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Permit ph ° ' CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 'q a COMMUNITY DEVELOPMENT Permit ft: FPS2010 00014 T t G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/11/2010 ,....c.;:,: Parcel: 1S1260000300 Jurisdiction: TIGARD Site address: 9702 SW WASHINGTON SQUARE DR F10 Subdivision: Lot: 0 Project: Sprint Project Description: Relocate approximately (7) heads at TI. Owner: FEES PPR WASHINGTON SQUARE LLC Description Date Amount 2235 FARADAY AVE STE #O CARLSBAD, CA 92008 Permit Fee - COM 02/11/2010 $51.09 Permit Fee - COM 02/11/2010 $13.45 PHONE: 12% State Surcharge - Building 02/11/2010 $7.74 Contractor: WYATT FIRE PROTECTION INC. 9095 SW BURNHAM TIGARD, OR 97223 PHONE: 503 - 684 -2928 FAX: 503 - 684 -9657 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Height: ft Stories: Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Standpipe Required: Hazard: Density: Design Area: K Factor: Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $72.28 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 920 Residential Square Footage: Fire Alarm Valuation: 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. / 7 / / Issued By: I 1 Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection that busin• s day. 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 OFFICE USE ONLY • " 1 f i :I Received City of Tigard � � I . , 4 F 1 I Date/By: No.: �10 , v 13125 SW Hall Blvd., Tigard, OR 97221 ` '' ''':a • Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: N , Q Oc FEB 11 2010 Juris: ® S ee Page 2 for TIGARD Inspection Line: 503.639.4175 D ate Ready /By: �--{- g Internet: www.tigard- or.gov Notified/Method: 1 I� Supplemental Information CITY OF TIGARD . TYPE OF v>DING DIVISION REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ 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 CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ❑ 1- and 2- family dwelling );4- (commercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder Q O2 ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: / �e,e--_, 614 JA�, -cC + /_!� Y'``.D , New dwelling area: square feet City /State /ZIP: I/ (7 / /1-12_i) ) 0 2 9 711'3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 6pgi I Q / j , 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 � n �" DESCRIPTION OF WORK work indicated on this application. Ret, y� C am" Tc/ APP, F �/ r `-- 7 5P4 fi / 10 / S . Valuation: $ 9 20, °C 1 0911 /- ,7)C L r : Existing building area: square feet CC ��ll /J New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: APPLICANT ❑ CONTACT PERSON NOTICE Business name: e9 i ij -- All contractors and subcontractors are required to be Contact name: 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: CONTRACTOR BUILDING PERMIT FEES* Business name: )/J r4 1' f /�� 7 - .7 CA/ (Please refer to fee schedule) j/,{ / 2AJ/ -/4 /�� fl Permit fee: Address: 9095 S a), � D � State surcharge (12% of permit fee): City/State /ZIP: 97 Z Z 3 FLS plan review (40% of perniit fee): Phone: (503) /- Fax: 5D3) 664 9b-7 (Due upon application.) CCB lic.: 7 4077 Total permit fees: Amount received: Authorized signature: ,<Ze- / This permit application expires if a permit is not obtained Print name: �� YY r 1t//t/ �—/ 2 1. f / 6 � Date: oz _/1 — /C:0 within 180 days after it has been accepted as complete. * Fee methodology set by Tri- County Building Industry d Service Board. �'7 2 -2 v �1 1:\ Building 1 Permits \FPS- PernsitApp.doc 03/23/06 440- 4613T(1I /02 /COM /WEB) / City of Tigard: Fire Protection Permit Checklist _ C ��\\ Page 2 - Supplemental Information ris G6 i • Describe work to bedone:`,.. ' 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition - -10 heads: No plan review required. °alteration ❑ 11+ heads: Plan review required. ❑ Repair 7 Number of sprinkler heads: Additional description of work: ,Type of System Com .lete;`A, B C or D as „a ircable A.) Commercial Sprinkler ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B:)” Type I„ Hood -Eire .Suppressibi System; ._._ W Hood Project Valuation: $ C ); Fire Alarm �' Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D. Residential S rinkler Stand Alone stern Square Footage: Permit Fee: 0 to 2,000 $187.50 2,001 to 3,600 $232.50 3,601 to 7,200 $29250 7,201 and greater $381.50 Sprinkler Project Square Footage: sq. ft. ° Fire 'Protecttont 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: $ Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. http: / /www.ci.tigard.or.us/ city_ hall / departments /cd /docs /FPS- PerrnitApp.doc 2