Permit (197) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2018-00006
T t GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/05/2018
Parcel: 1 S136CD00100
Jurisdiction: Tigard
Site address: 11705 SW PACIFIC HWY X
Project: Al-Basha Gyros Subdivision: None
Project Description: Install fixed fire suppression system in a Type I hood. Lot: None
Contractor: GUARDIAN FIRE PROTECTION Owner: PACIFIC CROSSROADS PROPERTIES IN
PO BOX 1555 BY WYSE INVESTMENT SERVICES CO
ALBANY, OR 9733397321 1501 SW TAYLOR ST STE 100
PORTLAND, OR 97205
PHONE: 541-926-4920 PHONE:
FAX: 541-926-4942
FEES
Description Date Amount
Specifics: Permit Fee-COM
03/05/2018 $102.20
12%State Surcharge-Building 03/05/2018 $12.26
Type of Use: COM Plan Review-Fire Life SafetyMF
Class of Work: ALT Type of Const: VB - 03/05/2018 $40.88
yp Info Process/Archiving-Sm$0.50(up to 03/05/2018
Occupancy Grp: B Height: ft 11x17) $3.00
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 $158.34
Valuations:
Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
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 0 calling 503.232.1987. .:I I.
Issued By: ermittee Signature: /1
10001101111.0.-
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. �{
This permit card shall bekept 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.
to
Building Permit Application
s.Fire Protection System i A t AI/ 31
y FOR OFFICE I.SE ONLY
City of Tigard Received _
Fr ^'s° DateB i-r 'ermitNo."
13125 SW Hall Blvd.,Tigard,OR 97223 F r 5 2 d I:) y �� -� ��'���
2 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review pp
Date/ 3`J 'J Other Per [j e'
Inspection Line: 503.639.4175 1 ' t �� �'
T 1 G A R D p P , a Date Ready/By: .0 7uris: El See Page 2 for
Internet: www.tigard-or.gov Noti/ied/Method"
1 D I 1 F , Supplemental Information
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❑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
®Addition/alteration/replacement 0 Other
equipment,materials,labor,overhead,and the profit for the
/////! ' zz work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
/r"z%%�/",r ,1 ' i „/'%V! '%,',/,,z",''',.. Total number of floors:
Job site address:11705 S Pacific Hwy New dwelling area: square feet
City/State/ZIP:Tigard OR Garage/carport area: square feet
uite/bldg./apt.no.:X 1 Project name:Al-Basha Gyros Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
Subdivision: , „- /o /4;/ii /4„,,;;;..,z- a¢,,./
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
/,i//// / w ,i of/�/ / „// ,,i equipment,materials,labor,overhead,and the profit
////i' %/ 0/ 1% °$../p/A , 7..,3. / . ;j /,/;) /,:; p tforthe
!;,%'///�/���0'„,; ; 4; .” )/. /''/7)/°,V i/jj///%%%'%/;; �/�� work indicated on this application.
Install fixed fire suppression system in a Type I Hood Valuation: $$2,400.00
Existing building area: square feet
New building area: square feet
,,, ,;09,),,,,,,o/i, % 444-%„:„,v(/ �/ ii' %j Number of stories:
Name:
Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( )
Fax:( )
��% % //4 iii �, / New:
Business name: / / �/i i,,%i//�..!�:;..%,
� 1 fy All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
Address: under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:
( ) I Fax::( )
E-mail )
r 1 r^rvi r,t d/
”//,�/ / .% /.% %%'., %/4�/%,/a r,„,-,,w,/,-„,,,(0,4/ — . v ; ,
� //% " i i
Business name:Guardian Fire Protection Inc
P*%all%Grp %, y �/; i� 'i ,
,�����,�,�///ice �%>:.,;
Address:PO Box 1555 Permit fee:
City/State/ZIP:Albany OR 97321 State surcharge(12%of permit fee):
Phone:(541)926-4920 FLS plan review(40%of permit fee):
Fax:(541)926-4942' (Due upon application submittal.)
CCB lie.:100355 Total permit fees:
Authorized signature: at, > t-, 'c.c5 `�� Amount received:
This permit application expires if a permit is not obtained
Print name:Mark Ferguson Date:02/05/2018 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
I:\Building\Permits\FPS-PermitApp_031016.doc Service Board.
440-4613 T(11/02/COM/WEB)
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City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
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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 El 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:
i . ,iii/ //"Z: / /� // -///
// t/ii /ir, 4
////////
% 17, i "Xi' .//'. i it j/. %� % /�%
//� �� / � �/// /./ , ,/i /;� X .
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes El No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
/�,. / /.; j !// // ;
GG/ j/,2 2//,2%22t,, ,222 ,.r
Hood Project Valuation: $ 2400.00
;1''' //ie/ ez
,,/
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: I $
.,/fr ,//,0 ////,-;//0'% / /2' / '/0 0";,/ -
S.uare Foota.e: Permit Fee:
0 to 2,000 $198.75 // '%////;%////j';//%j %%/%// ;%