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Permit 1 i Y r , CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT ll 4 COMMUNITY DEVELOPMENT Permit #: FPS2011 -00066 T1GA.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/15/2011 Parcel: 2S110CB09800 Jurisdiction: Tigard Site address: 15227 SW ARLINGTON TER Project: Arlington Heights No. 3, Lot 86 Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 86 Project Description: Install 13D fire sprinkler system in residence. Contractor: VVYATT FIRE PROTECTION INC. Owner: SKYLINE HOMES & DESIGN 9095 SW BURNHAM 6021 SE MILWAUKIE AVE TIGARD, OR 97223 PORTLAND, OR 97202 PHONE: 503 - 684 -2928 PHONE: 503 - 235 -3810 FAX: 503 - 684 -9657 FEES Description Date Amount Specifics: Permit Fee - RES 06/15/2011 $246.45 12% State Surcharge - Building 06/15/2011 $29.57 Type of Use: SF Info Process /Archiving - Lg Sheet (over 06/15/2011 $4.00 Class of Work: ALT Type of Const: VB 11x17) Occupancy Grp: R -3 Height: ft Info Process /Archiving - Sm Sheet (up to 06/15/2011 $18.00 Stories: 2 11x17) Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Wet Standpipe Required: Hazard: . Density: 0 Design Area: 0 K Factor: 4.9 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $298.02 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 2818 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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: / ' -rmi ee igna uref 4 ( 1 i 4r - y Call 503.63• . 75 • •. for the next available inspection date. G This permit card shall be k• p in a Min icuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. i r cl\p-ii Buhldina Permit Applic,I Fire Protection System Ju N "( 2011 'FOR OFFICE USE O NLY 41111 City of Tigard ^^� TI�`�� D Date/By: �� P ernut No.: , 4' �� ©6 - '! 13126 SW Hall Blvd., Tigard, OR '2i2- V Y l �� pp Plan Review Phone: 603.639.4171 Fax: 503 t 9 i t I\GDIIV`S`® Date/By: �' '/ 0 OtherPermt TIGARD Inspection Line: 603.639.4176 vv Date Ready/By: jury. IRI See Page 2 for Internet: www.tieard or.gov No:- -d/Meth.d: /' .5 / Supplemental Information ; - WORK R =IIAITA. 2 FAl1III;YD LI - ; ew 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 '= ° V: "��- ',: ^::,x _ - - . >.- — _,�"��� ��� A ::s -,fir: work indicated on this application. . �.�::r >:;:- ,,,. .; ,. >, , ':"., .,CAEGO'Y�F;CObST12[ICTIO r.<.,., " "< ..., � _, .. a °:. <. ._.- T .v,:- '.;':;. _ 'O- ,,:,�*a�c. W;= a'<*sss >.` "� �::. Na " -., Se "'` �r . ,.3a.�, .. ,<�. .. ,. 0 — and 2- family dwelling ❑ ConvnerciaUmdustrial " Valuation: $ / , ❑ Accessory building 11] Multi - family Number of bedrooms: ❑ Master builder El Other: Number of bathrooms: •zxi5 E'.�c'�'� ? ° ate > ° . w <� �,ss��:,, ,.a �; ,?'i >4�'�w' Total number of floors: F �,�; ; �z " , � � ', s:. � '` " ° t ' J,O , • IN' L -' , <, i�'2^ `;�, '4s� i x ..','r£"i£, ,, ,A;,,,,,,,!, ,:.�� >;,,,vo-di +e, , *o� ^;.3r�jx _ �.. _, ., six, e3aS: < ". +��_�<�' . �,. °:. _ , ^, ... ,, 3 > " _..- . - ,.m: „'.4 „m, .�.. -, Job site address: / 2_ Z-7 e j u a —rGkG .- New dwelling area: square feet • City/State/ZIP: �(4J n . 0 � 7 Garage/carport area: square feet Suite/bldg. /apt. no.: ��""/ Project name: ► -d kiain A% /614TS Covered porch area: square feet Cross street/directions to job site: (' Deck area: square feet Other structure area: square feet (�l WI:VD 'A P R C I AL CI SE G ECI .Wil : �a�.�. e`: r�La : ,H�,�' "�r..�s;a��"., ,.��:; ��:� >�; <.., ) ..€s,.,,.�:,,�, �r «�?���: Subdivision: L J a- ) iG,,--,- _- . -_ -_- I Lot no.: Permit fees* are based on the value of the workyerformed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar h' all " and the p equipment, materials, labor, overhead, a e ofit for the r • K ,• :,, , `, -° - _ vDESGRtPTION QT ":WO„ =,,4 ' € w -,• ` -v� °” o` work indicated on this application. • .D ./ u`Dr . ` ` , 1 e3 / 1�l /tf' /�_ Valuation: $ ' � c7% (/ , /_ Existing building area: square feet New building area: square feet Number of stories: :, PR`OPEI2TX: 03 :°" , ` ,2a : 4 i ,, = "TI NAN - .' ries: "s3 +- .:�:i " ="."•'3'- 'a'e:. >: " ",x -;Sd; S£, =P. Rf�i:�.:4i Y`i�: ,CrP'. <,s ci „ "•,r�`" ^.?x: q- e<,- c- ?�. <.. \.. �- �•�''�„ � � , :3 "-XS -#e � � '", \ ^:. ,�b'S -�.� ... > ..�'- 5 -'"` <a m,, <,. , "`- X"�'xe:.e•�' ,w .,vs, <v 3: "�•�`rr;; f,. Name: Type of construction: Address: Occupancy groups: City/State /ZIP: Existing: Phone: ( ) Fax: ( ) New: - ... •::: � , y ,... tee. •ati': � tx,a r .. r :k, x _ :- 5 ,x >,.:F ,. .Y ^� . - -NHS , " ,c 'z .; ,.. : �i ;:" ,ry, «�s�r -'- S < . $'k rk .P a .ry„s. y -` `zi'>2'E " „£ :,.� <�. y�A� e w . <,. T> .. _ : L ...>..,. •x, �: -:... _ ,. .0 NTAC'I- I'ERSO. Business name: ��2 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: .. ”, ' .;,Y "' "`j5 �,' si€ 3 =,z �r.k <:, : �" ms's,` P :- - . 1, "� .' ss.-.r �."za-` < - * .' .•�, TR , <:' CON A ' I23 r � � -;; �> �, _ - _�w . UILDIN PEI2IVIIT''"FEES � Business name: ,),� V ' //� /��f� �� ^�r� ^•a ,- "_'.:- �, <�<�'`:€� -•,,( Pl easeareJar, ofeescl.- ediile `„' <�e.li:�q, >.<,a>:.-:�.;;, -. p� J,4 / I ,/ / / ` " 9 "`- �`": � Permit fee: Address: 9f 95 “, bp ---r--, - — City/State /ZIP: K� Dk_ ?7Z State surcharge (12% of permit fee): �//� —V-50.23 FLS plan review (40% of permit fee): Phone: (a)3) & Fax: (6 '63 b4 _9b67 (Due upon application.) CCB lie.: (a4r> 77 Total permit fees: L / �/ Amount received: Authorized signature: /!�` , --e-1.--e--- - This permit application expires if a permit is not obtained Print name: - .ti /4- r j t Date: 4, -7 _1i 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(I I /02 /COM/WEB) A City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information D;escrxbewor'k:to:bAlone W <. ,- t .> ti .� �:� � < Fr e � „ • 2.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration 1+ heads: Plan review required. ❑ Repair Number of sprinkler heads: �3 Additional description of work: �=` -E°n.. ? :>:x „��"f�' ^>,.�.�. .:.- _i', %: .: \ +>z�:n�. .. ?'._;<; -, 't ^ } i . S. .,£:` %�;^''” , z; -; -� k e:�ofzS: ,stetxx Coizi ° �le.te <A "- B�C:or °D;:ass�a k . °::�. ",�5. .� ~; .- YI? .,_., ,. .Y: . ^, ... {. ,a..� - ,1? ,,. -.., .,� .,, ' . , livable; ... , . 43���, °.� .,, ,��� .. �,, tom,.. PR ) „�” ,., Vim; � •_��.:, „ ��� °ate„ <�,, 1 a �:' , x 3`Pm' .x,.. ,.,..:.<.; s.. - <.: +>'_ .. ,_x: - -.v .. �. r V = - °Y_, � _ ,., ti "5' -x>, �fi. .t ^:Zx Yt "w2rrS1�i:".� �� '= I:xF�" `�,i''. > :ri,,.s _R -,_ ., -a,._„ z. .. ..., ..,,..,zx�,.°t�n. .�wx .:° .;, %,,> v�." .. 'x...x � x �£`: :?wr ; "A, k � � °l �N .,Cr i "' N ' =H '' . e,`...k >°� u�.c u� fi °''.;, r: i ' :it2'.Y ,.�M p ,y,,x���a �' - "!-: � %ur �,v' 9 '. - x ..5... .,ea' . ati. f. '.i : .-Ii- e. <.,'S. fi u. .,t ' �''` - ' tr{ -p'• . .<'.fl:�...... a�N.=':.,-.- .e �.. ..;; ..,. . t." � .- `a' $ ,'�'" = ' __c „6at� . 2k�' ^,a..4e �, °'=x�...>�t5.: -` ^� ._.;c ..'..,�.x'.- �...� �� ...mot';” - a23, ,' x'n x� Via. \S,' 3��i''an`,`'+`.".'.:e._.. G� Z�.} �•`'s' . �"'.C- %Sv��.'- .v. fit`: pp°"�, a :. �.^: i"<.. ,..�,° rN54",,: .e2.. -',.- � ��^`� A:- r�Coxnmere'ia1�S = "`' �S, � ° „�`., ,t u,vza- ?"a�.r. - r`?x: ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density • Design Area K. Factor Sprinkler Project Valuation: $ ,,,B:: e;'. Su essxon ' [ ;,,,; <,x :' a — Flood - Project Valuation: $ , .v ' >�t: s..,.,. r., -v ._......... -S. y _. "a-% "F a'.. ,.. ,:v ,.: :, ^, f � �i.;�''ai``a'k. ,'�'t_. ,_3 '..s <�'�.: .� ° ^,;€,� ., i , o a,.: " k. .. u5 r.,z. ": , . t ^; n . , 3.' ," .. .'o:^::s r tt�- P .r ti `' ^ £,:. .,.1�' ,-4_5 - R.x'- v'3t": : .;3 a.... '.. .'. -? ^_: ..A?'J ,4 .-. i ...' ,�,., t.. > .v. ; ,_,.A:. .c�:i �4�3: r �. > u d :(1, -. �S+ .�` �.x,j«'`;�,' [ �"`� I` � ,.8t � my >>-v�. '- ; �_....^ Y.''�•::g nR:.h.'c, -e: -;, a ;^ �'�.� '” M - ^.:'�,);R,?i= x''4:: `c:Fr:m'f'a ° ° ' S - 3r >F' -_'Si ' =T rnflC> Ex �C= Y�Fir • Al ° ` Submittal shall _ _ _ _ Battery_ Calculations -- ❑ —Yes -- - - - -- - - - - - - -- include: Individual Component ❑ Yes Cut Sheets • Fire Alarm Project Valuation: $ :.r ; �:,t .'' _ �_` ^; �r'> ;;�,..:,� ^ - "WM. �„�, D : ` �R es'id`et�'a1'�S` �rin °kl °, rt n` :�.A.1� >n` , "=��,r:, ;�,�:.' ��,,. �. `yam.'.: �..: �., �.r- �, :.... .� -•• P t. e gSta d,. o e r():stem::., x . �t 3� � �t :� . ti.:ic, `�.?ii'«,• >, fl';:•.= , � �:'r .T. "'r - :- i >.0,5''�";: . ' u '(' },',. ".. . t r K a e... ,,._,,,_, . �- a ,., , .,. xi- "•kE�' -.,�.� , e 'z:.'�R'�4 „RT�'-�. -b . - o`a��A��• -� °_ -�, `�-:K S' _-E.,��a, >T�ev :. .. _,a - ..;:. „..�.x. �.�...v�,.�., Square Footage: .: .„ :�. Permit Fee: ,;. ', ^�=,` ', , �,,...,.,�. , $187.50. ` 0 to 2,000 • Fx�F V ri,� x, .,?. , z " ".> Y• A�.a,. i, 2 001 to 3 600 232.50 t ea= FE` `°�k'`° '' �' , k g > J it4',r =,,,"s �. £' " 8 ^ ��,'>•y^' -`{.z �.r�'" t: ems 3601 to 7200 ;:- 7 201 and greater $381.50 ''" $292.50 -; ,,.. `, , k``t., , ," F � z<;t<, ` ., : ' " � " Sprinkler Project Square Footage: sq. ft. • r .: x e fx F, >; : ,,,�.x <'x,_,.a " t 3 ..N w..r ..._, - °- .s�.�� -3 �`���i<.eT" FS `tk. 9 �,i �, ", 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 /docs /TPS- PermitApp.doc 2