Permit (10) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2019-00131
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2019
Parcel: 2S114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: None Lot: None
Project Description: Hood fire suppression system in kitchen.
Contractor: SANDERSON FIRE PROTECTION INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
1101 SE 3RD AVE 6960 SW SANDBURG ST
PORTLAND, OR 97214 TIGARD, OR 97223
PHONE: 503-889-3110 PHONE:
FAX: 503-889-3192
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/30/2019 $64.54
12%State Surcharge-Building 10/30/2019 $7.74
Type of Use: COM Plan Review-Fire Life Safety-COM 10/30/2019 $25.82
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 10/30/2019 $11.50
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 $109.60
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 OUNC by calling 503.232.1987 or 1. . .
Issued By: —Pe.mitta Sianature:
Ca 1563:639.4175 by 7:00 a.m.for the next available i spection da
This permit card shall be kept in a conspicuous place on the job site until comple on of the pro': .
Approved plans are required on the job site at the time of each inspectio .
Building Permit Application
A Fie.Protection System - FOR OFFICE USE ONLY
City of Tigard
Received
1`�/�Q Permit No.:f '5JJ7.OQ 13
r P I Date By: iO 1U/ `
13125 SW Hall Blvd.,Tigard,OR 99 COE„, Plan Review
' Phone: 503.718.2439 Fax: 50 Date By: ) 0A,)-7-j 9 Other Permit: j`�Q it...a/NT
TIGARD Inspection Line: 503.639.4175 q �01(� Date Ready y: turfs: I S_eer age2 for
A 0y Notified Method:16 )l4 .e, Supplemental Information
Internet: www.tigard-or.gov �C:\
M;3 Cker"at 4
TYPE OFks,\O REQUIRED DATA:I-AND 2-FAMILY DWELLING
� n�(�
®New construction Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building ElMulti-familyNumber of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9000 SW DURHAM ROAD New dwelling area: square feet
City/State/ZIP:TIGARD,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:TIGARD HIGH SCHOOL 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
HOOK UP ANSUL R-102 UL300 KITCHEN FIRE SYSTEM IN TYPE ONE HOOD Valuation: $$1,000.00
PRE PIPED SYSTEM FROM HOOD MFG. Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ® CONTACT PERSON
NOTICE
Business name:SANDERSON FIRE PROTECTION All contractors and subcontractors are required to be
Contact name:GEOFF SPAHR licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:1101 SE 3RD AVE jurisdiction in which work is being performed.If the
City/State/ZIP:PORTLAND,OR 97214 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)889-3110 Fax::(NA)
E-mail:GEOFF@SANDERSONFIRE.COM
CONTRACTOR BUILDING PERMIT FEES*
Business name:SAME AS ABOVE (Pleaserefertofeeselredele)
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP: FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal.)
CCB lie.:208652 Total permit fees:
Authorized signature: Csrx....e.........1„../I—k
Amount received:
This permit application expires if a permit is not obtained
Print name:GEOFF SPAHR Date: 10/4/19 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1,:.Buildings.Petmits\FPS-PetmitApp_031016.doc 440-4613T(I I/02/COMWEB)
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 ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $ 1000.00
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: $
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