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Permit — CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT x COMMUNITY DEVELOPMENT Permit#: FPS2021-00146 Date Issued: 1/25/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 112AA00500 Jurisdiction: Tigard Site address: 14344 SW 72ND AVE Project: Leifs Auto Collision Subdivision: None Lot: None Project Description: Fire alarm permit: Emergency fire alarm panel replacement for sprinkler monitoring system.One dry riser,one wet riser. Contractor: WESTERN STATES FIRE PROTECTION Owner: ICON OWNER POOL 1 WEST LLC 17500 SW 65TH AVE BY RYAN LAKE OSWEGO, OR 97035 PO BOX 460169 HOUSTON,TX 77056 PHONE: 503-657-5155 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 01/24/2022 $112.96 12%State Surcharge-Building 01/24/2022 $13.56 Type of Use: COM Plan Review-Fire Life Safety-COM 01/24/2022 $45.18 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 01/24/2022 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: Info Process/Archiving-Sm$0.50(up to 01/24/2022 $12.50 11x17) 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: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Yes Cut Sheets Required: Yes Total $186.20 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $3,400.00 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 Issued By: Permittee Signature: b.??.75� 9 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 33 Fire Protection System RECEIVE „0,, ..,,,,: , ,,., ()Ni.‘ City of Tigard DEC 13 2021 Receid Reteve i Ifs�4� 1/"/ •ermit No.: FpSZa/ao III • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie II Permit: Phone: 503.718.2439 Fax: 503.598• 60 ...,1TY OF TIGARD Date/By: v ) ® See Page 2 for l t G A F t) Inspection Line: 503.639.4175 I A' Date Ready/By:: Internet: www.tigard-or.gov '''►UILDING DIVISION Notified/Method: //a 1.y- 47y Supplemental Information ttle :-- .,,Zr-00/ kf TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING l 0 New construction 0 Demolition Permit fees*are based on the value of the work performed. a,/ Indicate the value(rounded to the nearest dollar)of all t ®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the f CATEGORY OF CONSTRUCTION work indicated on this application. d Valuation: $ ❑ 1-and 2-family dwelling M Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 14344 SW 72nd Ave New dwelling area: square feet City/State/ZIP: Tigar/OR/97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: enter (Leifs) Covered porch area: square feet Cross street/directions to job site: .,"6 4ZAh, (-dd 1 t 1Y, C:V^' Deck area: square feet SW Bonita Rd / SW 72nd Ave 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 work indicated on this application. Emergency fire alarm panel replacement for sprinkler Valuation:. $ 3,400.00 monitoring system. One dry riser, one wet riser. Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: 1 Name: Type of construction: Address: Occupancy groups: B City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 0 APPLICANT © CONTACT PERSON NOTICE Business name:Western States Fire Protection All contractors and subcontractors are required to be Contact name:Mike Teague licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:1 7500 SW 65th Ave jurisdiction in which work is being performed.If the applicant is exempt from licensing,the following reasons City/State/ZIP: Lake Oswego/OR/97035 apply: Phone:(503)- 305-3033 Fax: :( ) E-mail: mike.teague@wsfp.us CONTRACTOR BUILDING PERMIT FEES* Business name:Western States Fire Protection (Please refer to fee schedule) Permit fee: Address: 17500 SW 65th Ave State surcharge(12%of permit fee): City/State/ZIP:Lake Oswego/OtR/97035 FLS plan review(40%of permit fee): Phone:(503)- 657-5155 Fax:( ) (Due upon application submittal.) CCB lic.: 104570 Total permit fees: �/J °N"e0jbgne°;r tn.OU-se Amount received: I�{/�� 0 Mike Teague e�. :a.�Za°°_°,et,ow� a �o oA,°o,.w,,n ff jL'� 6/ Authorized signature: s�.�,.rrceP,o1��p:.°�w����5!a�e,r�,eP,a"„o^c«�"'es. o: Z 12091520..0soeoo°C"0 This permit application expires if a permit is not obtained Print name: Mike Teague Date: 12/9/2021 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I]'Building\PermitsfPS-PermitApp_031016.doc 440-4613T(I I/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: Number of alarm devices: 6 ❑ Addition or ❑ 1-10 heads: Affidavit required and al 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 ❑X Yes Cut Sheets Fire Alarm Project Valuation: $3,400.00 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\Permits\FPS_PermitApp_031016.doc 2