Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT Ip xG3! e' V COMMUNITY DEVELOPMENT Permit #: FPS2009 -00111 • T (�, � E 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/10/2009 Parcel: 1 S135BC00700 Jurisdiction: Tigard Site address: 10831 SW CASCADE AVE Subdivision: Lot: 0 Project: Comcast Project Description: Change out existing sprinkler heads to meet new density. Owner: FEES CH REALTY III /PORTLAND INDUSTRIA Description Date Amount BY THOMSON PROFESSIONAL & Permit Fee COM 12/01/2009 $156.00 REGULATOR, CONTROLLING OWNER OF 12% State Surcharge - Building 12/01/2009 $18.72 PHONE: Plan Review - Fire Life Safety - COM 12/01/2009 $62.40 Contractor: WYATT FIRE PROTECTION INC. 9095 SW BURNHAM TIGARD, OR 97223 PHONE: 503 - 684 -2928 FAX: 503 - 684 -9657 Type of Use: COM Class of Work: ALT Type of Const: IIIB Occupancy Grp: S -1 Height: ft Stories: 1 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: Density: Design Area: K Factor: 16.8 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $237.12 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 7155 Residential Square Footage: Fire Alarm Valuation: 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 • kis- suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility otification Center. T ose rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -010' . • - ay obtain a copy of the rules or ect questions to OUNC •'• ca • g 503.246.6699 or 1.800.332.2344. I sued By: J r Permitte Signature: Call 503.639.4175 by 7:00 a.m. for an inspection th • • usiness 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 P — GZ)v1,,,2., Fire Protection System RECEIVED FOR OFFICE USE ONLY City of Ti and , Permit No.: Q ' _ `�e� / y g DateDate/By: y. - Received i d / /✓/iGC/< p � G l/ 13125 SW Hall Blvd., Tigard, OR 9n01 ^ O 1 ,2OVJ Plan Review {_ 0 Phone: 503.639.4171 Fax: 503.59 • I DateB ( r I1►Zj_, (Z `. offer Permit: TIGARD Inspection Line: 503.639.4175 Date Ready CITY 1 0 See Page 2 for Internet: www.tigard- or.gov CITY OF TIGAR Notified/Method: e. Supplemental Information BUILDING DIVISION 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 IXAddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- 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: /0 e 3 / c5'U 6/4-6;ex-D5 / e V New dwelling area: square feet City /State /ZIP: •i1a,1 0/2 97Z2-3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: et)Ma5� , 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 p work indicated on this application. Mick © r // /1 /6-77-,Q,_•6 f/ 5 fe."Ai �r Valuation: $ 7 /5S, -05 2 e5 FA_ /t • --/ / �-- l _5 � / y� v C/ / Existing building area: square feet ,t / A J Tt/ J / !'l i D D „ /C/ - Y ‘,0)/ 500 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: AP,J'LICANT ❑ CONTACT PERSON NOTICE Business name: ��/ /, e2,----_ 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: � mi f / j2 p�- c, ,! (Please refer to fee schedule � i �/4 Permit fee: 00 Address:90 / 314/ "5 t) /Z/U /T�) 5-r: 0 State surcharge (12% of permit fee): / 8 • Z City/State /ZIP: 7 a l / ©/Z_ ZZ 3 FLS plan review (40% of permit fee): /„ ^ . [.{Q Phone: 603 �, 34- �9 Z65 Fax: (3)6 S4 — q‘ 7 (Due upon application.) („(/p� CCB Iic.: &4077 Total permit fees: a37- t 2'- Authorized signature: Amount received: "G � This permit application expires if a permit is not obtained Print name: v � [ ./L1 6 4 7-7 `.) Date: / Z — ) _CC? within 180 days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry Service Board. I:\Building\Permits \FPS - PermitApp.doc 03 /23/06 440- 46t3T(11 /02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe'work o`be ".done „ ,_ g 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: Type of 'S rste (Co D as pl B, e _ applicable) Commercial Sprinkler =` ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B ) Type I .:HoodW.Fue Suppre " "ssion`:System z f ..... h . ._ ,......,. Hood Project Valuation: $ • C) Fire Alarm ° . Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D ); Resrderitial Sprinkler (S t and Alone;System) 4 y "� 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,_ Sprinkler Project Square Footage: sq. ft. F><re`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 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 li censed fire suppression engineer, or NICET level "3" technicians. http: / /www.ci.ti /cit hall /departments /cd /dots /PPS - PermitApp.doc 2