Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
s. . COMMUNITY DEVELOPMENT Permit#: FPS2014-00025
T t C;A R I.7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/20/2014
Parcel: 2S101AB01400
Jurisdiction: Tigard
Site address: 7600 SW DARTMOUTH ST
Project: Walmart Subdivision: HERMOSO PARK Lot: 8
Project Description: Fire alarm for new 137,900 square foot retail store.
Contractor: AIRWAVE LLC Owner: PACIFIC REALTY ASSOCIATES LP
9865 NW 307TH AVE. 15350 SW SEQUOIA PARKWAY#300
NORTH PLAINS, OR 97133 PORTLAND, OR 97224
PHONE: 503-647-5999 PHONE: 503-624-6300
FAX: 503-647-7443
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/20/2014 $500.12
12%State Surcharge-Building 02/20/2014 $60.01
Type of Use: COM Plan Review-Fire Life Safety-MF 02/12/2014 $200.05
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 02/20/2014 $8.00
Occupancy Grp: Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 02/20/2014 $40.00
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $808.18
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage:
Fire Alarm Valuation: $45,000.00
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. • Cli)Le
Issued By: - . .:= Signature: e• //
_ -�_
Cal 5 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.
,Building Permit Application
Fire Protection System IOR O1 FIC'1: I SIT OM 1
City of Tigard g DaReceed i i1 _ PermiNo.: —q 13125 SW Hall Blvd.,Tigard,OR RECEIVE 3 Plan Review
C Phone: 503.718.2439 Fax: 503.598.1%0 Date/i3 : 2. inarifir.
Other Permit: j t 0 _-♦. -•
T I G A R D Inspection Line: 503.639.4175 FEB 12 2014 Date Ready/By: ' Juris: H See 'age 2 for
Internet: www.tigard-or.gov Notified/Method:'„ . Supplemental Information
CITY O F RD ,140- ./•
TYPE � VGIENGINEERING REQUIRED Li.-..A:v1-AND 2 FAMILY DWELLING
X New construction ❑Demolition Permit fees*ar,based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,:na:er'ilis,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
.:... Valuation: $
❑ 1-and 2-family dwelling Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
El Master builder her. Number o,`bathrooms:
JOB SITE INFORMATION AND LOCATION, Total number of floors:
Job site address: '1 LocO h New dwell ing area: square feet
City/State/ZIP: f ofC / v d Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: W5 1 5�? Covered porch area: square feet
..._
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
'!; AT , 1 , + I , , r
Subdivision: 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 P,: work indicated on this application. _
Valuation: $
Existing budding area: square feet
New building aiea: square feet
PROPERTY OWNER I _._., ❑ TENANT Number of stones:
Name: Witt,1, iuttl ' '�.e5 I N` Type of construction:
Address: I
1 0`,Q Se, ,51 112/I 5 . Occupancy groups:
City/State/ZIP: Jl- vi/I e, , A. �, 1 c.).1 I(y Existing:
Phone:(q1q /11' >; & Fax:( )
New:
❑ APPLICANT ❑ CONTACT PERSON s -"'
V l� All contractors aril subcontractors are required to '
Business name: o�
Contact name: 4l` , cur I ( licensed with the Oregon Construction Contractors Board
"' , , p under ORS 701 and may be required to be licensed in the
Address: t �5 kl IJ ��"r l.# e, jurisdiction in which work is being performed. If the
City/State/ZIP: Jy' 1 ■ ` on.(.vi t C. J�` 1 135
applicant is exempt from licensing,the following reasons
r,,qT� � 1 apply:
Phone:( (fi41-e C'l 9 Fax::(505) Loin -"14'7
E-mail: I •it { G Q �1-
. t Y
ive_11C- . CQv
1 CONTRACTOR BUr Ti I
* . i s. . ,, 3
Business name: 1 /V fc v't L.-LC/ _(7' _14,,:, - t l t,-
.,
Address: R 5 ) �'0`� � Permit fee:
�} State surcharge t12%of permit fee):
City/State/ZIP: po 1 P 4 0�Z vL l 133 FLS plan rcv w(40%of permit fee):
Phone:(�) (.047-5(14c) Fax:(6J� 1. cii- -7(...04�7 Late u.on as•lication.
CCB lic.: I�O I"!S D 1� 14 "� Total permit fees:
Authorized signature: id, i/ _ Amount received:• f.' This permit alrt,lication expires if a permit is not obtained
Print name: Nil YYlO�XSh�it 11 Date: (4 I I 1 within 180 days after it has been accepted as complete.
t * Fee methodoi,,t>;;et by Tri-County Building Industry
Service Beard.
1:\Budding Term its\FPS-PermitApp.doc Rev 01/052012 440-4611T(I I/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
9 one: " 1""E.91r
1.) '!4 New 2.) Modification to sprinkler heads only:
• Addition 0 1-10 heads: No plan review required.
ID Alteration 0 11+heads: Plan review required.
0 Repair
Number of sprinkler heads:
Additional description of work: A.
ryw 1-vz aiawn
T As e of S stem Cóm. ete A, B, C or D as"a 9 9 ca e
A.) Commercial Sprinkler - --
0 Wet 0 D
Additional Stand ii.es
Information: Hazard Grou.
Densi
Des':I Area
K. Factor
S•rinkler Pro'ect Valuation: $
B. TpeI - Hood Fire Su. ressioAS Ste"
Hood Project Valuation:
Submittal shall Batte Calculations Yes
include: Individual Component
Cut Sheets
Fire Alarm Pro'ect Valuation: $
D.) Residential Sprinkler (Stand Alone System -
.uare Footaze 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 : eater $404.39
Sprinkler Project Square Footage: sq.ft.
• ire Protection Permit Fees
Pro'ect valuation subtotal see A,B&C above : $
Permit fee based on .ro'ect valuation see fee schedule : $
Permit fee based on s.uare foota:- see D above : $
State Surchar: 12%of sermit fee : $
11..1 .1122L:=40' 0 o ermit eel $
TOTAL: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
P:\Wal-Mart\Oregon\Tigard(5935)\consulang FPS-PermitApp.doc Rev 01/05/2012 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7600 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2014-00025
Chip Barnett
Violation Summary:
Inspector Contractor