Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
z , COMMUNITY DEVELOPMENT Permit#: FPS2020-00118
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/9/2020
Tt{nAR D Parcel: 2S101 BD00300
Jurisdiction: Tigard
Site address: 8015 SW HUNZIKER RD
Project: Fred Shearer&Sons Subdivision: None Lot: None
Project Description: Demo existing SSP and add on relocate SSU as needed for new construction
Contractor: WESTERN STATES FIRE PROTECTION Owner: 8015 HUNZIKER LLC
17500 SW 65TH AVE 8015 SW HUNZIKER RD
LAKE OSWEGO, OR 97035 TIGARD, OR 97223
PHONE: 503-657-5155 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/09/2020 $199.04
12%State Surcharge-Building 12/09/2020 $23.88
Type of Use: COM Plan Review-Fire Life Safety-COM 12/09/2020 $79.62
Class of Work; ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 12/09/2020 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 12/09/2020 $1.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: NO Hazard: LT
Density: 0.1 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $305.54
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $12,000.00
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: t _ l i?jryCA(\,�7L7 Permittee Signature: cal log—
^ Jpt c i (-%`--{
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 Applicpnv E 1 V E D -g- 10128 120Z
Fire Protection System -�� roR OFFICE t.',1- Om.)
of Tigard OCT 2 8 2020 Received
City g DateBy: /j/sfLo2U kii, Permit No.: 0-1:0,8
.. • 13125 SW Hall Blvd.,Tigard F TIGARD
t � Plan Review l Other Permit:
Phone: 503.718.2439 ig 9L9L33.{{JJ1Ijj;I; �9 �+ Date/By:
I 1 t,Al.11 Inspection Line: 503.639. G DIVISION IS ION Date Ready/By: �rf�� �� + 1 ® See Page 2 for
Internet: www.tigard-orgov Notified/Method: /0 `5/�t 4( 1,6 I Supplemental Information
Z1gt1--- L&7c
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Qf Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
El 1-and 2-family dwelling ,Commercial/industrial
ElAccessory building El Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: go t,5 's LJ k t)n 2.., 14.4,✓ S New dwelling area: square feet
City/State/ZIP: --F,y4.,Yd,,,,Q K / 11- 2 3 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:'('-55 2.' r-(_yam Covered porch area: square feet
Cross street/directions to job site: 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.
Tax map/parcel no. Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF,, �.lW`OR`K work indicated on this application.
)frlo L)9 5' J-/ el7� f�-P kii..A.- 6W, or- i b G 1„4'C/ Valuation: $ k z J p e> ca
SSt) A'S tite F-IY Ae-J flp ,s-t-f-i- iiek Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
p`APPLICANT ❑ CONTACT PERSON NOTICE
Business name: W LS D s,i.. .{-f �-t , '?I 1_ 24.(-I'b/I -All contractors and subcontractors are required to be
Contact name: x 4 f Q �jj] licensed with the Oregon Construction Contractors Board
rI under ORS 701 and may be required to be licensed in the
Address: 14,Frx, 5 t✓ 4 Jl' `-(J jurisdiction in which work is being performed.If the
City/State/ZIP: /. . , L 0S hAL.q p r 0 K. applicant is exempt from licensing,the following reasons
apply:
Phone:1 )1,:.j 5 geJ1 Fax::( )
E-mail: i
u �.LX - '� 1� t3:3 �'2-�) G..�
f
Sit , i. 5
CONTRACTOR BUILDING PERMIT FEES*
Irk)
J (Please refer infer schedule)
U
Business name: 7 `�Y
Cjb p r p Permit fee:
1
Address: 5 W t: ; l "V 4
�� �� S C-fro /6 State surcharge(12%(40%of peit fee):
City/State/ZIP: f
'n b ii 5 C0' FLS plan reviewponpplico ot on permitub fee.)
Phone:( f t. ) J Fax:( ) (Due upon application submittal)
CCB lie.: toil, 5 3-9 Total permit fees:
Amount received:
Authorized signature: ���
�i`!ti �l/v -7 / This permit application expires if a permit is not obtained
Print name: pc j �,. W '3Date: /2�./ 2D within 180 days after it has been accepted as complete.
v }l f * Fee methodology set by Tri-County Building Industry
Service Board.
I:'Building`Bermiis`.FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB) 30
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: Number of alarm devices:
O Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
Alteration (3)copies of sketch showing area (3)copies of sketch showing area
to existing of work within building structure of work within building structure
system
❑ 11+heads: Plan review required and ❑ 6+ devices: Plan review required and
(3)sets of plans. (3)sets of plans.
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K.Factor
Sprinkler Project Valuation: $
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq.ft.
Fire Protection Permit Fees
Project valuation subtotal (see A,B &C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12%of permit fee): $
FLS Plan Review(40%of permit fee): $
TOTAL: $
I:\Building\Pemuts\FPS_PemtiNpp_031016.doc 2
•
Building Permit Appli iEcEL\JED
Fire Protection System 0 C T Li 8 2020 FOR OFFICE USE ON I.l
Cityof Tigard Received
gan �1 t�1 Permit No.:
..- 13125 SW Hall Blvd.,Tigard& ? JF TIGARD PlDana :
• Dat Review Other Permit:
Inspection
503.718.2439 S 39 Fairy 159d�596 a A6p-. DIVISION DateB
T I C;A R ll Inspection Line: 503.639. I U 6�11� Date Ready/By: Jeris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
['New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/a Iteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling .2 Commercial/industrial Valuation: $
❑Accessory building El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
lob site address:30 15 5 lc c r- .-l- New dwelling area: square feet
City/State/ZIP: T.;v i.-2 R./ Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: 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.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy
p y groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name: W SI=p All contractors and subcontractors are required to be
Contact name: i11 p k '�re�y� licensed with the Oregon Construction Contractors Board
!'� t under ORS 701 and may be required to be licensed in the
Address: J 7 f ,�o c Gr ,S ICI / jurisdiction in which work is being performed.If the
City/State/ZIP: L4 j(Z G S t✓L,1J/ Q � o(- - C.'7 f applicant is exempt from licensing,the following reasons
apply:
Phone:0—1 ) b[,{ s So.19 Fax: :( )
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule
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.: Total permit fees: i
gk��� Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: �.�P�O t f bb Date: within 180 days after it has been accepted as complete.
�`}' ` * Fee methodology set by Tri-County Building Industry
Service Board.
IiBuilding\Permds\FPS-PmnitApp_031016.doe 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: t Z Number of alarm devices:
g Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 devices: avit required and
Alteration (3)copies of sketch showing area (3) copie f sketch showing area
to existing of work within building structure of wo within building structure
system
® 11+ heads: Plan review required and + devices: Plan review required and
(3)sets of plans. (3) sets of plans.
Additional description of work:
Type of System(Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes 0 No
Hazard Group
Density .�
Design Area
K.Factor 5• G
Sprinkler Project Valuation: $ 12_ a
,.B) Type I - Hood Fire Suppression System
Hood Project Valuation: $
,2.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
Fl:) Residential Sprinkler(Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A,B &C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge(12%of permit fee): $
FLS Plan Review(40%of permit fee): $
TOTAL: $
I:\Building\Permits\FPS_PetmitApp_031016.doc 2