Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2013 00143
T 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/09/2013
Parcel: 25101 CA00400
Jurisdiction: TIGARD
Site address: 7940 SW HUNZIKER ST
Project: Hunziker Building Subdivision: 2007-064 PARTITION PLAT Lot: 1
Project Description: Install fire alarm control panel to moniter sprinkler system for a new 19,929 sqft addition along the south edge of
the existing building for additional storage.
Contractor: FIRE PROTECTION SERVICES Owner: MERITAGE FIVE LLC
5573 SW ARCTIC DRIVE 7940 SW HUNZIKER RD
BEAVERTON,OR 97005 TIGARD,OR 97223
PHONE: 503-590-3732 PHONE:
FAX: 503-628-6214
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/09/2013 $61.85
12%State Surcharge-Building 10/09/2013 $7.42
Type of Use: COM Plan Review-Fire Life Safety-COM 10/09/2013 $24.74
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 10/09/2013 $2.00
Occupancy Grp: Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 10/09/2013 $3.50
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: Yes Alarm Type: Automatic
Pull Station Required: No Smoke Detectors Req: No
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $99.51
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $850.00
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 copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: • r Permittee Signature: �,/�
/
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.
Fire Protection System RECEIVED
Building Permit Application FOR OFFICE USE ONLY
City of Tigard 0 C T 9 2013 Received /� V permit No.: r / u
Date/B : /0 7 J �.�/����
° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie
' ° Phone: 503.639.4171 Fax: 503.598.196CITY OF TIGARD Date/B : Other Perm, • 10, o/ ^/#i,/ >
T I GARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: Era ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 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 ®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:7940 SW Hunziker New dwelling area: square feet
City/State/ZIP:Tigard OR Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Hunziker Bldg Covered porch area: square feet
Cross street/directions to job site:Hall 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.
Install FACP to monitor Sprinkler System Valuation: $$850.00
16odLl et, dia.►eY -.o spy; h,KIyY tSYStCAI) 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: 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:Fire Protection Services Inc (Please rejertojeeschedule)
Permit fee:
Address:5573 SW Arctic Dr
City/State/ZIP:Beaverton Or 97005 State surcharge(8%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)590-3732 Fax:(503)628-6214 (Due upon application.)
CCB lie.: 154333 2//,7/� Total permit fees:
Authorized signature:
ri' VY Amount received: 7,5/
This permit application expires if a permit is not obtained
Print name: David Ivt Yhipps Date: 10-09-2013 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\PermitsFFPS-PermitApp.doc 03/23/06 440.4613T(11/02/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:
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: $ 850.00
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): $ 850.00
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (8% 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.
B:\My Does 12-00\Current Projects\I-Iunziker Bldg\Fire Alarm Pcrmit.doc 2
1111111 q Building Division
Over-The-Counter (OTC) Building Permit
T I G A R D Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: S7 Z Type of Construction: g
Type of Use**: Occupancy Load: Oregon Specialty Code: �d/0
SPECIFICS
Number of Stories: Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback—Left Sideyard Setback—Front
Sideyard Setback—Right Sideyard Setback—Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W:.- '-- Access.Parking Spaces:
REQUIRED ITEMS /
Fire Sprinklers: Fire Alarms: ✓ Srhoke Detectors: L13
Sprinkler Type: Alarm Type: IA O.VZ) Protected Corridors:
Standpipe Required: Pull Stations Required: 1150 Parapet:
Hazard Group: Battery Calcs Provided: eil .5
Density: Cut Sheets Provided:
Design Area: \ _
K Factor: \
•
Total Project Valuation: $ FEES DUE
$ DC Prov Rvw,COM TI—Ping
$ DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $278.00 $41.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
*'CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC-BUP.doee 07/01/2013