Permit r ^
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CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2011 -00151
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/08/2011
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7244 SW DURHAM RD, BLDG# M
Project: RSD Refrigeration Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 25 -27,2;
Project Description: Install (2) new sprinkler heads for TI.
12/14/11, REPRINTED permit to correct address.
Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES
9095 SW BURNHAM ATTN: N PIVEN
TIGARD, OR 97223 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 684 -2928 PHONE:
FAX: 503 - 684 -9657
FEES
Description Date Amount
Specifics: Permit Fee - COM 12/08/2011 $59.16
12% State Surcharge - Building 12/08/2011 $7.10
Type of Use: COM Plan Review - Fire Life Safety - COM 12/08/2011 $23.66
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 $89.92
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $775.00
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
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. : s • _ 32.2344.
Issued By: / 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.
R CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
° -. COMMUNITY DEVELOPMENT Permit #: FPS2011 -00151
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/08/2011
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7244 SW DURHAM RD, BLDG# 500
Project: RSD Refrigeration Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 25 -27,2:
Project Description: Install (2) new sprinkler heads for TI
Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES
9095 SW BURNHAM ATTN: N PIVEN
TIGARD, OR 97223 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 -684 -2928 PHONE:
FAX: 503 - 684 -9657
FEES
Description Date Amount
Specifics: Permit Fee - COM 12/08/2011 $59.16
12% State Surcharge - Building 12/08/2011 $7.10
Type of Use: COM Plan Review - Fire Life Safety - COM 12/08/2011 $23.66
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 $89.92
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $775.00
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 I. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuar - -, or if work . suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Uf y Notification Center. Tho - rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a .0y of the rules
• direct questions to OUNC • call' 03.232.1987�or �,
Issued By: 401% L �,/ ^ � %L/ x Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspectio 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 Applicati E
C I
�®
Fire Protection System FOROFFICE US E ONLY - • _
• ` 7
City of Tigard B DEC 8 2011 Received PermitNo.: ��5,46/MO S
Hall sar, /
p '! 13126 SW Blvd., Ti card, OR 9 �j Pl Date an R evy: i c�v /� //
Other Permit�u44/ ��Q�sfe
'' - Phone: 603.639.4171 Fax: 603.6 0Ur I IGA D Date/By: �'"'
TIGARD Inspection Line: 603.639.4176 BUILDING DIVISION Date Ready/By: kips: a See Page 2 for
- Internet: wttw.tigard or.gov Notified/Method: Supplemental Information
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Y A ,>& T ip it6 6 Utg �� i, i UO I % , ° - a REQTII ii:f 1 AND 2 FA
❑ New construction ❑Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
V ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
' "* "�_�° work indicated on this application.
>C:4'I'EGORY - O '-.C.OIVST'12L'TGTION i "_ , ' ' "'"` '° r '
El I - and 2- family dwelling commercial /industrial
Valuation: S
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
,' x:- x'2.3,,, x :,� -,, =v L';a��` ^' `::::''
%:. ; ,:�ax�•,.:.;: ., 1. a' :_M,• •..;:; ;:> Total number of floors:
:
s, JOB SITE�iN7; 01211 'IATIOl�,.:A`IYD.::LOCATION,.- ,,,. ,��.,�. ".- -t
Job site address: '1
,i: *''� � s & ":�n 324 " .° , ' - e, < -L6. " �" 'hf:5�a,';<- •i *'<,- b�x_ .; -_ •.:e<ti ��.`�.,:m. .°. t,fi "x
7 �� ^ 2)•L) /Q ' New dwelling area: square feet
City/State /ZIP: /if, 0'/- ' ' 4- Garage/carport area: square feet
Suite/bldg. /apt. no.: ` 14 ' Project name: -J 1) n o pr," I OA j Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
I2L+' V:#1:Eb ?-41&r C1N1N1ERCIAII P.F,`CI3E+'CIfL'I,S _
. 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
s,.
,, .,..h ' . J) work indicated on this a
:,H. F �.�- >•rA�:;, :Fr. ,: ESCRII'T�IQ1V OF��W �; � x�R ;:r-': �;, • PP lication,
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WV/De: ,<je 3SP 61)4Ai/C Valuation: $ '75-, j
1 Lj -cC� 7 S e , 1, / / . 7 / O /5`( Existing building area: square feet
• 1 New building area: square feet
.,: m 1'ROPEI2TY`OV1''L. - .t. .. , TEI : " ;' Number of stories:
r.
Name: Type of construction:
Address: • Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( • ) New: .
.
� PPLI
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/ (71/ ��12� c : o a cto v and subcontractors « tra y t ar ea; q required . , -_< .
Business name: �� All contractors and subcontractors are re uired 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:
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Business name: _ rw��I"' °-- �' «� ='4 "-' `< -�a ±a .(P,lease,refer'rb °s c a ile�,�, „ -_ °�5 -��: -a - � „�`r
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t y � f 1 Permit fee:
Address: 9p96-- e`�'f'I t)r( �' l � 6
State surcharge (12% of perm it fee):
City/State /ZIP: �/� , (, , 7 ZZ FLS plan review (40% of permit fee):
Phone: ( l 3)},1,x _2� 0 z Fax: (W3 4 - 657 (Due upon application.)
CCB lie.: (v4-077 ! Total permit fees:
/ Amount received:
Authorized signature: '9
����t� -- t This permit application expires if a permit is not obtained
Print name: j)� C'/ i / T L [ / n717 Date: /2 - 13_1) within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1.1Building\Permits \FPS- PermitApp doe 03/23/06 440- 4613T(11 /02 /COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
•
,e s beFvorkombe4one: ...m ,:;:,, 4 „ ga ,- , 4~:; v
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition 0-4-10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
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❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
•
Sprinkler Project Valuation: $
B: Em T s «Z •3 ' H aocl`v Fi e Su tessVA ,:,. - .
v •
,.,,.�:�..^o >x,, Y'C ,r-m.�ra� "_.,. a<.^. d?.:. �S H�''€” ''F�,i;•ayZ'��� ,�,'`'f`";�s_'� ��i_.... �'; �`'.' �a.e`�grfi4�a::a,?'�• "==- $r��`e� . �'4.'..e"
Hood Project Valuation: $
•
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Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
L,. ° .t kic.. s ^*YA.a. �'�`��:?>;.. ,i�a ":;: /�' 2:.
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;)r�. � /,Stad o e;Sste - ����r. •�.��A�....� :,M e �
Square Footage: Permit Fee: W'; "° '$Y <: ~>
0 to 2,000 $187.50 e3,4��W
2,001 to 3,600 $232.50O':. ° �::_ ,, �k
3,601 to 7,200 $292.50 A
7,201 and greater $381.50r' 1
Sprinkler Project Square Footage: sq. ft.
.., .:;u�� <,''v�•xF'y ". ..,�jr 'r. - -.. , _ :;�;i'.; `=�a: �,� .�,e 33.:'�"�`"m-
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4' � = e,;:.�. , o�.. -
Project valuation subtotal (see A, B & C above): $ A �„
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 /dots /pPS- PermitApp.doc 2