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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 3 COMMUNITY DEVELOPMENT Permit #: FPS2010 -00063 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/20/2010 T E G A`R D Parcel: 1S136CA01800 Jurisdiction: Tigard Site address: 11643 SW PACIFIC HWY A Subdivision: Lot: 0 Project: Canyon Auto Repair Project Description: Fire suppression system for auto paint booth. Owner: FEES MILNE REAL PROPERTIES, INC Description Date Amount 1312 SW 16TH AVE Permit Fee - COM 06/08/2010 $112.96 PORTLAND, OR 97201 12% State Surcharge - Building 06/08/2010 $13.56 PHONE: Plan Review - Fire Life Safety - COM 06/08/2010 $45.18 Contractor: UNIVERSAL FIRE EQUIPMENT 8049 SW CIRRUS DR BEAVERTON, OR 97008 PHONE: 503 - 641 -8702 FAX: 503 - 643 -1472 Type of Use: COM Class of Work: ALT Type of Const: VB Occupancy Grp: B 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 $171.70 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 3200 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: 3 Call 503.639.4175 by 7:00 a.m. for an inspection t usiness 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 Fire Protection System �� FOR of I Ic I. ° IIS 1 ONLY, City of Tigard \% Received r , y 3 U PI ° 13125 SW Hall Blvd., Tigard, OR 97223 ® `' Date/By Permit No.: F.:7)52 (J�tto 11 PI . n Revt �� 11 Phone: 503.639.4171 Fax: 503.598.1960 `\� �� < < .. / g rr�% ` Other Permit: �• r - 11(; A RE) Inspection Line: 503.639.4175 , ,,,.\\•-' �` a ate Ready/By: ® See Page 2 for Internet: www.tigard - or.gov ON Ol Notified/Method: jarrillin Supplemental Information Cr 0C) 73 300V- t %Al r -f rt cepliblVi TYPE OF WORK 10 .REQUIRED DATA: 1- AND 2- FAMILY DWELLING algew 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: S �i J El 1 -and 2- family dwelling ommercial /industrial . '�'� ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION. AND LOCATION Total number of floors: 4/ ob site address: // co rSl,,/. pog.Gliz , ' New dwelling area: square feet City /State /ZIP: T a ®� ' w y Garage /carport area: square feet Suite/bldg. /apt. no.: / � Project name: .„ a n A " t ,...._ 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. .Z C/1/e-- Valuation: $ 32_0,0 `Iv ,d 1 fr�� !_ 5-00e47 b I " ,/ `r -e__, Existing building area: square feet ' (' - J . 5 A_ T � - ' , ( 3-e"l � New building area: square feet 'A PROPERTY 7 OWNER : .,TENANT. • Number of stories: Name: L. L? / e, Type of construction: Address: // [ " k 1p l'( -fi, f' ., Occupancy groups: City/State /ZIP: ` ( (9-e . 7 22____5 Existing: Phone: ( 3 5-9 - �� -Q Fax: ( ) New: APPLICANT. o CONTACT PERSON ' NOTICE. - Business name: A 1 ei • - r u / V , A All contractors and subcontractors are required to be Contact name: � `` J. ( e ,a� licensed with the Oregon Construction Contractors Board ll under ORS 701 and may be required to be licensed in the Address: 0C-( L q, w CT rr Dr, jurisdiction in which work is being performed. If the City /State /ZIP: .e ✓ • e ( "1"O .. "'7 applicant is exempt from licensing, the following reasons - �/ 4-1/3...:- `-'� V apply: Phone c� 3) [ t ° i 7 0 F ax:: ) 6 1 cr7 ? E -mail: CONTRACTOR BUILDING PERMIT. FEES* � / (Please refer tutee schedule) • Business name: �h v et s/5- ( rrri� i ) n7 p4 Permit fee: II a 4 /C, Address: �4-`yt,� f� / 6.011C, City /State /ZIP: (40% State surcharge (12% of permit fee): 13 ` FLS plan review (40 of permit fee): J Phone: ( ) Fax: ( (Due upon application.) 1 -( 5 j f L CCB lic.: g' 7 Z 3 4 ph* Total permit fees: Authorized signature: Amount received: F 7 1 _ —70 This permit application expires if a permit is not obtained Print name: 6- (' . . 4 Date: e _ l C) within 180 days after it has been accepted as complete. 4 * Fee methodology set by Tri -County Building Industry Service Board. I:\Building\PermitaPS- PermitAp .doc 10/01/09 440- 4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information -Describe wo a done:' 1.) ew 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: � A r n T' Q o v 1 D ` y CJ,,e. �, ; e >Q ( < s e-1 • - 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: $ B.) Type I - Hood Fire; Suppression System Hood Project Valuation: 3/2 0 -0 012 $ 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. I: \Buil ding \Permits \FPS - PermitApp.doc 10/01/09 2