Permit (57) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
v . . COMMUNITY DEVELOPMENT Permit#: FPS2019-00087
T i(1 A 11) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/03/2019
Parcel: 2S 101 AC00800
Jurisdiction: Tigard
Site address: 7148 SW GONZAGA ST 280
Project: The Adrienne Subdivision: BEVELAND NO.2 Lot: 14
Project Description: Fire sprinkler. adding(4)residential sprinklers in new rooms and replacing existing quick response sprinklers with
(10)residential sprinklers. 1025 sf.
Contractor: BASIC FIRE PROTECTION INC Owner: ROGERS, ROY R
8135 NE MARTIN LUTHER KING BLV 13690 SW TWELVE OAKS CT
PORTLAND, OR 97211 TIGARD, OR 97224
PHONE: 503-285-1855 PHONE:
FAX: 503-285-0713
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/03/2019 $112.96
12%State Surcharge-Building 07/03/2019 $13.56
Type of Use: SF Plan Review-Fire Life Safety-MF 07/03/2019 $45.18
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 07/03/2019 $4.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: LT
Density: 0.1 Design Area: 1500
K Factor: 4.9
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $175.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $3,850.00
Residential Square Footage: 1025
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 1.800.332.2 44.
Issued By: • / Permittee Signature: /�'
42-116
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 OFFI(I, ( SF ()NI.l
City of Tigard ' nate/Bea _
• 13125 SW Hall Blvd.,Tigard,OR 97223 _ �� '/ "
111 g ry Plan Review
I Phone: 503.718.2439 Fax: 503.598.1960 d + ! 1.0 i 9 Date/By: ) 11 �'- ' 0/ ���y
Inspection Line: 503.639.4175 Date Ready/By: �{ uns ® See Page 2 for
T I G n R D p N fied/Metho V l� Supplemental Information
Internet: www.tigard-or.gov i
BUIL LiL fV
*Mki � - W� �s :A,t��AtN3°'" l4�+1'llt.340140-41'4,r�_
�.
❑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 0 Other: equipment,materials,labor,overhead,and the profit for the
Com' RY O v OF COl!� [JCTION work indicated on this application.
� e
Valuation: $3850.00
❑ 1-and 2-family dwelling 0 Commercial/industrial
0 Accessory building ®Multi-family Number of bedrooms: 2
El Master builder ❑Other: Number of bathrooms: 1
I;. . JOB SITE
INFORMATION AND LOCATION Total number of floors: 1
Job site address:7148 SW Gonzaga St New dwelling area: square feet
City/State/ZIP:Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:280 Project name:The Adrienne Covered porch area: square feet
Cross street/directions to job site:SW 72nd Ave Deck area: square feet
Other structure area: square feet
,itEgUIRED OAT*COMMERCIAL-USE CHECKLIBT
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
2 x„;e"
�' WORK E174::;' work indicated on this application.
Add(4)residential sprinklers in new rooms and replace existing quick response Valuation: $
sprinklers with residential sprinklers(10) r d�S S r Existing building area: square feet
New building area: square feet
.. ] PROPERTT ITIMR 0 TENArin
`' Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
EFEAWLICAINtiiis D CONTACT PERSON"- 1 NOTICE
Business name:Basic Fire Protection Inc. All contractors and subcontractors are required to be
Contact name:Uwe Parth licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:8135 NE MLK Jr.Blvd jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,OR 97211 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)285-1855 Fax::(
E-mail:Uwe@basicfire.com
CONiTWTOR BUILDING PERMIT FEES*(Please refer le fee
Business name:Basic Fire Protection Inc. xehelw
Permit fee:
Address:8135 NE MLK Jr Blvd
State surcharge(12%of permit fee):
City/State/ZIP:Tigard,OR 97211 0
FLS plan review(40%of permit fee):
Phone:(503)285-1855 Fax:(503)285-0713 (Due upon application submittal.)
CCB lic.:48641 Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Uwe Parth Date:6/27/19 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_031016.doc 440.4613T(1 I/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
i)escribe SSE _ '
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
El New system Number of sprinkler heads: 14 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 1:1(36)+ devices: Plan review required and
(3) sets of plans. sets of plans.
Additional description of work: Add(4) sprinklers and replace (10) existing sprinklers with residential heads
Of$ ■ �t &f i etc Cor as an§ v .b1e) "�' #.a "p
LSIz £ x
i �, x t
Sprinkler Type ® Wet El Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group Residential
Density .05
Design Area
K. Factor
Sprinkler Project Valuation: $ 3850.00
$ I- H :Fitr ppre System „ ,. .
Hood Project Valuation: $
F
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Mann Project Valuation: $
• r-::~ �t oft= a pgtt vi s99 �� . II
ala are Footage. Permit Fee.
Squ
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: /Da c-sq.ft.
FireProtection hermit 6
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: $
C:\Users\uwe\DWG\19-41526 THE ADRIENNE\Submittals\AHJ\FPS_PermitApp.c4c