Permit 0? CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2010 -00061
1 Date Issued: 06/16/2010
TEGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S113BA00200
Jurisdiction: Tigard
Site address: 7800 SW DURHAM RD 500
Subdivision: Lot: 0
Project: Typhoon
Project Description: Fire suppression for Type I hood.
Owner: FEES
METZGER VENTURES, LLC Description Date Amount
PO BOX 400
SHERWOOD, OR 97140 Permit Fee - COM 05/26/2010 $123.72
12% State Surcharge - Building 05/26/2010 $14.85
PHONE: Plan Review - Fire Life Safety - COM 05/26/2010 $49.49
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: VB
Occupancy Grp: B Height: ft
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Dry
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 $188.06
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 5000
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
issu e, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
U ' ity Notification Center. Th. ules are set forth in OAR 952 - 001 -0010 through OAR 952 -0019 ou ay obtain a copy of the rules
r direct questions to OU by cal■ng 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: +7%-s•
Call 503.639.4175 by 7:00 a.m. for an inspection that b ess day.
This permit card shall be kept in a conspicuous place on the-lo • site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
02/25/2005 10:25 FAX 5035981960 CITY OF TIGARD IgJUUZ/UUJ
Fire Protection System
. Building Permit Application • FOR OFFICE USE ONLY .
City of Tigard ig WI0
r CC D ac a c .43 .ivea , . i mm-memn
— Plan Revie
Phone: 503.639.4171 Fax 503.59: .1 ri Date/Br; h, h 0 other remit:
4. t ; '
13125 SW Hall Blvd., Tigard, OR 97.
: .I.1.t I f
Inspection Line: 503.639.4175 to 26 2.010 -41- l i. Date Ready/By: til Se. Pe! for
Internet: vivr.v.ci.tigard.or.us Notified/Method: fi (6, 1 0 / ( Supplemental Information
4
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kryi New construction 1 0 Demolition Pcrmit fees are based on the value of the work perfomied.
Indicate the value (rounded to the nearest dollar) of all
0 Addition/alteration/replaccmcnt 0 Other: equipment, materials, labor, overhead, and the profit for the
work indicated on this application.
i ' 4.-: tiCkliV 'h!:1•::i•:
Valuation: $
El 1- and 2-fanaily dwelling [! Coulfhcrcial/indusnial
0 Accessory building D Multi-family Number of bedrooms:
Cl Master builder 0 Other Number of bathrooms:
1 . ..:::i;' .1 :01 ; io,,i:;.-4*oi*go'-,'.:•:•:::00.7--:•,***04.*.o.N.:•il.i,!:,..:.:•':;i;.:.*:::;•.:::!: Total number of floors:
Job site address: 76 i i t s- p ,, ..,
i il. — New dwelling area: square feet
City/State/ZIP: 1 6, , i (f Garage/carpon area: square feet
Suite/bIdgJapt. no.: Project name: 'Ft i p h n il Covered porch area: square feet
Cross street/directions to job site: • Deck arca: square fect
Other structure area: square feet
- .
ir 441.11*EHR,0: ';eiiiqi■.):eiiCTAI.:1JSE;CHECKLIST.
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/pamel no.: equipment, materials, labor, overhead, and the profit for the
1 T' !• :11' '.04 H;::.:,..-:,!,. 1 work indicated on this applicai.
. • 1 a (A I, 1 00 -- 0.
t o.,„ 0 . , nStA, , ik P - - - riss n Valuation: S 5 000 G--3
S' c-le..A/V1 r eiC 411 ,
LAP (1 f'ec# fp Existing building area: square feet
-----
New building arca: square feet
777::!: •:T...,.. :H:i:0 11iii4kil.::.77 Number of stories:
Name: Type of construction:
Address: Occupancy groups: •
---
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
...14016 'i;':•!: 1: '••:!':. •.::.. •:, ;!ii41S4 Pi !■ :?; :1:■:j.i,1 ., i••!.1:•i.::•:r,• •••• • • - .1 . • • • • ,•,, ..: V . ' . ,t.:: ' " ' ' •
, ..'!..: 41 : , . :1• , .., I ,:, : i.. :!1 : iNplICRI:
. Business name: All contractors and subcontractors are required to bc
, licensed with the Oregon Construction Contractors Board
Contact name: under ORS 701 and may be required to be licensed in the •
Address: jurisdiction in which work is being performed. If the
applicant is exempt from licensing. the following reasons
City/State/ZEP: • apply:
Phone: ( ) Fax: : ( )
E-mail:
1 ! ;i:";11:1 . 1; .':':.:.::!Cii‘iii4.!Oki'i. 1.,:lR7ri'!':1:1:;:i.:',q.i.:;.*:;!-!::;:t ..,:.:::.,...!..:i
Business S ss name:
...) ctck-e_ if , S 6n Sa. tJLAN . .: .: ;. ;ii:!:1Ei:' Viiiiiiititi46 kiii4i..ii l iiai
Address; NI 6 C - 3 (Ct, Please refer lo fee schedule.
City/StatelZEP: Pork tat, t e l_ o q1 LI q Fees due upon application
Phone: ( 5 ) g% 1 3 i io [ Fax: ( S ) 6 3 Z. Amount received 4 t tc . c)(P
cal. tic.: bti ct / 4
Date received: 5/2.4/10(1-
_
Authorized signatar • : u 4,1_ r , 6:,,,,,.....„ This permit application expires if a permit It not obtained
within 180 days after it has been accepted UN Complete.
Print name: 1 1 kkill / I A & a A Date: ' Z i /2-0/6 . Fee methodology set by Tri-County Building Industry '
Service Board.
iAlluildinactrinka\ FP.S-Dermititpp.doc IVO 440.46137(11/C2/COMIWEB)
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 plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinlder
❑ 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: $ 5
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler ($tand Alone System)
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.
Fire Protection Permit Fees •
Project valuation subtotal (sec A, B & C above): $ 5
Permit fee based on project valuation (sec fee schedule): $ / 2 3,7 Z
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fce): $ /4/ gS
FLS Plan Review (40% of permit fee): $ t� C L 9
TOTAL: $ 1 $'g a O (o
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.
http:// www. tigard- or.gov /city_hall /deparmtcnts /cd /dots /PPS- PcrmitApp.doc 2