Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
• COMMUNITY DEVELOPMENT Permit#: FPS2014-00034
Ti C A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/05/2014
Parcel: 1S 134 BC00300
Jurisdiction: Tigard
Site address: 12220 SW SCHOLLS FERRY RD
Project: Whole Foods Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Fire alarm installation.
Contractor: STONER ELECTRIC Owner: FW OR-GREENWAY TOWN CENTER LLC
1904 SE OCHOCO PO BOX 790830
MILWAUKIE,OR 97222 SAN ANTONIO,TX 78279
PHONE: 503-462-6500 PHONE:
FAX: 503-659-2765
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/18/2014 $379.22
12%State Surcharge-Building 02/18/2014 $45.51
Type of Use: COM Plan Review-Fire Life Safety-MF 02/18/2014 $151.69
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 02/18/2014 $6.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 02/18/2014 $11.00
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: Yes Alarm Type: Automatic
Pull Station Required: Yes Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $593.42
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $29,800.00
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. ou m_ obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.3322344.
Issued By: ::Si!nature:
Call 50. � ■0 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.
I
Building Permit Application
Fire Protection System I III: (III It , ■ .1 I0 .
ligCity of Tigard r ��� ,Z Permit No.: mi,S. ")1 -t „
13125 SW Hall Blvd.,Tigard,003. . lif
Phone: 503.718.2439 Fax: 503.`` 1� 6p00 + a: irzgl a
I I c n R O Inspection Line: 503.639.4175 Q�Q\� Date tie'
eady p'- Jeri,:�� 0 See Page 2 for
Internet: www.tigard-or.gov rt1 D Notified/Method: , _ . / /—Cp Supplemental Information Ap.GV �U gtt j,.u. �,,ii
TYPE OF W sn,jci Olt -0,0 REQUIRED DATA:1-AND 2-FAMILY DWELLING
RI New construction lii ,•, v' Permit fees*are based on the value of the work performed.
` a . Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement LS Il er: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFOIRI!1(ATION AND LOCATION Total number of floors:
Job site address:,#at8 SW Scholls Ferry Rd. New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: Whole Foods 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.
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. Q
Installation of a Fire Alarm System
Valuation: $ Z'1 � 'C "�v--
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
g
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Ail contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) I Fax::( )
E-mail:
CONTRACTOR BUILDING PERMIT FEES"
Business name:
(Please refer to fee saherprlef
Stoner Electric, Inc. Permit fee:
Address: 1904 SE Ochoco Street
City/State/ZIP: State surcharge(12%of permit fee):
y Milwaukie, OR 97222
EIS plan review(40%of permit fee):
Phone:( )503-462-5248 I Fax:( ) 503-659-2765 (Due upon application.)
CCB lie.: 44823 Total permit fees:43ci 3, W.
Authorized signature: 4 Amount received:
'�i� This permit application expires if a permit is not obtained
I Print name: Dave Litzenber Date: 2/17/2014 within 180 days after it has been accepted as complete.
9 I * Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Pamite\FPS-PemutApp.doc Rev 01/05/2012 440-4613T(1 1,132/03/44/WEB)
4
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
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: $
C.) Fire Alarm
Submittal shall Battery Calculations ( Y
include: Individual Component Yes
Cut Sheets
Fire Alarm Project Valuation: $ �'
D.) Residential Sprinlder(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_Penniuipp.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
12220 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2014-00034
Chip Barnett
Violation Summary:
Inspector Contractor