Permit •
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
_
111 : = . :: COMMUNITY DEVELOPMENT Permit #: FPS2009 -00117 •
1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/05/2010
TI Parcel: 2S101 BD00300
Jurisdiction: Tigard
Site address: 8015 SW HUNZIKER RD
Subdivision: Lot: 0
Project: PERFORMANCE CONTRACTING
Project Description: Fire sprinkler TI.
Owner: FEES
PERFORMANCE CONTRACTING GROUP IN Description Date Amount
16400 COLLEGE BLVD Permit Fee - COM 12/16/2009 $102.20
LENEXA, KS 66219 12% State Surcharge - Building 12/16/2009 $12.26
PHONE: Plan Review - Fire Life Safety - COM 12/16/2009 $40.88
Contractor:
WESTERN STATES FIRE PROTECTION
13896 FIR ST STE B
OREGON CITY, OR 97045
PHONE: 503 - 657 -5155
FAX: 503 - 657 -5182
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: S -1 Height: ft
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type:
Standpipe Required: Hazard:
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 $155.34
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 2400
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 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.
Issued By: Permittee Signature: / , / / /fOr€72;14ze
Call 503.639.4175 by 7:00 a.m. for an inspection that business 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
X i' l 7
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Fire Protection System m 1 oa OI I I(r. u51 nil
City of Tigard Received
DateB : , ..... Permit No.: lab ai r .60 ( (7
13125 SW Hall Blvd., Tigard, OR 97223 DEC 16 2009 Plan Review W►,
: 11 Phone: 503.639.4171 Fax: 503.598.1960 Date/By: �' , 1 u 9 Other Permit:
) Inspection Line: 503.639.4175 Date Ready /By: ) • ® See Page 2 for
•l r p CITY OF TIGARD No ,» ethod: P 1' ) ' Supplemental Information
Internet: www.tigard-or.gov BUILDING DIVISION %/ _ J _ MIMI'7�1 ' Ir.
TYPE OF WORK / .1 UIRED DATA: 1- AND 2-FAMILY DWELLING
❑ New construction ❑ Demolition Pe it 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.
El 1- and 2- family dwelling 0 Commercial /industrial Valuation: $
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
' JOB SITE INFORMATION AND. LOCATION Total number of floors:
Job site address: 8015 SW Hunziker Rd. New dwelling area: square feet
City/State /ZIP: Tigard, Oregon 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: PCI Interiors - Warehouse 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: I 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.
fire sprinkler tenant improvement Valuation: $$2,400.00
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:
0 APPLICANT - 0 CONTACT PERSON NOTICE
Business name: Western States Fire Protection Co. All contractors and subcontractors are required to be
Contact name: Darrell Fluit 1'7 1 AG7 324 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 13896 Fir Street, Suite B jurisdiction in which work is being performed. If the
City/State /ZIP: Oregon City, Oregon 97045 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 657 -5155 Fax: : (503) 657-5182
E -mail: darrell.fluit @wsfp.us
- "CONTRACTOR • • BUILDING PERMIT FEES*
Business name: Western States Fire Protection Co. (Please rejer to ree sehedulef
Permit fee:
Address: 13896 Fir Street, Suite B
State surcharge (12% of permit fee):
City/State /ZIP: Oregon City, Oregon 97045 a
FLS plan review (40% of permit fee):
Phone: (503) 657 -5155 Fax: (503) 657 -5182 (Due upon application)
CCB lic.: 104570 Total permit fees:
.a..4..4.,e,„4/ /,� Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: Darrell Fluit Date: 12 -16 -09 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(11/02/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: 19
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinlder
® Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ 2,400
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: \My Data \Drawings \LS1307 - PC1 Warehouse Rms 11 \City of Tigard permit applicattn.doc 10/01/09