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Permit (31) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT INEL' COMMUNITY DEVELOPMENT Permit#: FPS2019-00114 T t GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/10/2019 Parcel: 1 S134BC00500 Jurisdiction: Tigard Site address: 12388 SW SCHOLLS FERRY RD Project: McDonald's Subdivision: 1993-057 PARTITION PLAT Lot: 1 Project Description: Hood suppression system. Contractor: SANDERSON FIRE PROTECTION INC Owner: MCDONALDS CORPORATION(36-0105) 1101 SE 3RD AVE PO BOX 182571 PORTLAND, OR 97214 COLUMBUS, OH 43218 PHONE: 503-889-3110 PHONE: FAX: 503-889-3192 FEES Description Date Amount Specifics: Permit Fee-COM 09/10/2019 $64.54 12%State Surcharge-Building 09/10/2019 $7.74 Type of Use: COM Plan Review-Fire Life Safety-COM 09/10/2019 $25.82 Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 09/10/2019 $7.50 Occupancy Grp: B Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Unknown Standpipe Required: Hazard: UNK Density: 0 Design Area: 0 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Yes Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $105.60 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Atarm err :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 ma .. a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.:t e 2344. _ rvpopoia Issued By: Permittee Signature: Cal5f 03.639.4175 by 7:00 a.m.for the next available i 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 RECEIVED FOR OFFICE USE ONLI' City of Tigard Received ei I e.'1tC S Permit No.. ^,Cj ■ 13125 SW Hall Blvd.,Tigard,OR 97223 tPlan Rev ��' ���-}—� (-� Phone: 503.718.2439 Fax: 503.598.1960 E p J 2019 Plan Review _ � Other Permtt: ��,�.�,� n�� Date/By: �V'���..`rl-L�,�V TI GAR D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: ( t Juris: ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVIsto `r otified/m- .d: a ? Supplemental Information ;= D --r, � �D DATA: -A�N2-FAMILY DWELL71, iVew construction El 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 El Other: equipment,materials,labor,overhead,and the profit for the CATEGORYOF'CONSTRUCTION 'S- work indicated on this application. El1-and 2-family dwelling ommercial/industrial Valuation: $ IDAccessory building El Multi-family Number of bedrooms: 1=1Master builder I=IOther: Number of bathrooms: �� JOB S INFO 'ION Akii4tOCATION 44'4 4 Total number of floors: — Job site address: ( 'Z 3$C6 '''''''')U.. "7-,(...1.A..4 � C `�li „Si New dwelling area: square feet City/State/ZIP: (� 0— '� r(( h �'C 13,,f �_ �, Garage/carport area: square feet Suite/bldg./apt.no.: Project name: ,NA._6, 0 . J Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet BIER'I A: O i USE CHECKLI T 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 i14;4- ' DESCRIPTION F WO' ' ' work indicated on this application. l b Valuation: $ 1 d�a/ 1e 5 Existing building area: square feet New building area: square feet xr PROPERTY t, :TENAN Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: , mCAN :a a NTA t''ERSON 44”' -_ _ � ' Business na e: "`":y7tA. Ack...2. cl(-,)-i...e 1-1\_ All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board C (� J 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: f' f ' e. �U tAC&.2.('515),/\-k-A 8`x-4. l 1 CO '.. C . . .. L 4444 - TO�> 47-414 -at4 - " a 4 44 B 91PERM FEES* 44,` �; >eferto. chedule) „ ,.- wBusiness name: �,y�AR S Permit fee: Address: 1 k G y `7;r City/State/ZIP: 7i. tti � . I-1 State surcharge(12%of permit fee): FLS plan review(40%of permit fee): Phone:C)� e-, j 3 1 / ()) Fax:( „.....-4----- (Due upon application submittal.) CCB lie.: 2. 6j cx .' — Total permit fees: Authorized signature: ��� - -. Amount received: This permit application expires if a permit is not obtained Print name: .. _ i Q a, Date: t within 180 days after it has been accepted as complete. �Jr "�v / * 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 Desce workto be done; :. 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ew 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: of m (C+t ®ate A, 3 �or D as apple $ 4-r:) 'dal S, n , er Sprinkler Type ❑ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line Li Yes ❑ No Hazard Group Density Design Area K. Factor 7) Sprinkler Project Valuation: $ 'pt' �.4 ood:Fire:Suppr son Sys: < x . ... iiii _ 2_ t �,,,� Hood Project Valuation: $ �©c C) O ii, fie i *' Fir" ��. Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm t V Projecaluation : $ li; � 7;, fl i lid 1� A � f . o ,7. a ,3 4' .` , ' __ Square Footage: Permit Fee: 0 to 2,000 $198.75 2,001 to 3,600 $246.45 # ," � r 3,601 to 7,200 $310.05 „ 7,201 and greater $404.39 Sprinkler Project Square Footage: sq.ft.. ,;. re.Pon Pe ®. ees .,.1 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: $ 2 I:\Building\Pernuts\FPS_PernutApp_031016.doc