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Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT I 111. ti COMMUNITY DEVELOPMENT Permit #: FPS2012 -00128 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/21/2012 Parcel: 2S112AD00200 Jurisdiction: Tigard Site address: 6830 SW BONITA RD Project: Events Unlimited Subdivision: BONITA GARDENS Lot: 4 Project Description: Installing (1) fire panel to existing sprinkler system Contractor: ALLIED FIRE & SECURITY Owner: STEMS FAMILY HOLDINGS LLC 530 NE COUCH ST BY JOHN E SMETZ PORTLAND, OR 97232 PO BOX 560 AURORA, OR 97002 PHONE: 503 - 231 -9550 PHONE: FAX: 503 - 231 -9551 FEES Description Date Amount Specifics: Permit Fee - COM 08/21/2012 $69.92 12% State Surcharge - Building 08/21/2012 $8.39 Type of Use: COM Plan Review - Fire Life Safety - COM 08/02/2012 $27.97 Class of Work: ALT Type of Const: VB Info Process /Archiving - Sm $0.50 (up to 08/21/2012 $5.50 Occupancy Grp: S -1 Height: ft 11x17) Stories: 1 Commercial Sprinkler System: Sprinkler Required: Yes 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: Yes Smoke Detectors Req: Yes Battery Calcs Provided: Cut Sheets Required: Total $111.78 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $1,165.00 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, • . . •rk is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility ■ •tification Ce Thos- rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or dir-ct questions to OUN• b elfin. 5• I ` 232.1987 or 1.800.332.2344. Issu d By: ' Permlttee Signature: 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. Building Permit Application Fire Protection System '` " . • FOR OFFICE USE ONLY y City of Tigard Received P s a Permit No.. � to/4 q 13125 SW Hall Blvd., Tigard, OR 97223 AUG 0 2 2012 Date/B : Plan Review ,l �M Phone: 503.718.2439 Fax: 503.598.1960 Date/B O Other Permit: T I G A R D Inspection Line: 503.639.4175 CITY OFTIG /,'j ; �l Date Ready/By: Juris: // ® See Page 2 for Internet: www.tigard- or.gov R Q illF DitfJ ©gyr p Sgtu ,r[Jp tified/Method: 11 (O Supplemental Information TYPE OF WORK YY v IlIl ll 11�VI REQUIRED DATA: 1- 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 Valuation: $ ® Commercial/industrial ❑ 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: 6830 SW BONITA RD New dwelling area: square feet City/State /ZIP: TIGARD / OREGON / 97224 Garage /carport area: square feet Suite/bldg. /apt. no.: 2 Project name: 120712 - 0040.551 EVNTS UNL 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: 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. Installing fire panel on existing sprinkler system in building to meet NFPA Code Valuation: $ � � 6 5 . Q Existing building area: 3 4 GI square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: j Name: EVENTS UNLIMITED Type of construction: Address: 6830 SE BONITA RD #2 Occupancy groups: City /State /ZIP: TIGARD / OREGON / 97224 Existing: Phone: (503)752 -6526 Fax: (503)244 -3056 New: - ®, A PPLICANT ❑ CONTACT PERSON NOTICE Business name: ALLIED FIRE AND SECURITY All contractors and subcontractors are required to be Contact name: SPENCER MORAN licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 530 NE COUCH ST jurisdiction in which work is being performed. If the City/State /ZIP: PORTLAND / OREGON / 97232 applicant is exempt from licensing, the following reasons apply: Phone: (503) 972 -4136 Fax: : (503) 231-9551 E -mail: smoran @allied - security.com • CONTRACTOR BUILDING PERMIT FEES* • Business name: ALLIED FIRE AND SECURITY (Please refer lo fee schedule) Permit fee: Address: 530 NE COUCH ST City /State /ZIP: PORTLAND / OREGON / 97232 State surcharge (12% of permit fee): FLS plan review (40% of permit fee): Phone: (503) 972 -4132 Fax: (503) 231 -9551 (Due upon application.) CCB lie.: 64465 Total permit fees: Amount received: Authorized signature: This permit application expires if a permit is not obtained Print name: S p,p41,p 440/4 vl Date: gl,,V)- -0 within 180 days after it has been accepted as complete. * Fee methodology set by Tri -County Building Industry Service Board. 1: \ Building \Permits\FPS- PermitApp.doc Rea 01/05 /2012 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 .(e iv E] 1 -10 heads: No plan review required. ❑ Alteration eft ❑ 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 • Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ • C:) Fire Alarm' Submittal shall Battery Calculations ® Yes include: Individual Component ® Yes Cut Sheets Fire Alarm Project Valuation: $ j l 6 5. a e 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. C: \Documents and Settings \smoran \Desktop \FPS- PermitApp.doc Rev 01/05/2012 2