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Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 11 1 I COMMUNITY DEVELOPMENT Permit #: FPS2013 00173 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/03/2013 Parcel: 2S 102AC00201 Jurisdiction: Tigard Site address: 9356 SW MAPLEWOOD DR, BLDG# J Project: Main Street Village Subdivision: BURNHAM TRACT Lot: 9 Project Description: Building J - Fire repair to units 112, 113, 114, 115, 116 & 117. Contractor: CROWN FIRE SYSTEMS INC Owner: CASA LA VETA ASSOCIATES 7402 SE JOHNSON CREEK BLVD HIGHLANDS ASSOCIATES LTD ET AL PORTLAND, OR 97206 BY AFFINITY PROPERTY MANAGEMENT 111 SW 5TH AVE #3690 PORTLAND, OR 97204 PHONE: 503 - 777 -5030 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee - MF 11/26/2013 $346.98 12% State Surcharge - Building 11/26/2013 $41.64 Type of Use: ME Plan Review - Fire Life Safety - MF 11/26/2013 $138.79 Class of Work: ALT Type of Const: VB Info Process /Archiving - Lg $2.00 (over 11/26/2013 $2.00 Occupancy Grp: R -2 Height: ft 11x17) Stories: 3 Info Process /Archiving - Sm $0.50 (up to 11/26/2013 $12.50 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: LT Density: .05 Design Area: 1026 K Factor: 4.9 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $541.91 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $25,500.00 Residential Square Footage: 0 Fire Alarm Valuation: $0.00 permit is / This pe it s issued subject to the regulations contained in the Tigard Municipal Code, State of OR. S•= salty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work i I . started within 180 days of issua • , or if wont4ic. suspended for more the 180 days. ATTENTION: Oregon law requires yo to folio r e les adopted by the Oregon U ' Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -00 -0090. ■ a obtain a copy of the rules .r direct questions to OUNC by ' 5503 .2 232.199887 or 1.800.332.2344. Issued By: k /j6 - - t _ t' Permittee Signature: 1 (/ i I Call 503.639.4175 by 7:00 a.m. for the next available inspec i• d e. This permit card shall be kept in a conspicuous place on the job site until completion of the . oject. Approved plans are required on the job site at the time of each inspection. Building Permit Application Fire Protection System FOR OFFICE USE ONLY City of Tigard Date /B a 2 , iL Permit No .. - f / lig 13125 SW Hall Blvd., Tigard, OR 972 Plan Review ro �� ■ � � vi l I � Other Permit: ' � • Ph one: 503.718.2439 Fax: 503.598.1 Q13 Date /B : _ • I ^ 1 , r T I GA R U Inspection Line: 503.639 6 Date Ready : : ® See Page 2 for Internet: www.tigard- or.gov t` \ OBI (�O N I off i fi Supplemental Information s' ` ° • %' , g h °+ ` ` s % 1 �� REQUIRED DATA: 1 -AND 2- FAMILY DWELLING El New construction ❑ Der*' 1' , 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 I 1'°- • ,rtt , c : I. n t d ) •, work indicated on this application. ❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ Soo ❑ Accessory building Multi- family Number of bedrooms: ❑ Master builder Z) IQ— 0 Other Number of bathrooms: of ,, , : . strE INFORMATIIUN AND L t ' i ` y .. Q Job site address: I Total number of floors: New dwelling area: square feet City/State/ZIP: - -- C '. A . A / m2 q' 7 Z 23 Garage /carport area: square feet Suite/bldg. /apt. no.: 3 Project name: Al A x t\) ST. j; q, G ,i� Covered porch area: square feet Cross street/directions to job site: "`d Deck area: square feet 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. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK , work indicated on this application. C - A 00 i 3(_ ' R 2 S .E p g-\ r ��,'e r- Valuation: $ Z s 5 S Y STE rv\ Existing building area:. 7 15 - square feet New building area: -7 -71 s- square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: '1 Name: Type of construction: C) Address: Occupancy groups: 1.. v. NT HircItAlz iD City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: .("APPLICANT ❑ CONTACT PERSON NOTICE Business name: L' (Zj< j F ‘ g c sU S (E rn S All contractors and subcontractors are required to be Contact name: (} Y P(} ` licensed with the Oregon Construction Contractors Board ( under ORS 701 and may be required to be licensed in the Address: 7,10 .Z S E A O L, S c ec € t1 Q /02 jurisdiction in which work is being performed. If the City / State/ZIP: P ©�T 0. 2 et 7 2 Q G applicant is exempt from licensing, the following reasons 1 � apply: Phone: ( S b ) ) 777 S o 3 0 I Fax:: (603) - 7 - 2 7 . - Oc S U E -mail: ''^` a,, -00b .,. t` ' 4^klt ! �:;4 B U ILDING PERMIT FEES* Business name: C ),I, F �‘ �.E S Y,S r a AA (Please refer to fee schedule) Permit tee: Address: 7 ciO Z ` E N0 k rV sp C- eeE K e( V �. /State /ZIP: Q _ n r State surcharge (12% of permit fee): City/State/ZIP: ` 0 CT A Y..3'0 © `` 9/ Z. 0 (O FLS p lan review (40% of permit fee): Phone: (6'03) -- 7 77 sQ3p Fax: ( 5 0 3 ) Z 7 ? - 06_5 I 9 (Due upon application.) CCB lic.: '' Total permit fees: Authorized signature: Amount received: This permit application expires if a permit is not obtained Print name: v e _t� pA.6 Date: t 1 Z' - / 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.doe Rev 01 /05 /2012 440- 46I3T(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 Q Number of sprinkler heads: 1 Additional description of work: t q 0 0 1 3 L F \ 2 E S pe ►J I eS Type of System (Complete A, B, C or D as applicable): I' A.) Commercial Sprinkler ,12' Wet ❑ Dry Additional Standpipes Oi Information: Hazard Group L, BHT Density o 0 D esign Area j ( K. Factor (. , C 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 Z �' 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 ,r 5 7,201 and greater $404.39 Sprinkler Project Square Footage: '7 7 , 5 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: $ 5221 Li I Plan review requires a completed application and three (3) sets of plans at submittal. Plan review fees are required at submittal. http : / /www.ti /citt•_ hall /a /cd /di>cs/I VS- PcrmitA Itcv III/ 5 /2012 FOR OFFICE USE ONLY - SITE ADDRESS: 4 73 ,5 S ) illioz -r &O OLJ ae., This form is recognized by most building departments in the Tri -County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT III a ansm Letter T I G A R n 13125 SW Halt lvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov TO: {� DATE R rI E�: I E DEPT: G DIVISION DEC 182013 ( -� CITY OF TIGARD FROM: B UILDING DIVIS e ,, COMPANY: / `("E i PHONE: - 777_ 50 0 By. LRE: 25 r.t) s'i 0 .. 43 -60/73 ( Address) (Pe , it Number) (Project name or subdiv name and lot numbel) ATTACHED ARE THE FOLLOWING ITEMS: / Copies: Description: i t o l . • s: Description: Additional set(s) of plans. Revisions: Cross section(s) and detail Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: . / FOR 9FFIC USE ONLY Routed to Permit Te ician: ate: ( 23 ; Ini tial Fees Due: Y� o Fee Description: nt ❑ tion: Amou � p $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes 1 ❑ No ❑ Done Applicant Notified: Date: /2p y/3 iJ /iyE559 - GE' CE"/. 61e Initials:, /- Co-xi I:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012