Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
Ai
III a . COMMUNITY DEVELOPMENT Permit#: FPS2014-00093
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/27/2014
T l t;A 11 17 g Parcel: 1 S126CA01000
Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 145
Project: Bambuza Vietnam Kitchen Subdivision: FAIRVIEW PLACE CONDO Lot: 20
Project Description: Adding(5)sprinkler heads for TI. Please retain plans on site for inspections.
Contractor: PATRIOT FIRE PROTECTION INC Owner: CAFARO NORTHWEST PARTNERSHIP
4708 NE MINNEHAHA ST PO BOX 422
VANCOUVER,WA 98661 FLORHAM PARK, NJ 07932
PHONE: 360-699-4403 PHONE.
FAX: 360-699-4485
FEES
Description Date Amount
Specifics; Permit Fee-COM 05/27/2014 $59.16
12%State Surcharge-Building 05/27/2014 $7.10
Type of Use: COM Plan Review-Fire Life Safety-COM 05/27/2014 $23.66
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .1 Design Area: 225
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $89.92
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $800.00
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.
l
Issued By: /- Permittee Signature: � -
7 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.
MAY. 27. 2014 7:08AM PATRIOT FIRE VANC NO. 5403 P. 2
Building Permit Application
Fire Protection System iv E 1 0,4.(0.1 I( I I ,1 0.1
N s )
City of Tigard 98 cF Fr Permit No.; ii f ,j 14-o
"•_.'lei
IL ims w Ha Blvd..Tigard,OR Plan Review
•91 111 Phone: 503.718.2439 Fax: 503.598.1960m
2-I 2014 Date/8 . odic:Permit:
-1IG A RD Inspection Line; 503.639.4175 Dale Reaclyiay. Sec Page 2 for
Internet: www.tigard-orgov
CITY OF fIGARU Notified/Method: BM ;upplcmcotol Information
-'ifi6Yi;;:,IL:7:',r1L---)::7:7•7911te )401;01:SP: ''''':,.....1(!1.1:','!,:;;;;: - ..: RE01.0.6•0**V--- —r,
O New construction 0 Demolition Permit fees*are based on the value of the work performed—.
— Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the
afit(jd,tro'i:,T.: .": • . :'," :::::. . .' work indicated on this application.
0 1-and 2-family dwelling 1:31 Commercial/industrial Valuation: S
—
O Accessory building 0 Multi-family Number of bedrooms:
_
—
O Master builder D Other Number of bathrooms:
iiii,V2,,t.V.i:. :271V.ACIIi*E:7,*VilthikiTON'AN)) tOcAl - ‘,.- ''. ' T Total number of floors:
Job site address:9009 SW Hall Blvd. New dwelling area: square feet
City/State/ZIP:97223 GarageJcarport area; square feet
Suite/bldg./apt.no.:145 Project name:Bambuza T.I. Covered porch area: square feet
Cross street/directions to job site:SW Palmblad Road Deck area: square feet
--,
Other structure area: square feet
REC1611*6%74*W4i0WeteirtOr ciiiiito§v
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
1 :,.',]0**601S7:07:74311-IC. ''' ,: ':: work indicated on this application.
S800
add sprinklers for new walls&ceilings Valuation:
Existing building area: same square feet
New building area; same square feet
:-00411.11455s*R . : .:.1 El'IBINANT Number of stories: 5
Name:Bambuza Type of construction: 3-B
Address:9009 SW Hall Blvd,suite 145
Occupancy groups:
City/State/ZIP:Tigard,OR 97223
Existing: B
Phone:( ) Fax:( )
New: B
atilA:Rt..'6j..AliVe*t:' ' . . 0'CONTACT PERSON - . , . •
NOTICE
Business name:Patriot Fire Protection,Inc
All contractors and subcontractors are required to be
Contact name:Ted Baker licensed with the Oregon Construction Contractors Board
.
under ORS 701 and may be required to be licensed in the
Address:4708 NE Minnehaha Street jurisdiction in which work is being performed.If the
City/Stare/ZIP:Vancouver,WA 98661 applicant is exempt from licensing,the following reasons
Phone:(360)699 4403 I Fax::(360)699 4403
E-mail:ted.baker@patriotfire.com
CONTRACTOR -
BUILDING PERMMIEFS!;;','?,'‘.-,':'-•.f;."'', ..
(Please refer to fee saierlaN
Business name:same as above
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP;
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lie:.70822 Total permit fees:
Authorized signature:
' ---------------- Amount received:
This permit application expires if a permit is not obtained
Print name:Ted Baker Date:5-27-14 within 180 days after it has been accepted as complete.
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MAY. 27. 2014 7:09AM PATRIOT FIRE VANC NO. 5403 P. 3
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
1 kintb. e A ' ?. done .', - : , ,:..
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ® 1-10 heads: No plan review required.
El Alteration El 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 5
Additional description of work:
.3 P,g,a o s o i le a`__E; C bi�D as°appfl b'le): ,:u,' _
If :,.::';* . '.eC px:akl�r' :. ,' . `;,'"- .. .
.A;,,,., ® Wet ❑ Dry
Additional Standpipes no
Information: Hazard Group light
Density .1
Design,Area 225
IC.Factor 5.6
Sprinkler Project Valuation: $ 800
)'jTY .1, 4'. i l ire'Stippiessiori' stexri ; .•,'',,
Hood Project Valuation: I $
•
Submittal shall Battery Calculations El Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
I):),�,Re r � #�a1'S'piinklet(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.
,,' ' ° ,N,::,':1'. Fire Protection Pen-nit/lees
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 PI=Review(40% of permit fec): $
TOTAL $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
\\patriotfire.local\dfs\VAN Profiles\tecLbakeAAesktop\Bambuzs 32.11990\submittal f'igard TI Affidavit see page 2.doc 02/01/11