Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
III COMMUNITY DEVELOPMENT Permit#: FPS2013-00095
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/07/2013
Parcel: 25101 BD00200
Jurisdiction: Tigard
Site address: 8005 SW HUNZIKER RD
Project: CVG Inc Subdivision: 1994-025 PARTITION PLAT Lot: 2
Project Description: Re-install existing piping in relocated router booths.
Contractor: WYATT FIRE PROTECTION INC. Owner: TIGARD DISTRIBUTION CENTER LLC
9095 SW BURNHAM 4800 SW MACADAM, STE 120
TIGARD, OR 97223 PORTLAND, OR 97239
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/07/2013 $102.20
12%State Surcharge-Building 08/07/2013 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 08/07/2013 $40.88
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 08/07/2013 $2.00
Occupancy Grp: F-1 Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 08/07/2013 $7.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard:
Density: 0 Design Area: 0
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 $164.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,930.00
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 obtain a cop of the rules
or direct que ' to OUNC by calling 503.232.1987 or 1.800.332.2344. „
Issued By\ �� Permittee Signature:
Cee2 ∎ 1 .A1111l/.« ice/
Call 503.639.4175 by 7:00 a.m.for the next available inspecti• date.
This permit card shall be kept in a conspicuous place on the job site until c•mpletion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
• Fire Protection System RECEIVE I FOR OFFICE USE ONLY
-
City f Tigard Received ^_
Y b JUL 1 2013 Date/By: fv i 7 PernvtNo.:[�/fX'' �2 Dtl�L�S i.'a 13125 SW Hall Blvd.,Tigard,OR 97223 r J
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960
Date/By: b j Other Pernvt:
TIGARD Inspection Line: 603.639.4175 CITY Ol=TIGARD Date Ready �" Juris: 0 See Page 2 for
Intemet: www.tigard-or.gov BUILDING DIVISION Notified/Method: A / 7//3 gii- Supplemental Information
Sperm (f,./111^ (4Vt1 l i
TYPE OF.WORK • . .. RE,QUIRED DATA:I-AND2-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
'ddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
:
•CATEGORY.-OP CONSTRUCTION , work application.
wor indicated on this p ication.
ii
❑ 1-and 2-family dwelling Commercial/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: AOC,S'3IiC./' Aij?_i 5---r—, New dwelling area: square feet
City/State/ZIP: l (,i7 r/� 9-2-2 2 Garage/carport area: square feet
1
Suite/bldg./apt.no.: Project name: C Y`/
6 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.
IN$zz/f(---e— i 61//) -PlPhU -/go' Valuation: $� 30. '
zno -r`—kez7! S . Existing building area: square feet
New building area: square feet
0. PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: • Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
PPL NOTICE-
ICANT ❑ 'CONTACT PERSON -
- -
Business name: .5 (2jc_ 7 --ri07e— 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 1 . _. FEES'*'�'BUILDING F
Business name:h a-77--F, . ` TiD„ J '- (Please refer to foeschedule1 • .- .
Address: 9p9 5 5/x" 1 l,/Z/I Lt-ieei / �! Permit fee:
/7 State surcharge(12%of permit fee):
City/State/ZIP: /�2/4 o I pit 97z .3 _ FLS plan review(40%of permit fee):
Phone:(j73) (' 4-- 2...9 z 8 Fax:(jai) 45¢ - 9657 _ (Due upon application.)
CCB lie.: 4 67 77 Total permit fees:
Authorized signature: L�%� _
/ Amount received:
'y�
This permit application expires if a permit is not obtained
Print name:gi, ),,...,9_7--)y-4.,,) Date: g57 I2e) —1 3 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(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
wori.“o
1.) D New 2.) Modification to sprinkler heads only:
D Addition 1-10 heads: No plan review required.
.- -Alteration --) r-41+ heads: Plan review required.
Repair
Number of sprinkler heads: 1 4-
Additional description of work:
System jype of
A) Cogimercial Sprinkler
1E1 'Wet Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor •
Sprinkler Project Valuation: $
B ) Type I - HoodFie Suppression System
Hood Project Valuation:
Submittal shall Battery Calculations El Yes
include: Individual Component Yes
Cut Sheets
• Fire Alarm Project Valuation: $
•`?=; '•=,
-D ) Residential Sprin1l1(Stand Alone SrsTth)
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $23250
n:•-•'
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.onusicity_hall/departrnents/cd/docsrFPS-PermitApp.doc 2