Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
A: COMMUNITY DEVELOPMENT
Permit #: FPS2010 -00064
r w Date Issued: 07/14/2010
T IGARJ? 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1S136 DC04400
Jurisdiction: Tigard
Site address: 11945 SW 70TH AVE
Subdivision: DARTMOUTH SQUARE Lot: 30
Project: TVF &R Command Center
Project Description: (221) sprinklers for TI.
Owner: FEES
TUALATIN VALLEY FIRE & RESCUE Description Date Amount
20665 SW BLANTON ST Permit Fee - COM 06/10/2010 $395.34
ALOHA, OR 97007 12% State Surcharge - Building 06/10/2010 $47.44
PHONE: 503 - 649 -8577 Plan Review - Fire Life Safety - COM 06/10/2010 $158.14
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: IIB
Occupancy Grp: B Height: ft
Stories: 3
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type:
Standpipe Required: No Hazard:
Density: .10 Design Area: 1344
K Factor: 8
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $600.92
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 31335
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:
Jr
CaII 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
Fire Protection System V . l O R ()Friuli u s l ()NIA
City of Ti and ) R eceived 5 h' g Date/a : 0 kop Permit No.: S ; —o006 L
13125 SW Hall Blvd., Tigard, OR 972 � 0 plan Review
' ` C Phone: 503.639.4171 Fax: 503.598.1960 \\ \\t ` 1 4 wig ` O : , t� : other pen°it: ; , i -
G
T I n h D Inspect Line: 503.639.4175 w �t) Daze Ready/By.r f t �9: -� � 7 See P: ge 2 for
Internet: www.tigard - or.gov l'IGt Notified/Method: 7 , 1./�0 Supplemental Information
etV NO"
s x p a x r r i f -` r5' -. % y v/ . ' s ` i r x s r r f 1
TYPE OF W ' , �I G REQUIRED DATA - .I AND 2- FAMILY DWELLING
-,. ... , ,,,,,: ": �M: -�' . -. ,r „ �;:' ,ms, ..�,.� -� . m,,.F ��r , o..,. ,r„�,- >- ,, „ , ,; , r r,�,,,. a ,. ., ,, ,, :,, ,.,nn,, , ,,,,,,, ,,, , , ,,..,,,, ,. ,,,., ., . ,. .,,, ,
❑ 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
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<�� � ,. ,�.�,�, CATEGORY ;OF CONSTR CTION ; �_`�^,� "� w ,4 U Work indicated on this application.
❑ 1- and 2- family dwelling +U' Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
;' JOB SI l E INFO AND5,LOCATIONy y eY Total number of floors:
Job site address: / I ‘24/5 S.W . 7 Let A vE New dwelling area: square feet
City/State /ZIP: 71 r,A9_0 p e . 6f 72't Garage /carport area: square feet
Suite/bldg. /apt. no.: 'Project name: T v p 1 2 — e Bo L Covered porch area: square feet
Cross street/directions to job site: 62mtY J a (pee Deck area: square feet
`J .W. Viak era+evTI•( Sr. 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
DESC OF WORK tr 3 work indicated on this application.
Valuation: $ 31 335" o — °
Z tv sri t_ N e- u61 Pier —it (-WO e. YS'Te ... -
Pt. 4 S s. PJelw K,EIS / A me' o) -7:_r_ Existing building area: square feet
New building area: square feet
■ PROPERTY; OWNER ❑ TENANT Number of stories:
Name: 1",,,a, r.1 VA t. t.E Y Fief R Se.., a Type of constriction:
Address: 2--e7 tie 6 5 S, w . 1 L A N TO N Sr , Occupancy groups:
City/State/ZIP: A L p J p i Q . 4 9 74%07 Existing:
Phone: ( ) Fax: ( ) New:
V , I APPL t. � � OTI
�� � IGANT � � ""� ��CONTACT P � N �`
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Business name: A eL� FESS,6,J , S „. SYSTe.. s J e--.. All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: g, L K be - e Q - fir under ORS 701 and may be required to be licensed in the
Address: / 7773 S. STE /Ne.e gn. jurisdiction • l in which t from licensing, being the . If onned reasons
City/State /ZIP: 5,a t!t? r - M p 4e, ' /?b 9 appl exempt & g
app ,:
Phone: ( ) 6 ;Sz. y3S 3 Fax:: ($a3) 6 32 — 'IC 35 -
E-mail: 7 8 e7 A Pao FtOE,. C.o a.�
CONTRAC z z t
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.�� BUILDING PERMIT FE '
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Business name: A
f 45,,, ,,_ ' I :PE S Y ' �F w S c.° , Permit fee:
Address: 1 72 73 C j_ STiitoe te.. 1
¢ State surcharge (12% of permit fee):
City /State/ZIP:
/ ✓e e j e . R. .9700 S' FLS plan review (40% of permit fee):
Phone: (503) 6, 31_ e./3 s3 Fax: ($o S 4, - 7- y $ 3 S (Due upon application.)
CCB lic.: y/6 so Total permit fees:
Authorized signature: Amount received: 1' 9'Z
/� This permit application expires it a permit is not obtained
Print name: k �� Date: /e.-z'.o
* 180 days after it has been accepted as complete
f� ie Fee methodology set by Tri -County Building Industry
0
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Descnbe work tobe;done ..._rites ergs :.:: � ;,t. t _...:
1.) ❑ New 2.) Modification to sprinkler heads only
❑ Addition ❑ 1 -10 heads: No plan review required.
[Alteration [V1+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: W/
Additional description of work: = .+sr.t.i. Prio Pits— rso.. S.-0 vre e.
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.,. 4 sa %ssir • Y / � ' ' J r x , ab d: . k ". / a' y`
FType o f S A,,B,/,C� f o F .... , ,;; i . ; . a
y§ r �,r.VkteP' �t P x� 3s,`, ,,r _. i z; e r r a ;:tfr xi r ,+rte r s� ' ° ° i �r
oA.) Commercial Spttinkletp4%* � * " �,. it 'off/ orF 4 gi / N , � i , ,
18 Wet ❑ Dry
Additional Standpipes ,u /q
Information: Hazard Group L/e.MT
Density 1/,Eei>Es
Design Area
K. Factor 5.4 / S. o
Sprinkler Project Valuation: $ `3 /) 3 35 o'
B) Type I Hood !Tire Suppression! Sy_stemt °t to f a ; r- h LL l
Hood Project Valuation: I $
Y J % j v �'s ..r 1 y 3 ,.a 3 1'x'/1 P tr NZSA ,✓ 0 s fit 1Y 00441 y s g / t ' r / ,,44`h Nl a v
/ ✓ 4 rtvT,Jl� � �"' r l �� as'
C) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
a z / �,y`u r T „J � ' * ixaz s *'4itx l r3'' o ws �. . s a t
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//��" � i a 1' ..� eta � �"' s✓r � .c .z ✓ � a.-- ,� € ' �/ � �
D) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee: , �
0 to 2 $198.75 %� � 0 V R tOf f
Z001 to 3,600 $246.45
F y
3,601 to 7,200 $310.05�'�
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
WFire Pr Peimtt Fees . x N f
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.tigard- or.gov /city_ hall /departments /cd /does /FPS- PermitApp.doc 10/01 /T
•
/ l 3 OO F RQ O VAi rr A -
E SYSTEMS 8 DATE JOB NO.
17273 S. Steiner Rd. /Beavercreek, OR 97004 ATTENTION
(503) 632 -4353 / C p R
RE T v ( /\ 0-130
TO t Y o f 76.4 .t. o
13/ 25 S,w. 14.4 Z3c. D
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_ WE ARE SENDING YOU OcAttached0 Under separate cover via - the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ - Specifications
❑ Copy of letter ❑ Change order ❑
COPIES DATE - NO. DESCRIPTION
3 - Fief $a',1.€ ,O iN4s
3 /v/At -e-.. , C4 4..C.'.f &Aro xi £
Pe-ran" 14,,,`/4.477e4J1 FErt
THESE ARE TRANSMITTED as checked below:
C'-For approval ❑ Approved as submitted ❑ Resubmit _ _ copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ' ❑ - Return corrected prints
( For review and comment elek PER -sv /'
O FOR BIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY To
SIGNED /Z- Bezel'
If enclosures are not as noted, kindly notify us at once.
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
BUILDING DIVISION
T I G A R D TRANSMITTAL LETTER
a
TO: rJ DATE RECEIVED:
DEPT: BUILDING DIVISION
RECENT
JUL 14 2010
FROM: J i - J ElE7
CITY OF TI ARD
COMPANY: ,A. e aost L S �� _ BUILDING DIVISION
PHONE: s'o) - Co 3e- y 3 X.3 B y : r
RE: j / S Sw 70 r0 ksE 761 / —
(Site Address) • erm► ase `um . er
TvF ) ‘2 c-130 c_.
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: ,I Description: Copies: , Description:
3 Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
a c Other (explain): 6q. 0. es
REMARKS:
FOR OFFICE SE_ONLY
Routed to Perim' Technician: Date: ' ((( ((i Initials ',
Fees Due: I Yes ❑ No Fee Description: Amo ► ue:
ADO 1 7 AL- / IvF= 4A4 -Tt6x) $ l ` '
ti
$
$a 1>
$ I �
Special
Instructions:
Reprint Permit (per PE): ❑ Yes 1 ❑ No El Done
Applicant Notified: Date: 7/04/ Initials: e
I:\Building\ Forms \TransmittalLetter- Revisions.doc 4/4/07