Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
F y
COMMUNITY DEVELOPMENT Permit #: FPS2011 -00012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/17/2011
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7244 SW DURHAM RD, BLDG# M
Project: RSD Refrigeration Subdivision: PACTRUST BUSINESS CENTER Lot: 0
Project Description: Modification of (12) sprinkler heads for TI.
Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES
9095 SW BURNHAM 15350 SW SEQUOIA PKWY #300
TIGARD, OR 97223 PORTLAND, OR 97224
PHONE: 503 - 684 -2928 PHONE: 503- 624 -6300
FAX: 503 - 684 -9657
FEES
Description Date Amount
Specifics: Permit Fee - COM 02/15/2011 $75.30
12% State Surcharge - Building 02/15/2011 $9.04
Type of Use: COM Plan Review - Fire Life Safety - COM 02/15/2011 $30.12
Class of Work: ALT Type of Const: IIIB Info Process /Archiving - Lg Sheet (over 02/15/2011 $2.00
Occupancy Grp: S - Height: ft 11x17)
Stories: 1 Info Process /Archiving - Sm Sheet (up to 02/15/2011 $5.00
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 $121.46
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $1,390.00
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 obtain a of the rules
or direct questions t• •UNC by calling 503.232.1987 or '00.332.2344. .1
Issued B Permittee Signature:
,lf
0 " .639.4175 by 7:00 a.m. for the next available inspe tion 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 RECEIVED FOR OFFICE USE ONLY
A - City of Tigard DateB �� 71 Permit No.: t i-p6 o ./ _per .
_ ' 1 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review . -71 Phone: 503.639.4171 Fax: 503.598.1960 D 1 5 2 Date/By: et ( ( ( Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready Ty: d yds.— El See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: (' 14 f ( l �� Supplemental Information
BUILDING DIVISION (4°)p\ la 1,48 ins (r mzt
T OF 4QRI� 1 _ , i `*YRE(jV1RED DA 1 AND 2 FAM L Y 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 r` work indicated on this application.
❑ 1- and 2- family dwelling mmercial/industrial
ttstlon: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JO SITE iNFO D f " OCATI U N 1 Total number of floors:
Job site address: 4;411- S r, e 6 E NA-M ' New dwelling area: square feet
City/State /ZIP: 4/1-op Y r 1 � 9 , , 7 ` ' 2 24. Garage /carport area: square feet
i
Suite/bldg. /apt. no.: i 41% +! Project name: ' 5 _. T'* • Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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
> 3.
;< S4 .R w • • w ork indicate on thi app
1' )) i2 /off "A 7 P! /2.0 , . 11 Valuation: $ t
37),-)4/4-1-; Q J . GJ A1 Lr, Existing building area: square feet
New building area: square feet
❑ PR 4iii t6Wk 2 ) `` Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP:
Existing:
Phone: ( ) Fax: ( )
o i?6:Z 4/ "'% s `0 kg lit' V ii ., i
.... ° a s4 T a 0 a i `. • : +: z ,� :Yd t o :�
J fi(/ i , n �/ - te a ". ,
Business name: 9J1 12/ 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: ( ) Fax::( )
E -mail:
x a O
CNTRA CTOit l ss o s t it � ,.a a -o� �,� ,,,. ,
� -, . � s 9 % B ILDi[1$GfEb'Rtl o 1 '
y - I / /2/ j 1 D/j " o e �o i `-. 4, . - - ,CPlease� refor,to,fee sc i ednle)N „ - - , ...
Business name: ,
Address: g D 95 i 'j / bv i � v NJ -, 1 6T:
Permit fee:
City/State /ZIP: •76 /^ X-f Da 9 `7 "2_23 State surcharge (12% of permit fee):
FLS plan review (40% of permit fee):
Phone: (273) &¢ _ 2925, Fax: (5e,3) ("P34 - 96, �"7 (Due upon application.)
CCB lic.: ( 4n `f 7 Total permit fees:
Authorized signature: g-1 Amount received:
This permit application expires if a permit is not obtained
Print name: Ge /`-r .. )4 r Date: - ( S - I I 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(It/02 /COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done = Mo r { 4 -� : : , ''''
1.) ❑ New 2.) di to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
,iteration 1 +heads: Plan review required.
❑ Repair
Number of sprinkler heads: /
Additional description of work:
ype of ;System (Co aplete A; B , ��r ? as a hcable)
4 .) C Sprin 4 x , � � � �� iv,
E] Wet
❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
4 13'''
._ T / ®( Ho E1k4r tC , e a xe ' ,$iQ r a �
Hood Project Valuation: $
C■) ` Fid ,A1ari
Submittal shall Battery Calculat ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
R siclential,S,prtri er sty ® ® a 6 ®
Sq uare Footage: : r
0 to 2,000 $187.50
2,001 to 3,600 $232.50 - ,.,,;,2** 44° , ,.. , 14,t A, '3149114 ' ,, '
3,601 to 7,200 $292.50
7,201 and greater $381.50 n .. q •
4
Sprinkler Project Square Footage: sq. ft.
"''''''''''''''''''''"'-'4'-'- ` , - �. : , ,, ,..Fire. Fees1, €: €. ,,,, ° , ,,m7, - A ,' ' %�
Proje v 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- PerrnitApp.doc 2