Permit v CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
114 a. COMMUNITY DEVELOPMENT Permit#: FPS2014-00096
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/29/2014
T t i;r1 li n g Parcel: 1 51260000300
Jurisdiction: Tigard
Site address: 9402 SW WASHINGTON SQUARE RD P01
Project: Dick's Sporting Goods Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Remove(4)sprinklers in existing Addias sign(sign to be removed and replaced,existing sprinklers to be replaced
in new sign).
Contractor: PARKER FIRE PROTECTION INC Owner: PPR WASHINGTON SQUARE LLC
30205 SE KELSO RD PO BOX 847
BORING, OR 97009 CARLSBAD, CA 92018
PHONE: 503-663-6278 PHONE:
FAX: 503-663-7297
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/29/2014 $77.99
12%State Surcharge-Building 05/29/2014 $9.36
Type of Use: COM Plan Review-Fire Life Safety-COM 05/29/2014 $31.20
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Gales Provided: Cut Sheets Required:
Total $118.55
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,500.00
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 ob-in a copy of the rules
or direct questions to UNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
/01 //224 ./t
Call 503.639.4175 by 7:00 a.m.for the next available ins,ection 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.
Buildine Permit ApplicationRECEIVEP
Fire Protection System FOR OFFICE USE ONLY
City of Tigard MAY 2 9 2014 Received 4_. Permit No
- Date/B -- e�' / srf/i S. // —oevei
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie
Phone: 503.718.2439 Fax: 503.598.EIoi'Y OF TIGARD Date/B : Other Permit:
T I GAR D Inspection Line: 503.639.4175 Date Ready/3y: 63 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑ Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded 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 Valuation: $
y g ®Commercial/industrial
❑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:9402 SW Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Dicks Sporting Goods 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: 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 work indicated on this application.
Remove(4)Sprinklers in existing Addias Sign Sign to be Removed and replaced, Valuation: $$1,500.00
Existing sprinklers to be replaced in new sign Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: x
Phone:( ) Pax:( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name:Parker Fire Protection Inc. All contractors and subcontractors are required to be
Contact name:Robert Parker licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:30205 SE Kelso Road jurisdiction in which work is being performed.If the
City/State/ZIP:Boring,Oregon 97009 applicant is exempt from licensing,the following reasons
apply: _
Phone:(503)663-6278 Fax::(503)663-7297
E-mail:pk.fire @comcast.net
CONTRACTOR BUILDING PERMIT FEES*
Business name:Parker Fire Protection Inc. (Please refer tojeescheduJe)
Permit fcc: 7 7, y 5
Address:30205 SE Kelso Road
City/State/ZIP:Boring,Oregon 97009 State surcharge(12%of permit fee):
Phone:(503)663-6278 Fax:(503)663-7297 FLS plan review(Due n permit ion.)
( ) ( ) (Due upon application.) � -���
CCB lic.:124300 7/zc//S Total permit fees: %'7 `'
Authorized signature: * �7�- Amount received: /j 5�
"Cif This permit application expires if a permit is not obtained
Print name: Robert Parker Date:5-28-2014 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PermitApp.doe Rev 01/05/2012 440-4613T(t1/02/COM/WEB)
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 El 11+ heads: Plan review required.
E l Repair
Number of sprinkler heads: 4
Additional description of work: i.np en4c. c 5pIo2,h•-le-L-e W k..1 L''
s r y'I e S , e .1 r IT /e". .- L e.
T j•a of System (Complete A, B, C or D as applicable):"
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes rJ//1
Information: Hazard Group /41
pow ve 4 ee yL4ce Density
��tST rio c-1` ? Design Area 10/1
lb S pr2 t*kLC S(_ l 5 K. Factor >1 t
Sprinkler Project Valuation: $ 1,500.00
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): $ 1,500
Permit fee based on project valuation (see fee schedule): $ 77,9'f
Permit fee based on square footage (see D above): $
State Surcharge(12%of permit fee): $ 9-36
FLS Plan Review(40%of permit fee): $ —
TOTAL: $ S 7-3�
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
C:\DOCUME-1\PARKER-1\LOCAL S-1\Temp\PPS-PemvtApp.doc Rev 01/05/202
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
9402 SW WASHINGTON SQUARE RD P01,
TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler Final
PASS - No C of O
June 5, 2014 at 10:22:18 AM
FPS2014-00096
Chip Barnett
Violation Summary:
Inspector Contractor