Permit (211) v CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
• COMMUNITY DEVELOPMENT Permit#: FPS2014-00002
Date Issued: 01/09/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 BBO1300
Jurisdiction: Tigard
Site address: 11950 SW GARDEN PL 100
Project: Vesta Subdivision: CROW PARK 217 Lot: 1
Project Description: Move(4)existing horn strobes for TI
Contractor: METRO SAFETY& FIRE INC Owner: WALTON CWOR PARK BC 8 LLC
PO BOX 33650 BY CTMT-WALTON RE TAX
PORTLAND, OR 97292 4678 WORLD PARKWAY CIR
ST LOUIS, MO 63134
PHONE: 503-231-2999 PHONE:
FAX: 503-256-4691
FEES
Description Date Amount
Specifics: Permit Fee-COM 01/09/2014 $51.09
12%State Surcharge-Building 01/09/2014 $6.13
Type of Use: COM Plan Review-Fire Life Safety-COM 01/09/2014 $20.44
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 01/09/2014 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1
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: Smoke Detectors Req:
Battery Calcs Provided: No Cut Sheets Required: No
Total $79.66
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $300.00
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.
c - 1
Issued By: /' Permittee Signatu -•
-.10■
-: .11Pt►^• 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 fhe project.
Approved plans are required on the job site at the time of each inspection.
i I 1
d
Building Permit Application . ,.e..5
Fire Protection System E 1' ' FOR OFFICE USE ONLY
City of Tigard Received I 4So20/y—eO r ea
Dateiv ��� Permit No.:
:� e ° 13125 SW Hall Blvd.,Tigard,OR 9721960 0 2 2014 Plan B 4• =7;;,,,,i, Other Pe •siJ/2 o/3 002/f
Phone: 503.718.2439 Fax: 503.598.1960 Daten3 :
T I G A R l7 Inspection Line:g 03.63 8.4175 Date Re :y: , _ ® See Page 2 for•
Internet: www.ti ard-or. ov CITY OF TIGARD N�tified/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(romded to the nearest dollar)of all
Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION .
work indicated on this application.
❑ I-and 2-family dwelling Commercial/industrial
Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: in 7) S..3Oe.,„.6 ei , New dwelling area: square feet
—
City/State/ZIP: —1'tc, ._.ti og 617 2_73 Garage/carport area: square feet
--Suite/bldg./apt.no.: - -- (Project name: U-gStA 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: l Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rotnded 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.
Moue_ r1' I 5�, f _ Valuation: $ '3eo
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
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::( )
E-mail:
CONTRACTOR • BUILDING:PERMIT FEES*
Business name: ILT -c SftFr q. Fit igx. r' c_.. (Pleaserejerurermit fee:
� Permit fee:
Address: i 43 24 Sic.– Sr • k ST•
City/State/ZIP: Po L 4,t.,�p ,0- Tr-133 —
State surcharge(12%of permit fee):
FLS plan review(40/o of permit fee):
Phone: 3 ) i-ea'? Fax:( ) (Due upon application.)
CCB lic.: (2 (05- Total permit fees: �?�/r 6 49
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Ap/441,14.)
Print name: L Oks Date: ]Z si 1,3 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:lBuilding\Permits\FPS-PermitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work'to be,done:
1.) ❑ New 2.) Modification to sprinkler;heads only:
❑ Addition ❑ 1-10 heads: No'plari review required.
Alteration ❑ 11+ heads: Plan review required.
DI Repair
Number of sprinkler heads:
Additional description of work: Aft ojiirg i-k41A) „�,
Type of System (Complete A, B,C or'D.as.applicable):
A.) 'Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: 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: $ 3c(j!
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: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
L\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 2
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11950 SW GARDEN PL 100, TIGARD, OR, 97223
Commercial - Fire Protection System
998 Alarm Final
2014-02-24 00:00:00
FPS2014-00002
PASS - No C of O
NFPA 72 completion report received
Violation Summary:
Inspector Contractor