Permit •
•
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2013 -00048
TIGARD 13125,SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/11/2013
Parcel: 2S109DA16700
Jurisdiction: Tigard
Site address: 15477 SW SUMMERVIEW DR
• Project: Arlington Heights No. 3, Lot 96 Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 96 -
Project Description: 13D fire sprinkler system for new 3,532 square foot residence
Contractor: WYATT FIRE PROTECTION INC. Owner: STONE BRIDGE HOMES •
9095 SW BURNHAM • • 4230 GALEWOOD ST, SUITE 100
TIGARD, OR 97223 LAKE OSWEGO, OR 97035
PHONE: 503 - 684 -2928 PHONE: 503 - 387 -7577
FAX: 503 - 684457
FEES
Description Date' Amount
Specifics: Permit Fee - RES 04/11/2013 $246.45
12% State Surcharge,- Building 04/11/2013 $29.57
Type of Use: SF Info Process /Archiving - Lg $2.00 (over 04/11/2013 $4.00
Class of Work: ALT Type of Const: VB 11x17)
Occupancy Grp: R -3 Height: ft Info Process /Archiving - Sm $0.50 (up to 04/11/2013 $15.00
Stories: 3 11x17)
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Haiard:
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 $295.02
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 3532
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 obtai . co) of tie rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
•
Issued By: Stat Permittee Signature: ®�� 4
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 RE rFI' / FD FOR OFFICE USE ONLY •
City of Tigard Dat y /A PernutNo.: - I I gard, OR 922 13125 SW Hall Blvd., Ti
Tigard, • w Plan Review' ai ' Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: 3 Supplemental it 1 HSrAoiX. /F p
Inspection Line: 503.639.4175 APR 10 2013 Date ReReady/By: kris: ris: E3 See Page 2 for
IIGARD
Internet: www.tigard-or.gov No tified/Method: (11-/ � x Information
� T of t► ';l, � -1 Q ::«v Dfn� A Al "z v nw �I.I ,,
.�� _ ,.,, � t ��„ � <,� �.�,� . gym'. _ +, I 1. _„ . r, a � _... :� -�r
..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
a � a t ' „ CAT EGOBY�L?ti a�11tSTR CTxQ � "' work indicated on this application.
Valuation: $ 60 s
1..1.- and 2- family dwelling ❑ Commercial/industrial
El Accessory building ❑ Multi- family Number of bedrooms: 4
❑ Master builder ❑ Other: Number of bathrooms: 3 , j
k 3
'I'll < , l TI`S C�OR1 I O p -4 � 4.W. k
T ota l num o fl oors:
Job site address: 15477 s S Um /n _. / r DR_ New dwelling area: 355 Z square feet
City/State/ZIP: - j ,4 ./ / 9 7 ZZ ¢ Garage/carport area: 4 g 8 square feet
Suite/bldg. /apt. no.: I Project name:Aga /0 -174.) 1-1--- it-/ l Covered porch area: 91 square feet
Cross street/directions to job site: Deck area: 16 Q square feet
Other structure area: square feet
Subdivision: I Lot no.: 9‘,, 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
'4 %3� i1SG
® g e k o work indicated on this as elication.
T /ZoviDC I J) F /i& SPI)DX -/- 5 -51 Valuation: $
--/Or 2 3 5 3Z SCE F 7 11f _ /D 1 k - Existing building area: square feet
New building area: square feet
PROP O't L ER T Number of stories:
Name: Type of construction:
Address: • Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
Business name: 56:6 C )1 ' - .7b/Z__ All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and maybe 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: ( ) • I Fax:: ( )
E -mail:
31144 CONRTACTO; $ 4 BtJILI)IN PERIVITr FEES i ,�
1 __.t �..._ xci3�.��°��.�a'.�# <,a� ti..� R ° ,, .x�'� .,�-�*'7�s, � ; �z �» - ,, :; � ��"�i� -�f�' G - - �£ �a����
p � V S � .: ,..(Ple ref ,? . IO, .a�,�f
Business name: yk -T f/� BIe-f/ `��e_720,t_.)
Permit fee:
Address: 909 5l4! /304mM r7 .5 l
/ / 9 /t— 9 7 Z Z � State surcharge (12% of permit fee):
City/State /ZIP: FLS plan review (40% of permit fee):
Phone: W3) bS - Z9 Z8 I Fax: (:).3) e. GJT - 9i(,S7 (Due upon application.)
CCB lic.: ,4()77 Total permit fees:
-
Authorized signature: Amount received:
. �_ This permit application expires if a permit is not obtained
Print name: or / f _7 L Date: `i) -` 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 03/23/06 440- 4613T(I I /02 /COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
3):0 1703c-bei ,pne;
1.) 2.) Modification to sprinkler heads only:
Addition 1-10 heads: No plan review required.
Alteration .2-11+ heads: Plan review required.
El Repair
Number of sprinkler heads: 28
Additional description of work:
6 2 111 4: 11 :0 C fat' "
Wet 111 Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
,4...ref.Spppr,g,s„Qa.systelp.1,71,
Hood Project Valuation:
=,:rt • ::!;' 4" ,; _
i)1": Fife .MA
it7 `.: •
Submittal shall Battery Calculations ID Yes
include: Individual Component U Yes
Cut Sheets
•
i1, -Yit-'esi( 1 0 6 SPIiiiia0/ ita:gifakisi,f ;
- -
Square Footage: Permit Fee: A
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.
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 /ci ty_hall/departments cd/ docsrFPS-PermitApp.doc 2