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Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT q '' a COMMUNITY DEVELOPMENT Permit #: FPS2012 -00171 T!GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/08/2012 Parcel: 2S113AC00102 • Jurisdiction: TIGARD Site address: 7272 SW DURHAM RD, STE# 800 Project: Spec Space Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 25 -27,2; Project Description: Add 2 fire sprinkler heads @ new wall in 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: FAX: 503 - 684 -9657 FEES Description Date Amount • Specifics: Permit Fee - COM 11/08/2012 $56.47 12% State Surcharge - Building 11/08/2012 $6.78 Type of Use: Plan Review - Fire Life Safety - COM 11/08/2012 $22.59 Class of Work: Type of Const: Occupancy Grp: Height: ft Stories: • 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: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total ' $85.84 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $0.00 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 ob a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344 Issued By: Permittee Signature: • Call 503.639.4175 by 7:00 a.m. for the next available inspe on date. This permit card shall be kept in a conspicuous place on the job site un • completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Fire Protection System RECEIVED FOR OFFICE USE ONLY • Sc City of Tigard NOV 2012 Received 114 - O g Date/By: u (a- 'l Permit No.:rPS AO/ X. CO( 7/ ° 13125 S W Hall Blvd., Tigard, OR 9 7223 Plan Review � Phone: 503.639.4171 Fax: 503.598.1960 Date/By: t Other Permit: y: ( c/ Inspection Line: 503.639.4175 CITY OF Date Ready/By: 3uris: 0 See Page 2 for TIGARD BUILDING N otified/Method: - (o Su lemental Information Internet: www.tigard- or.gov PP TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING El New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ' 4ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El 9� I- and 2- family dwelling CommercialJindustrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: 111 Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 7 07 Z 5 kii 1 v-m�?-ii-P. New dwelling area: square feet City/State/ZIP: f i L f) , C7/Z 9 7 ZZ 4- Garage/carport area: square feet Suite/bldg. /apt. no.: f? (:)C..) Project name:spec ae /C_- p/ CE 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 D ,yam DESCRIPTION OF WORK'. work indicated on this application. �+ b J a F //e 5Pg /NLi_ere-- / v5 AI el wez-L Valuation: $ b 5 �P / pi / c--6, 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: jg ❑ CONTACT PERSON NOTICE Business name: � (� /1-1 / �1 - C,g__ 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: 1/t! y4_,- Fa...,.. piQ'�ZZL--77 OA-) (Please refer to fee schedule) Q f" / Permit fee: Address: ! f x S SW ttjO�� kf �T. City/State /ZIP: . 7 a� ox_ t 7 z2 3 State surcharge (10 of pen nit permit fee): I 6,04- FLS plan review (40% ut fee): Phone: ( 3l b 84. - Z9 2-€, Fax: (503) - 96, 57 (Due upon application.) CCB lie.: &/7 7 • Total permit fees: Amount received: K: Authorized signature: 2��i1.,e__— n // This permit application expires if a permit is not obtbint:u Print name: 1�� / r Ah l� U Date: 1 / — - / _ within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. l:\ Building \Permits\FPS- PermitApp.doc 03/23/06 440- 4613T(1 r /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 ❑ 11+ heads: Plan review required. El 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 El Yes include: Individual Component ❑ Yes Cut Sheets File 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/depart ments /cd /docstFPS- PermitApp.doc 2 U U I D 4 1 q, _ - $ C B 11 1 - F A 1 �� 111 ♦ ♦ 9 • V, •, I �rr r� -�s�l . 1� ° f pRG , , r� - �r .. —, .1 8 n • j ' i M _ L CONFERENCE OFFICE I L. OFFICE LOW • I ■ 1■'��„'I11i111111 "111111111 �I NO • 0 8 2012 ` F� J . . J • OFFICE ® � . S I=1 1 ., � BUILDING LOCATION - ■m■■■■smmo■` --- F ,m. ∎ .rm.... • m A CITY OFTIGARD v Q I N� ■ ommurm! m U IIU _ — BUILDING DIVISION 147XL ALTER 4 OFFICE I °°° A , 11111 11111111 "1,1'. ' SITE MAP /� I I 111111 ■� �■ ■1111 , ' 1 NOT TO SCALE ■ W - ►, ►_ _ — — � � OCCUPANCY LEGEND O « OVENOFFICE I iiimik ; II�.��III� ■�IIIIIIIIIII ■, I��— ,• S • °A" • . f�l l:J� ly �O E u wn we a wrtpc.� H 3 ..IH. �. �- w�� ► . � IIIII Iu ii di __ _ __ — . . O O O O O O _ O O O 1 1 E 1 MEN �K f rill l //_►— IIIIIIIII j ANME3 IIIIIIII,�- �.•��.- ►,1�� �� • ►.� ��� /• 1 I ® I - �D� Z 1+ I F S � A AV L ; $ ' i _r_.__ ` - -- i' }L JL J r - 4 AREA OF WORK t ii __VL`!k___- ______9f_L I s_LL_J__lJ o I I l De •` o c --DSI- I © OVERALL BUILDING PLAN I I �/ wNOT TO SCALE WAREHOUSE ® i 9 ; ; 9 c I . I c , HHH 1 —t -- 1 0 - , ro 1 1 ® PARTITION AND POWER PLAN ® REFLECTED CEILING PLAN CD SCALE I/8•-. I' -0' CD SCALE IB' 1' -0' - Iwor EOULL t F {m OF TRAVEL REOVR NIG EMERGENCY p J e C f s PgC oFFicE PPC 1 6 s • goa 7272_ 5/ Ai ,b UCH -,4/ 1 RD,# 8 °O _ TYCO FR)/z...' Ci+RI C• 55 P K =5"60 / - z) / &4-2 D, 9R. 97ZZ4 cis M)i- V 5i93 320 -56 COM TRA- GTbR.. )5 5 � UPn6R. 01,j6 --. 5 ..... WYAT T - r/C O Q -RD 1 OR__ g 72-a' FIRE PROTECTION, INC. 9095 S.W. Burnham Tigard, OR 97223 (503) 684 -2928