Loading...
Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT /11 COMMUNITY DEVELOPMENT Permit #: FPS2011 -00001 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/01/2011 Parcel: 1S1260000300 Jurisdiction: TIGARD Site address: 9355 SW WASHINGTON SQUARE RD T19 Project: VERIZON WIRELESS Subdivision: WASHINGTON SQUARE MALL Lot: 0 Project Description: Adding and relocating 21 sprinkler heads for TI. Contractor: WYATT FIRE PROTECTION INC. Owner: PPR WASHINGTON SQUARE LLC 9095 SW BURNHAM 2235 FARADAY AVE STE #0 TIGARD, OR 97223 CARLSBAD, CA 92008 PHONE: 503 - 684 -2928 PHONE: FAX: 503 - 684 -9657 FEES Description Date Amount Specifics: Permit Fee - COM 01/05/2011 $112.96 Permit Fee - MF 01/05/2011 $112.96 Type of Use: COM 12% State Surcharge - Building 01/05/2011 $27.11 Class of Work: ALT Type of Const: IIB Occupancy Grp: M Height: ft Stories: 2 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Yes 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 $253.03 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $3,370.00 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 N. a on - _ Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or dir; questions to OUNC calling 503.232.1987 or 1.800.332.2344. Issued By: 410 Permittee Sig one I I Call 503.639.4175 by 7:00 a.m. for the next available insp • ion 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 Application Fire Protection System FOR OFFICE USE ONLY City of Tigard Received * �� 111 : „ Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 CVj Da : w )j �� le i' �O Plan n Review 1 J ^ -, Phone: 503.639.4171 Fax: 503.598,1 ` \\ DateB : I , Other Perm 1 9� I id TIGARD Inspection Line: 503.639.4175 Q J Date Ready/By: Juris: E l See Page 2 for Internet: www tigard -oT gov P.'\‘' � Gte Notified/Method: Supplemental Information ,,TYPE oR WORIs ��� E REQUIRED DATA 1 AND 2 FAMILY ❑ New construction ❑ De I.:'y . 1 DWELLING Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ' . ldition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ,:,,,,,-2r_.- _ work indicated on this application. r r x CATEGORY: 'F O CNSTRUCTION .s P :._ RY O P 111 1- and 2- family dwelling ommercial/industnal Valuation: $ 111 Accessory building 111 Multi-family Number of bedrooms: 1=1 Master builder ❑ Other: Number of bathrooms: i s� Fla ' ? . - ,� aOB SIT NFORMATTO , A1Y D X O w , s a ' Total number of floors: Job site address: ,5 � ^^ / aa, ` sg t 7) , New dwelling area: square feet C i� ity /State /ZIP: �� _lty I� q / z ZT Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: VJ Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet i Subdivision: I 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 a V DESCRIP io l ■ t� �i �� v work indicated on tins application. rid � m 4 w. rm , „�,� B° . iii. .. ,. — A-.h i ,0c4- i -pp , „9...1 1 5 Valuation: $ 3 ! ©r '6 Ne bo v ,-, • SPA-c, Existing building area: square feet New building area: square feet s :� - ' � � ' _ 1 :4 , t rya , - A ' , ' 1 '� Number of stories: Name: Type of construction: Address: • Occupancy groups: City/State /ZIP: Existing: Phone: ( ) Fax: ( ) New: 3 ' PI, 1 �„ g ® € ' as r } a h: : .0;1 ':A'rleMillW 41,0001014.0.42‘ Business name: r e---V c -r ? t)k, All contractors and subcontractors are required to be Contact name: 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 apply: Phone: ( ) • I Fax: : ( ) E -mail: ,'r, . % w ;: <, CONTRACTOR i � , e > BUILDING P FEE �1 :. Business name: , 4-7� ] / Ai CT M „ (Piensereferfo feesctiedn7ei .,. . ,,., a, , • Address: g b s kJ ' ( 0 RA ' ` , Perm fee: -A � vv State surcharge (12% of permit fee): City/State /ZIP: //� T6 f� I-) L e - ')/2_ 7Z Z FLS plan re (40% of permit fee): Phone: ( 3 (9 �— Z� , Fax: ( ) 3)19t -9657 (Due upon application.) CCB lie.: la4 )7 7 Total permit fees: J-5 v Authorized signature: � 1 Amount received: d- , . L 3 This permit application expires if a permi is not obtained Print name: v' . - j v Date: / • 1l 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 03/23/06 440- 4613T(11/02/COM/WEB) • City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information :: Dekribe ,wbikto be done• € r ,. ..} 1.) ❑ New 2.) Modification to sprinkler heads only ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration %-...1.1+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: q � x � � TypC'W,- Sy stem GOin Ietl . B)10:k+t . ,A Lcab k , r -M it3W _ P PP .. �. 4) Cammerc al Sp� nkler fi s "4"' ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor • Sprinkler Project Valuation: $ • ae? r 41 Hood Project Valuation: $ Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ S• uare Foota•e: Permit Fee : ,f 0 to 2,000 $187.50 2,001 to 3,600 $232.50 , 3,601 to 7,200 292.50 a i ' V 7,201 and greater $381.50 € Sprinkler Project Square Footage: sq. ft. F eesA•of40,.. A'rrk „ ' <; ka,ptm<r lc < ' tL 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. http: / /www.ci.tigard.or.us /city_ hall/ departments /cd /dots /FPS- PermitApp.doc 2