Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
` Tm COMMUNITY DEVELOPMENT Permit #: FPS2010 -00034
TIGA Ei; 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/18/2010
Parcel: 2S102BA00303
Jurisdiction: Tigard
Site address: 9814 SW TIGARD ST
Subdivision: Lot: 0
Project: Barrier Corp
Project Description: Install Pyro Chem Dry fire suppression in second paint booth.
Owner: FEES
ANDREWS MANAGEMENT LTD & Description Date Amount
TIGARD INDUSTRIAL LLC, 5805 JEAN RD Permit Fee - COM 04/13/2010 $123.72
LAKE OSWEGO, OR 97035 12% State Surcharge - Building 04/13/2010 $14.85
PHONE: Plan Review - Fire Life Safety - COM 04/13/2010 $49.49
Contractor:
UNITED HEALTH & SAFETY EQUIPMENT
4611 NE MARTIN LUTHER KING JR
PORTLAND, OR 97211
PHONE: 503 - 249 -0771
FAX: 249 -0572
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: F -1 Height: ft
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Unknown
Standpipe Required: No 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 $188.06
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 5000
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 • • • • suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utilk 1 otification Cent- Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a cop of the rules
o' direct questions to 0 • •y ailing 503.246.6699 or 1.800.332.2344.
sued By: ditike2,064b
Permittee Signature: ,
1
Call 503.639.4175 by 7:00 a.m. for an inspection that business y.
This permit card shall be kept in a conspicuous place on the job site until co 'pletion of the project.,
Approved plans are required on the job site at the time of each inspection.
Building Permit Application ,t.Pao/D-00e ,
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Fire Protection System RECEIVE j + . � pw �I ,� , , .. 1 O oFf I IiSr ONI ', 'I 47. ' 1 , �r�,
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iii m, I T ,, , Clty of Tigard D By / 6 ,, Pe rmit No.: /1 ow eV ,„ A
13125 SW Hall Blvd., Tigard, OR 97223 APR 1 3 2010 Plan Review / . IT
C ' Date/By: 1
Phone: 503.639.4171 Fax: 503.5 98.1960 y _
Other Permit:
{17 G`A'RI' Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready :y: ru. 121 See Page 2 for
N .rii Isla Internet: www.tigard or.gov Notified/Method:5 / " kl I 1 (, Supplemental Information
BUILDING DIVISION , N
r TYPE OF WORK 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.
❑ 1- and 2- family dwelling ® Commercial/industrial
Valuation: _SSA00M0-
1:1 Accessory building ❑ Multi - family
Number of bedrooms:
❑ Master builder 0 Other:
Number of bathrooms:
171_ ,, JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address Street New dwelling area: square feet
City /State /ZIP: Tigard, OR. 97223 Garage /carport area: square feet
Suite/bldgiapt. no.: Project name: Barrier Corp 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.
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.
Install Pyro Chem Dry Chemical Fire Suppression System in Paint Booth Valuation $ s5' ,. cc
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name: Barrier Corp Type of construction:
Address: 9908 Tigard Street Occupancy groups:
City /State/ZIP: Tigard, OR. 97223 Existing:
Phone: (503)639 -4192 Fax: (503)684 -1515 New:
® APPLICANT ❑ CONTACT PERSON NOTICE •
Business name: United Fire and Safety All contractors and subcontractors are required to be
Contact name: Ed Wallace licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4611 NE M.L.K.Jr. Blvd. jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97211 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 249-0771 Fax: : (503) 249 -0572
E -mail: ed @unitedfireandsafety.com
. CONTRACTOR BUILDING PERMIT FEES*
Business name: United Fire and Safety (Please refer to fee schedule)
Permit fee: /g3.7.1
Address: 4611 NE M.L.K.Jr. Blvd. g
State surcharge (12% of permit fee): / S/ . 5
City /State /ZIP: Portland, OR 97211 0
FLS plan review (40% of permit fee): -V 9 . y ?
Phone: (503) 249 -0771 Fax: (503) 249 -0572 (Due upon application.)
CCB lic.: 65290 (7', (/ �, Total permit fees: 1 Ca , e)0 Authorized signature: •
Amount received: u
/' _ This p ermit application expires if a permit is not obtained
Print name: Ed Wallace Date: 4-13 -2010 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
i- \Building\Permits \FPS- PermitApp.doc 10/01/09 440- 4613T( I I /02 /COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
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:
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 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
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.
C: \ Documents and Settings \I3d \My Documents \Tigard FPS- PerrnitApp 4-2010.doc 1011/09