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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 114 q COMMUNITY DEVELOPMENT Permit #: FPS2009 -00011 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.639 4171 Date Issued: 04/20/2009 - • Parcel: 1S1260000300 Jurisdiction: Site address: 9724 SW WASHINGTON SQUARE DR F06 Subdivision: Lot: 0 Project: GAP Project Description: TI Owner: FEES PPR WASHINGTON SQUARE LLC Description Date Amount BY THOMPSON PROPERTY TAX SERVUCES, Permit Fee - COM 04/09/2009 $126.85 2235 FARADAY AVE STE #0 Tax - 12% State Surcharge 04/09/2009 $15 22 PHONE Plan Review - Fire Life Safety - COM 04/09/2009 $50 74 Contractor: WYATT FIRE PROTECTION INC. 9095 SW BURNHAM TIGARD, OR 97223 PHONE: 503 -684 -2928 FAX: 503- 684 -9657 Type of Use: COM Class of Work: FPS Type of Const: IIB Occupancy Grp: M Height: ft Stories: 1 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required. Yes Hazard: UNK 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 $192.81 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation 10190 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 if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Orego Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100 You may obtain a copy of the ru Issued By: ,n 1, /) n „ Permittee Signature: / / � i � Call 503.639.4175 by 7:00 a.m. for an inspection that busi ss day. This permit card shall be kept in a conspicuous place on the job site u completion of the project. Approved plans are required on the job site at the time of each inspection. I uilcting�Permit Application 724 sc � sk-A1©' REcE Fire Protection System FOR OFFICE USE ONLY /� City of Tigard APR - 9 2009 Received 9 a ..• alo PermitNo.: / / /I - 'r 13125 SW Hall Blvd., Tigard, OR 97223 Date/B - Phone: 503.639.4171 Fax: 503 598.19e OF TIGARD P l DateB an Review "�' • / - I��!_ d ii i. Other Permit: ' TIGARD Inspection Line: 503.639 gUll, DIVISION Date Read ':y 4 J / H DIVISION Page 2 for Internet: www.tigard -or goy Norified/Meethod f�Q /' _ [ 0, Supplemental Information G " q r "`h— k(.)/ Ma FMK TYPE OF WORK REQUIRED DATA: 1- AN]) 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 V il,ddition/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 )Commercial/industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms• 7,2 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: ,w 144_ q �� New dwelling area: square feet � ! / n City/State /ZIP: a / ^ °I''p_D l a a- 9 7 zz_ Garage/carport area: square feet Suite/bldg. /apt. no.: Project named BOP Y 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 DESCRIPTION OF WORK - work indicated on this application. A DD R j��^ �I ! G_ h i 9 5 4c Va luation: $ I D 0 0 Po� ! w R., Lo �p 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: ( ) Ncw: *4APPLICANT ❑ CONTACT PERSON NOTICE Business name: ee/(1 / C9/e 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: YN J/I" ! L ��'��' ©� (Please refer tajeescliedule� � �� Q C- Per 096 . 1Yt! 60/2/1//4-,407 an fee: Address: City/State/ZIP: ' ,C- ,4/20 ©e 9 7 2 2 3 _ State surcharge (12% of permit fee): s 7 y. a / FLS plan review (40% of permit fee): 1 e( 1-9 Phone: (503) 6E4— as Fax: (503 QM"— 96 5 (Due upon application) 5 -0 ' CCB lic.: 6,407 7 Total permit fees: / '0- ftl Amount received: If F2- ?I Authorized signature: � QQ "C� This permit application expires if a permit is not obtained Print name j �� j Date: within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I \Building\PermitsUPS- PemtitApp doc 03/23/06 440- 4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information T� «.F; - 2 _ i1i.:s i.y- ._�t .a1, of "7''ti - -v,�. '.e. - t>•. -_ c7�{`�;. __ 'Descri a °.•� �'rkto�lie� done: �,r,: ��i �..A :�r' o;�,.,,- �`�.:�..: °,.,. _ - - 1). wo - .. , . _ � � - - _ ` __ � • ��a.._.. _`�� :'•� 3��w °v* -�= °u _ter , r �K n •�d•��•ia-"e`n'�,� �'F. �'. .. r';�r _ ,. 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. - Alteration 1+ heads: Plan review required. ❑ Repair Number of sprinkler heads: , D Additional description of work: A.).` Gomm `ercial; Sprinkler` 's ` ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ Hood Project Valuation: $ C Fire Alar%ri��.r; r �;.:: �� Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ eft - f, ��yy;.. •�?', ,, 'gin.. , :dt:'�3 -i: 'f:.. j ^' �.. 'Resi'dential'`S rinklr :Stand�Alone stein Square Footage: Permit Fee: 0 to 2,000 $187.50 PF, „ .s. ,s' 2,001 to 3,600 $232.50 � 3,601 to 7,200 $292.50 7,201 and greater $381.50 `j.7;7,: . << , Sprinkler Project Square Footage: sq. ft. 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 ugard or.us /crty_hall/ departments /cd /dots /FPS- PerrmtApp doc 2