Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1114 --
COMMUNITY DEVELOPMENT Permit #: FPS2011 -00060
TI AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/24/2011
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Parcel: 2S104ACO2700
Jurisdiction: Tigard
Site address: 12550 SW 134TH AVE
Project: Wilde Subdivision: MORNING HILL NO. 8 Lot: 171
Project Description: Install new NFPA -13R fire sprinkler system.
Contractor: RISER FIRE PROTECTION LLC Owner: WILDE, ERIN DANIELLE
PO BOX 2319 12550 SW 134TH
BATTLE GROUND, WA 98604 TIGARD, OR 97223
PHONE: 360 - 687 -1463 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Info Process /Archiving - Lg Sheet (over 05/11/2011 $2.00
11x17)
Type of Use: COM Info Process /Archiving - Sm Sheet (up to 05/11/2011 $27.50
Class of Work: FPS Type of Const: VB 11x17)
Occupancy Grp: R-4 Height: ft Permit Fee - COM 05/11/2011 $145.24
Stories: 2 12% State Surcharge - Building 05/11/2011 $17.43
Plan Review - Fire Life Safety - COM 05/11/2011 $58.10
Misc Administration Fee 06/23/2011 $2.50
Commercial Sprinkler System: Misc Administration Fee 06/23/2011 $11.75
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .05 Design Area: 1024
K Factor: 4.9
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $264.52
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $6,548.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
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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 folio. 'le rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may •btain a copy of the rules
or direct questions to OU ). by calling 503.232.1987 or 1.801 .2344.
Issued By: Permittee Signature: 'All A I
■Iderose A 1111 0 1 9 1111.111° -
Call 0 ° .4175 by 7:00 a.m. for the next available inspection date.
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
Building Permit Application .
Fire Protection System RECENED FOR OFFICE USE ONLY +
CI of Tigard Permit No.: 44
III o'cll
131 SW Hal Blvd., Tigard,OR 97223 Y 1 Plan � ��� ��eJn Review
Phone: 503.718.2439 Fax: 503.598.19 V 20 Date/B : �jr +Jgeng Other Permit: / �rr0,1P
T l G A R D Inspection Line: 503.639.4175 CITY Date Ready : y: / / Suds: El See Page 2 for
Internet: www.tigard- or.gov Dr .: Notified/Method: !Q I it /il' Supplemental Information
lj NGDIVISION n CID e - ,el, g-FP ✓ff ��
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILYDWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rotnded 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. r��
�( Valuation: $651/g :,
❑ 1- and 2- family dwelling 1°t Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder /M Other: A.55 15M0 LW /A/6 Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / 5 135rAif,s. New dwelling area: square feet
City /State /ZIP: 77 ® D R '9 792,23 Garage /carport area: square feet
Suite/bldg. /apt. no.: Mk- Project name: J/L Rt5/D Covered porch area square feet
Cross street/directions to job site: 363 J /s,+ 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.
..57 , /JFP11-13 1Z— FIBRE ,_502)AWLER Valuation: $
5Y,57-0—(.. 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:
. ,f - APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 5AtiE A5 „szot .S 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: Fa�: /( )
E -mail: RtJC'�Ri'l11"RvItL1(O - AJQ SA.)-
CONTRACTOR ' , BUILDING; PERMIT' FEES*
Business name: k 15E� F kyvEcnax (Please refer tofee'schedule •
Address: y 0 _ i� Permit fee:
City /State /ZIP: , • State surcharge (12% of permit fee):
if • 1 16* FLS plan review (40% of permit fee):
Phone: t6,) � '7 -/ {mac 3 Fax: ( ll, j (Due upon application.)
CCB lie.: /3 ' e 1 ✓ Total permit fees:
Authorized signature: Amount received: tot c 21
This permit application expires if a permit is not obtained
Print name: GJ/(..IJ}tt Vc/ - lU5� Date: 54)'04 j i within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board
I:\ Building \Permits\FPS- PermitApp.doc 02/01/2011 440- 4613T(I1 /02 /COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
El Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
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: $
C.,) Fire Alarm •
Submittal shall Battery Calculations El Yes
include: Individual Component El 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 �(,.bn1 -(t f 4 .
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 three (3) sets of plans at submittal.
Plan review fees are required at submittal.
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