Permit r -
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1 1111 - Permit #: FPS2009 -00053
8 COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/29/2009
Parcel: 2S 115 BA02600
Jurisdiction: Tigard
Site address: 16230 SW PACIFIC HWY 100
Subdivision: Lot: 0
Project: Panda Express
Project Description: Add (23) sprinkler heads.
Owner: FEES
SN PROPERTIES PARTNERSHIP Description Date Amount
1121 SW SALMON ST Permit Fee - COM 06/10/2009 $69.65
PORTLAND, OR 97205 12% State Surcharge - Building 06/10/2009 $8.36
PHONE: Plan Review - Fire Life Safety - COM 06/10/2009 $27.86
Contractor:
AFP SYSTEMS INC
19435 SW 129TH
TUALATIN, OR 97062
PHONE: 503 - 692 -9284
FAX: 503 - 692 -1186
Type of Use: COM
Class of Work: FPS Type of Const: VB
Occupancy Grp: A -2 Height: ft
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: No Sprinkler Type: Wet
Standpipe Required: No 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 $105.87
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 2970
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 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 tt3 OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: ` �
% , , = : , , Permittee Signature: f�'
a 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.
t 6,31 t t.-2 mac` i 'Ft- C l
Fire Protection System r -�, �p
Building Permit Applic E NE FOR OFFICE USE ONLY
City of Tigard y 200th Received . , /D 0 % PcrmitNo.: 15, 4.9 —
13125 SW Hall Blvd, Tigard, OR 1 plan Revie
' Phone: 503.639.417I Fax: 503.598.1960 Da le/By; gpiliwnrc a , OtberPermit
T 1 G n R D Inspection Line: 503.639.4175 O r+ TIG�►RD Date Ready/By. fd See Paget for
Internet: www.tigard -or.gov -- 1NG DNISIO" Notifi etbod: • A- 0 i ,' Supplemental Information
B unD
N.t3''i f r.,,, ! • s.C.,, -0, r ` -' ' r fi i . x 1 ',,....--,x, ..
w i `,- > TYPE O SS'O r +.. "h QIJIIt + r > 1!x ] !.1 A I 2 ''AM ! '" . ?
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iki New construction ❑Demolition Permit fees* based on the value of the w #' erformed.
Indicate the value (rounded to the,nearest • , of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhears a we profit for the
t i j ; V ti ll 5 K� ; '� c ?^ * � , 0�V15: n 1 ,� work indicated on this application
5 r T� WV J � a: �: L. t - `M .V.F ..T .YC.NE :Y: �W �Yh _ tl a 1 •',., 7 - 4i: .it• 'x•
❑ 1- and 2 -family dwelling Commercial /industrial
Valuation: S
❑ Accessory building i=i Multi- family Number of bedrooms:
❑ Master builder 0 Other Number of bathrooms: .
�s Y "t rc �s xT z r �� Total number of floors:
`< F` .r1�Y #11j1u'`r�-JO � , k '" 1 ORMA] 1O AND 1 C situ mt x` r.
Job site address: 1 0250 'PACIF l T tl/V 4 e--(5r6: Ifs New dwelling area: square feet
City / State/ZIP: Tj� DE, 1 Garage /carport area: square feet
Suite/bldg. /apt. no.: 11 Project name: TOCI 5y.pc„ Covered porch area: square feet
Cross street /directions to job site: "r � Deck area: square feet
Other structure area: square feet
es f , �k ,:; rye
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
y � C; '�t' -F„ .„ a a,.. • � 5 t.,. "'i . 8 k1 �t .E.. 4 sf 8 - ?w^"n, f., -a� ' .. sir • . F at`.
l?�� r ., t,,. ]�-.; s� ,., sna work indicated on this application.
45 nS�� .. �C6::' Lu", ���Y: xK.,. G3 '�.�.��v�..' "Yeu"C.7y��*�iO:SI tl ,..�e, ��5 �,at ,s '� re,'.41, . . �•L. -, ,i,•'�i:. �
/�� 9 � . ((��^ J� Valuation: S . �9
lam` 19 L :y..t )— - Pz
&L 1,-d ?, (t,..4.1 e1 "`�- �J ..,-- C y „ / Existing building area: `f _ 00 square feet
New building area: 2_00 0 square feet
got bar .r t 1"., y ms z t � 1 L "-u t i. � � R �z r'+e +•' �`• N' ��'- ,y 1
< o ` s § .,P,..BOPERTY' O��� =1,s 1 s# F n fly {' " ` ; Number of stories:
Name: 14 tk ).—t) Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
• Phone ( ) Fax ( ) {
':, `5 . , i - t Yr _ i z . , ., `"ep ui j . ti r sx New
S ,-+ a ` t ^, s u. C R SB t ay ` a kw °S3#r,•,,". 1:•11iVx P 01Y Y" r s t ;t i '�� : -K, '�. �, 9 , G , a 0 u, ..�
? .;R;+� � .,�.: >. . � WW> <• - •f..�.aw . a:.,
Business name: / p 5 ►5 5 P...10_. • All contractors and subcontractors are required to be j
Contact name: `( V �`1 Iicensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: ICI F-i WI -• jurisdiction in which work is being performed. If the i
�
` . ) , f ol i applicant is exempt from licensing the following reasons
W `VY[ ` �}
City/State /ZIP: e
� jy/jq y� (,(� t I^ apply:
Phone: ( )
) tY tZ - "l fiY� , Fax:: ( 6)3 (AS I l Sll1
E -mail:
r;A �y t CON'T'R T OR a � a � t i
.. _3�, n. ,. w i 4 { ,3 - ,ra s' $ * rosx `r l it u .
/ �' - t yr.,.� �l�{�C -_:, •�' `lli • . �.:..� .. <,... � �3`.s.<. � i . ,!- ` • � � Tf
�ti r� 1 f! Kw a .(P.lcea hedute),m. ,.e; .3 r r 6,-';
Business name: l V`tV Permit fee:
Address: i" 6 1 5 i TA Avg
< State surcharge (8% of permit fee):
City /State/ZIP: — rpki 4 ( , c110(9'2, FLS plan review (40 %ofpermit fee): ,
Phone: (r,.,�3) �ilS, DR,, )3 Fax: (i V12 I in, (Due upon application)
GCB lic.:
(.01.57v. n Total permit fees:
Amount received: /e (5 • it 7
Authorized signature-
t
This permit application expires if a permit is not obtained
Print name: ,J , ,i,. S Wv ul/1r Date: (a - I--O within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
I:\ Building\PermitsUPS- PumiiApp.doc 03/23/06 440 -4613T(1 UO2/COMIWEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe y irk #o;b dare ,:; , , st , . j ai^ 5 5 r ..:,:s; „; ?: > :
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
Alteration Ta 11+ heads: Plan review required.
Repair
Number of sprinkler heads: 2 3
Additional description of work: •
l e r', i 0.7.1 t s } v- r c to v',5' ri x F :.y�'•'"+"i 5' I
„,,,..,_ , - .„ ".'P om ieie' j 8� , may : s RP 7 . � _ r.
u'br a 3. Y, r Y i a g„ t 'N tet -" G is Y" l m r `� � tkp, r ?' i `. ".. - -
f e- � !D .. e a "A t! ✓ 1't P t s ' 7 - a 1,-, 'C 1 .,& ' r' .. t, •` ;', - ' .s _ -' , t f'`' :{ y � , . E•, k
Wet ❑ Dry
Additional • ..... - Standpipes... .
Information: Hazard Group
Density . ,, 2,0
Design Area 131,41 7.0 00
K. Factor t
,, LA ..1.
Sprinkler Project Valuation: $ 10007
� i.x Pt
i ������. �`"pppres.�roxk <S�te>!n �� :-�_'....: - g.�.��W 10 �- � 001.
Hood Project Valuation: $
w a y r x 34 ,- -,c, .<Yat y a.. 5 ,. , - ,tom . .:.. , " "„ ,s,,,,� y. `�3 a' g` � 'ittri s - ,g
� -�' � �'�fi�+:�����t ,x'k�� ^ �: `�"�.`;:� • g �E�x • `�'i� 3x "9' •n- �y �" '� r r t r ,�' -
''t G " z � .'° € .fit i c s % " v Y •�- i e . ;. ' .5 �- . - -'Y .,.! a '-� .f c .+ t �s. rfr�, 4 y $.
; 3 ' i/ � yram �'' "u* t a� Y�i,� ' Ti,. 44 x`74-t�. �q,,r..��,,yya!�,ic.. `414 .,}k tleA n°
'?@ ;,€..a �.;'.".L r - ..,. ++�. ,.t:'. "- t s. c3f..t'�. h'_ � vf_.
Submittal shall Battery Calculations - ❑ . Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ .
: `t ' ;'^.. =d: E` '�` s`.� -.., ", "t W,` * i !7' ; ,V igo rt�''6. :, . -i? 7. ' , . }..: s ;
}^ ° ``` fry * t a�. 0 .rz y�^cs �'tir r , ! 'x SJ �° � rt 4 S t ^nf:a'" ; f.$ p r e rAss/ o-,i a '' n"„cc . tkv a, .a..�.,.4 .s _!'en'` ° � ' °- y
Square Footer — Permit Fee
€ Y
0 to 2,000 $187.50 '
, � � � . -
2,001 to 3,600 $232.50 x , y ,r �' � �} ,.. 2 _
3,601 to 7,200 $292.50 , k 4t•'-- , G *
7,201 and greater $ 381. 50''; 3g: f .n�,-�.
Sprinkler Project Square Footage: ' - • • . • • sq. ft.
..... �:a :, ,. .., " ... ... .....:. ; rs u.�s._ _ �: .: ,. i� ^ �:•;..� - c;'�_.;ika 's
'.t.. ;,.,. E •. 3•, m�u°.yy,an!.�.- -...:s'a�- ' "`i;' .y��k °e' ' F,' ma y'., r $ rT.. ::.' .
.4, . , '.. is ll -,- w. .t r"".: 14 0;:k0 {Xg4s1:� xa �:t ter- . .i~.
..: n tx:..,. rt��?. a4d. R., qZP' .:Ra'�,�e7, "s�s�''t.°�._...x.�. ,<%s;r,'.._.,. .... ._.: ....,dl.,,.'�_t.�,�.y.,.n... . ;..�..cl. �: -.. `[ �� •;`: ,
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% ofpermit 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.
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