Permit rg CITY OF TIGAR FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2010 -00074
,F� n Date Issued: 08/03/2010
i GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S11313000500
Jurisdiction: Tigard
Site address: 8198 SW DURHAM RD A
Subdivision: Lot: 0
Project: BERNARD'S CATERING
Project Description: Reinstalling suppression system into exhaust hood.
Owner: FEES
MILNE REAL PROPERTIES, INC Description Date Amount
1312 SW 16TH AVE Permit Fee - COM 07/13/2010 $72.61
PORTLAND, OR 97201 12% State Surcharge - Building 07/13/2010 $8.71
PHONE: Plan Review - Fire Life Safety - MF 07/13/2010 $29.04
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: 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: 1250
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 9 - OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6. .:00.3 .2344.
Issued By: ✓ ermittee Signature:
./10
CaII 503.639.4175 by 7:00 a.m. for an inspectio hat b loess day.
This permit card shall be kept in a conspicuous place on the j,, . s' = until completion of the project.
Approved plans are required on the job site at the ime of each inspection.
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E e ' III v y ig ;�I Permt No. � 131SW Hall BlvdTigard, OR 972} o , ingin
h Permit O
' Phone: 503.639.4171 Fax: 503.598.1 6, � `•�'° Date/By: r 1 ter ermt
p.. �f 2. y: f��.t `� "�
f i u A' k D Inspection Line: 5036394175 •� 3 1. Date Ready/By: ®See Page 2 for _-`
Internet: www.tigard �t ` \ 1 �� Notified/Method: d J `n Supplemental Information
U v V-:3 1 0.h E 11* .•_ , 4 , " A
I
• TYP i WORK C\ j r , `` 'COMMERCIAL FEE* SCHEDULE - USE CHECKLIS
'
❑ New construction !/ • ddition/ alter ation/ pla c em ent Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor overheadtd profit.
. .. Value: $ 1
- . CATEGORY O . ONSTRUCTION ff
'RESIDENTIAL EQUIPMENT / SYSTEMS FEES *'
El 1- and 2- family dwellin. .i ' ommercial/industrial ❑ Accessory building
For special information use checklist.
i �' ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. 1 Total
Q LLr � . ,, 013 SITE . FORMATION AND LOCATION Heating/cooling
j
T- Air conditioning
Job site address: ). _ - ' - (requires site plan show placement) 46.75
City /State /ZIP: w - ` Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: I ex ., ,<, � � . � Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Flue /vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION - OF WORK . Water heater 23.32
Gas fireplace 33.39
Flue vent for water heater or gas
V fireplace 23.32
r
T o li ter as 23.32
Wood/pellet stove 33.39
‘ Wood fireplace /insert 23.32
t ' 41 Chimney/liner /flue /vent 23.32
ID PR OWNER ll . '
Other: 23.32
Environmental exhaust and ventilation
• ange hood/other kitchen
=i
Address:
.....c
Address: ■ � / • ui • ment 33.39
ce - A..�
City/State/ZIP = = - , a� � t r 1 I � Clothes d er exhaust 33.39
Single -duct exhaust (bathrooms,
,4
Phone: ) i C t o i let com•artments, utili rooms . 23.32
I CANT - l' : - • NTACT - PERSON . r 23.32
.. , • • Other 23.32
. IO ,i` Fuel piping
Contact name: di (.4, Es 6 ° ' $14.15 for first four; $4.03 for each additional
Address: '' c 1 ' = �J t . ) Furnace, etc.
Gas heat pump
City /State /ZIP: / .i .7 ,. - r_-r 0.0 el Wall /suspended/unit heater
Phone: , , c, Fax. !. ) , � c./ _` ' t a . 7 Water heater
Fireplace
E -mail: Range
• CONTRACTOR - - . .. Barbecue
Clothes dryer (gas)
Business name: _ �a. s - _ i Other:
Address: 'MECHANICAL-PERMIT: FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
. 9 Plan review (25% of permit fee)
CCB lic.: ' , 23 State surcharge (12% of permit fee) / 10 * 6
TOTAL PERMIT FEE 1 1 Q . (
This permit application expires if a permit is not obtained within 180
Authorized signatu :: Allrik / days after it has been accepted as complete.
Print name: w � Date: - - e.) * Fee methodology set by Tri- County Building Industry Service Board
- IABuilding \Permi ts \I PermitApp.d.. 10/01/09 440.46177 (11 /02/COM/WEB) _____
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi - Family Fee Schedule:
Total Valuation: 'Permit' Fee:
$0.00 to $500.00 Minimum fee $69.06
$500.01 to $5,000.00 $69.06 for the first $500.00 and
$3.07 for each additional $100.00 or
fraction thereof, to and including
$5,000.00.
$5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and
$2.81 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and
$2.54 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and
$2.49 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the =first $100,000.00 and
$2.92 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\Building\Pemnits\MEC- PermitApp.doc 10/01/09 2
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Mo • . fication to sprinkler heads only:
❑ tion ❑ 1 -1 . eads: No pl. review required.
Alteration ❑ 11+ hea. Pla • review required.
❑ Repair
Number of s. kler - ..s:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ 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: ) Z $ 12
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.
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