Permit /
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r '. CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
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08/2 COMMUNITY DEVELOPMENT Date Permit #Issued: : FPS2009 -00079
T,1 G , RD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
7/2009
Parcel: 25101 CA00200
n Jurisdiction: Tigard
Site address: 7904 SW HUNZIKER RD
Subdivision: Lot: 0
/ Project: Spec Space
/ Project Description: Cap (9) fire sprinkler heads, add (3) heads and relocate (4) heads.
Owner: FEES
WALL STREET INDUSTRIAL LLC & Description Date Amount
7000 SW VARNS ST
PORTLAND, OR 97223 Permit Fee - COM 08/25/2009 $62.50
12% State Surcharge - Building 08/25/2009 $7 50
- PHONE: Plan Review - Fire Life Safety - COM 08/25/2009 $25 00
Contractor:
VIKING AUTOMATIC SPRINKLER CO
3245 NW FRONT AVE
PORTLAND, OR 97210
PHONE 503- 227 -1171
FAX 503 - 227 -1552
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: B Height: ft
Stories: 2
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required No 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 $95.00
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation 1650
Residential Square Footage: 0
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
issuance, or , irk is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon
Utili o , otification Cen : Those rules are set forth in OAR 952- 001 -0010 through OAR 952 -001 -0100. You may obtain a copy of the rules
o- direct questions to OU . by - g 503 246.6699 or 1 800.332 2344.
-sued By: / ,/
/e Permittee Signature:
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.
Fire Protection System 9 5K � � (t
Building Permit ApplicatioiR E� \/E Iolr l lc l , ���1 Y , - . - -- ,
. .-
Received
IN City of Tigard AUG 2 5 2009 Date /B �� Permit No X1,00
° 1 3125 SW Hall Blvd ; Tigard. OR 97223 Plan Revie ��
6 Phone. 503.639 4171 Fax 503.598.1 OF q �r Date /Bv i� � Other Permit
T I G KD Inspection Line 503 639 4175 GI OF I IG A RDD�1 Date Ready /Bj• pp 0 See Page 2 for
Internet www.tigard-or gov BUILDING DIVISION Notified /Metiod - p iff / � ` �m Supplemental Information
_, IQ/ Ly L
TYPE OF WORK , REQUIRED D A : 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
igj Addition/alteration /replacement ❑ Other. equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I - and 2- family dwelling JR Commercial /industrial Valuation: S
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms.
79e L/ JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address. '7 2�f � 14,4 Z I k.i2 po New dwelling area. square feet
City /State /ZIP: — I G/I;e' s 012 97 ZZ'S Garage /carport area: square feet
Suite/bldg. /apt. no.. Project name: p A f2.e `_ _ . 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
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.
411, QFA►. e-. r O/2 �ee , ,(...) Valuation: S !‘ro
�� Existing building area square feet
/70.4e /vim.,, DF.c� 7a , g Pk ��
LI CA - at �� New building area: square feet
❑ PROPERTY OWNER [' TENANT Number of stories: Z
Name: PHIS Z 6 Type of construction -
Address: 60 ( z Zt i .. - Occupancy groups: C oile.:
Cit /State /ZIP • '� , 5 1A-pZ� 6f2. Q) 2' Existing:
Phone: (,p 5--9 7 _ zee ZS Fax: ( ) New:
0 APPLICANT ,A ❑ CONTACT PERSON NOTICE
Business name: ; /+ (sLI�t!o NtuTQ i.tAUcYI c MLt fJ([ (FIB All contractors and subcontractors are required to be
Contact name:"pf'wfU � licensed with the Oregon Construction Contractors Board
t'�� "�da under ORS 701 and may be required to be licensed in the
Address: 3245 Nc.a.) Qp#4.l% At!/ jurisdic '.. ' ^ lc wo • : -' i ..erformed. If the
City/State/ZIP: n q Z . op ican _is_exempt from licensing, the : •wi g reasons
/_P� /, ) A 6/2- / 7 apply: (/ l
Phone: (1-, Z
Z7 - //7/ Fax: ( ) Al / / / 1 it 0 /27r� / ',
E -mail: alrVe.. 13tAT€VAP. w> tip p _— — _ l i •
CONTRACTOR ' BUILDING PERMIT FEES*
Business name: (Please re er o 'e e a e
16- t 6.=r--i IkTI� Q I ti3 (�P Permit fee.
Address: 3Le45 Ai /,Qoiu / ,,4 o
State surcharge (8% of permit fee):
City /State /ZIP. R,Q MT_ 97ZlZ, o
FLS plan review (40% of permit fee):
Phone: (cps) Z17-//7 I Fax. ( ) (Due upon application.)
CCB lie.: 60 3 ? Total permit fees:
Authorized signature: ���
Amount received: 15, C
This permit application expires if a permit is not obtained
Print name &J : J ` r N e..1 V'-LS (Q 9 * within 180 days after it has been accepted as complete.
Fee methodology set by Tri -County Building Industry
Service Board
i \Bmlding\Permns\FPS- PermnApp doe 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 -1 0 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
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: $
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 5232.50
•
3,601 to 7,200 5292.50
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 (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. -
P \OREGON JOBS \Penmt Applications \ City of Tigard Permit App doc 2
l
1 J. J. J. ,..7/11l1/ LEJULJZ
coRiciiNAL
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
L) 0 New 2.) Modification to sprinkler heads only
El Addition E 1-10 heads: No plan review required.
to Alteration 0 11+ heads: Plan review required_
Repair
Number of sprinkler heads: - 7
Additional description of work:
•-• c •t: • . ,
. 7 l'i. , .t.3574 7 . • ,"
,-; „
" 1"
II Wet 0 Dry
Additional Standpipes
biformation: Hazard Group 1.-ovi#7
Density -
Design Area
K Factor
Sprinkler Project Valuation: $ /4,52,
Hood Project Valuation: I $
47:7
Submittal shall Battery Calculations 0 Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
;
Square Footage: Permit Fee
,
0 tO 2,000 $18750
2,001 to 3,600 $232.50 ---- ‘17,;C'''::": 4 ; 7 1::
3,601 to 7,200 $29250 ;
7,201 and greater $381.50 ' •
Sprinider Project Square Footage: gc1-
. ..,:•7.41f ?::7 ,
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.
\Builcling\PermitAFPS-PcirnicApp.doc 2