Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
o .. COMMUNITY DEVELOPMENT Permit #: FPS2010 00094
T I GAB . O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/06/2010
Parcel: 1S135BA02800
Jurisdiction: Tigard
Site address: 10380 SW CASCADE AVE
Subdivision: Lot: 0
Project: Beaverton Motorcycles
Project Description: Remove and replace piping in back shop.
Owner: FEES
LANPHERE ENTERPRISES INC Description Date Amount
ATTN: DOUG MEATH, 12520 SW CANYON RD
Permit Fee - COM 08/31/2010 $177.52
BEAVERTON, OR 97005 12% State Surcharge - Building 08/31/2010 $21.30
PHONE: Plan Review - Fire Life Safety - COM 08/31/2010 $71.01
Contractor:
PATRIOT FIRE PROTECTION INC
4708 NE MINNEHAHA ST
VANCOUVER, WA 70822
PHONE: 360 - 699 -4403
FAX: 360- 699 -4485
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: S -2 Height: ft
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: EXHAZ1
Density: .45 Design Area:
K Factor: 11.2
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $269.83
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 10000
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 la ill be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuan , or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utif Notification Center. Those ul- 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 ing'03.246.6699 or 1.800.332.2344.
sued By: Permittee Signature:
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 fi
� ' a � ,' � FOIL OI FI(:I.'. Ls,. O.1.).
City of Tigard
Fire Protection System ,„ ���� 1 2p10 "Br _ • Permit No ;at, d W — tido
IN P 3 one S50 Hall Blvd., Tigard, OR 972 I' 3 - ` � X 50 /:, �� ca n Permit:
Phone: 503.639.4171 171 Fax: 503.598.1919 60 P � % , I l' [��]
Inspection line: 503.639.4175 "S NV- 0� .4 Date heady/' -: il! See Page 2 for
Internet www.tigard or.gov 0 \1 U ',...._ 0\\40 NotifredlletlXod (/IV AlliMIIMI Supplem i
3%) 0 �) .' • w 17)^ /`'
TYPE OF WO R 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
)(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 )6Commercial/industrial Valuation: $
CI Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
1 0 - lee, SW �A E_ 1 31-Al 0 New dwelling area square feet
Job site address: �
city /state/Z1P: "rie_vagb, O0.. (11 a S Garage/carport area: square feet
Suite/bldgJapt. no.: I Project name: ISFo.VEe:ro J i-1oTo2.e,yL 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: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to die nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
0
Valuation: $ 10,
P�.�c,v - E Pe'��c E. PrPt L_1( - r t-I I c_k <
To C LG.J i DE_ , 45 / E . n P`E. A( L). Existing building area: square feet
�( New building area square feet
ICY, PROPERTY OWNER I ❑ TENANT Number of stories:
Name: L-. j N Ep F Er`lTEepe.tSE S Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: t2p /1 'S,C.
Phone: ( ) Fax: ( ) New: �
r4 Ei..rnPl.= AeF,4,
12( APPLICANT ❑ CONTACT PERSON NOTICE
Business name: PA -r-e o - STeP i ("e F' - ; L ► C.'t -, 4, C „ All contractors and subcontractors are required to be
Contact name: . jE p p �(� S 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
aPPIY:
Phone: ( ) I Fax: : ( )
E- mall: .J E c_c -emu, - rE►zC , (.4>r-•A
CONTRACTOR BUILDING PERMIT FEES*
Business name: Pp'� t d j t t tl_ti - TEG� �t�j 1 /...1 L . (Please refer to fee schedule)
( Permit fee:
Address: 470B ',le 0 t tv )t (Euo N a S State surcharge (1 rA of permit fee):
City/State/ZIP: vp,,i e. ie p.- q o f
FLS plan review (40% of permit fee):
Phone: E) Z Z2. - Cock ( I Fax: i34 ) c 1 — 4 4 e _ (Due npou application.)
CCB lit.: 7c7 S,Z,Z Total permit fees:
Authorized signature: Amount received: T. r3
Se.........-------) This permit application expires If a permit not obtained
Print name: Err e_rDc.-4.-- r 1J S Date: AO / 1 U within 180 days after it has been accepted as complete.
• Fee methodology set by Tri- County Qb
�'B/uuilding Industry
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
L) ❑ New 2.) Tx lodification to sprinkler heads only:
❑ \ddition ❑ 1 -10 heads: No plan review required.
alteration X11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
T 4 e of S ' . tem Com lete A, B, C or D as a ' ' licable :
A.) Commercial Sprinkler
Wet , '/ ❑ DrY
Additional Standpipes ),
Information: Hazard Group L-rRP
Density
Design Area Call P.E AP..F_,A
_ Imo. Factor 1 1 . Z
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: 1 $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.73
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire 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.
htip: / /www.tigard- or.gov/ city_ hall/departrnents /cd /dots /PPS- PennitApp.doc 10/01/0
CITY OF TIGARD FEE AND PAYMENT HISTORY
a
i p 131 25 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
FPS2010 -00094 - 10380 SW CASCADE AVE, TIGARD, OR 97223
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due
Permit Fee - COM 2300000 -43104 $177.52 $177.52 $177.52 8/31/10 Check 179293 $0.00
12% State Surcharge - Building 1003100 -24001 $21.30 $21.30 $21.30 8/31/10 Check 179293 $0.00
Plan Review - Fire Life Safety - COM 2300000 -43108 $71.01 $71.01 $71.01 8/31/10 Check 179293 $0.00
Totals for Fees $269.83 $269.83 $269.83 $0.0
�s
Receipt # Payment Method Check # Pavor: Receipt Date Receipt Amount
179293 Check 7694 Patriot Fire Protection, 08/31/2010 $269.83
Inc.
Total Payments: $269.8
Balance Due: $0.00