Permit w CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2009 -00027
Date Issued: 03/05/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 parcel: 1S126DB02800
Jurisdiction: TIG
Site address: X93,7- -0_SW GREENBURG,RD O
Subdivision: Lot:
Project: SPEC SPACE •
Project Description: TI sprinkler.
Owner: FEES
FRANKLIN COMMONS ASSOCIATES Description Date Amount
BY NORRIS + STEVENS, 520 SW 6TH STE 400 [BUILD] Permit Fee 02/20/2009 $134.00
PORTLAND, OR 97204 [TAX] 12% State Surcharge 02/20/2009 $16.08
PHONE: [FLS] FLS Pln Rv 02/20/2009 $53.60
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Contractor:
FIRE SYSTEMS WEST INC
600 SE MARITIME AVE #300
VANCOUVER, WA 98661
PHONE:
FAX: 503- 289 -2208
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units:
Stories: 1 Height: ft
Bedrooms: Bathrooms:
Value: $0
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Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $203.68
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No Protected Corridors: Yes
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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. AT • • N: •r - •orlllaw re• ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0P -0010 through OAR • -001 0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.66** • f 1.800.332.2344.
Iss ed By: � � ,! • 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 comp!: io .
Approved plans are required on the job site at the time of each inspection.
Le v •37 bL G'37d G -
lire Protection System
Building Permit Application FOR OFFICE USE ONL • _ '
ceived
City of Tigard RECE ' a,. B . !- _ •- 4a. .∎� Permit Na: lP2 t. ?- ca72
a 13125 SW Hall Blvd., Tigard, OR 97223 I' 1r Rev
13 -
Ph one: 503.639.4171 Fax: 503.598.1960 Date/By. (� � 3 Other Permit:
T I G A R D Inspection Line: 503.639.4175 FEB 2 0 20 i; t Date Ready/By: ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method: 111, Supplemental Information
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CITY OF TIGARD
TYPE OF WORKB[JILDING DIVISION ,REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
p il Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling A Commercial /industrial
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Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
- . JOB: SITE INFORMATION AND :LOCATION Total number of floors:
Job site address: 9 77 0 S o i )7 New dwelling area: square feet
City /State /ZIP: -Fo tft OP-- q 7 . 2 v3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: /t. .rf 13 4.414.: p',A 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.
Ek s / nk / YftNI N 'Mg "‘'Ail S Pe-ti.ivi'Lot S}�S•trr+ Valuation: $ (Z�l+
Existing building area: square feet
New building area: square feet
PROPERTY _OWNER' - " ❑ TENANT - . • Number of stories:
Name: Aoilcy='r ,-- p C � p I,/[. r7 Type of construction:
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Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
fr APPLICANT ' " ❑ CONTACT PERSONNOTICE
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Business name: •r; 16 - S t✓ • j i „, 1,- All contractors and subcontractors are required to be
Contact name �� 5�,� licensed with the Oregon Construction Contractors Board
77 1 under ORS 701 and may be required to'be licensed in the
Address: 66.0.0 Sff fringcn I tt / esi, jurisdiction in which work is being performed. If the
City /State /ZIP: V4»/( Z.i ve y,44 ? /CO" j applicant is exempt from licensing, the following reasons
apply:
Phone: q6®) 6 07 .7 9 e a. Fax:: ( )
E -mail:
v CONTRACTOR . BUILDING.PERMIT.FEES* '
- (Please.refertofee.schedulel ' .
Business name: rj r./
Permit fee:
Address:
City /State /ZIP: State surcharge (8% of permit fee):
FLS plan review (40% of permit fee):
Phone: ( ) Fax: ( ) (Due upon application.)
CCB lic.: 4 i '7'3°• Total permit fees:
Authorized signatur Amount received:
fr.-7:e--.--- This permit application expires if a permit is not obtained
/ �,�, / Date: within 180 days after it has been accepted as complete.
Print name'
ad r`l' �� �� L v � * Fee methodology set by Tri- County Building Industry
Service Board.
1:\ Building \Permits\FPS - PermitApp.doc 03/23/06 440 -4613T(I 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:
❑ 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 as .,a . i licable :
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A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K Factor
Sprinkler Project Valuation: $
1 B:) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) . Fire Alarm •
Submittal shall Battery Calculations El 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): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (8% 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 \PPS - PermitApp.doc 2
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
n BUILDING DIVISION
1 '
T I G.A R D TRANSMITTAL LETTER
a
TO: Q� DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
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FEB 2 6 2009
FROM: jasox �1p��� CITY OFTIGARD,
COMPANY: BUILDING DIVISION
PHONE �� /> ~� � 4 ,7Ge. By.
RE: se 2 ��G6z 7
e
(Site Address) mit/Case umber
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
.,Co ies. °D "esc "ri tion t i
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and /or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS:
Routed to Permit Technician: Date: w Initi
Fees Due: ❑ Yes FT o Fee Description: Amount Due:
Special
Instructions:
Reprint Permit (per PE): n Yes ❑ No n Done
Applicant Notified: Date: Initials:
1:\ Building\ Fomis \TransmittalLetter- Revisions .doc 4/4/07
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