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Permit (101)
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2017-00117 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/09/2017 Parcel: 2S 113BA02200 Jurisdiction: Tigard Site address: 7520 SW DURHAM RD Project: Durham Square Subdivision: 2017-013 PARTITION PLAT Lot: 1 Project Description: Building 1:Fire sprinkler supply lines for new commercial building. Contractor: REVCON INC Owner: MISSION HOMES NORTHWEST LLC 21420 NW NICHOLAS CT PO BOX 1689 HILLSBORO, OR 97124 LAKE OSWEGO, OR 97035 PHONE: 503-848-7300 PHONE: FAX: 503-356-5599 FEES Description Date Amount Specifics: Permit Fee-COM 11/09/2017 $102.20 12%State Surcharge-Building 11/09/2017 $12.26 Type of Use: COM Plan Review-Fire Life Safety-COM 11/09/2017 $40.88 Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 11/09/2017 $26.00 Occupancy Grp: B Height: ft 11x17) Stories: 1 Commercial Sprinkler System: Sprinkler Required: Yes 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 $181.34 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $2,250.00 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. 4 } Issued By: � � � Permittee Signature: // ir/ , f/ 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. l t ` Building Permit Application Fire Protection System , �d FOR OFFICE USE ONLY City of Tigard Received r� o S'2/,7 ©O//7 14 4- DateB � � Permit No 13125 SW Hall Blvd.,Tigard,OR 97223 /� Plan Revte s� dr Phone: 503.718.2439 Fax: 503.598.1960 Date/B : J.�-TA = Other Perr/' / 0 , 14 T[GARB Inspection Line: 503.639.4175 CITY(� ` 9 �3 A late'ea.y/: : Jurls: 0 See Page 2 for `� Internet: www.tigard-or.gov Notified/Method. c 7 w/o Supplemental Information 'BETIDING DIVISION I,i -„„.,tai' e( sdwt IA # ,ie,z,r. TYPE OF WORK REQUIRED DATA 1-AND 2-FAMILY DWELLING ((((l New construction 0 Demolition Permit fees*are based on the value of the work performed. ���� Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CA*G©RYOF CONSTRUCTION work indicated on this application. 0 1-and 2-family dwelling Commercial/industrial Valuation: $ 0 Accessory building ❑Multi-family Number of bedrooms: 0 Master builder ElOther: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: c5 txxQ Uh\j'\ New dwelling area: square feet City/State/Z1P: —1-1G02--D / 0 Ct,72_2,`1 Garage/carport area: square feet Suite/bldg./apt.no.: ! Project name: D tyi2 I( \K A 5('Lkt 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. I 3 ���i Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: �J � �^U equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ (2_,2-6,6 . RS / Existing building area: square feet New building area: square feet lAPROPERTY OWNER 0 TENANT Number of stories: Name: 1)4561 C)N K, S IQ t)�- doe-T.-, t L.LC Type of construction: Address: pp X ( W.S9 Occupancy groups: City/State/ZIP: LA-6e OS 1)..)E7fl, fie-- ci -036 Existing: Phone:( ) Fax:( ) New: APPLICANT lg CONTACT PERSON NOTICE Business name: f /i �-1\ ��U ,c�l��� ��� (Kc_, All contractors and subcontractors are required to be Contact name: %'- � -f-EV licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: is((S S::,tK, S,...,._,C (kC P(Lwy/, / Si' . tt 7v jurisdiction in which work is being performed.If the City/State/ZIP: '`C'li6 i 2..t7 f �(�22'-f Y applicant is exempt from licensing,the following reasons , N _ apply: Phone:(t� llla, -h 4 ....(t,..,2_ Fax::( ) E-mail: (��Jl [1 p i1 )(LSI—I Ct eon.&OL l CW CONTRACTOR BUILDING PERMIT FEES* Business name: -U k�/ I /� (Please refer to fee schedule)fe ' ��'�1s �,�`'r r Permit fee: Address: Z(42 0C L ut�--'i I v�7 k'Sc.--1 City/State/ZIP: J��� ( State surcharge(12%of permit fee): 2,_L1 FLS plan review(40%of permit fee): Phone:(S(43 (,.j 7” Fax:( ) (Due upon application submittal.) CCB lic.: L (s)0419.-__ Total permit fees: Amount received: Authorized signat _ This permit application expires if a permit is not obtained Print name: Date: 2.J, /t 1/ * Fee methodology set by Tri-County Building Industry Service Board. I Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work to be 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: 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 Sprinkler Type ❑ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line 17Yes ❑ No 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 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: $ http://www.tigard-or.gov/document_center/Building/FPSPermitApp.doc 2 111 Westlake consultants,inc TRANSMITTAL ENGINEERING ♦ SURVEYING ♦ PLANNING Phone:503 684-0652 Fax:503 624-0157 Date: July 18, 2017 Project No.: 2312-017 To: City of Tigard Project Name: Durham Square Engineering Department SDR2016-00008 13125 SW Hall Blvd. Tigard,OR 97223 From: Shad Haney CC: Re: Durham Square Parcel 1 FPS Permit No. of Copies Dated Description 1 7/18/17 Fire Protection System Permit Application 2 7/12/17 Construction Documents Comments: Erosion control sheets, C200 and C204 for an amendment to existing site work permit#SlT2016- 00020, are included for reference. If you have any questions,please do not hesitate to call. -Shad Fax 0 No. of Pages(including cover) Fax No. Mail 0 Messenger 0 Overnight 0 Hand Delivery • Pacific Corporate Center, 15115 S.W.Sequoia Parkway,Suite 150,Tigard,Oregon 97224 DELIVERY RECEIPT co rTracking# !ILL of t PO Box 3448 • Tualatin,OR 97062 85(R6 5 l e `U Phone 503/691-7800 • Fax 503/691-7811 Time in DateBill to: 0 Shipper 0 Receiver 0 Third party q _ IID ("orc 7 r1 K5" Cnii �r�t_"rfiN.r; R ` C 0 C. 1T/ or Ttrlt j� K 1Sl/ ; P Sri ' o F Reference#2 5 j2 0/7 Third party info/special instructions Service options AtrTAI J e i✓t/Y A/5'14 ". DAA i / 'F t c on/ iRush 03 hour °Economy Date received Time No.pieces Charges TruckNi ht Q 9 °Weekend Print name -M /Iv., _Lei, -7,„,„1,71 _ Carrier# Weight Signature 7/ -, i /.. ..__ _, $