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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT • COMMUNITY DEVELOPMENT Permit#: FPS2014-00036 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/24/2014 Parcel: 2S112AA00600 Jurisdiction: Tigard Site address: 6713 SW BONITA RD 270 Project: Leaf Guard Subdivision: MILLMONT PARK Lot: 49 Project Description: Fire sprinkler modification: add(3)heads&relocate(3)heads Contractor: AFP SYSTEMS INC Owner: WALTON CWOR NELSON 13 LLC 19435 SW 129TH AVE BY EQUITY OFFICE MANAGEMENT LLC TUALATIN, OR 97062 PO BOX A-3879 CHICAGO, IL 60690 PHONE 503-692-9284 PHONE: FAX 503-692-1186 FEES Description Date Amount Specifics: Permit Fee-COM 02/24/2014 $72.61 12%State Surcharge-Building 02/24/2014 $8.71 Type of Use: COM Plan Review-Fire Life Safety-COM 02/24/2014 $29.04 Class of Work: ALT Type of Const: Occupancy Grp: Height: It Stories: 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 $110.36 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,300.00 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 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. Issued By: ( /' „C Permittee Signature: CL(' Call 503.639.4175 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 1 OR (II I I( I 'l O.l,1 Ci}�, of Tigard Receives `Q�� `,f g / Permit No.: � jj —�1D j 111111 II • 13125 SW Hall Blvd.,Tigard,ORCEIVEI� Plan Review �' Phone: 503.718.2439 Fax: 503.59 . 60 03y: Other Permit: TI. ;�it U Inspection Line: 503.639.4175 Date Ready/By: ru<i. H See Page 2 for Internet: www.tigard-or.gov FEB 2 4 2014 Notified/Method: _ Supplemental information Tv>f lloii.6.41iii. REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction RI 1 IllfitkelIvISION iv Permit fees*are based on the value of the work performed. �Addition/alteretion/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRLUCTION work indicated on this application. ❑ 1-and 2-family dwelling ig:Cornmercial/mdustrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 3 a 0 t New dwelling area: square feet 'yCity/State/ZIP: 7 Garage/carport area: square feet Suite/bldg./apt.no.:A © C© I Project name: A p V 44N A 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: I Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(romded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRUII' 'ION OF WORK work indicated on this application. A/IA r. - 1 - - .. C a Valuation: $5019,,r- Existing+ JJ Existing building area 30 K square feet New building area: 9 DP square feet 13 PROPERTY OWNER TENANT Number of stories: '=3 Name: q, a pp Type of construction: Address: 1 &O I`t) Occupancy groups: City/State/ZIP:''r u—t i ©R- Existing: �L_ Phone:( ) Fax:( ) New: .APPLICANT ® CONTACT' PERSON " NOTICE Business name: Ac (..9,..c._ All contractors and subcontractors are required to be Contact name: �LW1 licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: I C).1........1,)S S� 1 p1 m jurisdiction in which work is being perforated.If the City/State/ZIP: j U applicant is exempt from licensing,the following reasons t)A4i l4't IW ©1� apply: Phone:( i ) 6 Q 2—cl Zc$4 Fax::( ) Gq 2 —it e,6 E-mail: .11 . a A .Fe S.1 5 -CQ wn. CONTRACTOR BUILDING PERMIT,FEES* Business name: . '' #lb - seke srle Address: Permit fee: City/State/ZIP: State surcharge(12%of permit fee): Phone:( ) ) Fax: FLS plan review(40%of permit fee): 1 ( ) (Due upon application.) CCB lic.: 19- 5'3%-k Total permit fees: Authorized signature: l Amount received: $77,I' This permit application expires if a permit is not obtained Print name: ,3 i Date: within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. t:S BtuldiaeermiuVPS-PerreitApp.doc Rev 01/05t2012 440-4613r(11rovCOM/wea) - City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work to bedone 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition 63-1-10 heads: No plan review required. 9-Alteration ❑ 11+ heads: Plan review required. O Repair Number of sprinkler heads: Additional description of work: Type of System(Complete A,B,C or I)as applicable): s A.) Commercial Sprinkler [ - Wet ❑ Dry Additional Standpipes A./JA Information: Hazard Group i,10 Density ,I D Design Area 5(qC> K.Factor ,(3 Sprinkler Project Valuation: $ 6-00 r B.)• Type I - Hood Fire Suppression System Hood Project Valuation: , $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component 0 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 I 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): $ FIS 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\Pemuts\FPS-PeanitApp.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 6713 SW BONITA RD 270, TIGARD, OR, 97224 Commercial - Fire Protection System 999 Sprinkler Final 2014-03-14 00:00:00 FPS2014-00036 PASS - No C of O Violation Summary: Inspector Contractor