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Permit
n CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT m' COMMUNITY DEVELOPMENT Permit #: FPS2012 -00097 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/03/2012 Parcel: 1S136DA02300 Jurisdiction: Tigard Site address: 6900 SW ATLANTA ST 100 Project: OME Subdivision: FRUITLAND ACRES Lot: 5 Project Description: Modification of existing fire alarm system. Contractor: COCHRAN INC Owner: OREGON EDUCATION ASSN 7550 SW TECH CENTER DR #220 6900 SW ATLANTA ST TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503 - 234 -6564 PHONE: 503 - 684 -3300 FAX: 503 - 238 -2098 FEES Description Date Amount Specifics: Permit Fee - COM 07/03/2012 $112.96 12% State Surcharge - Building 07/03/2012 $13.56 Type of Use: COM Plan Review - Fire Life Safety - COM 06/25/2012 $45.18 Class of Work: ALT Type of Const: VB Info Process /Archiving - Lg $2.00 (over 07/03/2012 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: 2 Info Process /Archiving - Sm $0.50 (up to 07/03/2012 $7.00 11x17) 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: Yes Alarm Type: Automatic Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Yes Cut Sheets Required: Yes Total $180.70 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $3,648.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Noti .. enter, Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or dire questions to • • C by calling 503.232.1987 or 1.800.332.2344. Issue. By: / _ Permittee Signature: • . �_ Call 503.639.4175 by 7:00 a.m. for the next availa ° spection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application • Fire Protection System FOR OF FICE USE oNl_V mu R City of Tigard Reoerved ‘,.. /'�'$e?p�i1- .1010Y u ' r 13125 SW Halvd. Tgard, OR R E C 1 3 I - � � 1� 7 'I Plan Review ► -. �© I 0 Phone: 503.718.2439 Fax: 503.598.19(,0 N C 9 DateB : I �A�� .€) L Other Permit PAWA 3Y T I G A R D Inspection Line: 503.639.4175 J V eJ L O 12 Date dyBy: � g H Ju: See Page 2 for Internet: www.tigard - or.gov ♦� �y ethod: 3 1 Supplemental Information I.` .J ' .. ° 'yi!1`a 1-- I..i 1' � r - ■ TYPE T1 li '" L (VISION - / 1,4 I TATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Addition/alteration/replacement ❑ Other: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the • CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ❑ 1- and 2- family dwelling ,e _ El Accessory building 10 Multi-family Number of bedrooms: . ❑ Master builder ❑ Other: Number of bathrooms: , • JOB SITE INFORMATION AND LOCATION': Total number of floors: Job site address :6p$ ! . New dwelling area: square feet • City/State /ZIP: �1eri 1 q7zz Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: c fntalir Agexv_IE �� Covered porch area: square feet Cross street/directions to job site: t'K a Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: + Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ 1 . , ' j Existing building area: square feet 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: ❑ APPLICANT ❑ CONTACT PERSON _ NOTICE Business name: A tj , 4 ✓ (-/1 --' 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: /7y77 � jurisdiction in which work is being performed. If the City/State /ZIP: TILE'. �� applicant is exempt from licensing, the following reasons 1 z2....3 apply: Phone: (5)3) 434....4, 0 4, Fax: : ( )2.afe 2 — ,0.. — E -mail CONTRACTOR • - BUILDING PERMIT FEES* Business name: i /e — (Please refer to fee schedule, 4 Permit fee: Address: 7 52 7 /.,A fit_ �lI ✓g - — / 4i 2 L7# '9 �� ( State surcharge (12% of permit fee): City/State/ZIP: — t FLS plan review (40% of permit fee): Phone: ��,�) ¢ Fax: regi ) �j� (Due upon application) _ CCB lic.: 7294 "41.-- Total permit fees: • Authorized signa : Amount received: — This permit application expires if a permit is not obtained Print name:_ ?�_ a , -- Date ?/ / zwz j 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 Rev 01/05/2012 440-4613T(I I /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: ❑ ddition ❑ 1 -10 heads: No plan review required. • Alteration ❑ 11+ heads: Plan review required. ❑ Repair • Number of sprinkler heads: _ Additional description of work: Type of System (Complete A, B, C;or D as applicable): A.) Commercial Sprinkler ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinlder Project Valuation: $ B.) Type. I Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm • Submittal shall Battery Calculations I . es include: Individual Component I Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $198.75 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 • 7,201 and greater $404.39 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 three (3) sets of plans at submittal. Plan review fees are required at submittal. http: / /www.tigard- or.gov/ city_ hall/departments /cd /docs /FPS - PermitApp.doc Rev 01/25 /2012