Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
11. COMMUNITY DEVELOPMENT Permit#: FPS2012 -00117
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/16/2012
Parcel: 1S134BC00300
Jurisdiction: Tigard
Site address: 12282 SW SCHOLLS FERRY RD
Project: Boardwalk Burger Subdivision: WINDSOR PLACE Lot: 32
Project Description: Fire suppression system for Type I hood.
Contractor: VALLEY FIRE CONTROL Owner: FW OR- GREENWAY TOWN CENTER LLC
217 MAIN ST SE PO BOX 790830
ALBANY, OR 97321 SAN ANTONIO, TX 78279
PHONE: 541- 928 -9523 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee - COM 07/26/2012 $102.20
12% State Surcharge - Building 07/26/2012 $12.26
Type of Use: COM Plan Review - Fire Life Safety - COM 07/26/2012 $40.88
Class of Work: ALT Type of Const: VB Info Process /Archiving - Sm $0.50 (up to 07/26/2012 $16.50
Occupancy Grp: A -2 Height: ft 11x17)
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Yes Alarm Type:
Pull Station Required: Yes Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $171.84
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $2,900.00
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
issuan. , .r if wor - spended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili•• Notification Center. •se rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or . irect questions to OUNC by - in! • "..232.1987 or 1.800.332.2344.
I . ued By: ,' f / / Permittee Signature:
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.
Building Permit Application
Fire Protection System RECEIVED FOR OFFICE USE ONLY nn �
iv
City of Tigard Receiv
Er
ed
q 13125 SW Hall Blvd., Tigard, OR 97223 JUL 2 6 2012 Receed
Phone: 503.718.2439 Fax: 503.598.1960 Date/B MAIM Permit No.: ,/ � /i 0� J 1 M Other Permit:
Inspection Line: 503.639.4175 CITY Date Ready/By: Julie: El See Page 2 for
T I GA RD
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
BUILDING DIVISIO '
• TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based the value of the work performed.
1't Indicate the value (rotnded to the nearest dollar) of all
❑ Addition/alteration/replacement Other: t�∎Ttlletn 1!t?e Sufrvt'sS■tM equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling (l Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
ID Master builder 12 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION - Total number of floors:
Job site address: (2$1_ SChQ1le [� New dwelling area: square feet
City /State /ZIP: 1.3 C t Q R 272.-1_' Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 13 z Wz1 k — 6 tiro) ed. 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 (rotnded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this applicatio U
�
l,n54►1 Kc c1d� rut S� � �
s� � S�.w, Valuation: $ <
I f\ avivv N t 2.1 K,IcIA ili 00 4 Dva- Existing building area square feet
ZY, PI() ( i 26 Ce'S 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: Veil ei T e aQ 1 All contractors and subcontractors are required to be
Contact name: C \; W rn ?le ...)- C licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 2_11 PA .2 54- Sc jurisdiction in which work is being performed. If the •
{
City /State /ZIP: 132111 r OL- T13 apply:
is exempt from licensing, the following reasons
pP l y:
Phone: (541i el q 5-t Q Fax: (941) 0 a 03
E -mail: C M•i" lc., @ Pe - - o
CONTRACTO - BUILDING PERMIT,FEES* •
(Please refer to fee schedule)
Business name: �j;ik d
Address:
C9k- H'1 Permit fee:
State surcharge (12% of permit fee):
City /State /ZIP: u
FLS plan review (40% of permit fee):
Phone: ( ) Fax: ( ) (Due upon application.)
CCB lic.: 61/0 & 7 9 /p- {// % Total permit fees:
Authorized signature: Amount received: '171 ∎SY
This permit application expires if a permit is not obtained
Print name: (� (J �,� Date: within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board
I:\Building\Permits \FPS- PermitApp.doc Rev 01 /05/2012 440 -4613T(11 /02/COM/WEB)