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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT • .' COMMUNITY DEVELOPMENT Permit #: FPS2012 -00002 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/03/2012 Parcel: 151260000300 Jurisdiction: Tigard Site address: 9699 SW WASHINGTON SQUARE RD C10 Project: Portland Seafood Co Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108 Project Description: Relocate and add (1) head each at new wall at kitchen entry. Contractor: WYATT FIRE PROTECTION INC. Owner: PPR WASHINGTON SQUARE LLC 9095 SW BURNHAM BY THOMSON PROPERTY TAX SERVICES TIGARD, OR 97223 ATTN HILARY RAYMOND 2235 FARADY AVE, STE 0 CARLSBAD, CA 92008 PHONE: 503 - 684 - 2928 PHONE: FAX: 503 - 684 -9657 FEES Description Date Amount Specifics: Permit Fee - COM 01/03/2012 $53.78 12% State Surcharge - Building 01/03/2012 $6.45 Type of Use: COM Plan Review - Fire Life Safety - COM 01/03/2012 $21.51 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 $81.74 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $572.00 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, • • is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility ..otification Cen - Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0090. You may obtain . Copy of the rules or dir-ct questions to OUNC • c. n 503 - 2.1987 or 1.800.332.2344. Issu d By: / Permittee Signature: o� 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 Application y� Fire Protection System RECEIVED FOR OFFICE USE ONLY ,1 }� Received © �� Permit /� q p�% y22 CI of Tigard l O 3 2012 DateB l ` / �/CJ 4li� �G�ic�� , 1 3126 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 603.698.1 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 ` PI Y OF TIGARD Date Ready/13y: furs: El See Page 2 for Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: Supplemental Information - <.... - <.. ..,.._ . _ ..._.- , .._ :,; >�:*-rs<� -�- _ n'a'r.. -� - m�+r:�:::�:_, ' �= s- a ; .,a:: , a� - '�:a;,:�a z< -, - i�.... ` i a 4 k TYPE OPliVoigi s REQ[7titkli li - 1 AND - FAIVIII, D8 .iiih IN G 4 ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ) 1,: Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the a this d t di work i ; m' -,r rr: sa, >. „ ' ' x:;;; ,; worncae ons � N °` - „ 1 CATEGORY , OF CONSTRIICTIOI i ." application. � -.. � <. ten, _ r :: ❑ 1- and 2- family dwelling 0:G ommercial/industrial Valuation: $ El Accessory building El Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 'r: - Total number of floors: " J ,O'B':SITE'iIV:ROR111ATION,.AND LOCA7IU = -.1, "` ?': N - Job site address: % j514/ 14 itwe b 5 Q L D , New dwelling area: square feet City /State /ZIP: �j (� 0 1 0 2 9 . 7 - 0_2_ 3 Garage /carport area: square feet Suite/bldg. /apt. no.: L 0.,f) Project name:pg (,/47vD -jDD en Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet . y 3gfi;�: °� :te' .,..,'�,.::��;� „�xx,� .:........: ... .��� r.:� ���,� _. , �,�. ,, ,� P rREQ.igilt `D6 Ati ".COM1MEIRCIAi: 04,1 . .. , ' I E+ CKL TST $:: .,A ;•, l'i 'ar -;y 4:- 4U,•x,, _s ,,,,,, ; g, e. ,< ; ' .. <s „,UV A 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 .`s -.�;,` ”, >•� .•;•;�,;r'z , :4 <a'�: ::x:a'• ��et�•s:�kca ,� °e� a�;.`�' =:f:;” r `.� « ... �,.:;� . .,� .q.z equipment, materials, labor, overhead, and the profit for the `,�� >�� -' �%:'_; `� .:: , <�� ��'"'_ ` �s:•� work indicated application. #,u z.�r; =', 4:4:71-i VUOI2Kw k,, „' ;�.., kin on this app on 1 � ,., T��/ � C y'l -- `I /1"D 7 ° I � f / r4 , , Valuation: t / in- ,' /� , - c Y -' J��l y a (� o � / /``C ' P� ' ei 5 \ Existing building area: square feet C r }H (5 5 TF-f e N e_D Z 1 I N ew building area: q � y °- in a square feet ?; . � -1 _r , � ; [,] PROPERTY O WNE - - 1 _ ' � < r ; � 4 ❑ 7 ,r.� Number of stories: ,... , do. , ,. � .. z= _' - �,1,..�r� � "..���, _. _ ��,.i Name: Type of construction: Address: Occupancy groups: City/State /ZIP: Existing: • Phone: ( ) Fax: ( - ) New: . , "i ... 'di'.`? >.c, ?; d'c : ",9Si';. 4'"` �;�> „�- ".x>, :� "S %' ,u�z�#:.y`�-xc•,� ;�y .a PL,I `�. ; ItSO N" --,.;;. ., .. .,G .,, s,- &'.�sF ' s, a..,a c t. ,i .. S ; : d,3`in +a,•: z':'i.. .;,,s :._t:'T,' �,. _, y. :- x zfi. „,. �,7 y&. . . , ' =OT'1C1+1 ^��,. , li., .�£ ;.:z, .;::;• �";'c = '-:' ",' ; «i�: -a �r.. ":9• a �a i.. 3%-'ir "' ,rc" i'J,�i ^:��YP%�`'r.,.Rc: s' Business name: Gr)/t,1 -,4. ' j �_je- All contractors and subcontractors are required 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: N • :, tip,' .: 40 :;0: > >. .,. . E,. . , . ..., a -. - .: �x ...., .... .i�n. ..., -.' g .�, z ;_ : - ..��' �b.,' . :�” :,. ' j , # j � r CO TR CTO ::s ;:. , g ' i' ; ,�.;;. t r =, B P S • :,��. :. . ,. .....:. ...::.,,, , _.,,... �..,.......... , .. ,;, >:,::'x .,� UILD G ERMIT�FED /vL r�l f / l/ P,,`-t> e. , .„.,;,,..„,,,,,„ ,,,. ..,t,;( R rej a.;,,...,,a _ Business nam � e °z, r� n y � �e�� _ Permit fee: Address: 90 / $J° +/I CjL�/Y`/ %�/y t f State surcharge (12° /n of permit fee): City/State /ZIP: 14,6i/2„0 19I '/? 7 Z 3 / FLS plan review (40% of permit fee): Phone: (5b) & 64 _ 2,9 Z s Fax: ( 3) ( —9 & 5-7 (Due upon application.) ' CCB lie.: (., 4 u7 7 Total permit fees: ( � Amount received: �8(, 7 ef Authorized signature: " 1 This permit application expires if a permit is not obtained Print name: gi, - el. ` / ,i -n--7 Date: o l - D3 -''Z * within 180 days after it has been accepted as complete. Fee methodology set by Tri- County Building Industry Service Board. I: \ Building\Permits \FPS- Permi1App.doc 03/23/06 440- 4613T(11/02 /COM/WEB) - City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information • • I.) fl New 2.) Modification to sprinkler heads only: Addition °fig-1-10 heads: No plan review required. Alteration Ei 11+ heads: Plan review required. Repair Number of sprinkler heads: 2 — Additional description of work: , 0 0- MakilS„AnUaititd;6" , r;:14 , 4-SAF410$7:T.ratiMr.'7,A4M,„,,IkkiSe,-,,::;%45ZilitlAgteat'.5 : 4 Wet Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor • Sprinkler Project Valuation: $ ‘"'Toe' p Hood Project Valuation: ifttMMV,MrVtvi4'40;gar,AcViAVt,r-tj:':', ”talpez,U, ,44.4a0;,R6S%CY 40,4 ..k.MORNASV*ar Submittal shall Battery Calculations Yes include: Individual Component D Yes Cut Sheets Fire Alarm Project Valuation: $ + Vt 'a'l VVZ ; glt , TVV =Ak', OA*'Vgrge' l' 'V',,,'''Mg 4 PPP' ' ' ' 'VtfRkWY ' OV'te*',Vrf*Kftiw-ri;ctktj - .:DIYRaadfiti'atS'Plifik100SeaiiV.A16iietSf§' aily*bk4q0***e , Square Footage: Permit Fee: nerfrOPURP.MMIT:44 raetSriti 0 to 2,000 $187.50 2001 , to 3,600 $232.50 • 3,601 to 7200 , $292.50 7201 , and greater $381.50 1:4-.1ketglifikag5rAttNAVOI Sprinkler Project Square Footage: sq. ft. g 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 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://kvww.ci.tigard.onus/city_hall/departments/cd/docs/FPS-PermitApp.doc 2