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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT ■ COMMUNITY DEVELOPMENT Permit#: FPS2014-00127 T t G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/04/2014 Parcel: 1 S 135ACO2500 Jurisdiction: Tigard Site address: 9378 SW MANDAMUS CT Project: LONGSTAFF APARTMENTS SALES OFFICE ADDITIC Subdivision: ASHBROOK FARM Lot: 25 Project Description: Install 13D fire sprinkler system with tank and pump to convert a temporary leasing office to a permanent leasing office. Contractor: METRO SAFETY&FIRE INC Owner: MACH 1 GE-ASHBROOK LLC PO BOX 33650 851 SW 6TH AVE#1500 PORTLAND, OR 97292 PORTLAND, OR 97204 PHONE: 503-231-2999 PHONE: FAX: 503-256-4691 FEES Description Date Amount Specifics: Permit Fee-RES 08/04/2014 $246.45 12%State Surcharge-Building 08/04/2014 $29.57 Type of Use: SF Info Process/Archiving-Lg$2.00(over 08/04/2014 $2.00 Class of Work: ALT Type of Const: VB 11x17) Occupancy Grp: R-3 Height: ft Info Process/Archiving-Sm$0.50(up to 08/04/2014 $20.00 Stories: 2 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: LT 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 $298.02 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 2010 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. Issued By: Permittee Signature: C 9.4175 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. Building Permit Application Fire Protection System RECEIVED FOR OFFICE I SF O\1.1 Received „tram ^_7 City of Tigard Date/13 Permit No.: �i/OSOLO1/ —elni ` II 13125 SW Hall Blvd.,Tigard,OR 97224-IL 3 0 2014 Plan Review �� • Phone: 503.718.2439 Fax: 503.59 . ('�Ap�r, Date/B : �',� Other Permit: <j /3c7 (l/�j 3 T I G A K D Inspection Line: 503.639.4175 C OF I IV11flu Date Ready: : lurk ® See Page 2 for Internet: www.tigard-or.gov ty um;nengim r Notified/Method: Supplemental Information TYPE OF WORK 1 1 `1 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. Au 1-and 2-family dwelling ❑Commercial/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: ”7 $ 5 0 14104„(4/ u s. G New dwelling area: square feet City/State/ZIP: 7 ,c;„,„,d i f K ?7Z2..3 Garage/carport area: square feet Suite/bldg./apt.no.( Project name: Covered porch area: square feet Cross street/directions to job site: L--o l to 6Gr APR.67-/LlE, 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. � e Valuation: $ ��s-ta !I l.3,J2 �i t 57/ 4 l,e t SYs 7'&v,-t W r ' ! 1 Yx //4-`t//, U� � Existing building area square feet New building area: square feet Et PROPERTY OWNER ❑ TENANT Number of stories: f 1 Name: c✓.A r p o�C G.&lit,S/I'1- /91 f,C e_ Type of construction: Address: "1375' 5 17 /�"A frfri it 5 ('--/L.t Occupancy groups: City/State/ZIP: T.:,G ,( 4 J fe 72 z 3 Existing: Phone:(co3) Fax:( ) New: ❑ APPLICANT a CONTACT PERSON NOTICE Business name: /‘{e-t- t o's �Q,re_-f t 4.rr/ e_ All contractors and subcontractors are required to be Contact name: _` ( // / licensed with the Oregon Construction Contractors Board lP U C- /�!i+ ' �` under ORS 701 and may be required to be licensed in the Address:g Q 7 a at, tr d jurisdiction in which work is being performed.If the City/State/ZIP: k 4(0`F�St 1� 96 6 ac applicant is exempt from licensing,the following reasons apply: * Phone:(7 7)6©0'-/2/I? Fax::( ) E-mail:Li„te i� w ti r4-4 VC'fe/_ O. 6-'?"4-i / G O CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule Business name: edr 0 L5G..Frw 2/ (,r e Permit fee: Address: C'''2 If 5r '�Q_� A 51— State surcharge(12%of permit fee): City/State/ZIP: .i)0 C-F D r 7 2 3� 1� FLS plan review(40%ofpermit fee): Phone:( 6-03) Z,3/-2??of Fax:( ) (Due upon application.) CCB lie.: (,3 6,5i Total permit fees: Authorized signature:Ae.4....e_e___�'i' Amount received: This permit application expires if a permit is not obtained Print name:li(u(,e, 1)). 1h Q/` yk_ Date: 7 36 . l y within 180 days after it has been accepted as complete. y * Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\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.) ,Et.New 2.) Modification to sprinkler heads only: El Addition ❑ 1-10 heads: No plan review required. El Alteration ❑ 11+heads: Plan review required. El 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 7C 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_PemritApp.doc Rev 01/05/2012 2 I