Permit 71 �� CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
F7 COMMUNITY DEVELOPMENT Permit #: FPS2011 -00064
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/02/2011
Parcel: 25101 DC04601
Jurisdiction: Tigard
Site address: 7409 SW TECH CENTER DR 100
Project: Solutions Yes Subdivision: TECH CENTER BUSINESS PARK Lot: 2
Project Description: Modification of (10) sprinkler heads for TI
Contractor: WYATT FIRE PROTECTION INC. Owner: NORRIS & STEVENS
9095 SW BURNHAM 621 SW MORRISON
TIGARD, OR 97223 PORTLAND, OR 97205
PHONE: 503 - 684 -2928 PHONE: 503 - 223 -3171
FAX: 503 - 684 -9657
FEES
Description Date Amount
Specifics: Permit Fee - COM 06/02/2011 $75.30
12% State Surcharge - Building 06/02/2011 $9.04
Type of Use: COM Plan Review - Fire Life Safety - COM 06/02/2011 $30.12
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 $114.46
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $1,340.00
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 he Oregon
Utility No • •• • enter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0090. You may obtain a . of r e rul-
or dire' questions to 06 by ca • • 50 232.1987 or 1.800.332.2344.
Issue By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection . ate.
This permit card shall be kept in a conspicuous place on the job site until co pletion 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
- City of Tigard DateB �(� ��� PemvtNo.:��,C -����
Y vvv
11 11
11 13125 SW Hall Blvd., Tigard, OR 97223 I Plan Review
Phone: 503.639.4171 Fax: 503.598.196E 2011 DateBy: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION - - g u ; ; !'.; : TI PE %OF W OR uu - e„°A REQU . IRED DATA 1 3iIi 2= F A`l1'ffL Y DW ELLING,'
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❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
*= 4ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
�:.- .�:trs�ta��,- ;r<.y� _�,�. ,.;:� , .., �.< _��:: -�; Os� work indicated on this scat
�:;.. -, - „ ��s,,.-' , CATEGORY'^OF CONSTRUCTION h _ 4E PP
Valuation: $
❑ 1- and 2- family dwelling OEenunercial/industrial
111 Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
>` t _ " a < I 4 t -$
:,`JOB..SI.T- E.I R 114ATI 01 1' , : AND ' -.LOUN 0 �� y,V' .^,: Rl' Total number of floors:
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r �.� .u, b, y, d „�,ze ,, ... .... a 3'^T � efi; _ ., .. .... .. „i',h »'x GATI
Job site address: 7. 9 6 7 '/_/ � - D 4 New dwelling area: square feet
City /State /ZIP: -rJ6 .—D i Q 7 Z a Garage /carport area: square feet
Suite/bldg. /apt. no.: / 69 0 Project name: SO/AY 5 y-65 ) I Lc Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
> x ' D` t1 TA ; ? SE C J! S'
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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
. j
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�� °� � `� I' ` :: R : Amp! ���:;,:?�`�;: work indicated on this a
_� "; '_ rNT ;t,. t. t' : I)ESCTt=LPTION';,0 - WORK . ,. ,...,; application.
C/� J-� c 7 Y /L ex , o . ,
ADD A-OD Valuation: $ / 3 W , ��
.5 44 /V / e- _ a�7 R idle: /) --G,-. /-� L Existing building area: square feet
� 7 New building area: square feet
° -. :;� 'PROPEIt;TY , 44 , NEER -' .• ` �' ®?-TEIIANIT . 'Y ,. stories:
.s •a` ;.. -.., ,., r9y7.�'•:Y `.• - ...,. ^.�� �? �F, ' 4',�":v, • ."^.'`�•.�"'�; %';a5 <t + '�:�,�. �d�' ,.��..' Number of sto
yy��66.�� .� +',` -`�+. ,,�
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Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP:
Existing:
Phone: ( ) Fax: ( ) New:
la:
S, , FY CA M .• ' ❑ >CO1Vq;,. .' , ERSO
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Business name: 5-6 �4 r 79 j 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:
t•
r£ „
`CO TR
N CTOR•'•` ;,;
B I ' D .
,< 11 L 1N P.ERMIT•F
',/ SIT/ ,r ,. .r- .. -, .. (Pl to`fee s che dr�le r : r ` ..
Bus name: 1/i' SI I � / /e-f i �j 1 - 7 I , ) .. , .' .
Address: 909 3 ` j /3 0/2A) 5' "�' Permit fee: ? Si
n 0 4 9 7 State surcharge (12% of permit fee): g.0
City/State /ZIP: ' 77! /6 //
/ FLS plan review (40% of permit fee):
Phone: (5c')3) 6 Ze3 7 ., Fax: (t) Z, 51_ - , t, 7 (Due upon application.) �`
CCB lie.: ../.4 657 7 . Total permit fees:
Authorized signature: �� Z�'C��jj�` � Amount received: �/ &
"` This permit application expires if a permit is not obtained
Print name: t /(a 47 4/ — � /V Date: - � j � -� //V. �
within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
I: \Bu ilding\Permits \FPS- PemutApp.doc 03/23/06 440 -4613T(1 I /02 /COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
- , > ;.. „� , Via
Descry e rk . ce <,. _. �. : -���- .: A 0 -
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition 10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair 77��,
Number of sprinkler heads: lJ
Additional description of work:
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,.A:: 'Commercial• »S rmkler' � "F,e' .� � _.:` .��� , �:��`
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
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— Hood - Project Valuation: $
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Submittal_shall ._ .Battery Calculations - - -- ❑- Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
0 : d <..,: .� u „�...,,. x,. <,,< "� n -'dui "�: a
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Square Footage: M ; U t I'>:. �,..,;
0 to 2,000 $187.50
Permit Fee: - � ':-` ,y,, >:.:.
, ,•.,- ....
2,001 to 3,600 232.50,x. >R :, .� ,5A,
3 601 to 7 200 ��''��'�,,�' '��� a���� ~,�a k , ; y �;<
$292381.50 .50 . r { .
7,201 and greater x'
Sprinkler Project Square Footage: sq. ft.
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.ugard.or.us/ city_ hall/ departments /cd /dots /PPS - PermitApp.doc 9