Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
:11 COMMUNITY DEVELOPMENT Permit #: FPS2013 -00069
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 06/05/2013
Parcel: 2S109DA16000
Jurisdiction: Tigard
Site address: 15446 SW SUMMERVIEW DR
Project: Arlington Heights, Lot 79 Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 79
Project Description: Install 13D fire suppression for new 2705 sq ft 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 -1511
FAX: 503 - 684 -9657
FEES
Description Date Amount
Specifics: Permit Fee - RES 06/05/2013 $246.45
12% State Surcharge - Building 06/05/2013 $29.57
Type of Use: SF Info Process /Archiving - Lg $2 00 (over 06/05/2013 $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 06/05/2013 $15.00
Stories: 2 11x17)
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 $295.02
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 2705
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 a p of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800 332
Issued By: ' rmi - de Signature: M Plir
■11
Call 503.6 - a by 7:00 a.m. for the next available inspect' • n date.
This permit card shall be kept in a conspicuous place on the job site until ompletion of the project.
Approved plans are required on the job site at the time of e. ch inspection.
Building Permit Application
Fire Protection System
acpr_ivir-0 FOR OFFICE USE ONLY 11 - City of Tigard t �� Date/Bea teeth?
SW Hall Blvd., Tigard, OR 97223 � Permit No : Mr �Q� • p
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Date/B ✓ 'lid 7 7
Phone: 503.639 4171 Fax 503.598.19 — 0 I Other P
TIGARD Inspection Line: 503.639.4175 Date Re.+'y/By: Juris. El See Page 2 for
Internet. www tigard or.gov CO OF I CARD Notified/Method: Supplemental Information
17ti1 1 ,,11i 'N 9bqi ?&w
TYPE O'P `WORK REQUIRED DATA: 1 - AND 2- FAMILY DWELLING
gNew 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.
)g,1- - and 2- family dwelling ❑ Commercialindustrial Valuation: $ / �� ��
❑ Accessory building ❑ Multi- family Number of bedrooms: 3
❑ Master builder ❑ Other: Number of bathrooms: 2/ S
JOB SITE INFORMATION AND LOCATION /� Total number of floors:
Job site address:/ / W s()/ y� ) 334 2
New dwelling area: 7OSsquare feet
City/State/ZIP: /7a � , 04 9 7 224- j ,/�1 Garage/carport area: 4 square feet
Suite/bldg. /apt. no.: Project name: ,4- U /_) i0� ,9 1 I-L s Covered porch area: / /S square feet
Cross street/directions to job site: Deck area: i square feet
Other structure area: —--- square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: 79 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
n ,{�9 DESCRIPTION OF WORK work indicated on this application.
covio. /1/ [J J a T c/ 5�, 1J,�ge s l/ , Valuation: $
��z �� S� F l / 7� r .e�"� I Existing building area: square feet
T New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
g
Phone: ( ) Fax: ( )
New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 6. ()/4 Gr �2 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: r -rrp/ P ��D� (Please refer to fee schedule)
Address: C 7
7 t sl j( / 23 (J 6/ Permit fee:
City/State/ZIP: - 1/QI� - /`ta p� 5 `7Z State surcharge (12% of permit fee):
/ FLS plan review (40% of permit fee):
Phone: i5p3) b4 ZZ2 e Fax: ( Z3, - 96,57 (Due upon application.)
CCB lic.: &.4.77 Total permit fees: )CI 3-1 U
Authorized signature: .�� Amount received:
This permit application expires if a permit is not obtained
Print name: ,UU�`I`,- �, -- Date: e - 3 -/ 3 * within 180 days after it has been accepted as complete.
Fee methodology set by Tri-County Building Industry
Service Board.
1: Building\Permits\FPS- PemutApp doc 03/23/06 440-4613T(I l /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.
❑ Repair
Number of sprinkler heads: Z�
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 $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.tgardor.us /city_ hall / departments /cd /docstFPS- PermitApp.doc 2