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Permit
1 r CITY OF TIGA FIRE PROTECTION SYSTEM PERMIT 1 1 COMMUNITY DEVELOP Permit #: FPS2011 -00025 TI G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/03/2011 Parcel: 25101 DB00100 Jurisdiction: Tigard Site address: 7320 SW HUNZIKER RD 200 Project: Angel Vision Subdivision: Lot: 0 Project Description: Altering (2) sprinkler heads. Contractor: FIRESTOP CO Owner: ROBINSON FAMILY TRUST 3203 NE 65TH ST. #2 21360 NW AMBERWOOD DR VANCOUVER, WA 98663 HILLSBORO, OR 97124 PHONE: 360 - 718 -8604 PHONE: 503 - 645 -8531 FAX: 360 - 718 -8603 FEES Description Date Amount Specifics: Permit Fee - COM 03/03/2011 $61.85 12% State Surcharge - Building 03/03/2011 $7.42 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Height: ft Stories: Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Wet Standpipe Required: Hazard: LT 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 $69.27 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $860.00 Residential Square Footage: 0 Fire Alarm Valuation: $0.00 r This permit is issued subject to the regulations contained in the Tigard Municipal Code, Stats of •R. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if , ork is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to f4low the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -009'. You may obtain a copy of the rules or direct questions to OU •y calling 503.232.1987 or 1 332.2344. Issued By: Permittee Signature: Call .0 .•3'.4 r 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. Building Permit Application Fire Protection System `r FOR OFFICE USE ONLY Ci o Tigard EC v E Received : rr • 1312 SW Hall Blvd., Tigard,OR 97223 I � � Permit No. f' J�t��s Plan Review Phone: 503.718.2439 Fax: 503.598.1960 - S Date/By: Other Permit: ��j 1 1..._ k ti Inspection Line: 503.639.4175 MAR Date Ready/By: 'I / s iCh PP H See Page 2 for TIGARD Internet: www.tigard or.gov S d qF TI Notified/Method: Su lemental Information CITN IT TYPE OF WOIiILD DIVISION 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 j ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit s the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: / ❑ 1- and 2- family dwelling . ZCommercial industrial $ 6 v ❑ Accessory building El Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: g 1 © 3 Ltd tH v ,, w 1 t tt New dwelling area: square feet City/State/ZIP: V& v 4 - I ,,.,4 DR 9 'R 2__27- Garage /carport are :. square feet Suite/bldg. /apt. no.: ?,0 ® Project name: Ale I (. 5/.9/J `.9/J Covered pore : - a square feet Cross street/diredions to job site: Deck area: square feet Other 4 lure area: square feet RE • 1 HIED 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 p ! work indicated on this application. �>°` �h 4 t 11 0 0t :-Li I ./ j � 1� ve f -c �if),' Valuation: $ & 60-.----- Existing building area square feet New building area: square feet ❑ PROPERTY OWNER , TENANT Number of stories: Name: R e I U �` S t o o Type of construction: Address: -S t 0 S(/o EJ�.IV J L e �- k Occupancy groups: City/ State/ZIP: PO r + I 6 q- z 2 -S Existing: Phone: ( ) Fax: ( ) New: APPLICANT ❑ CONTACT PERSON NOTICE Business name: / ift, S B rf) ,, L L_ All contractors and subcontractors are required to be Contact name: 4 ( P a J L.--- licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be liensed in the Address: '3 Z© - f E' / ( ' Z jurisdiction in which work is being performed. If the City /State /ZIP: ' /a / , .C_J 4. ^ �� applicant is exempt from licensing, the following reasons 1/Q � ,ire l V-- V ( �f apply: Phone: ( ( 6 8 CI Fax: ` 02 . 0 '7 I ( r E -mail: Ai e-C_- i -,, . Co . C6 CONTRACTOR BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) � - `C D i Permit fee: Address: State surcharge (12% of permit fee): 7 GO_ City/ State/ZIP: FLS plan review (40% ofpermit fee): _ Phone: ( ) I Fax: ( ) (Due upon application.) CCB lie.: / 8 3--e._, Total permit fees: (/ Authorized signature: / Amount received: 04,7 This permit application expires if a permit is not obtai ed Print name: A (✓✓� �o j � � -- 3 ( Date: — 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 02/01/2011 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 / heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair 2 Number of sprinkler heads: fa Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler Wet ❑ Dry Additional Standpipes l 71Ser Information: Hazard Grou p Density �� 2� Design Area K. Factor _ Sprinkler Project Valuation: g&,0 ' B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ 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 three (3) sets of plans at submittal. Plan review fees are required at submittal. I: \Building \Permits \FPS- PermitApp.doc 02/01/2011 2 RECEIVED .,.....,_ ,•.., MAR - 3 2011 ramm: vanaggii.....raw ........x.......A......1.1aR ,,. ....uum ...mmopmwmaginsmiliggwo fp:pi-Mee MOMMUMNEWI RMIRREIR OMI VOIMMOIMMWE, ,. 1111111111111.. MIMMUM5rIAMMAIMMWM411111W •MMOMOM•MMOMMUMMIALMORKWOMMO ' ' messemommisimmolirtmommommimmit oell MI WC 11 MR" MMIOMMMUMMEMMIAMMUMIMMEMIVIANII ail 0 1 ARD ............................ ............................ mommummiummic- - inn' tu (1: M M ACOMM MAK 113 RAW 11110'.1. raimmumeam. 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