Permit q
CITY OF TIGARD
FIRE PROTECTION SYSTEM PERMIT
t ° COMMUNITY DEVELOPMENT Permit #: FPS2010 00048
Date Issued: 05/04/2010
TIGARL� 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S112AC00600
Jurisdiction: Tigard
Site address: 7440 SW BONITA RD
Subdivision: Lot: 0
Project: Associated Business Systems
Project Description: Add (2) sprinkler heads in new office and storage room.
Owner: FEES
BEALES, ALAN K & SUSAN R TRUST Description Date Amount
BY ALAN K & SUSAN R BEALES TRS, 2126
MAGELLAN DR Permit Fee - COM 05/04/2010 $51.09
12% State Surcharge - Building 05/04/2010 $6.13
PHONE:
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: 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 $57.22
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 380
Residential Square Footage: 0
Fire Alarm Valuation: 0
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 Noti t+on C`ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the r -
or dire questions to NC • calling 503.246.6699 or 1.800.332.2344.
Issu d By: 1 Permittee Signature:
-` Call 503.639.4175 by 7:00 a.m. for an inspection that busines - day.
This permit card shall be kept in a conspicuous place on the job site until c:mpletion of the project.
Approved plans are required on the job site at the time of ea- inspection.
Building Permit Application
Fire Protection System / FOR OFFICE USE ONLY •
ill City of Tigard RECEIVED Date/B: J 7 /0 Cab Permit No.: lj�s/JnID�OD
- " 13125 SW Hall Blvd., Ti ard, OR 97223 y �•�+ TJ P�
g Plan Review
Phone: 503.639.4171 Fax: 503.598.1 fl _ �1 010 Date/By: Other Permit:
TIGARD
Inspection Line: 503.639.4175 ^ L Date Ready /By: 3wi El See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE g, 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 commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7440 31k.,1 &) /kt / `A- R. D New dwelling area: square feet
City /State /ZIP: -- (. /2,o / 02 9 `7 Z 2 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name:A :"}-56)0A-709 60S , Covered porch area: square feet
Cross street/directions to job site: 5 y .-r 7n s 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.
Apo /�
o A 5 ?X���i iTai it- 1!JS �^ 1 D ti c Valuation: $ 'J Lae)
sup 5 rO ,�f � y Existing building area: square feet
� 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: 6 dow -- j Q-��p,e_ 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}�^ /� n � (Please refer to fee schedule) a
G� ! � � } l J /`I'� � J G1i" /J r i � 1 � /) / , � yy / � � 3 U `� Permit fee: 57. e'
Address: / 0 ! 5 51 1 /ZA /1 --,� W 1 `J� ( ,
y /State /ZIP: i Ic ,q fZ ^ / Q� Z. State surcharge (12% of permit fee): 3
City/State/ZIP:
FLS plan review (40/0 of permit fee): __��
Phone: (�j3) 6¢ 29' Z 8 f Fax: (5.03) „- - 9b 57 (Due upon application.)
CCB lic.: &4Z)7 7 Total permit fees:
Amount received: b/ 7 , 9 2
Authorized signature:
�. T his permit application expires if a permit is not obtained
Print name: tt6g � ` 'f � Date: 5 -4._,D within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1: \Building \Permits \FPS- PermitApp.doc 03/23/06 440- 4613T(11 /02 /COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Mo fication to sprinkler heads only:
❑ Addition [1 -10 heads: No plan review required.
a lteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
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 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
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: $
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: //w w.ci.tigard.or.us/ city_ hall /departments /cd /dots /FPS- PermitApp.doc 2