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Permit
it CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 111 COMMUNITY DEVELOPMENT Permit #: FPS2009 -00056 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/24/2009 Parcel: 2S112DC00500 Jurisdiction: TIGARD Site address: 15895 SW 72ND AVE 190 Subdivision: Lot: 40 Project: Truman Capitol Advisors Project Description: Add /relocate 4 sprinkler heads Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 Permit Fee - COM 06/24/2009 $62.50 12% State Surcharge - Building 06/24/2009 $7.50 PHONE: Contractor: FIRESTOP CO 3203 NE 65TH ST. #2 VANCOUVER, WA 98663 PHONE: 360 - 718 -8604 FAX: 360 - 718 -8603 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Height: ft Stories: Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Hazard: LT Density: .1 Design Area: 2000 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 $70.00 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 1200 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, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules 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 calling 503.246.6699 or 1.800.332.2344. Issued By: N / Permittee Signature: 9Z-k- App 1/ 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 RECEIVED Commercial loll t)I.fic y. USE ONLY City of Tigard JUN 2 4 2009 Received DateB : /1/ G� Permit No.: , 5 2 tiv i _. (XvvSG IN 13125 SW Hall C Blvd., Tigard, OR 97223 CITY OF TIGARD Plan Review ' Phone: 503.639.4171 Fax: 503.598.196 Date/B : Other Permit: I' 1 l, A RI) Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: ruris: El See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information 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 ►ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ l- and 2- family dwelling rCommercial industrial Valuation: $ ❑ Accessory building El Multi-family Number of bedrooms: ❑ Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: Its e5 St,...) •'1 2.,∎,d U V r` New dwelling area: square feet p City /State /ZIP: r1 o v410.r,et / (:)1_ 91 'Z. Z LI Garage /carport area: square feet Suite/bldg. /apt. no.: AI 1e, Q Project name: 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. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. LP lye T qq I /` A c11c - ' ✓ S o✓ re 1 0 C0.4 y to -k..�l o- 4 r Valuation: $ 1 2 U " S p � t�. .(4 r -i-- L Existin building area: square feet New building area: square feet ❑ PROPERTY OWNER I TENANT Number of stories: Name: - Tv^ vs-Pti` 6,,v) (',. e .4. Type of construction: Address: ICJ 8 S c S LAD 1 d to I-� . l - 1 Occupancy groups: City /State /ZIP: 1 p ,, - ( 0...,\..)(1 0e Existing: Phone: ( ) Fax: ( ) New: , tPPLICANT ❑ CONTACT PERSON NOTICE Business name: i, ,. - Q54-0 p C. p All contractors and subcontractors are required to be Contact name: �EL 3 Q, ✓ licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 320'3 Ng_ ( �-- ' I- , S L ,. e _, "Z jurisdiction in which work is being performed. If the pplicant is exempt from licensing, the following reasons City/State/ZIP: l�� r �c,c� u ��. v-� 1 '�(n co ( 3 � apply: Phone: a) I s, _ 6A, 44 I Fax.. 6-‘0) r l I r)'gt'�;r)3 E-mail: A i et , lcv: - ' " -e- S e C( - C_!) t..--. CONTRACTOR Business name: BUILDING PERMIT FEES* Address: (Please refer to fee schedule) Structural plan review fee (or deposit): City /State /ZIP: Phone: ( ) I Fax: ( ) FLS plan review fee (if applicable): Total fees due upon application: CCB lic.: Amount received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: * Fee methodology set by Tri -County Building Industry Service Board. I: \Building\Permits\BUP -COM PermitApp.doc 2 /23/07 440- 4613T(11/02 /COM/WEB) ' PI II ° Building Division Accessibility: Barrier Removal Improvement Plan T1GAI.D REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per -cent (25 %). VALUATION: Total of all renovation, alteration or modification being done, excluding painting and wallpapering: [1] $ MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ (f Accessible drinking fountains: and, $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL (shall equal line [2] of Valuation Computation): $ I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08 City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information ( pLA) ck 1 +a, Describe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition 1g-1-10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: 14 _ Addition 1 1 d� ( scription of work: © v - rtto o TeN0,„ +. Type of System (Complete A, B, C or D as applicable): • A.) Commercial Sprinkler • 0, Wet ❑ Dry Additional / Standpipes d Information: Hazard Group ( :5 Li Density 0 ,. Design Area `- -00 K. Factor S , (O Sprinkler Project Valuation: $ 1 f 2.0c B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ 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 $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 (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 licensed fire suppression engineer, or NICET level "3" technicians. I:\ Building \Permits \FPS- PemuiApp.doc III e ° Building Divisio Over- The - Counter (OTC) Building Permit T l c n x n Check List Description of Project: • - GENERAL INFORMATION Class of Work:* K LI — Floor Areas (sq. ft.): Exterior Wall Construction: Type of Use:* _ First floor: N: S: Type of Construction: Second floor: E: W: Occupancy Group: Third floor: Openings Protected Y /N ?: Occupancy Load: J Total sq ft.: N: S: Stories: Note: Combine total floor area for E: E: Height: _ all floors above third floor and Roof Construction: _ Floor Load: add to the third floor s . ft. Fire Retardant: Basement: Basement: Area Separation Rated: Mezzanine: Garage: Occu. Separation Rated: - REQUIRED ITEMS Fire sprinkler: 'f C^ Handicap access: Smoke detector: Protected corridors: kr) Fire alarm: Parking spaces ( #): Notes: Total Valuation: $ 19 INSPECTIONS TIONS FEES DUE Footing /foundation Firewall $ (t 2 , -SS Permit Fee Post /beam structural Smoke detector $ ,aj State Surcharge Shear wall Misc. inspection $ `7 , — Plan Review Fee Masonry Approach /sidewalk $ , 41'Z FLS Plan Review Fee Framing $ Additional Permit Fee Insulation Sprinkler rough -in $ Additional Plan Review Fee Gyp board Fire alarm $ Metro Construction Excise Tax Suspended ceiling Sprinkler final $ School Construction Excise Tax Final inspection $ Misc. Fee $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Other: $ � � 22k Fees Due • *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. . CLASS OF WORK- ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM'= demo ;.. FND = foundation; FPS = fire protection system; NEW °L new OTR = other (use for fences, decks, retaining walls ;.signs, awnings or canopies); REP = repair. is \ Building \ Forms \OTC - BUP.doc 08/19/08