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Permit ti CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT t { .- �- COMMUNITY DEVELOPMENT Permit #: FPS2009 -00087 1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/06/2009 T1 1 . RD Parcel: 2S113AB01400 Jurisdiction: TIGARD Site address: 7324 SW DURHAM RD Subdivision: Lot: 0 Project: Performance Systems Project Description: Extend and modify existing fire sprinkler system (12) heads. Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 Permit Fee - COM 10/06/2009 $69.65 12% State Surcharge - Building 10/06/2009 $8.36 PHONE: 503 - 624 -6300 Plan Review - Fire Life Safety - COM 10/06/2009 $27.86 Contractor: FIRESTOP CO 3203 NE 65TH ST. #2 VANCOUVER, WA 98663 PHONE: 360- 718 -8604 FAX: 360 -718 -8603 Type of Use: COM Class of Work: FPS Type of Const: IIIB Occupancy Grp: B Height: ft Stories: Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: LT Density Design Area: K Factor: Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calm Provided: Cut Sheets Required: Total $105.87 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: 3000.00 Residential Square Footage: Fire Alarm Valuation: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speci- y Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is . .tarted within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to folio - ules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100 . ay o9tain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: ( On i cif Permittee Signature: / Call 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. F\ 2E P ∎k.)tu_Ecz A ., ; E ,777., °",, 7- 131 3u0 Dochco n. Building Permit Application Fire Protection System - SEP 1 6 FOR OFFICE USE ONLY City of Tigard Received „..„ SW Hall Blvd., Ti / Permit No y� 114 q Tigard, OR 97223 � -, Date/B : 7/ D ”" � �� Sa,2d %y -- d e0 e g CITY OF TIGARD Plan Revie•'�d IItED D C ' - Phone: 503.639.4171 Fax: 503.598.19 1 KM z Other Permit /�gR a,' D ZQO "�V /� /. B U ILDING D DateB Ack T 1 G A RD Inspection Line: 503.639.4175 D a t e R ea d y B y: d Juris: See Page 2 for Internet: www.tigard- ot.gov Notifie ethod: /d A 0 CO-A9 - gr Supplemental Information TYPE OF WORK fri xr d+oAT : : ( 1- - 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work perf•rliiied. Indicate the value (rounded to the nearest dollar • all X Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and to profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION ' Total number of .ors: Job site address: 3 z_C( (1A.,6- v� 0 c New dwellin: s ea: square feet City /State /ZIP: ©, ( tl 2 . 1 Z. 1 Garage /c.. •ort area: square feet Suite/bldg. /apt. no.: �- Projec name: e_ , Vy i. 1. 1 Le S Cove d porch area: square feet Cross street/directions to job site: D area: square feet - Other structure area: square feet JJJ R EQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I 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 � JJ DESCRIPTION OF `WORK work indicated on this application. excve.od 4 11/ 1DA .Py 4-Lc exi5-i"(, - P :irs; Valuation: $ 600 p1''••kI to Er- �� s . Existing building area: square feet New building area: square feet X PROPERTY OWNER ❑ TENANT Number of stories: Name: P ( i f( ,,_,5.4-- - Type of construction: Address: S b.) S � t A. P w,/ Occupancy groups: City /State /ZIP: p0✓'4 /6)12 91 Existing: Phone: (5D3) L Z Lt _ 4,;300 Fax: 603) (,,, 2L( - "j'?sS New: APPLICANT ❑ CONTACT PERSON NOTICE. Business name: F, r �s1 -- ap C . All contractors and subcontractors are required to be Contact name: (ems �` �� f licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: '3 2-0S /1_.) 62S---2---=- 'S. — jurisdiction in which work is being performed. If the . 11 applicant is exempt from licensing, the following reasons City /State /ZIP: �(1` , cJ it t )A 58 0(, apply: Phone: (3 Go 7 is _ 6Q,( Fax: :13C0) 7 (Q 8 wC7 E -mail: At f0 .e5.4 c . CDv"" CONTRACTOR _ BUILDING PERMIT FEES* Business name: 'Please refer to fee, schedule) Address: Permit fee: ‘, , .57 CitylState(ZIP: i State surcharge (12% of permit fee): 7, 5a FLS plan review (40% of permit fee): C Phone: ( ) Fax: ( ) (Due upon application.) A.5 ov CCB lie.: Total permit fees: Amount received: er , c,---6 Authorized signat e: r This permit application expires if a permit is not obtained Print name: /..( a 1-L1✓ Date: /) (L4 -d S within 180 days after it has been accepted as complete. l * Fee methodology set by Tri -County Building Industry Service Board. I:\Building\Permits \FPS- PermitApp.doc 03/23/06 440 -4613T(1 I /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: JUI Addition ❑ 1 -10 heads: No plan review required. Alteration . 0$ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: 1 Z Additional description of work: Type of System (Complete:.A, B, C or D as .applicable): A.) • Commercial Sprinkler Wet ❑ Dry Additional Standpipes /04 Information: Hazard Group L Density . ZO0/3 Design Area 4 K. Factor 5m (o Sprinkler Project Valuation: $ B.) Type.I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire,Alarm Submittal shall Battery Calculation ❑ Yes include: Individua • ponent ❑ Yes _.ut'Sheets Fire Alarm Project Valuation: $ • D.) Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $187. 2,001 to 3,600 1. " 2.50 3,601 to 7,200 $292.50 7,201 and greater $381.50 Sprinkler Project Square Footage: sq. ft. Fire Protection Permit Fees Project valuation subtotal (see A, B & C above): $4 Zee, Permit fee based on project valuation (see fee schedule): $ 7C - �O Permit fee based on footage (see D above): $ State Surcharge (12% of permit fee): $ 'I . ZZ FLS Plan Review (40% of permit fee): $ 3 0.7 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. I:\ Building \Permits \FPS- PermitApp.doc 2