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Permit (2) II4 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT '. COMMUNITY DEVELOPMENT Permit#: FPS2019-00142 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/03/2019 Parcel: 1 S 136CD01501 Jurisdiction: Tigard Site address: 7600 SW ATLANTA ST Project: Tigard Self Storage Subdivision: None Lot: None Project Description: Fire sprinkler monitoring system consisting of(32)devices. Contractor: M & E ELECTRIC Owner: TRAILBLAZER DEVELOPMENT LLC 15708 NE 81ST AVE BY CPS ASSET MANAGEMENT LLC VANCOUVER,WA 98662 333 S STATE ST STE V-144 LAKE OSWEGO, OR 97034 PHONE: 360-573-0459 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 12/03/2019 $199.04 12%State Surcharge-Building 12/03/2019 $23.88 Type of Use: COM Plan Review-Fire Life Safety-COM 12/03/2019 $79.62 Class of Work: ALT Type of Const: IIIA Info Process/Archiving-Lg$2.00(over 12/03/2019 $10.00 Occupancy Grp: S-1 Height: 55 ft 11x17) Stories: 5 Info Process/Archiving-Sm$0.50(up to 12/03/2019 $27.50 11x17) 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: Yes Alarm Type: Automatic Pull Station Required: Yes Smoke Detectors Req: Yes Battery Calcs Provided: Yes Cut Sheets Required: Yes Total $340.04 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $12,000.00 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 t follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 190 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: i / 9x'('0 Call 503.639.4175 by 7:00 a.m.for the next available inspe tion date. This permit card shall be kept in a conspicuous place on the job site unti completion of the project. Approved plans are required on the job site at the time of each inspection. Buildin! Permit Application Fire Protection System RE,Cr- FOR OFFICE (ISE ONLY' City of Tigard Date sed it ��I �'`'; lel. NOV 2, Plan Review ^ M 13125 SW Hall Blvd.,Tigard,OR 97223 r 2019 Phone: 503.718.2439 Fax: 503.598.1960 Date By: J,� p` I 'At; �e -co i 1 I I ,,17 Inspection Line: 503.639.4175 A1C ' ? I Date Ready/By. uns ® See Page 2 for Internet: www.tigard-or.gov y Supplemental information , i t ,„, l '' 1,):::: .--;',1niar:,440044M010,14AM ,,, ,, Iew construction ❑Demolition Permit fees*are based on the value of the work performed- "ANNIndicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the e �ad�p/� ,s work indicated on this application. El1.-and 2-family 14,g dwelling Commercial/industrial Valuation: $ El Accessory building IDMulti-familyNumber of bedrooms: ❑Master builder El Other: Number of bathrooms: u'„ 1 l " Total number of floors: Job site address: .,Mf C LL) Cklc-�Gl ,5 New dwelling area: square feet City/State/ZIP: Tlitp_ � q 7.22 3 I Garage/carport area: square feet Suite/bldg./apt.no.: Project name: /, _LA, �y c., .I, 4.; Covered porch area: square feet Cross street/directions to job site: ` o/e( -c( 6 etie. Deck area: square feet Other structure area: square feet i° `'', �r , ' ,,ter . t Subdivision: Lot no.: Permit fees*are based on the value of the work performed.n Tax map/parcel no.: I Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the *ION O WORK , work indicated on this application. Valuation: ' i/t/ . pfLin 1'1L y1il0tfc:VI14y Sy 51c;u.• $ !�/®Q V '� Existing building area: square feet jn� /72/e2g71.1f- ��� 3� New building area: square feet ' Hr�' s:� Number of stories: j'" Name: Type of construction: IAddress: Occupancy groups: City/State/ZIP: Existing: Phone ( ) Fax ( ) r Business name: ,4, ,11 t(d,Ie._ All contractors and subcontractors are required to be Contact name: a g4 �� yL ( licensed with the Oregon Construction Contractors Board a under ORS 701 and may be required to be licensed in the Address: ! ! 1� t7 l�-f Si I jurisdiction in which work is being performed.If the City/State/ZIP: V �,�p G u V`o ff W - applicant is exempt from licensing,the following reasons 8i I apply: Phone:(3(,J 025--3...617 ce I Fax: :( ) E-mail: C2t( .-......,,-_,,,..!.'„,,,,.„4, r" L� . :::,.,i„,44,,,,,' '`'1.°' �'"t _ aBusiness name: Lryedz�(er/ate Permit fee: I Address: /5'7©g At t 8i' 5t City/State/ZIP: [���f State surcharge(12%of permit fee): y tJ al4 e©L t)ee_ u�a ! Jh7c, ' I FLS plan review(40%of permit fee): Phone:( ) a` s 3 • 7C, I Fax:( ) I I (Due upon application submittal.) CCB lie.: ,'raq / f 2,I I I Total permit fees: agi,---- cc Amount received: Authorized signature: OuttlA This permit application expires if a permit is not obtained Print name: ��� l� Date: I within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. 440-4613T(11/02/COM/WEB) I\Building\Permits\FPS-PermitApp_031016 doe City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information ° 4 4 � /rrjeE f s;,, 'gE e n' E �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 I=11 10 heads: Affidavit required and I=1 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 El 11+ heads: Plan review required and f 6+ devices: Plan review required and (3) sets of plans. (3) sets of plans. Additional description of work: 1'E e� E 9 / >. 4W i'. 0.a ,,�'• FE€E i Sprinkler Type EIWet ❑ Dry Additional I Standpipes Information: I Sprinkler Supply Line EI Yes ❑ No I Hazard Group I Density Design Area K. Factor Sprinkler Project Valuation: I $ ' $` b � HK . Hood Project Valuation: E h�ata E 7 C Efila r ra F 4 a ` § . �.' :',;2,:f:.!:)WW1: `'< rlik ,3 b / / S kr3f� i",l f r2; a„k E /ud1ifigiaaffid„ Yes� ,-, 0;A,N$05,•, ,l BatteCalculationsSubmittashall include: Individual Component EK Yes Cut Sheets _ Fire Alarm Project Valuation: I $ / ,OOU Gf ;4 f.. �, M E b Square Footage: Permit Fee: it 0 to 2 000 $198.75 '_; 2,001 to 3,600 $246.45 y 3601to7200 $310.05 , E EE ,� "r1 a p . 7,201 and greater $404.39 _' Sprinkler Project Square Footage: sq. ft. ” , ,,,, ,,..-/,,,19 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: $ I:\Building\Pernvts\FPS_PernutApp_031016.doc 2