Permit a CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I COMMUNITY DEVELOPMENT Permit #: FPS2013 -00089
T Ii G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/01/2013
Parcel: 1 S135BA00102
Jurisdiction: TIGARD
Site address: 10124 SW WASHINGTON SQUARE RD
Project: Strada Street Food of Italy Subdivision: OAKBURG Lot: 9
Project Description: Add (7) fire sprinkler for TI for new Italian fast -food restaurant
Contractor: WYATT FIRE PROTECTION INC. Owner: PPR SQUARE TOO LLC
9095 SW BURNHAM PO BOX 847
TIGARD, OR 97223 CARLSBAD, CA 92018
PHONE: 503 - 684 -2928 PHONE:
FAX: 503 - 684 -9657
FEES
Description Date Amount
Specifics: Permit Fee - COM 07/01/2013 $72.61
12% State Surcharge - Building 07/01/2013 $8.71
Type of Use: COM Plan Review - Fire Life Safety - COM 07/01/2013 $29.04
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
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 $110.36
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $1,295.00
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 obtai - co.y of the rules
or direct questions to OUNC b calling 503.232.1987 or 1.800.332.2344. gni ,
Issued By: Permittee Signature: /'o
Call 503.639.4175 by 7:00 a.m. for the next available inspe ion date.
This permit card shall be kept in a conspicuous place on the job site un I completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application ��r
' Fire Protection System RECEIVE I FOR OFFICE USE ONLY .
City of Tigard Received
JUL 01 2013 Date/By: SW Hall Blvd., Tigard, OR 97223 f ///3 — 9�i /3 p D �9
Plan Review Other PermitB �, i0� 7 A V :39
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: KI ✓ 7
TIGAR Inspection Line: 503.639.4175 CITY OFTIGAR I Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISI 1 1. ohfied/Method: 776- Supplemental Information
TYPE OF WORK ' - REQUIRED DATA: 1- 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
Addition/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 mmercial/industrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION. AND LOCATION. Total number of floors:
Job site address: /9/ F . 5k/ l'�, rR , New dwelling area: square feet
City/State/ZIP: 6 e 4-4/9 / Drz__ Garage/carport area: square feet
Suite/bldg. /apt. no.: 7 _C) '7 Project name: 'Q - f ton Covered porch area: square feet
Cross street/directions to job site: S /new p" /7* 7 Deck area: square feet
7 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.
"OD AS V I/ vP/C)//41—E—Hrtv5 (1) Valuation: $ rev .
A D--/-11 '' k/� Fog._ � V ���> � , 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:
! —APPLICANT ❑ CONTACT PERSON NOTICE
Business name: e C�0,_ 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: ( ) • I Fax: : ( )
E -mail:
.CONTRACTOR BUILDIN.G.PERMIT FEES* '
i ' • . p� ,- .'(Please refer. to fee'sclied uleJ'
Business name: Ai y / � ���� �/W ��G! /�� 1
9D 9S (5w Bv2Avh /4m $7-,
Permit fee:
Address:
City/State /ZIP: ii( Q �2 97 zZ State surcharge (12% of permit fee):
/ FLS plan review (40% of permit fee):
Phone: ( ff 3) 6E3¢ _79 z 5 I Fax: (03) 6 - 96 5 7 (Due upon application.)
7
CCB lic.: , 4 Total permit fees:
Authorized signature: i/ Amount received: //0 e 3 (o
This permit application expires if a permit is not obtained
Print name: a��� f /�( -� Date: 7 - - -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- PermitApp.doc 03 /23/06 440- 46t3T(t1 /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
'.Describe work
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition l -10 heads: No plan review required.
.- Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Co'mplete A; B, 4`C or D as applicable)
A) Commercial Spnnklet`
E F
Wet ❑ Dry ....
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
Hood ire ,
Sippressiiori Syst „ern
4.„
Hood Project Valuation: $
C,L Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
E�
es a tia�l`S � r� °iikl'` "f.'
e - ,5,tand`Alone�S�: stem � ;�.•�, �;` °> 1.�.,'
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $23150
3,601 to 7,200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
tOt('.„Ct10:kKgP41t47s<Ce .4i:
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.
htrp: / /www.ci.tigard.or.us /city_ hall/ departments /cd /dots /PPS- PermitApp.doc 2