Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
* COMMUNITY DEVELOPMENT Permit#: FPS2014-00058
T I Ci A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/22/2014
Parcel: 1 S134BC00300
Jurisdiction: Tigard
Site address: 12220 SW SCHOLLS FERRY RD
Project: Greenway Town Center-Whole Foods Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Installation of(3)fire suppression systems for Type I hoods.
Contractor: METRO SAFETY&FIRE INC Owner: FW OR-GREENWAY TOWN CENTER LLC
PO BOX 33650 PO BOX 790830
PORTLAND,OR 97292 SAN ANTONIO,TX 78279
PHONE: 503-231-2999 PHONE:
FAX: 503-256-4691
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/22/2014 $123.72
12%State Surcharge-Building 04/22/2014 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 04/22/2014 $49.49
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 04/22/2014 $4.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 04/22/2014 $10.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes 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 S202 06
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $4,632.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, • OR _: odes and all other
applicable law. All work will be done in accordance with approved plans. This permit will e •ire if w•rt. not started •n 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to fo • les adopted by e Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-• •I. �. •'tain a copy of e rules
or direct • - -• to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue. By: PermitteeSignature: -�
Call 503.639.4175 by 7:00 a.m.for the next available inspection •. -
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 RECEIVED FOR OFFICE USE ONI.I
City of Tigard
Received 1j150g0! 04)051
��p Date B : Permit No-: / 5 0
�'t 13125 SW Hall Blvd.,Tigard,OR 94AR 3 1 2014 plan Revie
Phone: 503.718.2439 Fax: 503.598.1960 DateB :AI 411 j Other Permit: 'kite Ays_.coon., •
T I GAR D Inspection Line: 503.639.4175 GRIN T1GAFD Date Re.'" bi , furls: RI See Page 2 for
Internet: www.tigard-or.govA Notified/MethoQ! 7 �� �n' Supplemental Information DIVISION c lap-Ale,
TYPE OF WORK !E UIRED DATA:1-AND 2-FAMILY DWELLING
gi New construction ❑Demolition Pe ' fees*are based on the value of the work performed.
Indicate the value(rotnded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling aCommercial/industrial 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: 12b _20LtS, FAD New dwelling area: square feet
City/State/ZIP: SL,E> 42� t Ql Garage/carport area: square feet
Suite/bldg./apt.no.: —� Project name:
Covered porch area square feet
Cross street/directions to job site: 1 22ND A R04,4),.. -4;c22,_, 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(rotnded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
/��
DESCRIPTION OF WORK {� ( �yy� work indicated on this applicatio
/� --- C t�'u f F4)Nscl.. .- �`( J,"1�1� ss'E* Valuation: $ Z v`---
S-t��/`-, S Existing building area / square feet
b `C� New building area: `. .'7 O square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:/
Name: lit ( Type of construction:�u r (AP
Address: j'2.....2 a.J Z61-01 LS 'F ` f2.6, Occupancy groups:
City/State/ZIP: 1 , p!z Cil-17?S Existing:
Phone:(SDI 1)—r 1 I`i Fax:( )
New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: G .°_,C^-7/4)^.(04P- All contractors and subcontractors are required to be
Contact name: I e ti licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be lensed in the
Address: I L-1 ggaa 2 i jurisdiction in which work is being performed.If the
City/State/ZIP: ate.._ 233 applicant is exempt from licensing,the following reasons
��N(� J U 7 apply:
Phone:( 23( -Q% I Fax::( )
E-mail e ( 1(,{,e )} Ci A n(/) ,0,3,`-J
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: it 2_0 ��1�cFo_ie krt Permit fee:
Address: ) L9.l'_ ZJ�„I. sic /�->! e• c-C 2 -
t State surcharge(12%of permit fee):
City/State/ZIP: enA N J 62_ 07 72.33 FLS plan review(40%ofpermit fee):
Phone:( ,3 ) ' _ #11,1111,.. Fax:( ) (Due upon application.)
—
CCB lic.: . a��MUI ' Total permit fees:
t v . Amount received:
Authorize signature:
(i This permit application expires if a permit is not obtained
�`� I , within 180 days after it has been accepted as complete.
Print name: _1 ii Date: -3\—
1 '�` _ * Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Pennits\FPS-PermitApp.doc 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.) El New 2.) Modification to sprinkler heads only:
❑ Addition El 1-10 heads: No plan review required.
❑ Alteration El 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 ❑ Yes
include: Individual Component ❑ 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:
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
999 Sprinkler Final
PASS - No C of O
FPS2014-00058
Chip Barnett
Violation Summary:
Inspector Contractor