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Permit q CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 111 � , ' COMMUNITY DEVELOPMENT c.±0 't j; � � ,� Permit #: FPS2012 -00084 TIGARD 1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 •��) p , •..) Y , ^ w'' Date I ssued: 06/19/2012 a , ® Parcel: 2S112DC00701 Jurisdiction: Tigard Site address: 15955 SW 72ND AVE Project: Guitarish Music/Advantage Point Subdivision: FANNO CREEK ACRE TRACTS Lot: 39 Project Description: Alteration and addition of (21) sprinkler heads for new office. 2/13/12, reprinted to correct address and project name. 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: 503 - 624 -6300 FAX: 503 - 684 -9657 .FEES • Description Date Amount Specifics: Permit Fee - COM 05/30/2012 $102.20 12% State Surcharge 7 Building 05/30/2012 $12.26 Type of Use: COM Plan Review - Fire Life Safety - COM 05/30/2012 $40.88 • Class of Work: FPS Type of Const: IIIB Info Process /Archiving - Lg $2.00 (over 05/30/2012 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: Info Process /Archiving - Sm $0.50 (up to 05/30/2012 $8.00 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Hazard: LT Density: 0 Design Area: 0 K Factor: 5.6 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $165.34 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $2,556.00 • 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 que ' s _ o NC by calling 503.232.1987 or 1.800.332.2344. Issued y: , , / PermitteeSignatu l< r ` j 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, a CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit #: FPS2012 00084 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/19/2012 Parcel: 2S112DC00701 • Jurisdiction: Tigard Site address: 15957 SW 72ND AVE Project: Advantage Point Subdivision: FANNO CREEK ACRE TRACTS Lot: 39 Project Description: Alteration and addition of (21) sprinkler heads for new office. 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: 503 - 624 -6300 FAX: 503 - 684 -9657 FEES Description Date Amount Specifics: Permit Fee - COM 05/30/2012 $102.20 12% State Surcharge - Building 05/30/2012 $12.26 Type of Use: COM Plan Review - Fire Life Safety - COM 05/30/2012 $40.88 Class of Work: FPS Type of Const: IIIB Info Process /Archiving - Lg $2.00 (over 05/30/2012 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: Info Process /Archiving - Sm $0.50 (up to 05/30/2012 $8.00 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Hazard: LT Density: 0 Design Area: 0 K Factor: 5.6 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $165.34 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $2,556.00 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 ado.ted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obi: ' pyof e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. D , A A Issued By: / 4f l A. f 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 c. pletion of the project. Approved plans are required on the job site at the time of eac nspection. Building Permit Application Fire Protection System RECEIVED FOR OFFICE USE ONLY City of Tigard Dac Received 9 .30 • Permit No. Ps a ?�� Door " 13125 SW Hall Blvd., Tigard, OR 97223 {{�� g 20 Plan Review - Phone: 503.639.4171 Fax: 503.598.1960 MAY 3 ® Date/B : jaWVIIPMMIE other Permeur:120 /42 D90 • TI GARD Inspection Line: 503.639.4175 j'�'{/ q p�p� Date Ready : 1 � � Jar[s: 0 See Page 2 for Internet: www.tigard or.gov ��� a ���Gt11lL �tified/Method�fJ� / 1 Supplemental Information BUILDING DIV u/ d ^, , ► �j j TYPE OF WORK REQUIRED DATA: I- AND 2- FAMILY DWELLING ❑ 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. ❑ 1- and 2- family dwelling '0CommerciaUindustrial Valuation: $ ❑ 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: /695 51,c/ ,Z� �, New dwelling area: square feet City/State/ZIP: ..r / ©� 9�2� T Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: 7;;D1k T Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet • REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I 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 ra DESCRIPTION OF WORK , .' work indicated on this application. n /ze v, o� fl fl //`t✓� 1, 770 `� c�c C Valuation: $ 7 �e.i ®O AD Pi - is_4- P/ ,fl iii 14,/5 ) S SP 7111)0 Existing building area: square feet r" P- 't.004 - 7 - l J - sf PeO/ v v c no) — - s * New building area: square feet - ❑ PROPERTY OWNER ❑ TENANT . Number of stories: • Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone: ( ) Fax: ( ) New: . %4PPL•ICANT ❑ CONTACT PERSON - NOTICE ' Business name: • (i✓ fPre-- 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: CONTRACTOR BUILDING PERMIT FEES* ' . . Business name: jJ» i_ 7 Fhe. P r�G�t74 (Please refer to fee schedule „ Address: 9p q5— ;80,_,,t T Permit fee: City/ State/Z1P: T& 4/ O ©� 9 7ZZ State surcharge (12% of permit fee): / F LS plan review (40% of permit fee): Phone: (SQL b - Z9( Fax: 503) 4 — 9657 (Due upon application.) CCB lic.: &¢1177 Total permit fees: Amount received: Authorized signature: " riv /041/1_,K_____________ This permit application expires if a permit is not obtained Print name: ‘,4 �/ / Thi- Date: e) 3C) • t 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- PermitApp.doc 03/23/06 440-4613T(11 /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 j 1 + heads: Plan review required. ❑ Repair Number of sprinkler heads: - Additional description of work: Type of System (Complete A B, C D as applicable): . A.) Commercial Sprinkler ❑ Wet El Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ • B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alartn 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. - • Fire Protection Permit Fees . 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: / /www.ci.tigard.or.us/ city_ hall/ departments /cd /docsrFPS- PermitApp.doc 2