Permit '4 ,� FIRE PROTECTION SYSTEM PERMIT
u - rti u , CITY OF TIGARD
t . s a COMMUNITY DEVELOPMENT Permit #: FPS2010 -00039
i,T, GARfL 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/06/2010
girea"s,101g1lrSl °I4 Parcel: 2S 112DA00700
Jurisdiction: Tigard
Site address: 15333 SW SEQUOIA PKWY, STE# 100
Subdivision: PACIFIC CORP CENTER Lot: 0
Project: Coca Cola
Project Description: Relocate (28) sprinkler heads and plug (3) for TI.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 Permit Fee - COM 04/16/2010 $102.20
PORTLAND, OR 97224 12% State Surcharge - Building 04/16/2010 $12.26
PHONE: 503 - 624 -6300 Plan Review - Fire Life Safety - COM 04/16/2010 $40.88
Contractor:
DELTA FIRE INC
14795 SW 72ND AVE
PORTLAND, OR 97224
PHONE: 503 - 620 -4020
FAX: 503 - 620 -1058
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: B Height: ft
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: 0 Design Area: 0
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 $155.34
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 2900
Residential Square Footage: 0
Fire Alarm Valuation: 0
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 ' • ork is susp- • • ed for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility No' cation Center. Thos- r - a - set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or dire* questions to OUNC b ing 503. • ..6699 or 1.800.332.2344.
Issu d By: � f , ! Permittee Sign•42:
CaII 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.
u gf'IVI; � �`�i FIRE PROTECTION SYSTEM PERMIT
i OP CITY OF TIGARD
Ph
j COMMUNITY DEVELOPMENT Permit #: FPS2010 00048
,440,016 Date Issued: 05/04/2010
TwE G !tRD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
w,is4 qi i. Parcel: 2S112AC00600
Jurisdiction: Tigard
Site address: 7440 SW BONITA RD
Subdivision: Lot: 0
Project: Associated Business Systems
Project Description: Add (2) sprinkler heads in new office and storage room.
Owner: FEES
BEALES, ALAN K & SUSAN R TRUST Description Date Amount
BY ALAN K & SUSAN R BEALES TRS, 2126
MAGELLAN DR Permit Fee - COM 05/04/2010 $51.09
12% State Surcharge - Building 05/04/2010 $6.13
PHONE:
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:
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 $57.22
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 380
Residential Square Footage: 0
Fire Alarm Valuation: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notii , , enter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the r -
or dir questions to ► NC • calling 503.246.6699 or 1.800.332.2344.
�� Permittee Signature:
7:7: -•
Issu d By: ` , /
Call 503.639.4175 by 7:00 a.m. for an inspection that busines- day.
This permit card shall be kept in a conspicuous place on the job site until c - mpletion of the project.
Approved plans are required on the job site at the time of ea inspection.
Building Permit Application RECEIVED
Fire Protection System .
3' AP R 16 2010 � FORO FFI(.E USE. O \ll `_
City g of Tigard Received
No. ° So?o /o — di o3 '
' CITY OF TIGARD
�
• q 13125 SW Hall Blvd., Tigard, OR 97223 y/ �
Da �� f�L�
Perm
Phone: 503.639.4171 Fax 503.598.19 Plan Review l$
DuILDING DIVISION Date/By: / r t d Other Perm: ioa0o0 _Ivo 3 7
T G A R D Inspection Line: 503.639.4175 Date Ready/1:y: _Tuns: ® See Page 2 for
Interne[: wuw.tigard or.gov Notified/Method: Supplemental Information
TYPE OF WORK : REQUIRED DATA: 1- A
• . AND 2- FAMILY
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rowded to the nearest dollar) of all
*Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
-- work indicated on this lication.
CATEGORY OF CONSTRUCTION aP
❑ 1- and 2- family dwelling 'Commercial /industrial Valuation: g
❑ 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: 153 3 3(j S fc'UC� LCA r . 5 New dwelling area: square feet
City_ /State /ZIP: r PQ`k an�.1 t O a CI 7 a (,( Garage /carport area: square feet
uite dg. /apt. no.: * 100 " Project name: ' A At ( . Cenket. Covered porch area square feet
Cross street/directions to job site: 1
C('�' ^ Colo, Deck area: square feet
Other structure area: square feet
•
• REQUIRED TA.,COM E MERCIAL - US CHE
DA CKLIST ,
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
11 L DESCRIPTION OF WORK • 1 2 work indicated on this application.. /�/� /��
?1e lU cal- . a. ViP n s pcl. �L . 7 Valuation: s a ` I W • .00
'CO( De W T T . Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT . Number of stories: 1
Name: Type of construction: 2�
Address: Occupancy groups:
•
City /State /ZIP: Existing: B
Phone: ( ) Fax: ( )
New: 1 C e O c__c LC
APPLICANT ❑ CONTACT PERSON
NOTICE .
Business name: f
�a ., CP .Lt-IC . All contractors and subcontractors are required to be
Contact name: t licensed with the Oregon Construction Contractors Board
liP S car D �C7 �Vl under ORS 701 and may be required to be lensed in the
Address: 114
SW (\ �V jurisdiction in which work is being performed. If the
5 a p applicant is exempt from licensing, the follovtiing reasons
City /State /ZIP: ��++ or�rland op, 7 ` /��� apply:
Phone: 505 1paO - "LOQ�IO l Fax: : 6296 ' (OSS
E- mail:. '
CON ' ACTOR BUILDING PER IT FEES*
Business name: •Dp I l r� (Please refer tnjee schedule
Address: Permit fee:
1LI7 5 �>J 7a n 9....
\j
A _ 1 O� 7 0.^ �{ State surcharge (1_,o of permit fee):
City /State /`LIP: .
0 fa Y� � f � FLS plan review (40% of permit fee):
Phone: UV� Fax: (5Z(09.0 —10 r (Due upon application.)
CCB lic.: 6/./1 Total permit fees:
9y
Authorized signature: -iej
Amount received: I ( D -
This permit application expires if a permit is not obtained
Print name: i p= ` r I Ili. ` Date: y 6 * within 180 days after it has been accepted as complete.
Fee methodolo2v set by Tri- County Building Industry
Service Board.
t . ` Buildin ■PermitsFPS- PermitApp. doc 03/23/06 440- 4613T(11 /02.,CONlWEB)
•
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New Modification to sprinkler heads only:
A Addition 1 -10 heads: No plan review required.
Alteration 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: (9.44
Additional description of work:
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 Its .,
Sprinkler Project Valuation: $ Q 900 . W
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $ //A
•
C.) Fire Alarm
•
Submittal shall Batter- Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ Nl
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 5292.0
1 7,201 and greater S381.50
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permits Fees
Project valuation subtotal (see A, B& C above): $ a gcoco
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): 1 $
FLS Plan Review (40° o 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.
•
L \Bc \ Permits \FPS- PermiLAlpp.doc 2