Permit (110) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
111 '11^' COMMUNITY DEVELOPMENT Permit#: FPS2018-00094
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 08/09/2018
Tlt'a;1RZ7 9
Parcel: 2S 114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: None Lot: None
Project Description: Underground fire sprinkler supply lines for remodel and new construction.
Contractor: LCG PENCE CONSTRUCTION LLC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
2720 SW CORBETT AVENUE 6960 SW SANDBURG ST
PORTLAND, OR 97201 TIGARD, OR 97223
PHONE: 503-252-3802 PHONE:
FAX: 503-256-3684
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/08/2018 $443.70
12%State Surcharge-Building 08/08/2018 $53.24
Type of Use: COM Plan Review-Fire Life Safety-COM 08/08/2018 $177.48
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 08/08/2018 $10.00
Occupancy Grp: E Height: ft 11x17)
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 $684.42
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $37,500.00
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 • OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:
Permittee Signature:
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 FOR OFFICE USE ONLY
�'' a / .c ' Received / 7,15....„2„, ��
City of Tigard r*I " ,,,.,1'1—,A. ) ;.,. Date/By: 7 . ja//� <0„,.....„
ermitNo fl e9 FX
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie
I I Phone: 503.718.2439 Fax: 503.598.1960,, Ii 9 ;I ,,018 Date/By: 6"� 1-I Other Perrr f> f��CJr i
T I G A R D Inspection Line: 503.639.4175 L" Date Ready/By: , Juris: 0 See Page 2 for
Internet: www.tigard-or.gov ,sc,,“"', ,: 'fied/Method: 0 ti ,41 Supplemental Information
TYPE;t ' i 1
t ` k, REU 1 a 4 t t -AND 2 FAIM ILY DWELLING
0 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
T1 CATEGORY'OF CONSTRUCTION 4 ` work indicated on this application.
460❑ 1-and 2-family dwelling Valuation: $
❑Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder �ther: 5 c-i,.4a( Number of bathrooms:
JOB SITE INFO 1 ON AND LOCATION:�, 5-- Total number of floors:
Job site address: I CO O ti,-) t tirt t a w1 RA. New dwelling area: square feet
City/State/ZIP: "T, .,--,Q., , �YZ ct 1%II Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: -j-,c_jet -c{ ti-S Covered porch area: square feet
Cross street/directions to job sit uJ t 2,.,,& 7o - Deck area: square feet
Other structure area: square feet
f UIRE,p 'Az.' s ' I I USE CHE• IOJST
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
' 5� E,SCRIPTI t i work indicated on this application.
,. dtk.A . .-vsi2.w' C>v..aA-tuC�(.ov� eti,�' "�tDel.A OSValuation: � 5(�'�
`
L,,''t-tc 1^y e-[) v Q .1 Ye. pr-0 _C'�t- 5sf 'i t K..e._S Existing building area: square feet
New building area: square feet
*z, 1,214-;-'4'.'['PRO ala s2'=F, :C] TENS Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: 1,3 o,_..ct b., Existing:
Phone:( ) Fax:( ) New:
, .ICANT 0 Co PERSON :
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe wwrzk=-to be done:
r
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
DNew 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 Cot applicable); .. w .#
1
Ad Co ° ercal Spr�lg ;
Sprinkler Type Wet [ Dry
Additional Standpipes
Information: Sprinkler Supply Line []'Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I- Hood,,Fre; ippressio„„ yste
Hood Project Valuation: $
-qy, g= s '�� ^s
gsls
e" �y� $`y 8 +, k rX'' 't
) Fire AlaTnl �&n.tr 1
At
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
' sidential S mer(Stand Alo r . ",
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 Ativai*.v0.
',
Sprinkler Project Square Footage: sq. ft.
$ .. Fire 'roP ` ®®1'ermitF- x
414444=4 44*4.
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: $
I:\Building\Permits\FPS_PermitApp_031016.doc 2