Permit etw5.4 `� q CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2010 -00066
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/15/2010
Parcel: 2S 101 BCO2200
Jurisdiction: Tigard
Site address: 8330 SW HUNZIKER RD
Subdivision: Lot: 0
Project: Western Partitions
Project Description: Adding (4) sprinkler heads under mezzanine.
Owner: FEES
HUNZIKER TWO, LLC Description Date Amount
BY MICHAEL /PAMELA ROACH MGRS, 956
WEST POINT RD Permit Fee - COM 06/15/2010 $72.61
12% State Surcharge - Building 06/15/2010 $8.71
PHONE: Plan Review - Fire Life Safety - COM 06/15/2010 $29.04
Contractor:
VIKING AUTOMATIC SPRINKLER CO
3245 NW FRONT AVE
PORTLAND, OR 97210
PHONE: 503 -227 -1171
FAX: 503 - 227 -1552
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
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 $110.36
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 1295
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 Signal
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.
Fire Protection System ,(
Building Permit Application V A'9 I 'tr , ~ 1 c)Il c I Ic,l 1,51 t)� /1 ; It
> ..,, 9. "fin .E: 4,0 k." ".y'�.01.- " N t n i..w 0,*v�H,',, p �� '
r City of Tigard 1 10 Received pp Permit No.
� 5 2. X Date/By: 0 1r (Q tS T �(�-a
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Oh .q
13125 SW Hall Blvd., Tigard, OR 97223 A Plan Review tLJ —C� 1 )3
s13u. Phone: 503.639.4171 Fax: 503.598.196 J k9 Date/By: �1er Perm t. poi,
"'''r"")° Inspection Line: 503.639.4175 cj�• Ilt kte Ready /By 1 �: H See Page 2 for
I' ' n'R L). Internet: www.tigard- or.gov
G` f j�1 1 otified/Method: 7 Supplemental Information
V
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.
Valuation: $
❑ 1- and 2- family dwelling �Commercial/industrial (Z
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE IN Ipvlly Z RMATLL,QN. �AND LOCATION Total number of floors:
. 1.e•e
Job site address: 833c, flu ER RD New dwelling area: square feet
City/State/ZIP: i l V vev>Z x O Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: w Tipt»x l►o( S 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
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Roo LEAPS t.)4.317E2 � tAAEZZ tAt-a tt.ac
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:
IN APPLICANT ® CONTACT PERSON NOTICE
Business name: V (k 1 N ( Sp t, k (e 2 All contractors and subcontractors are required to be
Contact name: - Dthv , , "3 .se IAA416� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: "SZ 4S c,,J dt.s (A jurisdiction in which work is being performed. If the
City/State /ZIP: ?o9 1tHN-i- G c17 Z10 applicant is exempt from licensing, the following reasons
apply:
Phone: (1-03) ZZ 7 - (( T ( f (503) ZZ 7 — (SS Z
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
t p.. (.• Spcz tt■ (Z (eiz Permit fee:
Address: 3 z tf s- /J c.-) fQON , 0.0 E.
State surcharge (8% of permit fee):
City/State /ZIP:
t ‘‘Ak.� 8
' a < 7 c ( ° FLS plan review (40% of permit fee):
Phone: ( 5 Z 7 - 11 71 Fax: (5e.,3) Z 2 7 - ( SS r (Due upon application.)
CCB lic.: 44-83'7 3 51 Total permit fees: 10 ? c,
Authorized signatl�n��` Amount received: ( 0 b tJ6 Th permit application expires if a permit is not obtained
Print name: D Date: within 180 days after it has been accepted as complete.
(A E. � �` -�"°"`' - (S- lU * Fee methodology set by Tri-County Building Industry
Service Board.
1 :\ Building \ Permits \FPS- PermitApp.doc 03/23 /06 .0.e7 440-4613T( I I/02/COM/WEB)
O ak ) e:/4 (301/4
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) El New 2.) Modification to sprinkler heads only
❑ Addition Eg 1 -10 heads: No plan review required.
2 Alteration ❑ 11+ heads: Plan review required.
El Repair
Number of sprinkler heads: 4 4
Additional description of work: I v t 4}E g ve-a fit¢ Ey2 N ez)
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
g. Wet El Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor S to
Sprinlder 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 (8% 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.
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