Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
11111 Q .• COMMUNITY DEVELOPMENT Permit#: FPS2015-00139
Date Issued: 09/14/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101BA00101
Jurisdiction: TIGARD
Site address: 7500 SW DARTMOUTH ST 110
Project: Joy Teriyaki Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: Adding(2)new pendant sprinklers and(2)new upright sprinklers to existing system.
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: A-2 Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 09/14/2015 $2.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD2
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 $159.84
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 to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:„..Cf,, i‘4.)
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 CYkiIN� Received ' FOR OfEE( [. I SE O\L1
11 City of Tigard Datem .. 0 itTA E� Permit No.: reS. • _r( IA
- '1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie
1..� other permit:
Phone: 503.718.2439 Fax: 503.598.1960 3 , 2015 Date/B : r
T[G A R D Inspection Line: 503.639.4175 AuG Date Ready: : Iuris: la See Page 2 for
Internet: www.tigard-or.gov �i1k3, Notified/Method: C/Q f 5 J7 .0 Supplemental Information
Ec.w; >71
TYPE OF W - Rtt?CIiRED DATA:1 Al � � ,
f
❑News ��� �N
construction ❑`I emolition 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 ®Commercial/industrial Valuation: / $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
' 1 t p','- o e . 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/bldgJapt.noz.at1r I( 0 I Project name:Joy Teriyaki Covered porch area: square feet
Cross street/directions to job site:Retail Bldg.#2 Deck area: square feet
—
Other structure area: square feet
Subdivision: I 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.
Add 2 new pendent heads and add 15 new upright heads off of existing wet Valuation: $$2,500.00
sprinkler system to cover new floor plan Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 0 TENANT ;.. _,, R Number of stories: 1
Name: Type of construction: V-B
Address: Occupancy groups:
City/State/ZIP: Existing: M
Phone:( ) Fax:( ) New: A-2-Restaurant
f 1 'LICANT ❑ CONTACT PERSON
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
s .'
CON CRACTOR m BUILDING PERMIT FEES*
Business name:AFP Systems Inc.
(Please refer to fee schedule)
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 lie.:67534 Total permit fees:
r Amount received:
Authorized signature: 5 09'.
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_071514.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to he done: ! .:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 17 Number of alarm devices:
® Addition or El 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,S steni,Comm lete B C of I3as applicable):1 .... .. . ti ::.. .. .
YP Y � .P � d..� .
® Wet ❑ Dry
Additional Standpipes none
Information: Hazard Group OH 2
Density 0.20
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 2,500.00
B.) Type 17 HoodFire Suppression System',
Hood Project Valuation: $
C.) Fire. amp -
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
;FA e' , ` e.
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 P ro ection Permit Fees.., ,y
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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