Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
ffi' COMMUNITY DEVELOPMENT Permit #: FPS2011 -00006
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/25/2011
Parcel: 1 S 126 DCO3300
Jurisdiction: Tigard
Site address: 9900 SW GREENBURG RD 180
Project: Neopost USA Subdivision: Lot: 0
Project Description: Modification of (17) fire sprinkler heads for TI.
Contractor: FIRE SYSTEMS WEST INC Owner: C/O CUSHMAN & WAKEFIELD OREGON
600 SE MARITIME AVE #300 200 SW MARKET ST #200
VANCOUVER, WA 98661 PORTLAND, OR 97201
PHONE: 360- 693 -9906 PHONE: 503 - 279 -1700
FAX: 503 - 289 -2208
FEES
Description Date Amount
Specifics: Permit Fee - COM 01/14/2011 $102.20
12% State Surcharge - Building 01/14/2011 $12.26
Type of Use: COM Plan Review - Fire Life Safety - COM 01/14/2011 $40.88
Class of Work: ALT Type of Const: IIIB Info Process /Archiving - Lg Sheet (over 01/25/2011 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 2 Info Process /Archiving - Sm Sheet (up to 01/25/2011 $1.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: 0 Design Area: 0
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 $158.34
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $2,143.00
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 Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtai copy of the rules
or direct questions to OUNC by calling 503.23 • : or 1.800.3 344. /
Issued By: Permittee Signature: — ✓� `�
Call 5y 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.
Building Permit it Applicati• / — " ' Er
Fire Protection System FOR OFFICE USE ONLY
Cl of Tigard i
City b ��� ' Received I _�
Permit No.: / P5,
, - CE i ( ` s Received Old -G'
v 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 L� 4 . ' Date/B : �( y Other Permit
`
Inspection Line: 503.639.4175 �� `I Date Ready /By: , �� l �
TIGARD
Internet: www.tigard - or.gov Notified/Method: I `oa r/ , Supplemental See Page 2 for
upplemental Information
CITY Y� DIVISION
TYPE OF WOR1t4UI 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 ® Commercial /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: 9900 SW GREENBURG RD New dwelling area: square feet
City/ State/ZIP: TIGARD, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 180 Project name: NEOPOST 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
DESCRIPTION OF WORK work indicated on this application.
ADD /RELOCATE /REMOVE FIRE SPRINKLERS FOR TENANT IMPROVMENT Valuation: $$2,143.00
Existing building area: square feet
. New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) • New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: FIRE SYSTEMS WEST All contractors and subcontractors are required to be
Contact name: RICH SMILEY licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 600 SE MARITIME AVE #300 jurisdiction in which work is being performed. If the
City / State/ZIP: VANCOUVER, WA 98661 applicant is exempt from licensing, the following reasons
apply:
Phone: (360) 693 -9906 Fax: : (503) 289-2208
E -mail:
CONTRACTOR < BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: FIRE SYSTEMS WEST
Permit fee:
Address:
State surcharge (12% of permit fee): •
City/State/ZIP:
FLS plan review (40% of permit fee):
Phone: ( ) Fax: ( ) (Due upon application.)
CCB tic.: 49732 / Total permit fees: ., , K . 3 '(
Authorized signatur' / Amount received: ✓5
k '�
This permit application expires if a permit is not obtained
Print name: RICH SMILEY Date: 1 -14 -11 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \FPS - PermitApp.doc 10/01/09 440- 4613T(I1 /02 /COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) El New 2.) Modification to sprinkler heads only:
El Addition ❑ 1 -10 heads: No plan review required.
® Alteration ® 11+ heads: Plan review required.
El Repair
Number of sprinkler heads: 17
Additional description of work:
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: $ 214400
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall _ Battery Calculations El Yes
include: Individual Component El 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: $ 155.34
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
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