Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
; '! . <' COMMUNITY DEVELOPMENT Permit #: FPS2011 -00061
•
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/01/2011
Parcel: 25101 CA00400
Jurisdiction: Tigard
Site address: 7940 SW HUNZIKER ST
Project: Charter Mechanical Subdivision: BEVELAND CORPORATE CENTER Lot:
Project Description: Modification of fire sprinkler system for new tenant.
Contractor: PATRIOT FIRE PROTECTION INC Owner: RUSSELL FAMILY LIVING TRUST
4708 NE MINNEHAHA ST DAWN NEW HUNZIKER LLC
VANCOUVER, WA 98661 WELLS APARTMENTS LLC ET AL
EAST WENATCHEE, WA 98802
PHONE: 360- 699 -4403 PHONE:
FAX: 360- 699 -4485
FEES
Description Date Amount
Specifics: Permit Fee - COM 05/17/2011 $123.72
12% State Surcharge - Building 05/17/2011 $14.85
Type of Use: COM Plan Review - Fire Life Safety - COM 05/17/2011 $49.49
Class of Work: ALT Type of Const: VB Info Process /Archiving - Lg Sheet (over 05/17/2011 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 2 Info Process /Archiving - Sm Sheet (up to 05/17/2011 $4.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: ORD2
Density: .2 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $194.56
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $5,000.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
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 - - . - ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0090. You may obtain a copy of the rules
or dip questions to OU C. by c. 503.232.1987 or 1.800.332.2344. //
I ued By: 1 / 7 Permittee Signature. V dA / /
Call 503.639.4175 by 7:00 a.m. for the next available inspection date. V C
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.
i BuildiniA Permit Application NOISIA!a oNIa1I112
Fire Protection System ®� dOLL JO /tll0 - r OR,OH u 1 1SF O�'1.Y
1,1 City of Tigard LIOZ b I )VV1 n z'B,- illiart11111 Permit No. ....; , . f -r(l,/
q 13125 SW Hall Blvd., Tigard, OR 97223
C „ _ rN ,< Plan Re�'ir�� �
• P 50 3.718.2439 Fax 503.59: I 9 1 ' Date/13 i
: i / ' Other Permit:
T G A R'D Inspection Line: 503.639.4175 i ; 1y 1 Date Readv/B - Juiu: H See Page 2 for
Internet: www.tigard- or.gov °° 6 "� ` Notitied/Method: Z4 / / Supplemental Information
TYPE OF WORK REQUIRED. DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Addition /aheration/r Iacement Other: Indicate the value (rounded to the nearest dollar) of all
eP equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling geommercial/industrial
Valuation: $
❑ Accessory building 0 Multi- family Number of bedrooms: •
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 71 r,,l )4 u -z 1 k E Cam ---r. New dwelling area: square feet
City/State/ZIP: `Ti Li t 0 C 7j7 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name:C4q(�Tt✓e.._ MFj_I6.aJ1C'(_ 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.
A A06 ' °C,v �e i�kL-F.2 S - 1'"c> I`.����/ Valuation: S 'S / C7 X
\_ / 4L -L-5 CF- ✓L-S Existing building area: square feet
w 1 New building area: square feet
g PROPERTY OWNER ❑ TENANT Number of stories:
Name: y \ G P.2' 1 t j 2_ pt/l Vii. , Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: O IZfs < -eP 'I.I
Phone: ( ) Fax: ( ) New: . \. H
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: ate'- r 5y (�� pj--rcV� All contractors and subcontractors are required to be
Contact name: jr-4 ��t- -- 1 to ` licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 47C. F t./\ 1 IQ E ( -(ik d. #1 5 . _ jurisdiction in which work is being performed. If the
City/State/ZIP: VA- C 14 A, 9 8 La C ( applicant is exempt from licensing, the following reasons
apply:
Phone: ( 3) Z22_ lam ++ Fax: : &( )) 6,9 oi 44 6
E -mail: PRO._ } 4,-- re.tcs' Pi l `� i c0v-
- CONTRACTOR - BUILDING PERMIT FEES *`
(Please refer to, fee schedule)
Business name: �� 1 e. (C; ( (70-(2 Permit fee:
Address:
State surcharge (12% of permit fee):
City / State/ZIP: FLS plan review (40°0 of permit fee):
Phone: ( ) Fax: ( ) (Due upon application.)
CCB lie.: ` 02:7_, Total permit fees:
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name: within 180 days after it has been accepted as complete.
C �L� (L „� S Date: 1 * Fee methodology set by Tri- County Building Industry
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
�-�lteration g 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: C A -
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 Ex a S oitj GO RP
P T
Density ZC.)
Design Area t�
K. Factor
Sprinkler Project Valuation: $ oe
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 2,010 $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.
http : / /www.tigard- or.gov /city_ hall /deparunents /cd /dots /FPS - PermitApp.doc 02 /O1 /T�