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Permit � CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT I'�l 1 n COMMUNITY DEVELOPMENT Permit# FPS2011 -00130 Date Issued 10/25/2011 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel 23113AB00300 Jurisdiction Tigard Site address 16037 SW UPPER BOONES FERRY RD 165 Project Spec Space Subdivision FANNO CREEK ACRE TRACTS Lot 38 Project Description Add (9) new fire sprinkler heads for TI Contractor FIRESTOP CO Owner OREGON STATE BAR, THE 3203 NE 65TH ST #2 16037 SW UPPER BOONES FERRY RD VANCOUVER, WA 98663 TIGARD, OR 97224 PHONE 360- 718 -8604 PHONE FAX 360 - 718 -8603 FEES Description Date Amount Specifics. Permit Fee - COM 10/25/2011 $64 54 12% State Surcharge - Building 10/25/2011 $7 74 Type of Use COM Plan Review - Fire Life Safety - COM 10/25/2011 $25 82 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 $98 10 Valuations Required Items and Reports (Conditions) Sprinkler Valuation $1,000 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, _ work - 1 uspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility N ificatton Center hose r are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090 You 9 btain a copy of the rules or dire questions to OUNC by .. g 503 ii 2 1,987 or 1 800 332 2344 / Issue By G , .. Ce. „. %2 C `tks Permittee Signature Call 503 639 4175 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 Applicatio4CEIVED Fire Protection System FOR OFFICE USE ONLY OCT 2 5 2011 � City of Tigard Date)B Reeetyed 11111 a pr /� c // ail Permit No / Ay/A-0073 d o ll 13125 SW l tall Blvd , 7 igard, OIL 9 ' ' OF TIGAR i 1NG DIVISION 41 Date /By Plan Renew 503 718 2439 Fax 503 ' l Other Permit TIGARD Inspection Line 503 639 4175 Date Ready /By inns 10 see Page 2 for inlet www tigard -or gov Noufied/Melhod Supplemental Information TYPE OF WORK REQUIRED DATA:I - AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Penult fees* are based on the value of the work performed Indicate the value (romded to the nearest dollar) of all X Addnlnn /alteration /replacement ❑ Other equipment, materials, labor, overhead, and the profit for the f CATEGORY OF CONSTRUCTION work indicated on this application ❑ I- and 2- faintly dwelling CommerclaUmdustrial 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 /6,6 -E;;... ki 0 'Q.- 72)esnfJ r ,- 4 7 i \ New dwelling area square feet City/State /ZIP 77 6 Al \ oj 9t _ � -di Garage /carport area square feet Surte/bldg /apt no Project name - 5u 1 I t - / 6 Covered porch area square feet Cross streeUdirections 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 fax map /parcel no Indicate the value (romded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application Valuation S , ICJ Q_ I `7 <1 ,) ) ✓ G iLI -etc I - g -r , Existing building area square feet New building area square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stones Name Type of construction Address Occupancy groups City/State/ZIP Existing Phone ( ) Fax ( ) New APPLICANT XCONTACT PERSON NOTICE Business name rl ri �-��� �� , All contractors and subcontractors are required to be Contact name \\ l licensed with the Oregon Construction Contractors Board `I 1-4-r.r - A I V under ORS 701 and may be required to be Icensed in the Address ? d- r r oe . ' 4 + jurisdiction in which work is being performed If the City/State/ZIP .�. Ar applicant is exempt from licensing, the following reasons y v� f_ I�`.DJ ✓� --'cd fib, apply Phone ( ) ', f K n/a Fax ( ? _ ve0a5 E-mail CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule) Business name I1 r7 r ST Ln r r Permit fee Address - 2., 5 . MS (n fir ..6` City/State/ZIP /� State surcharge (12% of permit fee) ) 'la -^ i A n. / f) co_ e I A ' ' FLS plan review (40 %ofpermit fee) Phone ( U74?) )' V —ttp CO Fax (00) "9qC - V- tM55 (Due upon apphcaoon) CCB he ff ? 7,7 rj Total permit fees i Authorized signature/L /�/ Amount received 178./0 ` (( This permit application expires if a permit is not obtained Print name (` 0 L. ,r Date it l 7 (, 4 within ISO days after it has been accepted as complete. (- - . * Pee methodology set by Tn -County Building Industry Service Board I \Building\Permits\FPS- PermaApp doe 02/01/2011 440 460T(11/02/COMP VFB) 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 Iteration 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 Wet ❑ Dry Additional Standpipes Information: Hazard Group (-1 6, Prf Density , 1 D Design Area / S h-( K Factor )111.— Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Ycs 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 V Budding VPermitsV1 PS- Permndpp chic 02/01/2011 2