Permit � CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
-'p, -!` : COMMUNITY DEVELOPMENT Permit #: FPS2010 00157
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/14/2010
Trca ,, Parcel: 1S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 460
Project: Bjorklund & Montplasir Subdivision: Lot: 0
Project Description: Add (2) pendent heads.
Contractor: AFP SYSTEMS INC Owner: WISCO REAL ESTATE EQUITY
19435 SW 129TH FUND I LTD PARTNERSHIP
TUALATIN, OR 97062 BY WYSE INVESTMENT SRVS CO
1501 SW TAYLOR ST STE #100
PORTLAND, OR 97205
PHONE: 503 - 692 -9284 PHONE:
FAX: 503 - 692 -1186
FEES
Description Date Amount
Specifics: Permit Fee - COM 12/14/2010 $51.09
12% State Surcharge - Building 12/14/2010 $6.13
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
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 $57.22
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $300.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
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 Notifi Linn Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dire ues to 0UNC by calling 503.232.1987 or 1.800.332.2344. ��
Issu d By: i / Permittee Sign lure: ,,
____,.........4..e___,
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CaII 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
DEC -13 -2010 MON 12:48 PM AUTOMATIC FIRE PROTECT FAX NO, 5036921186 P. 03/05
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B uilding Permit Ap.,plication
Fire Protection System Foit. (1GI I( II? t)
I I,NI.V'
City of Tigard I ; I A , ,-/ Parr_ a1•6._ o.: d . LO' / )
,. � ( v lull B,, Tlgnrd, OR 9 Plan Rovi,v
kt Phone: 13125 503 [ ,639417 tvd 1 Pax: 503.598.197223 fi0 DEC 11 4 2 010 na' «l ' u - Other Permit:
11 dt n ft t t Inspection Lime 503.639.4175 Data Rea<tyAty: Me ® Sc c Pose 2 for
Internal: www.tigard- or,gov CITY OF TIGARD NnIlfied/Mef,od: SuppI n;cnint InfarmnQop
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[] New construction 0 Demolition Penult fees" me based on the value of the work performed.
tndlcnie the value (rounded to the nearest dollar) of all
* -Addition/alteration/replacement G] Other: equipment, n itcrluls, labor. overhead, nod the profit for the
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>:.•;� .,:..• 4. .- :,. , ,:,..;`,.,.:,-ar r.,: r.:;,, ; ..::: <.:: ','r. k indicated on this ii licatIon.
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. . ::: ; I _ ,' l ' U7 ORY` .OFi':(:O S TRL VC ION. r: rr.,::;:::::; ' , r ; =;�:. i i4 - . ; ::a : work PP
I] 1- and 2- tinnily dwelling Commercinl /industrinl Vnlunllon: S
❑ Accessory building Multi family Number ofbedroo
[I Hasler bldlder ❑ Other: Number of bathrooms:
r r ;' =,% ;•,i , 3 Total number of floors:
.IL':..I,?' ;MINI +�ltth>�1TXQN: ?�1�I1�, �It��ATJny ;;a ; .�;± :` =:';i ��` "- ;::��� _'- ;;�:
Job site address: O RQ S W I R 0 New dwelling are;,: square feel
City /State%ZIl': .. L pJ% ' ' g Garage /calporl Wren: square feel
Suite/bldg./apt. g. /apt. nn.: LTA
Project mime: m Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other stricture area: square feet
RI?QDM hATs1: CO)Ii11ElBCU E USF .f(1* . BT
Subdivision: J 1 Lot no.: Pennil fees* ere bnsed on the value of the work perlbrnlcd
Tax mnplpnrcel no.: Indicate the value (rounded to Iho nearest dallnr) of nil
T / p n roe .....:.....: . >..: ::•::., :._,f ., .., - ::.... , :....... equipment, materials, labor, overhead, and the profit for the
t.; ' ;•: == "'. .i:.;,'c > ` ' ..:'i work indicated an this application.
F,�9 :UM WP��Ii W _.._,. ��� .
! unt - Voluetiou: $ even A a. P �_. _� .�..
Existing building men: square feet
New building arca: square. feet
[a PItC]'1rkil,PY ! 0'ONpN'1 > ' i; -,
'rK Number of stories:
Name; 1■ .a–, Typo of construction:
Address: S W 1.0.„4 _
li P Y groups:
6 Occn ane rou s:
City/State/ZIP:1– kr (44 C9 g. �, rxisIb g
Phone: ( ) 3 Pox: ( ) New:
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L nN,P „,, �,. ,, � �,•, �' „ „A � ,,: 4,I T AG'I': :0 ,ii AN i t�r1 I't .
Business name: S if _.
All conk slid subcontractors arc required to be
...
Contact name: Q licensed with the Oregon Constnlction Contractors i3oard
- -- under ORS 701 and may be required to be licensed in the
Address: 1 IaL S(,J I Dg o _ Jurisdiction in which work is being performed. If the
applicant Is exempt fl•ont licensing, the following reasons
City/Stine/ZIP: V At 4.7"1 t.J 6 � ,.,. apply:
Phone: ( ) col '). 9 2 t lrax :: ( ) 6 9 2 -- 1 ' _
N•niail: , a l tti F f sips- - co ' V _ - -
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Business name:
Permit fee: 4,57 D
Address: —• -
• –w-- State surcharge (12% of permit fee): / . 1 3
City /Slate/ZIP: ” CO
PLS plan review (40% of permit fee):
Phone: ( ) Pax: ( ) (Due upon appl/rnllon) .
CCh31ic.: k,15-514 Total pennitfcco: 57. 99 ”
Authorized signature: III
Amami( received: �? . a�
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•
_ ills permit application expires If n penult Is not obtabledC
..i_. ►". I Date; jr –i 0 –ID 1 within 180 days after II has been accepted as complete.
Pee methodology set by Tri- County Building industry
Service Board.
1: UiuthlinOttrall ,NP9•PermtlApp.doc 0/23!06 440.4613T(I )107/COMt\Yan)
DEC -13 -2010 MON 12:48 PM AUTOMATIC FIRE PROTECT FAX NO, 5036921186 P. 04/05
City of Tigard: Fire Protection Petnait Checklist
Page 2 - Supplemental Information ,
Deseribe:ivotk to be done:
1.) p New 2,) Modification to sprinkler heads only:
(] Addition W-1 -10 head: No plan review required.
Alteration [1 11 heads: Plan review tcquired,
Repair
Number of sprinkler heads: 2—
Acld' ti.n;.I description fwor
'
of;Systern (Complete A ;13,`C'ot D act ad Itcable): :' `?:
.)..Cam rteter:tl;Spri nkler ,
t JD. DrY
Additional Standpipes
Information; Hazard Group Lil„ -'r
Densiy
Design_Area i t,50(.)
K, Factor. J .
_. W_... Sprinkler Project Valuation: $ cop-.
rpi I - :lT oati Fire Suppression Sy8t _
1 food Project Valuation; 1$
C.) I he Marto
Sttbmival shall Batter Calcul
y atao»s a Yes ....., ..
include: Individual Component CI Yes
Cut Sheets _
Fire Alarm Project'Vztittation: $
D.) •Residentta[ Sprtnldet •(Stand Alone Syet
Square Footage: Pr:t Tait Fee:
0 to 2,000 $187.50
2001 to 3 $232.50
3,601 to 7,200 $292.50
7,201 and gtcatet $381.50
Slp*inldet Project Square Footage: [ sq. ft.
Fire Peirniit Pcee `'?
Project valuation subtotal (see A, B & C above)_
Permit fee based an project valuation (sec fee schedule): $
Pertnit fee based 9n square footage (see: D above); $
State Surcharge (12% of permit feed $
FLS Plan Review (40% of pcttnic fee): $
_,. TOTAL $
Plan review requires a completed application and 2 seta of plans at submittal. Plan review fees are required at submittal.
\BuildinAPc.mitAliPS- Permil App -dot 06/�5/08 2