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Permit CITY OF TIGARD ` FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit #: FPS2009 -00017 T I G AR O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/30/2009 Parcel: 2S115BA02600 Jurisdiction: Tigard Site address: 16230 SW PACIFIC HWY 160 Subdivision: Lot: 0 Project: BISCUITS CAFE Project Description: Install fire protection sprinkler system. Owner: FEES SN PROPERTIES PARTNERSHIP _ Description Date Amount 1121 SW SALMON ST Permit Fee - COM 04/22/2009 $69.65 PORTLAND, OR 97205 Tax - 12% State Surcharge 04 /22/2009 $8.36 PHONE: Plan Review - Fire Life Safety - COM 04/22/2009 $27.86 Contractor: AFP SYSTEMS INC 19435 SW 129TH TUALATIN, OR 97062 PHONE: 503 - 692 -9284 FAX: 503 - 692 -1186 Type of Use: COM Class of Work: NEW Type of Const: VB Occupancy Grp: A -2 Height: ft Stories: 1 Commercial Sprinkler System: Sprinkler Required: No Sprinkler Type: Wet Standpipe Required: Hazard: ORD1 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 $105.87 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 2475 1 Pln Gen COMPACT SPACES SHALL BE MARKED Residential Square Footage: 0 2 Pln Gen PLANNING FINAL INSPECTION 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 issuan 7., .r i w. 's suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utif Notification Ce -r. • e rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules - sued By: I , Permittee Permittee Signature: \� vi L ILI ■IL 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. - • 13D ITS I (o2-3© 1-c- f Fire Protection System A RE V E B ui 1 din g Permit PA lication D FOR OFFICE USE ONLY III City of Tigard APR 2 2 2009 ' . ct _ � A Permit No.:F ■ ■ ZOCCe• 0°017 ■ Date/S q 13125 SW Hall Blvd, Tigard, OR 97723^ flan Revie i 7 Phone: 503.639.4I71 Fax so3.s98.191501� OF TIGARD Date/By: a 44' 4 n o ther p erm i t T 1 G n tall lnspectton Lme: 503.639.4175 BUILDING DIVISION ed�et• M � o4 .._ L • G S Supplemental for I nternet: www•tigard- or.gov „°. .a. �c�x•�' ;�+hr�.oe - � u ,�??�' '�.. q �•�^' rr�. �+}ru• �� ,.�r.-�s•�s; .r�r°;ti�r�� mss=, m� r -�; _ }`,+ ,k "�i.- 71ry -'�' r VV}x'V �,41'fi 6 7 " d;G'7:,,' i4 �Ih�d +•"8'J31" X5 1 " Q 5 I' •.1 . w �K it _,: t % t 7 , tr „„...1,,,, M .•..•,-,, ,. .� i' . - .r.'..:w, _-`�'ss1 jR __ _ 3" s _ 4 . 4 -yj,n• w? , Qc- ,... ;x ,.. .:w � . ,,,.r. ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all VAddition/alterationlreplacement ❑ Other. equipment, materials, labor, overhead, and the profit for the • c ,., ��'��. t - � L work indicated s• !� f I H 9 A Q • '. . � }k 4� .�c` ,� W rkln toted on this application. 1 YJ �6• ' 6Y'. JY,F ' - . , W " .1�'t 7 N��+�T � 2.--Vi 'R�. {A6 �Y� �.._ ❑ 1- and 2- famliy dwelling EZCommercial/industriai Valuation: S ❑ Accessory building 0 Multi - family Number of bedrooms: ❑ Master builder t7 Other: Number of bathrooms: . ` . 1 t a ° a� ! } 3'u e C,i �- Total number of floors: b;n:�T' _•a' T, T.l. � ` :— J1 1. � a:YJn:1 s�S ��Lt � w'��'`r� o - -i`. r Job site address: j,. 3 0 (Ai s m�_ 1 ,T. New dwelling area: Square feet City/ State/ZIP: ' Garage/carport area: square feet Suite/bldg, /apt. no.: dal Project name: • %A C , Covered porch area: square feet Cross street/directions to job site: 1..l ) s t. Y� C�'' -- �t Deck area: square feet Other structure area: square feet 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 n f 'tr - y .r, 45 e ,-m. , ����,,� + - �> a r t i p, o s c't a '�' . ± work indicated on this , , Iicatioa + ;�5' �.V�ti;; ° -v' ,. -, : � ���c" a>.i,. � -�, . �� 1� �.'?.ti..: aae�,� r'kS ':• J • .� ' + ( . I }- � D • r P1 J _ ' }- .fL 5 ()ell - . Valuation: ,, S •) 7 S _ 1"►' ' • !W . U IAA) Q1�.1'..x.r Existing building area: 7 50 0 square feet New building area 2100 square feet Est s , aaur • -e; .9 r4k as i n L i:.,� : ' ' °_ . .- r '' 3 � 1.:1=1 � . , 4; Number of stories: l Name: 1 -4 JI,a,+1Q Q Z, Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: •../ Phone: ( ) Fax: ( ) New: `*. . ,- " S - `mT/`F- s- ': "[ y { t ��, rya ,. -,.. -.. x .,. .. ..u• c:x,„„. i.,. . `l Ta� ,_..7, -r • "_±i ,,, a"'� . . g . 0 ,T�^ -- �fi t 1, . 'P''7 Business name: Sk $117445 I$11744 I , . 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: I ot {-�' s q W I JV l -ri,'- PatE jurisdiction in which work is being performed. If the City/ State/ZIP: t I applicant is exempt from licensing, the following reasons - A b I • i d apply: Phone: ( tl,.) ME'MMIIIIIIIEIIFAIIIIII t E -mail: i `{'+ ``+ 7ivC? y�rL "fi tit - • ' i:) 'i:: •�a , g ' • „« `rte, 1�' + '�° 'ir Y• °;i -= "":,:. siS4+ irk` r. ';.,cuS N:,Y+ �: � ”- 1G r . 'Aar; ' - +! s' � r ,,,a_, � . .i 0. , . _Kit.- �e;., ,.... >�m �.tis>n'sx _a6,. ;�+ "T u' -.. , ~ :.,.... ,,. -- .�:'?8Cr � ., °4'n � ,_ .' '. ' � � t . . ti Business name: T 5 C a ,, zd C" ' )n�,. !tk��: ,v . (� .� l Permit fee: 1 Address: l°i�2 , • • I 1.t1't. Ave-. ` State surcharge (8% of permit fee): • City/State/ZIP: -(1t q'6•Z . ( ` FLS plan review (40% of permit fee): Phone: } k») $1 •-• 9,,T 4 41 � 4- Fax: ( a ,. 2,- 1 1V. Due u•on , ,•lice:Won. . CCB lit.: ; 75 Li Total permit fees: i Authorized signature: � �. Amount received: 04, This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete. Print name: J.04 ' I Date: t { - 2_1-09 Fee methodology set by Tri-County Building Industry Service Board l f0�' *P, , p , L• lnuildulglPemlinlFPS- PertnitApp.doc 0323/06 a40- C613T(IU J1 07/COM/WF9) „„ ,p V`^•' City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information .,: ,. 'tea' =.` LpQ- : '�- . ^1JL:��Q .� ..!y:�: ;+= ....-.� 7.: _. : i. �ae r• �K:.f M;�- ....n.- ..a�::`i.......e..+S �:.�..dr'�`- s =w 1 :��::..ia ^ � h � 1.) ❑ New 2.) Modification to sprinkler heads only. - ..,. ❑ Addition ❑ 1 -10 heads: No plan review required. • Alteration [r 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: g 3 Additional description of work: is" '001 mn cW'•E .tln. :f {. ' are',:rFvm- µa(•-'kb"t, i "t' F : y '»`e ' ; i' - :14.4St ��•,'.��:7!'i �'E. ) '�' I el • C F'� . '.y'C4,0# o .417 y x �^. r, ,, ]} S µ r ., � i, y `�F .S? ,•: . 3 6 a e ti k '. A7 •x 3 r. : ; -'.: `1 , C ' 3 o e e n 1 t c .'.' • `'r �u ay � t ' irw 5 • CyM�2,"�aa - ^ .�d?Rt�b . - ' r.L„ � i b .- , _ k7S�i �� sw � ❑ z Wet ❑ Dry Additional - ..... - Standpipes ... Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: [ $ 2,C4 'j 5.0 0 o( � ' i� - d�i�vpp �'-. ,a� a.�.. �, �.,; � ah•n v'VOMV � W - ,.` VyiGv- -4 l "G�' k:6• ;�. � � � Y �A??;t� • .. x- .x= a ^�,Cc...5nr8`.«a'i{r -:e�� ...t :�1'. '3"'�.. ,.. Hood Project Valuation: I $ • ya. �. t 1 Ni 7 . `? , M i/J• NJ i y F' ` TM • '}' � ' y o� ^ � p r Y ° + ;`�.r ° - 'F• ^`t x .uxj. �.,r, .4.- �f K.. "�1ua,.�; s�. ..= r.•;,_.;, .� .x .• �. �F^x. * _ fi.. Submittal shall Battery Calculations . ❑ . Yes include: Individual Component ❑ Yes Cut Sheets Fite Alarm Project Valuation: $ • • 'A: ' °'+: 1:• ti , w ; r -:. r r1iu'rY.:. f �• fc �� >v.Sii ' 1F� p�� ` ;1;2 A*� 6 ot t-' p�. '' C p er �C� :� � ; } � ca , - �;�'�i �.� � T /tol t�"m -2 5,.8 • •�L � :C vL ' y � • r V _ ��, -,viv Vim '• y ' s2 , • 3 i t . F? 4Y 3-,„� ,:2>.`.` `.^.fit -;.4_ .F-� da �`A �Y, ;;r! ' ;-- _4w`^+°.S"u; Tre*.M I'L/ .. •c5.S.g•'S�b}'r, i �;t r ` a nr �,-.�. i' � , � _ .- • Square Footage: Permit Fem . 0 to 2,000 $18750 0b '�; 2,001 to 3,600 $232.50 _ - - 3,601 to 7,200 $292.50 7,201 and greater $38150 `pl,P;T:F gr A : j7 t .r Sprinkler Project Square Footage: • • • • • • • sq. ft. :c �:v = at�'.�• ��'v �_,M r:.- ,'!r'S'7 -:, .. -• .� F, _ i4 i C.i�:i. '.yy; ±.. - 'sv" 3r` ^ "` .ti_ � P. � �,,..:.., t. �._.�:.5 ~i;:; ".':��^.f ^� i ^is�'c'a� .i: ... �' <'a.. ,..rr.;;Sr.9,� iY rf':s9'�,{c'�. n- ::kr,..x� Vii,: �. a.K}''liie . r, te�lo e�lt F -.St ca... ; ti, c�, :ty .:�ru...:3•.;.v 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 (8% 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 • l:\ Building \Permits \FPS- PcanitApp.doc 2