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Permit
q CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT • 'F ! g:-' COMMUNITY DEVELOPMENT Permit #: FPS20o9 00015 TI GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/01/2009 Parcel: 25101 CB00500 Jurisdiction: Site address: 12670 SW HALL BLVD BLDG 1 Subdivision: Lot: 0 Project: APEX INDUSTRIES Project Description: TI - Fire sprinkler alteration, 113 heads. Owner: FEES TCTPI LLC Description Date Amount 25977 SW CANYON CREEK RD #J Permit Fee - COM 05/01/2009 $119.70 WILSONVILLE, OR 97070 Tax - 12% State Surcharge 05/01/2009 $14.36 PHONE: Plan Review - Fire Life Safety - COM 04/20/2009 $47.88 Contractor: A PROFESSIONAL FIRE SYSTEMS CO 17273 S STEINER ROAD BEAVERCREEK, OR 97004 PHONE: 503 - 632 -4353 FAX: 503 - 632 -4835 Type of Use: COM Class of Work: FPS Type of Const: VB Occupancy Grp: B Height: ft Stories: 1 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: ORD1 Density: .2 Design Area: 2451 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 $181.94 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 9387 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 Issued By: ^ 1 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. 'Building Permit Application -. • . Fire Protection System Fon OFFICE USE ONLY - ' /� /y City of Tigard F •t � Date/ e.: .'/ /ID d / Peraut Nu.: �/�s ,g�( .0a2/6 13125 SW Hall Blvd., Tigard, OR 97223 M I ed / Plan Revietc_ Phone: 503.639.4171 Fax: 503.598.19 Cl O L» C, Date t if • 27 Other Permit: A TiG Inspection Line: 503.639.4175 P � !� Datetg: Jun El See Page 2 for Internet www.tigard- or.gov ft M�� Notified/Method: I l /t�f / , 4 lam/ / Supplemental Information t. r U �, w «S t .. : :...., ..:::.:......:::::. - -,......'€iP ...................................................... . .: . . ::._ :< : :: :. .: : : . . . liI1RT.D..DkT t 1V13: DIi!.+`LL : . :` ` := ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) ohall Addition /alteration/replacement ❑ Other: equipment, materials labor, overhead, and the profit for the work indicated on this application. ❑ 1- and 2- faintly dwelling Valuation: S • g ®Commercial /industrial ❑ Accessory building 111 Multi-family Number of bedrooms: ❑ Master builder ['Other: Number of bathrooms: ; floors: ;:.....::.:.; . . .: ::.. .;�SL"#'� : APiU I,4 . :;. E`AT.bIY .;: Total number of Job site address: ) Z G. 70 5 L,.I r.{ A t~ L 13 L .) New dwelling area: square feet City /State /ZIP: Garage /carport area: square feet 714a 2 ta OR, 97zz3 Suite /bldg. /apt. no.: Project name: A e x L�u •r p s e r ' d ,$ Covered porch area: square feet Cross street/directions to job site: . Deck area: square feet 5 . `-+. Ce - r yF,e_ c1.r ` ''1; Other structure area: square feet U. IRS) :iQi1 . :Nts:C011414 3,.0. :.; L - IiI,IST:: Subdivision: Lot no.: Permit fees* are based on the value of the work performed. fax map parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the work indicated on this application. i o k indicat • r--. A c..l 1 Se'Qrt Lees n� UFO Valuation: $ 9 3 SJ °— Existing building area: square feet New building area: square feet R ©Pt�12 . ...b�lR.:. "`i`';'i';' > ':'': «` ?! »< L?1LST.F'<:'<: >'s':' ?r' > » >'.'.> >< Number of stories: / Name: Tye of construction: A .-x 2,. , c..b.risn e- n P Address: ?` 7e3 'lw /44..t. '2,t Occupancy groups: City /State /ZIP: 'Tt , q 4. a Existing: Phone: (moo ) 6, 4 7y - y 0 o Fax: ( ) New: ,, App' C 'e- : : - .; i ::::: >::: - - -- -- < >> e' :'s . > E ON1-:Ae ` PER T ' <> . :•:;•: -; : - ...:•:•.::::::: : •- 1 >z Business name: ` SY S r --s (e _ All contractors and subcontractors are required to be R 26F�SSto ttZ�' r Contact name: l G C e . - licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: ) 727) 5 S Te` "' eR jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons FA ✓e-/LC.,z - rx , b 2 97o o y _ apply Phone: ( 5733 ) G 3 Z - Y3 S 3 Fax: : ( 5- 3 2 —Yg 3 j E -mail: CQ TR4G I OI2 ....... ........... iUlId1ING P 1R17L I :5 *. ricer .aria: eeaci edu1e J :: > >: ;:n::: <.; :: Business name: A ll?o>^ES3 t a C /f-77,2_&-- S rsrF . Co , 1 ) Z-� Permit fee: Address: 1 7273 5 5 7 D , _ State surcharge (12% of permit fee): / .4, 3 G City /State /ZIP: t=m tieVIC.41c x d R 7 06 ` y, FLS plan review (40% of permit fee): Phone: ( Sy ) G 3 2_ ye j r3 Fax: ( jai e ._ y8 3 (Due upon application.) y7S CCB lie.: y /d, - o Total permit fees: 'i3 el, Authorized signature: �� Amount received: This permit application expires if a permit is not obtained Print name: X G� F R y Date: / �- O within 180 days after it has been accepted as complete. �J / * Fee methodology set by Tri- County Building Industry City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information esc be.wvlek.: ca:be.d�o::: e. :.:.:::: .:.:. : .-. , ::::::.::::;;;;:::::;;:;;;,.;:..:.:.::_;;::;;;;;;:.;>;;:.;>.::::::>;:.;;;:: .;:.;:::;.;.:::;:.:;:<; »;::.;:. 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. a Alteration ZI 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: 113 Additional description of work: szl ............. ...........:....:....:::::::..: Wet ❑ Dry Additional Standpipes Information: Hazard Group L r f�4t� Lceea �e,o.� Density Design Area . z 4 K. Factor Sprinkler Project Valuation: $ v'7 387• Hood Project Valuation: $ :.:.........::. Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ es de ttal S nnkler S tan o Square Footage: Pemiit Fee: O to 2 0 00 187.50 • 1 2 _. 50 00 to 3 3 600 ?� 1 _. 3 60 to 7 � _9 5 00 0 7,201 greater 31. 0 eate 8 50 ........ .................. .. .. . Sprinkler Project Square Footage: sq. ft. • :::: »::�ireP�tr~et4o �r�m�cEe, es........ ............................... Project valuation subtotal (see A, B & C above): $ cp 3 8 7 2 . Permit fee based on project valuation (see fee schedule): $ / 1 /Z 0 Permit fee based on square footage (see ID above): $ -- State Surcharge (12% of permit fee): $ / y, 3 FLS Plan Review (40% of permit fee): $ Z 9S TOTAL: $ 1 a /2y 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.tigard- or.gov /city_hall/ departments /cd /docs /FPS- PermitApp.doc 2 • • / PROFESSIONAL ,� -J C R OF O O O O fO 0 �- 0a 0 FIR S V DATE JOB NO. 7-0 SYYZ 17273 S.'Steiner Rd. /Beavercreek, OR 97004 ATTENTION (503) 632-4353 RE Pe' n I A1 D" s.7 i-I J TO C 'Tr ol= . M.4E0 13 12 5 S b L4 L L T3 t cs - 774,4,443 ©2 0 2 72z3 — WE ARE SENDING YOU Attached❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION 3 52 F S P:e./ v a c. E4 0 S 3 Yu 46414 LIC 6i. L. ca LAT /a ✓.1 EX1 e T_J THESE ARE TRANSMITTED as checked below: F r approval ❑ Approved as submitted ❑ Resubmit _ copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑0 As requested ❑ Returned for corrections igReturn 1 corrected prints l --For review and comment , i "; - le �i T ❑ FORBIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED � /L (23 If enclosures are not as noted, kindly notify us at once.