Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
• COMMUNITY DEVELOPMENT Permit#: FPS2014-00014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/12/2014
Parcel: 2S101AB01606
Jurisdiction: Tigard
Site address: 7357 SW BEVELAND RD 100
Project: Well&Good Coffee House Subdivision: HERMOSO PARK Lot: 17
Project Description: Hood fire suppression system for TI.
Contractor: UNIVERSAL FIRE EQUIPMENT Owner: MIF LLC
18260 SW 100TH CT 7357 SW BEVELAND RD#200
TUALATIN,OR 97062 TIGARD, OR 97223
PHONE: 503-691-9000 PHONE:
FAX: 503-691-9004
FEES
Description Date Amount
Specifics: Permit Fee-COM 01/27/2014 $102.20
12%State Surcharge-Building 01/27/2014 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 01/27/2014 $40.88
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 01/27/2014 $15.50
Occupancy Grp: A-2 Height: ft 11x17)
Stories: 2
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 $170.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,450.00
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 No' n 1,- - . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir questions to OUN calling 503.232.1987 or 1.800.332.2344.
Is ued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspectio •ate.
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 Permit Applicati C,_
NNV
Fire Protection System �^ '°'11/4 11W 1/1:1:1( I I ■I \I.1
\ ( Received
City of Tigard JP � Q Date/B : 17 f.�� Permit No.: —a 13125 SW Hall Blvd.,Tigard,OR 97223 WI Plan Revieir 1
• T , I��� Other Permit:
Phone: 503.718.2439 Fax: 503.598.14(+@ rY t�`v S 0 Plan R : �1� ■ ,� �E7/ - •
TI c n R l) Inspection Line: 503.639.4175 �,1 ��Cj vl Date Ready/By: /� // w nuns ® See Page 2 for
Internet: www.tigard-or.gov B{`l1� Noti�ad/Method: c /�9 II Ti(D Supplemental Information
Vv L,�
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑Newtruction ❑Demolition Permit fees*are based on the value of the work performed.
'A/ Indicate the value(rounded to the nearest dollar)of all
ddition/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 o mmerciaiIindustrial Valuation: $
1:1 Accessory building El Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 73c7 5-� 8,,,delan,( 4C, New dwelling area: square feet
City/State/ZIP: -1—;//��r-� i--.)(2_,, e7-7 7 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area square feet
Cross street/directions to job site: t u 9 a0,1) &#-t4 L 4z:, -I 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.
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.
Z�'1 5_47:)..A0/43.11...0_1_1_, /� At /2 rc7�� l_ ,oc/:3,`� Valuation: $Z� -C�
i' _s- - , � v . ,..55-Z-",---t Z � /4-4L Existing building area square feet
ex h„ ,_ L h, 9, New building area: square feet
OPERTY OWNER ❑ TENANT Number of stories:
Name: ,"--7Z7,07-7 C7 Zr___ Type of construction:
Address: -73s----7 6--,...,.., 1g,cuj J ,. Occupancy groups:
City/State/ZIP:f i -f, 6.9A cr7 a'Z.? Existing:
Phone:(3) 6 0_ /74- 7 Fax:( ) New:
igiC PLICANT 0..e01/PACT PERSON NOTICE
Business name:ilh N airs- �� 7 g n f yy��f All contractors and subcontractors are required to be
Contact name:G � - licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be Ikensed in the
Address: J g-z G s(,r2 /pj7" CI, jurisdiction in which work is being performed.If the
City/State/ZIP: T,' �-1-// cy�r -,7 o6 "Z applicant pp is exempt from licensing,the following reasons
Phone:3) 4 `��l. 5'E?Vv I Fax::( )
E-mail:
CONTRACTOR / BUILDING PERMIT FEES*
Business name: S f,,._.G_ 14-S- 4 p 0� - J (Pleaere/era°Ieeacl�dlele1
Permit fee:
Address:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lic.: ?•b 7 2 3 ., Total permit fees: P 7O< 8i
Authorized signature. / _ Amount received:
This permit application expires if a permit is not obtained
Print name: ,,dir f e Date: /-2 7—/CK within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I.\Building\Permita\FPS-PennitApp.doe Rev 01/05/2012 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:
El Addition El 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: $ ?it
C.) Fire Alarm
Submittal shall Battery Calculations El Yes
include: Individual Component El 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
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7357 SW BEVELAND RD 100, TIGARD, OR,
97223
Commercial - Fire Protection System
920 Suppression Trip Test
2014-02-27 00:00:00
FPS2014-00014
PASS
Violation Summary:
Inspector Contractor