Permit � p CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
IF'! COMMUNITY DEVELOPMENT Permit #: FPS2009 -00032
' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/10/2009
Parcel: 2S113AB01400
Jurisdiction: TIGARD
Site address: 7358 SW DURHAM RD
Subdivision: Lot: 0
Project: Coram
Project Description: Demo (5) heads, relocate (17) heads, and add (10) heads.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
ATTN: N PIVEN, 15350 SW SEQUOIA PKWY Permit Fee COM 05/18/2009 $105.40
#300
Tax - 12% State Surcharge 05/18/2009 $12.65
PHONE: Plan Review - Fire Life Safety - COM 05/18/2009 $42.16
Contractor:
DELTA FIRE INC
14795 SW 72ND AVE
PORTLAND, OR 97224
PHONE: 503 - 620 -4020
FAX: 503 - 620 -1058
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: B Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 1500
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 $160.21
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 6300
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 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued B, : Permittee Signature: �j�
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.
Building Permit Application
t Fire Protection System FOR OFFICE USE ONLY CI Of Tigard cFNED Recei
City g DateBV: _ • di .4 • Permit No.:� 464 _ coz ^�
° 1312 SW Hall Blvd., T'Heard, OR 97223 MAY 1 5 2009 Plan Re �e 1 L�lJ�1�7L
-
Phone: 503.639.4171 Fax' 503.598.1960 Da[eJBv:n r Other Permit: for
Inspection Line: 503.639.4175 Date Re v: 2
TIGARD Internet: www.tiEtard-or.gov OF TIGARD Noun "ed /vfethod: / I . • • ; . S elemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING •
❑ New construction ❑ Demolition • Permit fees' are based on the value of the work performed.
Indicate the value (rowded 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.
❑ 1- and 2- family dwelling ACormnercial/industriat Valuation: S
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7355 -Dot ham 'p . New dwelling area: square feet
City/State /ZIP: Ti U OR C) 7 aati Garage /carport area: square feet
1■ Suite/bldg./ t. no.: ' Project name
Pro
II j: 1� G Co vered porch area square feet
I J Cr am Ag fAnctic, St Vit p q
Cross street/directions to job site: Deck area square feet
Other structure area: square feet
, ,REQUIRED ;DATA:, COMMERCIAL- USECITECKLIST .,
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value rotnded to the nearest dollar) of all
Tax map /parcel no.: ( )
equipment, materials, labor, overhead an the profit for the
_I DESCRIPTION OF WORK ' • . • work indicated on this application. ' UO 1 , 00
'DWI() 5 he_c05, 1 ii heari3 Cl.nrl Valuation
acki 10 h P.cu- A-rc fl et.)3 Tr 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:
A APPLICANT ❑ CONTACT PERSON N,O,TICE
Business name. 4 1 YQ y • All contractors and subcontractors are required to be
Contact name: V ' LC f� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be lensed in the
Address: 0. , jurisdiction in which work is being performed. If the
City /State /ZIP: b t , d .�� applicant is exempt from licensing, the following reasons
apply:
Phone: ( _• . w' , I mo. - "t • , 6 Fax: : (5 , w r ' I D
E -mail: heed(S n • etArbse. Corn
CONTRACTOR BUILDING:PERMIT FEES*
Business name: e l4 'F rp n C (Please refer to (ee schedule
Address: 147,16 N,6 .la •Ave.. Permit fee:
�o f l' � OR '7 State surcharge (12% of permit fee):
City/State/ZIP: TI
(� 3 �, FLS plan review (40% of permit fee):
Phone: `C („ 0 - tioae� Fax: (b a7 G90 _ 1 8 (Due upon application.)
CCB lie.: &L1 17'1 Total permit fees:
Authorized signature: - Amount received:
/ Ar This permit application expires if a permit is not obtained
,IP
Print name: Nf I C,/�r, �-h / Date: 5/13/09 within 180 days alter it has been accepted as complete.
l G.J� " Fee methodology set by Trl- County Building_ Industry
Service Board.
1aBuildingiPermits ■FPS- Pertnit4pp doc 03/23106 440- 4613T(I I102 /COJLwEB)
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 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: as
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
•
A.) Commercial Sprinkler
Wet ❑ Dry
Additional Standpipes t-3 0
Information: Hazard Group L *cZ •
Density .10
Design Area ` e-b
K. Factor b,(
Sprinkler Project Valuation: $ p . p0
i
B.) Type 'I - Hood Fire Suppression System -
Hood Project Valuation: $ lV k
•
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 $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): $ 503 •
Permit fee based on project valuation (see fee schedule): $ 9''
Permit fee based on square footage (see D above): $ 0
State Surcharge (12% of permit fee): $ t a.cp�
FLS Plan Review (40% of permit fee): I $
TOTAL: $ � ( �. k ' • •
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.
L \&siding \Perrrucs \FPS- Pe_rmitApp.doc 2