Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
NI ° COMMUNITY DEVELOPMENT Permit #: FPS2012 -00077
T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/06/2012
Parcel: 1 S135BB00700
Jurisdiction: Tigard
Site address: 10655 SW GREENBURG RD
Project: Ewing Irrigation Subdivision: Lot: 0
Project Description: Add (42) sprinkler heads for new office and canopy
Contractor: ELITE FIRE SYSTEMS Owner: LANPHERE PROPERTIES V LLC
PO BOX 26 12505 SW BROADWAY
GLADSTONE, OR 97027 BEAVERTON, OR 97005
PHONE: 503 - 568 -6235 • PHONE:
FAX: 503 - 635 -4232
FEES
Description Date Amount
Specifics: Permit Fee - COM 06/06/2012 $199.04
12% State Surcharge - Building 06/06/2012 $23.88
Type of Use: COM Plan Review - Fire Life Safety - COM 05/15/2012 $79.62
Class of Work: FPS Type of Const: IIIB Info Process /Archiving - Lg $2.00 (over 06/06/2012 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process /Archiving - Sm $0.50 (up to 06/06/2012 $6.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Dry
Standpipe Required: Hazard: LT
Density: 0 Design Area: 0
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 $313.04
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $12,000.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
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 -00 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
"" ll
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
Fire Protection System
Building Permit Appli t , n,EIVED FOR OFFICE USE ONLY
CI of Ti and Received �®
131 SW Hall Blvd., Tigard, OR 97223 MAY 1 5 2012 Plan Review � ,
Phone: 503.639.4171 Fax: 503.598.1960 / /°'e : ! ' � 'I� Date/B : Oro / F j% Other Perm&s� // __ 0000/
Inspection Line: 503.639.4175 CITY OF TIGAit'�: -` - '1 I -W Date Ready/By: 0 See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DIVISION Notified/Method: . /2.. jrAiii. Supplemental Information
_ Ve RA 6112,6 ,<;. f� ',47- , '- '1' 1 .."!: "7 . ry J - ; . IY�ItiZit QRit; _;� -i, : Ar ' ,71ra.1} ' 1 NDr,2=FitAtLYDW liAtt' .
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
lig Addition/alteration/replacement ❑ Other: • equipment, materials, labor, overhead, and the profit for the
, ,,,r ,,,, ,..": , '' 4 ;,�' '� , .--1" - . , - , - ' ' f:- •, „ , f; - ; : work indicated on this application.
- r ?sue ° h '' . ;:CA'T.EGORY •OF :CMIS IgiFCTIt I: 4
❑ 1- and 2- family dwelling ❑ Commercial/industrial
Valuation: $
El Accessory building El Multi-family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
. , ? '''t- - ' '�a JOB 4-+ .. t' :t'.; *'-`° : 4- Total number of floors:
.� ^' " 190 HiiT,IO� .AND, `�U CATION , �'y, �r��`�� -;. � ,t �,
Job site address: t 0 G 6 5NO4 C tZG QO New dwelling area: square feet
City/State/ZIP: T % G n rZ O , oc _ G O Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Eut iNG Covered porch area: square feet
Cross street/directions to job site: C 22tLK(3 U 12.C_ (),„Q . To C A $(.11,0 e, Deck area: square feet
(tZ D A 0 - Z URN CZ l C- 4 T (> r V t.#4E.. ACC s S QO 4%7 Other structure area: • square feet
.TO4 r ... P AS i Tb.1.1� `� t - LIA(Z..t..e.r 5.4401° Q llID T ::,GO1 R elAMAJ S Ei-C l� , .._ LIST
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
- - '•D.ESCRIPT ION or :WOE '',- ' �-,_ LL" work indicated on this application.
(OOO se 0.tNK Lit Q S A.5 SlA Q wwr, O K t' 1. /atv to re Valuation $ k 1 . Op0
rC.4 �_. N 1E. 4...r at= l =\ c e_ A N 0 t.t C t+J C. t ti0 t' y fisting building area: Z � ` 1 ' c,.. feet
New building area: I t Od square feet
' ?"a rt: `;P:4OPER.TY:OWNER: ` „` - ', ,.'tE ISANT Number of stories: t
Name: Type of construction:
Address: Occupancy groups: €r CS
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) New:
APEI ICANT . CON AcT PERS7Ol N .. , .
Business name: s_` \ l ( , tZt. sy s l LlNA. s ` . All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:
`Zt 4 t.1 ao1 a t 1%4 17 t under ORS 701 and may be required to be licensed in the
Address: ? 0 12)O F 2-Co jurisdiction in which work is being performed. If the
Ciry /StatelZlP: plicant is exempt from licensing, the following reasons
C1 L.M. L1 01�
0 5 T1 a2 9 1 01.1 apply:
Phone: (spa) Sag _ 41.1 5 I 1 Fax:: (So ) 6,3 5 - At/ Z
E -mail: €Lt T t= G t ltlL S y s a t(1a 1A 0 0. cos.,
's .7 - - a,;:. GONTJiA:£TO1 ' - •:
., -._ i ce. .
Business name: S CA Ms>✓ ,r, , v-� , f •
Address:
=y � ° + =;1; �u' �::' ��' B1i ?II:.IIING`.TER1V?I�t�FP�S'"•
;NS ; ::: ,,. ;�,........
Please refer to fee schedule.
City/State/ZIP:
Fees due upon application 7 9, G zi
Phone: ( ) Fax: ( ) Amount received 79, 6 g2
CCB lie.: � Q12 / �/ / -C2 %_01---
/ 6, .... 3 „,....._____
Date received: /, //
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ZGtr A(2.0 X31 NQ err_ Date: 6. tS - k Z * Fee methodology set by Tri-County Building IndustrY�c,.�
Service Board. �C�j�/
isSuilding\Perrtrits WPS- PennitApp.doc 12/03 440 4613T(1 1/02/COM/WEB)
Fire Protection Permit Check List
Dsriboji 't
1.) New 2.) Modification to sprinkler heads only:
Addition p 1-10 heads: No plan review required.
g Alteration E. 11+ heads: Plan review required.
LI Repair
Number of sprinkler heads: 47.
Additional description of work:
ITYpO'fit'SYSIenvfennitiligie,, VOX' dr:Vas
Wet Dry
Additional Standpipes 0
Information: Hazard Group t.. r
Density .10
Design Area
K. Factor G.
Sprinkler Project Valuation: $
Tpe I- Hod eSpressimi System • -
Hood Project Valuation: $
E fire Alarm - •
Submittal shall Battery Calculations Yes
include: Individual Component LI Yes
Cut Sheets
Fire Alarm Project Valuation: $
•
ItegidentialSPrinkier (Stand Alone
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50 k,
3,601 to 7,200 $292.50
7,201 and greater $381.50.
_ _ _
Sprinkler Project Square Footage: c>c) sq. ft.
. .
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see attached chart): $
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $
FLS Plan Review 40% of Permit Fee: $
TOTAL: $
Plan review requires a completed application and 3 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:\BuildingWormsTPSchecklist.doc 12/24/03
•
.
Elite
Fire .
,
g LETTER OO F T R A I O� iTT ° [�
Systems LLC.
18670 Willamette Dr #102
West Linn, OR 97068
CCB# 177072 Dare Igoe NO.
‘ . sr'' 5- t 5— Z cwt.
CELL: 503 - 568 -6235 ATTENTION
` FAX: 503-635 -4232
f IN EMAIL: elitefiresys .@yahoo.com R@
EV4 %HC , s ���: s RECEIVED
TO C vt y c. t; T k C- IN n..0
MAY 1 2012
• CITY OF TIGARD
BUILDING DIVIRION
_ WE ARE SENDING YOU it Attached❑ - Under separate cover via " the following items:
Ill. Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
•
❑ Copy of letter ❑ Change order -- ❑ - -
COPIES DATE NO. DESCRIPTION
3 ll h q t t k Z S tT e.- t't..�..� 7 S e c., T t O N
3 tt t%441( It L0- L e o t waG ?L.2....., 7 CZI. F Lod c. T t�q Ge. c c. is o.c
THESE ARE TRANSMITTED as checked below: .
1C For approval ❑ Approved as submitted ❑ Resubmit copies for approval
, C) For your use ❑ Approved as noted ❑ Submit _ copies for distribution
❑ As requested ❑ Returned for corrections ❑ • Return _ corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
— T - l- +4.......c t•L_ yo v
COPY TO
SIGNED lZ N C'-+- 4tlN1.0 (& u ( 2.
if enclosures are not as noted, kindly notify us at once.