
This section is for application approval only
Fire Marshal or Designee Date
Conditions:___________________________________
_____
_____
See Attached Conditions: Yes No
Site Inspection Required: Yes No
This section used when site inspection is required
Inspection Comments:
_____
_____
_____
_____
_____
Final TVFR Approval Signature Emp ID Date
FIRE CODE / LAND USE / BUILDING REVIEW
APPLICATION
North Operating Center
11945 SW 70
th
Avenue
Tigard, OR 97223
Phone: 503-649-8577
South Operating Center
8445 SW Elligsen Rd
Wilsonville, OR 97070
Phone: 503-259-1500
Fax: 503-259-1520
Project Information
Applicant Name:
Address:
Phone: _________________________________________
Email:
Site Address:
City:
Map & Tax Lot #:
Business Name:
Land Use/Building Jurisdiction: ________________________
Land Use/ Building Permit # ________________________
Choose from: Beaverton, Tigard, Newberg, Tualatin, North
Plains, West Linn, Wilsonville, Sherwood, Rivergrove,
Durham, King City, Washington County, Clackamas County,
Multnomah County, Yamhill County
Project Description
___________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
Permit/Review Type (check one):
Land Use Review - Service Provider Letter
Site/Civil Project
Building Permit Review
Emergency Radio Responder Coverage Install/Test
LPG Tank (Greater than 2,000 gallons)
Flammable or Combustible Liquid Tank Installation
(Greater than 1,000 gallons)
Explosives Blasting (Blasting plan is required)
Other Hazardous Materials (Exterior)
TVFR/Fire Code Review (other)
Tents, Canopies, or Temporary Membrane Structures
(in excess of 750 square feet)
Temporary Haunted House or similar
Ceremonial Fire or Bonfire
(For gathering, ceremony or other assembly)
For Fire Marshal’s Office Use Only
TVFR Permit # ________________________________
Permit Type: __________________________________
Submital Date: ________________________________
Assigned To: _________________________________
Due Date: ___________________________________