Permit (12) 11
CITY OF -�GAR� FIRE PROTECTION SYSTEM PERMIT
.'.
Permit#: FPS2019 00130
, COMMUNITY DEVELOPMENT
Date Issued: 10/30/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115BA00100
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY N
Project: Planet Fitness Subdivision: None Lot: None
Project Description: Fire sprinkler. Adding (109)fire sprinkler heads for TI.
Contractor: SPRINKIT FIRE PROTECTION INC Owner: TECOLOTE RESOURCES INC
PO BOX 2227 KELLY'S LEGACY LLC, ET AL
OREGON CITY, OR 97045 BY HESSLIN HOLDINGS INC
23421 SOUTH POINTE DR STE 270
LAGUNA HILLS, CA 92653
PHONE: 503-272-6650 PHONE: 503-764-7595
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/30/2019 $231.32
12%State Surcharge-Building 10/30/2019 $27.76
Type of Use: COM Plan Review-Fire Life Safety-COM 10/30/2019 $92.53
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/30/2019 $2.00
Occupancy Grp: A-2 Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 10/30/2019 $4.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: 0.1 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $358.11
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 M1332.2344."-----------;;(...r...........
,
Issued By: Permittee Signature:
1503.639.4175 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 01.11( 1. 1 SI..ON1 1
City of Tigard 0 C 1 0 L619 Received
Date/By:
i i i // p 1�3
: I 13125 S50 Hall Blvd.,Tigard,OR 97223 plan Review t �Q
Phone: 503.718.2439 Fax: 503.598�b0i OrrtiD Date i"" "{
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION ateReadyBy: �,, Juris: H SeePage2 or
Internet: www tigard-or gov ottfied/M7 / Supplemental Information
., s i,.. ..�, ,. . .,a,.t e t_,.. RF�FI)l \I A:1: Ds l- •._. gr.,?
0 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
0`, , 't ' TLCORS' ()F i, t s work indicated on this application.
$
El1-and 2-family dwelling i Commercial/industrial Valuation:
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
,{`a �' `� ' TIO 1\D:,LOCATIC)i\ Total number of floors:
Job site address: 4+C - ��I-es � t'�ol New dwelling area: square feet
�LGCG �L
City/State/ZIP: 7;5,),\04, , ' 7 2 2 t� Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 014A,e,i— ' .4-4Q2.3 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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
DESCRIPTION OF WORK _ work indicated on this application. _
COOA — ti �^1 �-4( s�r,v�klcIc. (-6 i r , Valuation: $ I
Existing building area: square feet
New building area: square feet
r"��. ,„,„,,::. ��,, ►A.,e., , ::iii<„ � ., - 'r s ,+. .:, . .N4,�N1 Number of stories:
-
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
, a ,'"PLIC NT , a a F € 1 am pct a
.2--.�-.�„�, �..r F-'r .. ,- ,.�.' ,r ,.r.x ,.a -, :ate..,„•„«,. c.. .6,f w, u..�<.rti �'� � - � tri»•' �. l*.*,f,,, '� �^�- r, kia�'�
Business name: ` All contractors and subcontractors are required to be'
Contact name: �Cl✓11,L �,5 lo e.11.).‘,, licensed with the Oregon Construction Contractors Board
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:
i
� CON ,.. .R s BUII 11 11 -A �'
Business name: • f;✓l K 1 a- Ft`r G I t oi-OGitt Ii 4 LEA.L Z'
Address: lO 2.121
State surcharge(12%of permit fee):
City/State/ZIP: 0.e LO n Ct.'\- 0 2 Cj 76e1�
1 ! FLS plan review(40%of permit fee):
Phone:(56) 2?L a Fax:( ) (Due upon application submittal.)
CCB lie.: ZiI?jZ C) ef.,7 Total permit fees:
Authorized signature:
44------
`---- Amount received:
_ This permit application expires if a permit is not obtained
Print name: /('",t Jlh,(�),ey e C Date: / )— ff -if within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\PermitsWPS-PermitApp_031016.doc 440.4613T(11/02/COM/WEB)