Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2009-00009
Date Issued: 03/31/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639 4171
Parcel: 2S 113 BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 200
Subdivision: Lot: 0
Project: Allstate Insurance
Project Description: TI. Create new rooms.
Owner: FEES
BEHRINGER HARVARD WESTERN Description Date Amount
PORTFOLIO LP, BY EASLEY MCCALEB & Permit Fee - COM 03/31/2009 $62.50
ASSOCIATES I, PO BOX 190700 Tax - 12% State Surcharge 03/31/2009 $7 50
PHONE'
Contractor:
VIKING AUTOMATIC SPRINKLER CO
3245 NW FRONT AVE
PORTLAND, OR 97210
PHONE 503 - 227 -1171
FAX 503 - 227 -1552
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
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 $70 00
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation 1200
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
4 cpicu
Issued By: i IA 1 Q19 cn ^ Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
J
Fire,Protection System
Building Permit Application °. CEIVED 1 FOR Fu g •USEONLI.' '
Received /} - �
II City of Tigard Date /B
• ( Permit No c/. /.�O
° 1 3125 SW Hall Blvd. Tigard, OR 97223 M 3 1 2009 Plan Review
Phone 503.639.4171 Fax 503.59 1960 DateBy Other Permit ti P2c 0 0 0 47
4:I G Inspection Line 503 639 4175 CITY OF TIGARD Date Ready /By fi Jar 0 See Page 2 for
• . Internet www tigard -or gov Notified/Method Supplemental Information
BUILDING DIVISION 6 C�
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
a Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling tgi Commercial/industrial Valuation
❑ Accessory building [1] Multi-fan-illy of bedrooms:
❑ Master builder ❑ Other:
Number of bathrooms
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address. -\ ( 73 2.. 5.w• pUlzlt, bN� v.1> New dwelling area: square feet
City /State /ZIP: t?c�Tl,1k top (I)1A, • Garage /carport area: square feet
Suite/bldg. /apt. no.: Z 14 t, t .. p .s Project name: 4LL s -t A,:y Q 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
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no : equipment, materials, labor, overhead. and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ ∎
h,p() 2 % R. LUc.v 2.. CKRotvG t�61,.m-t�
1-16A tJ S T-ore Z , T Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 7,
Name Type of construction "wet- 6(, - ‘,. '
5 cP.�L v
Address: Occupancy groups: - e , `iQG 13
City/State /ZIP: Existing: X
Phone: ( ) Fax: ( ) New:
El APPLICANT ❑ CONTACT PERSON NOTICE
Business name: v1 k t..� G fik>_Tt� Ma--t. ( c. S ? j i L. G c . All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
W� l, •-i c_ \ u t�S I-) under ORS 701 and may be required to be licensed in the
Address: 3 , , . F 9..0IJT ixus , jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State/ZIP: ?otZ`tL t1. u, t P h V? • q'l 2 \ 0 apply
Phone. (so /) 22Z - \ l "L \ Fax.: (So3) 2,2.1 - \ 5?
E -mail
CONTRACTOR BUILDING PERMIT FEES*
^ skit- (Please refer to fee schedule
Business name: v \ &j (.,� n p „.,..0..F.,.(2___ cep— P►�t -.1 Lk Permit fee: 1 ( 0 7 so
Address: '245 N•W • F ROw.r - ,
City /State /ZIP: \ State surcharge (�o('of permit fee): '7 CC�
o . L t. t D Cy2 , 9 1 - 12,1 0 FLS plan review (40% of permit fee).
Phone: (Sp3) 2.1.1 _ \ 1 l Fax: (Sc, ) 221 - l s 52, (Due upon application.)
CCB lie.: (a 4 $ -1 Total permit fees:
Authorized signature: Amount received:
%....,J e. - r-e , This permit application expires if a permit is not obtained
Print name: Date: within 180 days after it has been accepted as complete.
W Ay tV E. i U.S'tesn.) . �� - �9 * Fee methodology set by Tn -County Building Industry
Service Board
f \Building\Permts\FPS- PermtApp doc 03/23/06 440 -461 r(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 sprmlder heads only:
❑ Addition ® 1 -10 heads: No plan review required.
® Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: _
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
3 Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ 12oo °f
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 5232.50
3,601 to 7,200 5292.50
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 (8% 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.
P \OREGON JOBS \Permit Applications \ City of Tigard Permit App doc 2