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Permit rt�f CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT IN Q s � Permit #: FPS2010 -00041 COMMUNITY DEVELOPMENT T t GARB 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/30/2010 ; X* W.4 Parcel: 2S109DA13900 Jurisdiction: TIGARD Site address: 12685 SW MOUNT VISTA CT Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 58 Project: Arlington Heights Project Description: (13) new sprinklers. Owner: FEES STONE BRIDGE HOMES NW, LLC Description Date Amount 16869 SW 65TH AVE. #505 LAKE OSWEGO, OR 97035 Permit Fee - RES 07/30/2010 $246.45 12% State Surcharge - Building 07/30/2010 $29.57 PHONE: 503 - 387 -7577 Contractor: WYATT FIRE PROTECTION INC. 9095 SW BURNHAM TIGARD, OR 97223 PHONE: 503 - 684 -2928 FAX: 503- 684 -9657 Type of Use: SF Class of Work: ALT Type of Const: VB Occupancy Grp: R -3 Height: ft Stories: 3 Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: 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 $276.02 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 0 Residential Square Footage: 3521 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 Noti • - ion Cen :. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direc •uestions to OU - •y ailing 503.246.6699 or 1.800.332.2344. Issue By: / / / t Perm ittee Signature: ', /l�'.•1. • i J Call 503.639.4175 by 7:00 a.m. for an inspection that business .ay. 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. - j; Permit Application 11 Fire Protection System . , OR OFFICE USE ONLY ` CI of Ti and .L' .9 i ' 1V Received `J g - Date B : Permit No. Ili 13125 S W Hall Blvd., Tigard, OR 972 3 `TI : w' • l g ,1 Plan Review h��i� - Phone: 503.639.4171 Fax: 503.598.1960 �v '� ��® , Date : .� �tb i '—`�� a Other Permit: irr)S if V ' I i� ° e- VL Jura: Fa See Page 2 for TIGARD Inspection Line: 503 1+ �1� Date Ready/By: Jur � w / ���� g Internet: www.tigard- or.gov 1 - .� r � N. tied/Method: ' a& Supplemental Information TYPE OF WO , . , REQUIRED DATA 1 AND ,2 -FAMILY DWELLING *0-1:iiew 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. p `' Valuation: $ 30 / g r and 2-family dwelling El Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 2 ,5 '` , JOB SITE' INFORMATION AND LOCATION: Total number of floors: ,,- ,, :.. Job site address /16 e 5 5 How % V I rj 1� �- New dwelling area: 35Z/ square feet City/State /ZIP: --ri6 0 k 9 7 z..2-z-4 Garage /carport area: ,0 square feet Suite/bldg. /apt. no.: Project name: S yyj yyj yi j i *-14_ 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: 1 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. Iwo viD 6. koz..0 t 31:3 vP4.1m4:L ie 6y5 . L Valuation: $ ✓ rR.' / D�—A 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: APPLICANT s . ;. 0 CONTACT PERSON NOTICE Business name: elk 7 C bp,.._ All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) • Fax:: ( ) E -mail: CONTRACTOR . i ,, BUILDING; PERMIT FEES* , . -,, (Pletde rekr io fee setiedrrle) Bus name: � i 1 / 'P 7Y1 C ��L j-� W � Permit fee: 9V Address: g 5 a 0gm-1 e �,.� r. ty -- ri o i`' l3 �4 9 7z2.4... State surcharge (12° of permit fee): City/State/ZIP: j FLS plan rev (40% of permit fee): Phone: ( 3) bg4- - 2.9 ZS Fax: ( 3) (> 4- 9�7 (Due upon application.) CCB lic.: 6407 7 Total permit fees: Authorized signature: Amount received: z e___ This permit application expires if a permit is not obtained i - ( J !? / 4/�1� Date: 7 -� -/� within 180 days after it has been accepted as complete. Print name: � * Fee methodology set by Tri- County Building Industry Service Board. i \Building\Permits \FPS- PermitApp.doc 03/23/06 440- 4613T(11/02/COM /WEB) • City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information 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: T.ype_of System as Commercial Sprinkler ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B ) „System;;... ',.. R,... : . Hood Project Valuation: $ C.).Fire Alarm. Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D )�� Res>identiial`Spnnkler (Stand %Alone�Systein) _� _ `�” �'�' ' Square Footage: Permit Fee: 0 to 2,000 $187.50 'x 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 7,201 and greater $381.50 ''414 Sprinkler Project Square Footage: g 5 9,1 sq. ft. "_` Fire; ProtecttonPermtt:�'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. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. htt p : / /www.ci.tigard.or.us /city_hall /departments /cd /docs /PPS- PermitApp.doc 2