Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
3111 i • COMMUNITY DEVELOPMENT Permit#: FPS2014-00008
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/15/2014
Parcel: 2S101AC00800
Jurisdiction: Tigard
Site address: 7148 SW GONZAGA ST
Project: The Adrienne Subdivision: BEVELAND NO 2 Lot: 14
Project Description: Fire alarm
Contractor: SAFE TECHNOLOGY GROUP INC Owner: ROGERS. ROY R
6400 NE HWY 99 STE G375 13690 SW TWELVE OAKS CT
VANCOUVER, WA 98665 TIGARD, OR 97224
PHONE: 360-699-2130 PHONE
FAX 360-719-1527
FEES
Description Date Amount
Specifics: Permit Fee-COM 01/15/2014 $177.52
12%State Surcharge-Building 01/15/2014 $21 30
Type of Use: COM Plan Review-Fire Life Safety-COM 01/15/2014 $71.01
Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 01/15/2014 $8.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: 3 Info Process/Archiving-Sm$0.50(up to 01/15/2014 $7 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: Yes Smoke Detectors Req: Yes
Battery Calcs Provided Yes Cut Sheets Required. Yes
Total $285.33
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage 0
Fire Alarm Valuation: $9,450.00
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 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 di ct questions to OONC calling 503.232.1987 or 1.800 332.2344
Is ued By: ( / 4 ) Permittee Signature:\\. 0-j
Calll 503 639.4175 by 7:00 a.m.for the next available inspection dater'
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.
Building_ Application
Fire Protection System , ,,,: (I, l ,I l , ,, (I , ,
City of Tigard Received ( Q �,'� it No: ��5� O —vc $
13125 SW Hall Blvd..Tigard,OR 972iN 0 7 2014
Plan Review r
Phone: 503.718.2439 Fax: 503.598.1960 Dace/H : `jay Permit: /�u/J7( /3'�
A Inspection Line: 503.639.4175 Dace R in Sec Page 2 far
Internet: www.tigard or.gov CITY OF TIGARD Notified/Method: l /5- AI ,,, Win Srppkmeatat lafonamiea
BUILDING DIVISION *c-,,•, itp-st J- 4-11.-.r
TYfl OF WORK PIQUE=DATA:I-AND 2-FAMILY DIVELLS4'a
®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 O�RUCTION work indicated on this application.
❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $
-
❑Accessory building ®Multi-family _Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
—
. '�1 II9FORMATION AND LOCATION Total number of floors:
Job site address:7148 SW GONZAGA ST New dwelling area: square feet
City/State/ZIP:TIGARD OR 97223 Garage/carport area: square feet
Suite/bldg.lapt.no.: Project name:THE ADRIENNE Coveted porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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
OF WORK work indicated on this application.
FIRE ALARM Valuation: S$9,450.00
Existing building area: square feet
New building area: square feet
• 0 ramierry ow= l CI =cuff Number of stories: 3
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:-
Phone:( ) Fax:( ) New: B,R-2
IN AIMPEICANT 0 coma, PERSON
' Nana
Business name:SAFE TECHNOLOGY GROUP INC. All contractors and subcontractors are required to be
Contact name:JASON SWEET licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:6400 NE HWY 99 SUITE G375 jurisdiction in which work is being performed.lithe
City/State/ZIP:VANCOUVER WA 9$665 applicant is exempt from licensing,the following reasons
Ply:
Phone:(360)699-2130 l Fax::(360)719-1527
E-mail:SALES*SAFETECHNOLOGY.NET
CONTRACTOR TROLDING miff NZ. ,
crtmarik
Business name:SAFE TECHNOLOGY GROUP INC. ° giagarik
Permit fee:
Address:6400 NE HWY 99 SUITE G375 -
State surcharge(12%of permit fee):
City/State/ZIP:VANCOUVER WA 98665
FLS plan review(40%of permit fee):
Phone:(360)699-2130 I Fax:(360)719-1527 (Due upon application.)
CCB lie.:173731 Total permit fees:
Authorized signature: / -541-t ►. Amount received: 1 r
This permit application expires if a permit is not obtained
Print name:JASON SWEET 1 Date: 14-14 within 180 days after it has been accepted as complete.
• Fee methodology set by Tri-County Building Industry
Service Board.
I lauilding\Pamits\FPS-P'ermgAppdoc OVUI/II 440.16I3T(I14).21COMWE$)
C ty •f Tigard: Fire Protection Permit Checklist
p e 2 Supplemental Information
{ , ,rk to be done:
L) ❑ 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:
4ppble):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I- Rood Fite Suppression System
Hood Project Valuation: s
C.) Fife Alum
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 9450.00
it).., 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.
Fite Protecdon 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 2 sets of plans at submittal. Plan review fees are required at submittal.
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