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Permit Ill CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2014-00070 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2014 Parcel: 25101 AA02900 Jurisdiction: Tigard Site address: 12123 SW 69TH AVE Project: Capital One-Building A Subdivision: WEST PORTLAND HEIGHTS Lot: B Project Description: Adding,removing,and relocating fire sprinklers for existing TI. Contractor: FIRE SYSTEMS WEST INC Owner: TIGARD CORPORATE CENTER LP 600 SE MARITIME AVE#300 15325 SW BEAVERTON CREEK CT VANCOUVER,WA 98661 BEAVERTON, OR 97006 PHONE: 360-693-9906 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 06/02/2014 $112.96 12%State Surcharge-Building 06/02/2014 $13.56 Type of Use: COM Plan Review-Fire Life Safety-COM 06/02/2014 $45.18 Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 06/02/2014 $4.00 Occupancy Grp: B Height: ft 11x17) Stories: 2 Info Process/Archiving-Sm$0.50(up to 06/02/2014 $7.50 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: LT Density: .10 Design Area: 1500 K Factor: 8 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $183.20 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $3,480.00 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 O NC by calling 503.232.1987 or 1.800.332.2344. /� 7 Issued By: Permittee Signature: (�"—`" C/ G 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. , Bui1dinE Permit Application �1 �` � Fire Protection System �A„rj1 ``I s, F0I4 Ol t l( E t SE O\l,l R Received - City of Tigard �Q Permit No.: tY g ti0 Date/B : I �/ �� , r p " 13125 SW Hall Blvd.,Tigard,OR 97223 np an ewe Phone: 503.718.2439 Fax: 503.598.1960 t s`� r AA0 Date/13 a=� Other Permit: / _ Inspection Line: 503.639.4175 O�` Wr l� ■ , ~ Page , C 1�Date Rea.y :y: Juris: • See Page 2 for TIGARD Internet: www.tigard-or.gov Y S Notified/Method: l f�/ T7G Supplemental Information TYPE OF WV 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 pAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I-and 2-family dwelling XCommercial/industrial Valuation: $ El Accessory building El Multi-family Number of bedrooms: 1:1 Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: IL 1 Z (,,J 6 -Tht 4 vg New dwelling area: square feet City/State/ZIP:--I r., 4/...9 0 u.-- 9 7 22.3 Garage/carport area: square feet Suite/bldg./apt.no.: A Project name:cjiQ('Ic_. ONE- 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. 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. f191?, c- ovg, REL-oc.1Ta" Fir---5: 5P9iNKL4- -c F'f Valuation: $ 3 4�,— eg I S?-(Nh -WKI ALIT /m Pf�v i4itvArr Existing building area: square feet New building area: square feet 'PROPERTY OWNER ❑ TENANT Number of stories: Name: TI6,4 C_c:ApfiRA�L. Ge-hr►bX L Type of construction: Address: 1 57 00 iv(L L I'K/ l 1041 Occupancy groups: City/State/ZIP: Vaz.'btV 012- 9 7 0 0 Existing: Phone:(9Y) ) G,46, .-Z Zo Z Fax:( ) New: ,APPLICANT ❑ CONTACT PERSON NOTICE Business name: F(FE 5 1/S7ar''S i.irS37-- All contractors and subcontractors are required to be Contact name: co Sr4M(�SvIJ licensed with the Oregon Construction Contractors Board 1 J under ORS 701 and may he required to be licensed in the Address: �0z> 56 pi"}12 t'r'IryA" /j� =Y -7at. jurisdiction in which work is being performed.If the City/State/ZIP: ^^ applicant is exempt from licensing,the following reasons V/ C"Q" 7- /6✓r'T gt'64./ apply: Phone:(j 6 0) 9 7 q 70 6 Fax::( ) E-mail: CONTRACTOR BUILDING PERMIT FEES* ~ \ (Please refer to fee schedule) Business name: 5 L-Scrr,, .c3 Szt,r J Permit fee: Address: J State surcharge(12%of permit fee): City/State/ZIP: o FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application.) CCB lic.: 4 q -7-3 Z Total permit fees: Amount received: Authorized signature:- 7- This permit application expires if a permit is not obtained Print name: ASb 4 Mess- Date:/- 2 _I 4 * within 180 days after it has been accepted as complete. Fee methodology set by Tri-County Building Industry Service Board. I.\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 440-4613T(I1/02/COMIWRB) r. • City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work to be done: 1.) ❑ Ncw 2.) Modification to sprinkler heads only: ❑ Addition 0 1-10 heads: No plan review required. Alteration r 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: ? Additional description of work: Tise of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler Wet ❑ Dry Additional Standpipes Information: Hazard Group L.I y 6-1 r Density ©, lO Design Area to _ K. Factor 8, O$< 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 N 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. http://www.tigard-or.gov/city_hall/departments/cd/dots/FPS-PermitApp.doc Rev 0115/2012 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 12123 SW 69TH AVE, TIGARD, OR, 97223 Commercial - Fire Protection System 999 Sprinkler ﬁnal PASS - No C of O FPS2014-00070 Chip Barnett Violation Summary: Inspector Contractor