Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
'F 4 • COMMUNITY DEVELOPMENT Permit#: FPS2013-00090
TtGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/07/2013
Parcel: 1 S136CC00100
Jurisdiction: TIGARD
Site address: 8200 SW PFAFFLE ST
Project: Westside Christian High School Subdivision: 2006-016 PARTITION PLAT Lot: 3
Project Description: Fire sprinkler for building remodel and addition.
Contractor: WYATT FIRE PROTECTION INC. Owner: WESTSIDE CHRISTIAN HIGH SCHOOL
9095 SW BURNHAM 4565 CARMEN DRIVE
TIGARD, OR 97223 LAKE OSWEGO, OR 97035
PHONE: 503-684-2928 PHONE: 503-697-4711
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/07/2013 $642.64
12%State Surcharge-Building 08/07/2013 $77.12
Type of Use: COM Plan Review-Fire Life Safety-COM 08/07/2013 $257.06
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 08/07/2013 $6.00
Occupancy Grp: E Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 08/07/2013 $11.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 1636
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $993.82
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $68,013.00
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 - copy • the rules
or direct• - •ns • •UNC by calling 503.232.1987 or 1.800.332.2344. w/
Issue. By: / Permittee Signature: /
Call 503.639.4175 by 7:00 a.m.for the next available inspectio date.
This permit card shall be kept in a conspicuous place on the job site until co pletion 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 •
City of Tigard JUL Date/By: / / /3 , `Me Pem�itNo.��saQ/3'DG09D
- '� 13125 SW Hall Blvd.,Tigard,OR 97223 0 1 2013
Plan Review t. 1
71
Phone: 503.639.4171 Fax: 503.598.1960
Date/By: /�' " Other Pemu.
l 8 O/3-0oo.S_3
TIGARD Inspection Line: 503.639.4175 CITYOFTIGARD Date Ready/By:` Q�J Juris: El See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Noti£ed/Method: 6/7 i3 err- .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, .. wor indicated on this application.
aP
El 1-and 2-family dwelling pr-commercial/industrial Valuation: $
El Accessory building El Multi-family Number of bedrooms:
❑Master builder El Other: Number of bathrooms:
. JOB SITE INFORMATION AND LOCATION .. Total number of floors:
Job site address: Ej7...1)C [,( �p-A-FF-L, 5-r. New dwelling area: square feet
City/State/ZIP: 1-7 64-124,3 97z/ Df� -z.:- Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:)j 5, 5-r 4 5 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.
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.
(PC V'D FI/Z_ IP,I Nk_i_ :/e t. tZ Valuation: $ •.)013. ®°
u > 419/3/770/US Existing building area: square feet
New building area: square feet
❑, PROPERTY OWNER El TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
PPLICANT ❑ CONTACT PERSON NOTICE
Business name: Z��' p�`' y� �/� n
��'�� �/M� �(y/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 - . '
.
_ . BUILDIN.G,PERMYT F
Business name: r ^ ) (Please refer:to fee'scizediidey ..:
� � �/ � y )��� ``v� Permit fee:
Address:qt 5 S� 04)(_ mtim � i .
City/State/ZIP: 1!/-j/ � D� 6 /2 Z3 - State surcharge(12%of permit fee):
YY / / FLS plan review(40%of permit fee):
Phone:( 3 _z9Z F3 Fax:(a)))l� 4---'? 57 (Due upon application.)
CCB lic.: ��/ 641977 Total permit fees:
Authorized signature:
0 Amount received:
2�/�e / / This permit application expires if a permit is not obtained
Print name: ..v ' ,-�� Date:�7-EV —/ 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(Il/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be donel-; - ;;
1.) ❑ New 2.) Modification to sprinkler heads only
❑ Addition El 1-10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
•
Type ofxSysten (Comlete;A,,B,sC Wor D as ajphcable) ,. ..
A') Commercial Spri"nkler` �
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
•
K. Factor
Sprinkler Project Valuation: $
Hood Project Valuation: $
,t
y-
`Fire Alarm
Submittal shall Battery Calculations ' ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D`) $Residential Sprinkler,(Stahel Alone System)AE a;$Y x
Square Footage: Permit Fee: Y
0 to 2,000 $187.50
$232.50
2,001 to 3,600
3,601 to 7,200 $292.50 : - - . ,. - :___.J_ N . ^E a>
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
.'w* g Y.l y. � }3 �� 6 � F' ;/i"...� 1 c,....,.A,.,_. .�,;,x��ttiY �a a .�,f;�%:'�..
�.a..,;
• 1
CITY OF TIGARD
BUILDING. DIVISION • PERMIT #:
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 ° ; '� CC)
Inspection Requests (24 Hrs.): (503) 639-4175 `'I I..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: t5ZC7 t A1F—cam CLASS OF WORK:
SUBDIVISION: LOT#: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
1/ 0 SPI2/'/kLL12 ROU —1
Corrections/Comments/Instructions:
•
•
i
►� PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 11-1<57/3 Phone #: (503) 718- Z‘V7