Permit I n CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2013-00137
Date Issued: 10/21/2013
TIGARD 13125 SW Hall Blvd,Tigard OR 97223 503 718 2439 Parcel: 1 S1356A00102
Jurisdiction: TIGARD
Site address: 10124 SW WASHINGTON SQUARE RD
Project: Strada Street Food of Italy Subdivision: OAKBURG Lot: 9
Project Description: Installation of fire suppression system into exhaust hoods
Contractor: UNIVERSAL FIRE EQUIPMENT Owner: PPR SQUARE TOO LLC
18260 SW 100TH CT PO BOX 847
TUALATIN,OR 97062 CARLSBAD, CA 92018
PHONE. 503-691-9000 PHONE:
FAX: 503-691-9004
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/21/2013 $86 06
12%State Surcharge-Building 10/21/2013 $10.33
Type of Use: COM Plan Review-Fire Life Safety-COM 10/21/2013 $34 42
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Sm$0 50(up to 10/21/2013 $13.50
Occupancy Grp: A-2 Height: ft 11x17)
Stories: 1
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 $144.31
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation. $1,800.00
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
issuan • is suspended for more the 180 days ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon
Utili Notification Cen - Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or irect questions to OUNC ailing 593.232 1987 or 1.800 332.2344. /
Iss ed By: Permittee Signature: A AIM
Call 503.639.4175 by 7:00 a.m.for the next availabl• -:ection dat'
This permit card shall be kept in a conspicuous place on the job- until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
"' 7 CE \-ED
Fire Protection System t', -,
Received
IIIICity of Tigard Q T 2013 Date/By. /o 3 Permit No i��j�/3-4)6/32
° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review II 11 j�I
Phone' 503.718.2439 Fax. 503 598 l'.1, DateBy. t iV (d(l 7((-'� Other Permit
Inspection Line: 503 639.4175 i Y OFTIGAI� Date Ready/By lures VI See Page 2 for
l l GnlZD BUILDING DIVISION C� 3QIjJ
Internet: www tigard-or.gov Noh ted/Method � /7 / Supplemental Information
LIJ
TYPE OF WORK REQUIR DATA:1-AND 2-FAMILY DWELLING
❑New cons tion ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
dition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1-and 2-family dwelling mmercial/industrial Valuation: $ l
ID Accessory building El Multi-family Number of bedrooms:
ID Master builder El Other:
Number of bathrooms:
(0/0V`471 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:e ''ox 51,4 ity, . 46 Laa l• I:7 r New dwelling area: square feet
City/State/ZIP: 0,,f-(0471,..(` eae S--7 2 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: .c_f-/Y C4- 12e_&,. 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: 1 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.
LL / Valuation: $ �(,0 �`,
1 l 0 7 (' V� 5-y 5"--1—e`r''� 1� / . k A,4-ct 5+-
Existing building area square feet
k , CTZ ` �1 New building area: square feet
❑ PROPERTY OWNER ‘ANT Number of stories:
Name: S'// Jfj 4 es--1,4)-,r i„, -)- Type of construction:
Address: 95---ks--_s-,-1,)i
, 4-A,>,n i_, , , /J/'t b Occupancy groups:
City/State/ZIP: per ..-(---(gr c? Q--�`'77 ZZZ
Existing:
Phone:(50g) 6y Z' /3o f Fax:( ) _ New:
APPLICANT CONTACT PERSON NOTICE
Business name: �h 4V-ry�!'7—( )6i"t�2 L eFin�,v E All contractors and subcontractors are required to be
Contact name: / /�e��� �� ' licensed with the Oregon Construction Contractors Board
/� under ORS 701 and may be required to be licensed in the
Address: / �2 6 fl S�i /0- f" ' c___--1 jurisdiction in which work is being performed.If the
City/State/ZIP: D 6 Z applicant is exempt from licensing,the following reasons
// Ll/4—K44-1-1:1 r) ®'t- 17 apply:
Phonc:(.3) 6 -j (''c/C`_�DJ r Fax: :{ ) 67(-9
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: S;5.-",,,--7 S 14 6 o a-e____ Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP: FLS plan review(40%ofpermit fee):
Phone:( ) Fax:( ) (Due upon application)
CCB lic.: c'6- 72 3 Total permit fees:
Authorized signature: Amount received: f
This permit application expires if a permit is not obtained
Print name: /%------ G Date)it) -z/ within 180 days after it has been accepted as complete.
/y * Fee methodology set by Tri-County Building Industry
Service Board.
I\Buildmg\Permils\FPS-PermitApp doe Rev 01/05/2012 440-4613T(I I/02/COMIWEB)
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: $
D.) Residential Sprinkler(Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
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 three (3) sets of plans at submittal.
Plan review fees are required at submittal.
I:\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 2