Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
11111 - COMMUNITY DEVELOPMENT Permit #: FPS2009 -00055
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/24/2009
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7204 SW DURHAM RD 300
Subdivision: Lot: 0
Project: Consumer Cellular
Project Description: Add /relocate 9 sprinkler heads.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
ATTN: N PIVEN, 15350 SW SEQUOIA PKWY
Permit Fee COM 06/24/2009 $69.65
#300
12% State Surcharge - Building 06/24/2009 $8.36
PHONE:
Contractor:
FIRESTOP CO
3203 NE 65TH ST. #2
VANCOUVER, WA 98663
PHONE: 360- 718 -8604
FAX: 360- 718 -8603
Type of Use: COM •
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: .1 Design Area: 2000
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 $78.01
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 3000
Residential Square Footage: 0
Fire Alarm Valuation: 0
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: A Permittee Signature: Af ^
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 11�
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.
t
.� • Building Permit Applicati
Commercial RECEV FOR OFFICE USE ONLY
City of Tigard Received Permit No.: / 2e0 .. 0 -
0
II u
N 2 4 200% DateB : M ��
13125 SW Hall Blvd., Tigard, OR 97223. Plan Review
MI ' • Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit:
T I GA R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: IZ See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK 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
Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 20 L 00 ,h VA w - 6. New dwelling area: square feet
City /State /ZIP: Pb Ic bk. 9 2--2ul Garage /carport area: square feet
Suite/bldg./apt. no.:
6) Project name: C
7 (..t-,,,,,,,.efr^ C e a a iP . Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED 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 work indicated on this application.
� Valuation: $ e)d� '`�
5p V-' i k I P i / - s - v l� �1 I e � e L1) J� Existing building area: square feet
i t� P lit- f\ P- V` � / New building area: square feet
El PROPERTY OWNER _ TENANT Number of stories:
Name: Co / ,_ ) ti e. u., -t....-- � ti w I G. ,,,- Type of construction:
Address: '1 '2_0( (k) b t.A..; ,, ,-1 y , ,,,, (Z / -3
> 36,0 Occupancy groups:
City/State /ZIP: P }`� 9 7? 2 Li Existing:
Phone: ( ) Fax: ( ) New:
• ❑ APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: ( r ;'r -ES4- p C C ) All contractors and subcontractors are required to be
Contact name: /-1.1 /I'' — S6 �0 ci - Q 27'3 licensed with the Oregon Construction Contractors Board
i �Ca k-F'✓' o _ VV under ORS 701 and may be required to be licensed in the
Address: S2_,Cy3 n) Et CAS " -& 2 jurisdiction in which work is being performed. If the
Safi .
City /State /ZIP: VA of c O t��•e tJ A q$( 3 applicant is exempt from licensing, the following reasons
apply:
Phone: (3C.0) - Z (13,& CEO L( Fax: : (5C `1 (e^' 8(00 3
E -mail: fitgc_ a '� d t r - f 17P c o • Co
CONTRACTOR
Business name: BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State /ZIP:
Phone: ( ) Fax: ( ) FLS plan review fee (if applicable):
CCB lie.: 3 '� 7 Total fees due upon application:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building \Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02/COM /WEB)
f
ti
jig
Buildi Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(I) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
I:\ Building \Permits \BUP -COM PermitApp.doc 06/25/08
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 1 -10 heads: No plan review required.
l iPAlteration ❑ 11+ heads: Plan review required.
❑ Repair Q
Number of sprinkler heads:
Additional d s ri tion of work:
a d r e - ( -f e - P s a, - AJCLA) e,otx -
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Wet ❑ Dry •
Additional Standpipes
Information: Hazard Group / 5 L,rt
Density o
Design Area ._ oc)
K. Factor `j ' Cv
Sprinkler Project Valuation: $ 2u,a0
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 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
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 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.
I. \Bwlding \Penniis \FPS- PemritApp.doc 2