Permit " 4-' ;,; ' C� OF TIGARD FIRE PROTECTION SYSTEM PERMIT
II
° d COMMUNITY DEVELOPMENT Permit #: FPS2010 -00056
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 05/20/2010
Parcel: 1 S136DC04500
Jurisdiction: Tigard
Site address: 7501 SW DARTMOUTH ST 100
Subdivision: Lot: 0
Project: Winco
Project Description: Fire sprinkler system for deli /seafood remodel
Owner: FEES
WINCO FOOD, LLC Description Date Amount
ATTN: SUSAN BUSCHE, PO BOX 5756
BOISE, ID 83705 Permit Fee - COM 05/18/2010 $102.20
12% State Surcharge - Building 05/18/2010 $12.26
PHONE: Plan Review - Fire Life Safety - COM 05/18/2010 $40.88
Contractor:
SANDERSON SAFETY SUPPLY CO.
1101 SE 3RD AVE
PORTLAND, OR 97214
PHONE: 503 - 889 -3110
FAX: 503- 889 -3192
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: M Height: ft
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Unknown
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 $155.34
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 2001
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 Noti • - ion - -r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or dire questions to OU . by ca ' • • 503.246.6699 or 1.800.332.2344.
Iss - d By: ` /� / c Permittee Sig - re: A/ �, �4 v�
l
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 F.. , Ff ' ' , . ,: ; _ ,A . ,3 > r ik m
s k e ;4 a 5 .. s ' .FOR OF�ICL''bSE,O\ LTa k r" ' s` yr ,`{
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City of Tigard } " ' ,, ' Received p 4i Permit No.: dojo IV -c. 4 ,. _ : I 1° 13125 SW'Hall Blvd., Tigard, Fax 503.598. OR 97:x - \ �® Plan R
r:i !s� Phone: 503 �� ?
� Date/By: I � ,�' �
' Other Permit: C i �[ s- _ i
FT 1 n w Ins on Line: 503.639.4175 Py G ��o Date Re.. orris:
P C �\G \ \0'' oti e e od
N fid/Mth: `J() Supplemental Information Page 2 ;or
See
- • > :•. _ - : - t-7.- - - �: Internet: www.tigardor.gov \ ````
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TYPE OF WORK, .. V \ - REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ o n r %on Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
r Addition/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 giCommercial/industrial
Valuation: $
El 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: 7 p G W O b New dwelling area: square feet
City/State/ZIP: l L 3 4,v-4 ()Y 611Z2-? Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: IA i A CO Covered porch area: square feet
Cross street/directions to job site: re ( Deck area: square feet
Other structure area: square feet
REQUIRED DATA: C'OMTIERCL-AL -USE CHEC.'IO.IST
Subdivision: I 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
DESCCRIPTION OF WORK _ work indicated on this application.
, (45 1, ( .�-1 1 s►\ e# S 4.1 bi, b 3 (}0 -rrv& Valuation: $ :2060
Existing building area: square feet
. ..1. t- '/1 ,a. r r ..
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/State21P: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) I Fax:: ( )
E -mail:
•
CONTRACTOR BUILDING PER/SLIT FEES*
(Please refer to fee schedule)
Business name: 5 Q,nd ergt,n 5 d Permit fee: l 1 x
Address: it 6 1 S i✓ 3 r d iT
State surcharge (12% of permit fee): i
City/State/ZIP: r6y4 1.64/1 - c� ®Y' �', 2 FLS review 14 plan ( 40% of P ermit fee): ,. -
u^
Phone: ( S o3) g i 3 j to Fax: (S ) s- g-, 3 1 q Z (Due upon application.) " ( Q �
(l/
CCB sic.: / �. Total permit fees: 15-5,6 Authorized signa
4 I Amount received: I c ,
( 'Z / y This permit application expires if a permit is not obtained
Print name: 4 i I A Ccl h �' N Date: / / /6 within 10 days after it has been accepted as complete.
'` / * Fee methodology set by Tri -County Building Industry