Permit IN CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
tt COMMUNITY DEVELOPMENT Permit #: FPS2011 -00132
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11!09(2011
Parcel: 2S101AC01800
Jurisdiction: Tigard
Site address: 7585 SW HUNZIKER RD
Project: Artistic Auto Body Subdivision: BEVELAND NO.2 Lot: 18 -19, P
Project Description: Fire sprinkler upgrades to meet code: Parts Office, add (2) sprinkler heads. Paint Work Room, add (3) sprinkler
heads.
Contractor: WESTERN STATES FIRE PROTECTION Owner: MOSTUL, TERRY A & DEBBI C
13896 FIR ST STE B 7585 SW HUNZIKER ST
OREGON CITY, OR 97045 TIGARD, OR 97223
PHONE: 503 -657 -5155 PHONE: 503 - 519 -7847
FAX: 503 - 657 -5182
FEES
Description Date Amount
Sp ec i fics : Permit Fee - COM 11/09/2011 $51.09
12% State Surcharge - Building 11/09/2011 $6.13
Type of Use: COM Plan Review - Fire Life Safety - COM 11/09/2011 $20.44
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 $77.66
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $297.00
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 the Oregon
Utilit 1 otification ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or Q irect questions to OU • by ailing 503.232.1987 or 1.800.332.2344.
Is . ued By: 1 /i' ( Permittee Signature: � �/
• / /L`.,I
i
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.
Fire Protection SySte ECEIVED
Building Permit Application g FOR OFFICE USE ONLY
City of Tigard NOV 0 9 2011 Date /Bea PermitNo.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review —
Phone: 503.639.4171 Fax: 503.598.19401TY OF TIGARD 4641, Date /B : Other Permit:
Inspection Line: 503.639.4175 Date Ready /By: Ed See Page 2 for
Internet: www.Ci.tigat'd.ot'.us BUILDING DIVISI!
Notified /Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND.2- FAMILY DWEL
❑ 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
dwelling Valuation:
❑ l- and 2-family $
y g ®C ommercial /industrial
❑ 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: 7585 SW HUNZIKER STREET • New dwelling area: square feet
City /State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: ARTISTIC AUTO BODY Covered porch area: square feet
Cross street /directions to job site: SW 77 PLACE / HUNZIKER ROAD 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.
MULTIPLE ROOM UPGRADES TO MEET CODE - PARTS OFFICE ADD 1 Valuation: $$297.00
SIDEWALL - NIGHT DROP ADD 1 PENDENT - PAINT WORK ROOM - ADD Existing building area: square feet
2 PENDENTS IN ROOM & 1 SIDEWALL UNDER OVERHEAD DOOR New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name: ARTISTIC AUTO BODY Type of construction:
Address: 7585 SW HUNZIKER STREET • Occupancy groups: •
City /State /ZIP: TIGARD OREGON 9722 Existing:
Phone: (503)519 -7847 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
name: WESTERN STATES FIRE PROTECTION Co. All contractors and subcontractors are required to be
Contact name: TODD CRIVELLONE licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 13896 FIR STREET, SUITE B jurisdiction in which work is being performed. If the
City /State /ZIP: OREGON CITY, OREGON 97045 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 657 -5155 Fax: : (503) 657-5182
E -mail: todd.crivellone @wsfp.us
CONTRACTOR
Business name: WESTERN STATES FIRE PROTECTION Co. BUILDING PERMIT FEES*
Address: 13896 FIR STREET, SUITE B
Please refer to fee schedule.
City /State /ZIP: OREGON, CITY OREGON 97045
Fees due upon application $77.67
Phone: (503) 657 -5155 Fax: (503) 657 -5182
Amount received
CCB lie.: 104570
Date 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: TODD CRI VELLONE Date: 11/7/11 * Fee methodology set by Tri- County Building Industry
Service Board.
6 \ Building \Permits \FPS- PenmtApp.doc 12/03 440- 4613T(II /02 /COM'WEB)
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.
® Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 5
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 LIGHT HAZARD - ORD
Density
Design Area
K. Factor 5.6
Sprinkler Project Valuation: $ 297.00
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.
Project Valuation Subtotal (A, B & C): $ 297.00
Permit fee based on valuation (see attached chart): $
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $
FLS Plan Review 40% of Permit Fee: $
TOTAL: $
Plan review requires a completed application and 3 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.
C:\ WSFP_ OregonCity \_Fonns_Docs \_Fonns_Data Sheets \Forms \BUILDING PERMI2'S \TigardPennit.doc