Permit - it CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
ili : #- COMMUNITY DEVELOPMENT Permit #: FPS2009 -00072
TjG 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/11/2009
Parcel: 2S113AB01400
Jurisdiction:
Site address: 7358 SW DURHAM RD BLDG G
Subdivision: Lot: 0
Project: CORAM
Project Description: Relocate (1) fire sprinkler head.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
ATTN: N PIVEN, 15350 SW SEQUOIA PKWY
Permit Fee - COM 08/11/2009 $62.50
#300
12% State Surcharge - Building 08/11/2009 $7.50
PHONE:
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:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: Design Area:
K Factor:
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $70.00
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 425
Residential Square Footage:
Fire Alarm Valuation:
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 st. - eo within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the riles :dopted b the Ore on
Utility i !cation - -r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You ay I bt.in a o of the u s
or dir ct questions to OU • by : ling 03.246.6699 or 1.800.332.2344.
Iss ed By: I `� �, 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.
r �•i
i..
Building Permit Application
Re -Roof FOR OFFICE USE ONLY' ,
City of Tigard Date/B • 61lo i2 Permit No.' ) - 00 , „?.*00.) 7
1' ° 13125 SW Hall Blvd., Tigard, OF j Plan Review
Phone: 503.639.4171 Fax: 50.5' 19 0 Date/By: Other Permit:
T I G AKD Inspection Line: 503.639.4175 Date Ready/By: fur' 0 See Page 2 for
Internet: www.tigard - or.gov AUG 1 12009 Notified/Method: /(C'- Supplemental Information
TYPE OFt�n 0 1t71hif1 V REQUIRED DATA: 1- AND 2- FAMILY DWELLING
- i in r►rg iri DIVIQlo \i
DU It _ livVA t • i \li `� Permit fees* are based on the value of the work performed.
❑ New construction ii Demolrtlon p
Indicate the value (rounded to the nearest dollar) of all
'ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ID 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
CI Accessory building 1=1 Multi-family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: — 73 3 ( Z • IA) L' IA 1...c. RA. New dwelling area: square feet
City /State /ZIP: PO r41 a nlA / D IQ `il 2 -e_.(1 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 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
1 DESCRIPTION OF WORK work indicated on this application.
P e 1 l QCST 1 3 r tl.)\L. IQ-.,r Ii'169,,J . Valuation: $ L.� 2S�
Existing building area: I 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 ❑ CONTACT PERSON NOTICE
• Business name: 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: : ( ) 6;A. 5c
E -mail: 7' 50
CONTRACTOR C)
Business name: � ,, P, ,,4-r p Co, f )\ BUILDING PERMIT FEES*
Address: 3 1 - 0 -) A l �C' (e S lc / ee (- S iLC'- Z (please refer to fee schedule)
/ Structural plan review fee (or deposit):
City /State /ZIP: Ua..IUCc �- m e- f ( A_..) c8 (P (a 3
FLS plan review fee (if applicable):
Phone: (3C) 1 tB _ a a,OL1 Fax: ( 7 ( - 8(003
CCB lic.:
8 Z Total fees due upon application:
OL Amount received:
Authorized signature: �(
13 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri- County Building Industry
Service Board.
I \ Building\Permits\ROOF- PermitApp doc 06/26/06 440 -4613T(I 1 /02 /COM/WEB)
I
City of Tigard: Re- Roofing Permit Checklist
Page 2 - Supplemental Information
RESIDENTIAL (One- & Two - Family Dwelling)
El REPAIR (major) plan review required by plans examiner:
building permit is required when structural changes are made or the space sheathing is
removed or replaced.
SUBMIT TWO (2) SETS OF PLANS SPECIFYING:
A. Roof area and nearest street.
B. Attic vents: Provide 1 sq. ft. for each 150 sq. ft. of attic space. Vents shall be
located in the upper 1/3 of the roof. Provide 1 sq. ft. for each 300 sq. ft. when
eave and attic venting is provided.
Note: No permit is required for residential re -roof if not more than two (2) layers of
roofing will exist upon completion of the re- roofing.
COMMERCIAL (includes multi -family and "condominiums)
❑ RE -ROOF: Pre - inspection is required for all roofs sloped 2:12 and less. Please make
an appointment by calling the Building Division at (503) 718 -2433.
❑ PLAN REVIEW:
Note: Depending on the conditions noted at the pre - inspection, plans may be required
to address any non - conforming items.
VALUATION OF PROJECT: $
sq. ft. of roof area
Permit Fee based on valuation: $
(see Building Permit Fees chart)
12% State Surcharge: $
65% Plan Review Fee: $
(Required for major repairs of residential and
special purpose roofing of commercial projects.)
TOTAL: $
•
I:\Building\Permits\ROOF- PermitApp.doc 2
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.
Alteration El 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
R ldrA-e,e
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Wet ❑ Dry
—
Additional Standpipes (�
Information: Hazard Group t' G\k
. Density ' /2 - 000
Design Area
K. Factor S .(.
Sprinkler Project Valuation: $ L( 2S -
B.) Type I - Hood Fire Suppression System >7 JA •
Hood Project Valuation: $
C.) Fire Alarm L Submittal shall Battery Calculations /❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
•
D.) Residential Sprinkler (Stand Alone System) �q
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
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): $
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.
I.\ Building \ Permits \FPS- PenmtApp.doc 2