Permit "f CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
pint a COMMUNITY DEVELOPMENT Permit #: FPS2010 -00024
T I GARD! 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 04/13/2010
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7228 SW DURHAM RD, STE# 100
Subdivision: PACTRUST BUSINESS CENTER Lot: 0
Project: Style Shock
Project Description: Relocate (3) sprinklers and add (9) sprinklers for TI.
Owner: 1 FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224 Permit Fee - COM 03/23/2010 $77.99
Plan Review - Fire Life Safety - COM 03/23/2010 $31.20
PHONE: 503 - 624 -6300 12% State Surcharge - Building 03/23/2010 $9.36
Contractor:
A PROFESSIONAL FIRE SYSTEMS CO
17273 S STEINER ROAD
BEAVERCREEK, OR 97004
PHONE: 503 - 632 -4353
FAX: 503 - 632 -4835
Type of Use: COM
Class of Work: ALT Type of Const: IIIB
Occupancy Grp: A -3 Height: ft
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: 0 Design Area: 0
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 $118.55
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 1478.00
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.. work_ iij a done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, vifwork is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility N ification Center. Those' les - - set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You m. obtai copy of the rules
or dire questions to OUNC by calls t 03. or 1.800.332.2344. ,
1
Issued By: V / / / Permittee Signature: 1/ // / /
Call 503.639.4175 by 7:00 a.m. for an inspection that business flay. �
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 . i '' ' . - . ' ' FOR OFFICE USE ONLY
Received 4 S - c2 ���/
00
City of Tigard M AR 2 3 2013 DateB : - �� / ` �7 PermitNo.:
sa —
114
a 13125 SW Hall Blvd., Tigard OR 97223 Plan Review .1i it 7 1 , Oiler Permit:
Date/By.
503.639.4171 Fax: 503.598.1960 Date/By. j l
T I G A R ll Inspection Line: 503 - - . . . . , r Date Re B �/ ( / „aim. � . i: See Page 2 for
Internet: www.tigard-or.gov ° ' •
,>> n, , : Notified/Method: / /a/ 7 ' 0 Supplemental Information
: . _- : 10/'7/91[
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
21 Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
work indicated
on this ap
lrca do n.
P
Valuation: $
❑ 1- and 2- family dwelling El Commercial/industrial
❑ Accessory building
❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
I number
of floors:
:::::::»>:::: >::<:::: »:: >:::: »:::: >:::: >:::; ::: »:s#t3>li::::S #�lft ' 1 31t<:::11!f k.;:l....... # . . . . . . . . . . . . . . . .. . .... .. . . . . ... . . . .::. . . . ..:::::::. ..
Tota num
c
Job site address: 7 Z z c> 5,6..) 1) , I e N A. M V-`D , New dwelling area: square feet
City /State /ZIP: j �7-y■- p, . '9 772 y Garage /carport area: square feet
J
Suite/bldg. /apt. no.: / o o Project name: STy`ESK 64cre 4 D4,,ict Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
S, LJ . 17 u rz RA. n - '? p c S . 72. - 02 A i Other structure area: square feet
.. :' g
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
.
indicated
application.
...................... ..............................
work m rca ted on this
�2E - L°(�T- 3 PE, 3,2 T s PieI NicLEQS R AJ D
Valuation: $ �� 78 —'
r) Existing building area: z7 se square feet
fU E W TT, : ier+d New building area: /,4. z) square feet
Number f
um o stories: :
............
.
... ..............................
Name: 5,EL/ / i — PERc T > . SSoc !ATE $ J L,. P, Type of construction: •0
Address: f5-3 s 5 z; ,, , c 9yo44 pet,.) `'(, 4 30.0 Occupancy greersi c .Z,E3c,
City/State/ZIP: rI o i , , p,e Existing:
g , GJ 722j` Existin
Phone: ( So3) 2 - Y-- ' - 3c5o Fax: (sc3) ) 2y - 775 New: 3 A-3
Business name: A f FF y Sl 6 N A L FI ‘I , S o All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: re, G K 3 E fz 2 T
under ORS 701 and may be required to be licensed in the
Address: / 7273 .S, ST /..., #2 t--D , jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: je. ,! e/eC €e-,e 04 c 70oY apply:
Phone:(5b,) 63z -. 3 l Fax: :(So))6.32 - ti g 35 -
E -mail:
as0 . ar2o. eeai3iediife»»>::;:>;: :::»:<:i:»::<::::i::i<i:::i<::<
Business name: 4 Pao FESSlo ti.ul L F 1 ee .91STE 0 1 - S .
Permit fee:
Address: / 72 73 S _ STe/ ,v E 2 D State surcharge (12% of permit fee):
City/State /ZIP: BE A trEe��?EE e p � 70o y FLS plan review (40% of permit fee): � O
�j
J
Phone: ( Sa3) L 3 2 — q 3 S_3 Fax: (S 632-ye 35 (Due upon application) U
CCB lic.: 4 -lie, p Total permit fees: v o >
r ./01 Amount received: /
Authorized signature:
T his permit application expires if a permit is not obtained
Print name: 72/c. ,e .,L'.e?7 Date: l �� -,-e,,,,, Within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
1.) ❑ New 2.) Modification to sprinkler heads only:
® Addition ❑ 1 -10 heads: No plan review required.
-. Alteration 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: I Z
Additional description of work:
`r: _ :.ice:::. 11 ......................................................:.............:.......................................................... ...............................
A Wet ':: ::::.................... .......................:::::::: ❑Dry :::.::........ ...............................
Additional Standpipes
Information: Hazard Group
Density
Design Area
_ K. Factor
Sprinkler Project Valuation: $ 978
Hood Project Valuation: $
. _ :.::., ::::..... ......... ::::::...... ... .. ........... -
Submittal shall Battery Calculations El Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
rind
F Permit Fee:
Square Footage: q
l�
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200
$310.05
r
7,201 and
greater
Sprinlder Project Square Footage: sq. ft.
.................................................. ............................... .
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.
http: / /www.tiga dor.gov /city_hall /departments /cd /docs /FPS- PermitApp.doc 10/01/0