Permit (12) 1`
. � CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
t
;�` { COMMUNITY DEVELOPMENT Permit #: FPS2009 -00064
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/03/2009
Parcel: 2S113AB01400
Jurisdiction: TIGARD
Site address: 7358 SW DURHAM RD
Subdivision: Lot: 0
Project: Coram
Project Description: Connect duct detector to existing panel.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
ATTN: N PIVEN, 15350 SW SEQUOIA PKWY Permit Fee - COM 08/03/2009 $62.50
#300
12% State Surcharge - Building 08/03/2009 $7.50
PHONE. Plan Review - Fire Life Safety - COM 08/03/2009 $25.00
Contractor:
STANLEY SECURITY
15495 SW SEQUOIA PKWY #100
PORTLAND, OR 97224
PHONE: 503 - 968 -3353
FAX: 503 - 968 -3398
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $95.00
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 0
Residential Square Footage: 0
Fire Alarm Valuation: 500
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: js cR"1tI h ` to n Permittee Signature: /V 1 1 ) . ip
, „,. Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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
Fire Protection System RECEIVED FOR OFFICE USE ONLY
City of Ti and Received Permit No.: C -� p ��(�('�
1 ,11 - . ,° 13125 SW Hall Blvd., Tigard, OR 97223 JUL 2 2009 Plan Review Other Permit: t M 20.2.. Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Mrs' 7 - 3) • C 1"1
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: 0 Seepage 2 for
Internet: www.tigard - or.gov BUILDING DIVISIO Notified/Method: 7 ) (5 Supplemental Information
ItIC' , ' '' ti ; REQUIRED;DATA I fA1VD FAMIIY'DR'ELI ING=
, ry °` • �S'I'PPE"'OF' WO , .., � 'r . ,..... , N:... .. .. _
❑ New construction ❑ Demolition Permit fees* are based on the value e work performed.
Indicate the value (rounded to the nearest dollar) of all •
Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
x° work indicated on this application.
' °xy '; ' k•: ,CAT EG ORY, OF {SCONSTRUCTION - x.,t, ; ,.;; ;• -•
Valuation: $
❑ 1- and 2- family dwelling V,' CommerciaUindustrial
ID Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
d . . Total number of floors:
�' � > "'� • � �JOBi ".SI'1'E.47NFORINATIONI�:ANDc; LOCATION
Job site address: { -7 C, �� N �� t New dwelling area: square feet
City /State /ZIP: PO f 1N C 1 ) Garage /carport area: square feet
RA �
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
REQTJWED;DA`TA: COMMERCIAL =USE CHECKI IST
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
x ;.'k`'*; 1 " rDESCRIPTION OE. WORIC . "..,, k work indicated on this application. -C �/�/
.. Valuation: $
- Ex \ �-K- , c� ( -� Existing building area: square feet
� .-
New building area: square feet
Number of stones.
°=``'. ®; ;PItO PERT4Y�,OWNER, N � ❑.
� 1`E1VAIVT" ', �
: ,. ,
Name: ?W,, c\ c ., /;Z_E-011.--t. ( QC,—‘, A 1 -mac Type of construction:
Address: l 3 t)O W s Q IR repel V, Occupancy groups:
City /State /ZIP: 'Q�1"4't) (:)k qol 224 Existing:
Phone: ( a,3) 1.,Z4 -tr dO Fax: So3) (24 11 55 ' New:
t ' . qs %." , -.
.. " APPLICANT , = ^ ., • aONTAC r PERSON ; , ,.: M a . • • ' °" , . . ,
...�'• ° .teM . A ... 0 C
.. .. .. .i ;NO , LLr�
Business name: S xLEN t j_ Q\ a)(,..3 1 1C)US All contractors and subcontractors are required to be
Contact name: �' �Q� �(' licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: i 54q5 LICM\ ?I`1k < l 'q jurisdiction in which work is being performed. If the
•
City/State /ZIP: R3�11.AND , Cjr (1122.4 applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax::( )
E -mail:
' CONTRACTOR - • �+BUILDI_NG'PERMITIFEES * '
�l I le
Business name: ST LEN cs-Es_ A.%e.. ,"\-y �wn o eJs . ..
P e6se:re er�i'o.Jee sehedi
{� y� pp Permit fee:
Address: 1 Q�j SO S L'� PA UL A \►
' IJ�C�A ( ,12. � State surcharge (12° of permit fee):
Ci i
/State /ZIP: FLS plan review (40% of permit fee):
Phone: (��+< cm ....-3-_, j r Fax: ( Ct�>� s q (Due upon application.)
CCB lic.: i (p 1 . 1 Total permit fees: Amp Amount received: C IE .. C
Authorized signature: '.r
o' n This permit application expires if a permit is not obtained
Print name: �� I t` Y �I C Date: -7 /244)9 within 180 days after it ti.as been accepted as complete.
/// * Fee methodology set by Tri- County Building Industry
Service Board.
I:\ Building \Permits\FPS- PermitApp.doc 03/23!06 440- 4613T(11 /02 /COM,•"\ \'EB)
. ,
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
/:
New 2.) Modification to sprinkler heads only:
0 Addition El 1-10 heads: No plan review required.
Alteration El 11+ heads: Plan review required.
0 Repair
Number of sprinkler heads:
Additional description of work: 0 .0‘...0.4 .e- e crx Ofe_ {
I Tpevof System (Complete Al, B, orD
lr:e .`NT.
!..
,
111 Wet I=1 Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
•
•
K. Factor
Sprinkler Project Valuation: $
Hood Project Valuation:
,.N;• , •
Submittal shall Battery Calculations El Yes
include: Individual Component X Yes
Cut Sheets
Fire Alarm Project Valuation: $
t ' ' .;•
IjIC,Itittelitial (Simi
S - , • - . .
Square Footage: Permit Fee:
0 to 2,000 $187.50 , .
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50 „ .
7,201 and greater $381.50 2.
Sprinkler Project Square Footage: sq. ft.
' • •
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 2 sets of plans at submittal. Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
hrtp://www tigard-or gov/city_hai/departrnents/cd/cioc/FPS-PerruiiApp.doc