Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
. COMMUNITY DEVELOPMENT Permit#: FPS2015-00137
Date Issued: 09/14/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 BA00101
Jurisdiction: TIGARD
Site address: 7500 SW DARTMOUTH ST 130
Project: Icon Nails&Bar Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: Adding 18 sprinkler heads for TI.
Contractor: AFP SYSTEMS INC Owner: WAL-MART REAL ESTATE BUSINESS TR
19435 SW 129TH AVE BY PROPERTY TAX DEPT STORE 5935-00
TUALATIN, OR 97062 PO BOX 8050
ATTN MS 0555
BENTONVILLE, AR 72716
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/14/2015 $102.20
12%State Surcharge-Building 09/14/2015 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 09/14/2015 $40.88
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 09/14/2015 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 09/14/2015 $1.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .20 Design Area: 1500
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 $158.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,500.00
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 obtain a copy of the rules
or direct questions tto�OUNC by calling 503.232.1987 or 1.800.332.2344. -
Issued By: /� / Permittee Signature: ( ih7)
C.� V
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.
Building Permit Application
Fire Protection System Rife c�{IVEI 1)' FOR OFFICE USE ONLY
�j L Received /
. City of Tigard Date/By: 0 3//j y /j�J7— Permit No.: t 4 5_�L3
41 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re• w r �l/J'
Phone: 503.718.2439 Fax: 503.598.19,G 3 1 2015 Date/By. o. / ((n Other Permit: �.,,
T 1 R D Inspection Line: 503.639.4175 Date Ready '!. ' Juris �See'Pag 2 for
Internet: www.tigard-or.gov CITY OF tltiAKU Notified/Method: 7 /0 15'2ry Supplemental Information
TYPE :. .} t< 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.
El 1-and 2-family dwelling ®Commercial/industrial J Valuation: $
El Accessory building ❑Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7500 SW Dartmouth St. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no,..2311. 136 Project name:ICON Nails Covered porch area: square feet
Cross street/directions to job site:Retail Bldg.#2 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 r / work indicated on this application.
Add 18 new upright sprinkler heads off of existing wet sprinkler system Valuation: $$2,500.00
to cover new floor plan Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Type of construction: V-B
Address: Occupancy groups:
City/State/ZIP: Existing:
g�
Phone:( ) Fax:( ) New: B-business
® APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax::(
E-mail:april@afpsys.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:AFP Systems Inc. Permit fee:
Address: 19435 SW 129th Ave. —
City/State/ZIP:Tualatin,OR 97062 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)692-9284 Fax:(503)692-1186 (Due upon application submittal.)
CCB lic.:67534 Total permit fees:
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name:Steve Frost Date:8/31/2015 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_07I 514.doc 440-4613T(1 I/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) '1'vpe of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 18 Number of alarm devices:
® Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
Alteration (3) copies of sketch showing area (3) copies of sketch showing area
to existing of work within building structure of work within building structure
system
11+heads: Plan review required and ❑ 6+devices: Plan review required and
(3)sets of plans. (3)sets of plans.
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes none
Information: Hazard Group light
Density 0.20
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 2,500.00
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): $
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: $
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