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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 1111 II COMMUNITY DEVELOPMENT Permit#: FPS2014-00165 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/15/2014 Parcel: 2S102CC00500 Jurisdiction: Tigard Site address: 13500 SW PACIFIC HWY 30 Project: !chi Teriyaki Subdivision: FREWING'S ORCHARD TRACTS Lot: 15 Project Description: Fire sprinkler: Relocate(7)heads Contractor: FIRE ONE FIRE SYSTEMS INC Owner: ROIC OREGON LLC PO BOX 734 8905 TOWNE CENTRE DR,STE 108 OREGON CITY, OR 97045 SAN DIEGO,CA 92122 PHONE: 503-557-9050 PHONE: FAX: 503-557-9268 FEES Description Date Amount Specifics:, Permit Fee-COM 10/15/2014 $64.54 12%State Surcharge-Building 10/15/2014 $7.74 Type of Use: COM Plan Review-Fire Life Safety-COM 10/15/2014 $25.82 Class of Work: ALT Type of Const: Occupancy Grp: Height: ft Stories: Commercial Sprinkler System: Sprinkler Required: 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 $98.10 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $975.00 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 suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility i'cation 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 dir-ct questions to OUNC • •. i • 503.232.1987 or 1.800.332.2344. Is ued By: ` ��/ .i // Permittee Signature:Call 503.639.4175 by 7:00 a.m.for the next available insp=• ion 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 USE ONLY City of Tigard Received Date/By: /O /c /e! Permit No..frk) 1' 311 _ /b5- _ " 13125 SW Hall Blvd.,Tigard,OR 9722(`T 15 2014 Plan Review Q, n� _ `.7, ('hone: 503.718.2439 Fax: 503.598.1 60 Date/By: Other Permit to ! 4/ T I G A R D Inspection Line:g503.639..4175 CITY OF TIGAitU Date Ready/By: Juris: See Page 2 for Internet: www.tl ardor. ov Notified/Method: Supplemental Information BUILDING DIVISION 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 Js Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit f. the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling R 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: `3 Sc)O 5,l.)-1 'Act F2),c, 4\w y New dwelling area: square feet City/State/ZIP: G.AR D Ge,..O1, Garage/carpo •a: square feet Suite/bldg./apt.no.: `•70 Project name: tQA... . Di-. Covere• .orch area square feet Cross street/directions to job site: D-' 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. Valuation: ��R L L0 c_.)=-\-c_.)=-\---r- 1 ' 'z( \5 N6-- `F l R� SP R‘ tQ�BL S i�Lc\ '- �� '[�a•a { t K-r- Existing building area square feet C ^C L.L L f\y t) ti-T- I 6� ( ` New building area: square feet W ❑ PROPERTY OWNER I .TENANT Number of stories: Name: Spa i-t T 'T t siy p j Type of construction: Address: 3 5 0 0 5 1/4„.; . f �1 F k 0 j- \ \/ Occupancy groups: City/State/ZIP: i .,„.R 1 a RiGO J Existing: Phone:( ) Fax:( ) New: APPLICANT TANCONTACT PERSON NOTICE Business name: F l R N E I—t t .i S�15 r All contractors and subcontractors are required to be Contact name: �(��3 ��-`T licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: . t U t &OA 3 L jurisdiction in which work is being performed.If the City/State/ZIP: ©R.LF G-ON Q. ` "1) t i 9, 0 i 4--� applicant is exempt from licensing,the following reasons -i �! apply: Phone:•(5 3 S 5-1'�iO 5 C� Fax::(50 5 57 'c{ Lev 9 E-mail: • CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee uk) /–;`IK,IJJ` � Business name: Permit fee: Address: CSi\m e. 14s ABC7lti) o �J State surcharge(12%of permit fee): 7 City/State/ZIP: FLS plan review(40%ofpermit fee): 2 ' Phone:( ) I Fax:( ) (Due upon application.) °�• a °�' CCB lie.: 9 ? t1.4,Q Total permit fees: �J Amount received: i U' /0 Authorized signature: / ..e.,7 This permit application expires if a permit is not obtained Print name: 1"( 11�).L `0` ) Date:/0-2_(21 * within 180 days after it has been accepted as complete. C Fee methodology set by Tri-County Building Industry Service Board. I:\BuildingWermitsFPS-PermitApp.doe Rev 01/05/2012 440-4613T(I1/02/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 cir 1-10 heads: No plan review required. Alteration ❑ 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 12 Wet ❑ Dry Additional Standpipes Information: Hazard Group Density • 0 Design Area j Sao K. Factor 5, 4, Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: I $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone System) I 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\Pemrits\FPS-PemutApp.doc Rev 01/05/2012 2 Legend: ® = 155°SSP / I [ j • (New/Relocated) _ •°SSP 'rrMrrrrIIINI rrrrr�rrrrrr. CEIT ding) _ r RE ® ® ® • 1 I I ♦+ OCT 1 5 2014 1.■ 41 • CITY OF TIGARD I OWE 1401:0 , • BUILDING DIVISION ><:: r • 7 :Total Heads 0 0 X• 41.X ><4.7 OE—1 Ek CO-1 CD-1 ' , t I r CD-1 • ill I x k rn il 1 , CD- - CD •_ N - r I! �!I�;�r :i ?1 v Y c 0 V .,►.i 1 ® N►:� ® ® i� 3 a°A.1 All, • ibi I TWA:: Ls u L- V . mow °o Ln m General Notes: 1) All work to conform with NFPA 13 current edition and be approved by local jurisdiction. 2) Any piping over 2' to be supported. 3) Field verify all measurements prior to installation. F.O.F.S. 4) Heads in hard lid areas to be hard piped, heads in drop ceiling Fire One Flre Systems Inc CCB 98140 Po Box 734 OC,OR 97045 to be installed off flexible whips. 503-557-9050 Fax 503-557-9268 Date: 29SEP14 f520 7 Y-06/b Drawn By: Nick B. /3550 5 71/ 6ZC - °{-/w y 30