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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT S COMMUNITY DEVELOPMENT Permit #: FPS2010 00119 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/29/2010 TIGARD Parcel: 2S 113AA00300 Jurisdiction: Tigard Site address: 16320 SW 72ND AVE B3 Subdivision: OREGON BUSINESS PARK I Lot: 0 Project: SERVICE PARTNERS Project Description: Sprinkler system for high pile storage. Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 Permit Fee - COM 10/29/2010 $551.18 PORTLAND, OR 97224 12% State Surcharge - Building 10/29/2010 $66.14 PHONE: 503 - 624 -6300 Plan Review - Fire Life Safety - MF 10/15/2010 $220.47 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: IIIB Occupancy Grp: S -2 Height: ft Stories: 1 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: ORD2 Density: .80 Design Area: 2548 K Factor: 16.8 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $837.79 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 52000 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 th 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 he rules or direct questions to OUNC by calling 503.246.66' • I c c c • Issued By: , Permittee Signature: Ll!�_ _ -' Cal . .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 �® 1-( R C) l I ILL I S I. O. 1.1 Received _ City of Tigard �p Date/By: a 1 l to PermitNo.: F 00 // 13125 SW Hall Blvd., Tigard, OR 97223 ` DateB • 4.P ``,0 Plan Review ► ♦ I A III Phone: 503.639.4171 Fax: 503.598.196 , J � 5, ` LI ° 4 Other Permit: / , 0091- 1O � , I 1 c . It 1> Inspection Line: 503.639.4175 0�, GP� t o Ready . . ruris: 7, See Page 2 for Internet: www.tigard - ocgov \ O �r \ `1 \ C ,� l ot i fied/Method: (b -jc Supplemental Informa*ion Q � r 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 gQ 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 ,`ommercial/industrial Valuation: $ ❑ 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: , (O 3 y D 5(A) -7 2 0. A-vE r New dwelling area: square feet City/State /ZIP: Ti 6-it, p- D j a , Garage /carport area: square feet Suite/bldg. /apt. no.: Project name:6E PA, i er_ -r , 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. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the p DESCRIPTION OF WORK work indicated on this application. ve ba Fr /c.e c SP/24AU< L SY r O(� STEM / Z?f7 �/ :� Valuation: $ 524 O 1116 {{ pi GED 5Td/L,4 46 �IJ VAT DIz-Y 5 lis rEms Existing building area: square feet �L T 5115 T 6v15 New building area: square feet "PROPERTY OWNER I ❑ TENANT Number of stories: i V' Name: ij z. IZ A j - Y ,4,9C(A TES LP. (PA1)LvT) Type of construction: Wo 0 D r U I_L,)NS® St Address: 1 5 .33-4, $, W, S 6 4 U O/ it pK w y It-361 O Occupancy groups: N/ 4 City /State /ZIP: P /? 'T(,-,AAI D ,o 9 72,2,4- Existing: Phone: (503) ,, - -630 ( Fax: (563) 6z4 New: [APPLICANT ❑ CONTACT PERSON NOTICE Business name: FJl2Es p Co, , i�C All contractors and subcontractors are required to be Contact name: g -iLE v licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 32© 3 f v E 6 5-11 ST / ic. Z jurisdiction in which work is being performed. If the City /State /ZIP: V,N& J V672-/ Wry , q 9 663 applicant is exempt from licensing, the following reasons 9 r� apply: Phone: ( 34o ) / 7/ 9 - 9 6e Fax:: ( 360) ? (8 - S 6 O 3 E -mail: bob, -f1 re stop co,CO CONTRACTOR BUILDING PERMIT FEES* Business name: SA its '4 4e v e (Please refer e: �" t� Permit fee: Address: State surcharge (12% of permit fee): City /State /ZIP: o FLS plan review (40% of permit fee): Phone: ( ) Fax: ( ) (Due upon application) 1 CCB Iic.: 1 g 5 2.-7 t t Total permit fees: Amount received: Authorized signature: / , }l �-� _ - �vytiL This permit application expires if a permit is not obtained I Print name: 124 D ♦ o f /�/v Date: l Q' 5/1 ,o within 180 days after it has been accepted as complete. J * Fee methodology set by Tri -County Building Industry Service Board. I:\ Building \Permits\FPS- PermitApp.doc 10/01/09 440- 4613T(11 /02/COM/WEB) 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. 10 Alteration R 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: 0 1 Additional description of work: V P 6-12.4--P E Fi fl -E SPX - N1<. C,FIL r'J i. 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 Sprinkler Project Valuation: $ 5 2 Q7rp B.) Type I - Hood Fire Suppression System Hood Project Valuation: 1 $ C.) Fire Alarm Submittal shall Battery Calculations El 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 $198.75 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. I: \Building \Permits \FPS - PermitApp.doc 10/01/09 2