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Permit q CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT a • COMMUNITY DEVELOPMENT Permit #: FPS2012 -00124 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/10/2012 Parcel: 1 S 135ACO2500 Jurisdiction: Tigard Site address: 9346 SW MANDAMUS CT Project: Longstaff Apartments Subdivision: ASHBROOK FARM Lot: 25 Project Description: Building 4 fire alarm Contractor: WESTERN STATES FIRE PROTECTION Owner: J.T. SMITH CO 13896 FIR ST STE B 5285 MEADOWS RD SUITE 171 OREGON CITY, OR 97045 LAKE OSWEGO, OR 97035 PHONE: 503 - 657 -5155 PHONE: 503 - 975 -7639 FAX: 503 - 657 -5182 FEES Description Date Amount Specifics: Permit Fee - MF 09/10/2012 $134.48 12% State Surcharge - Building 09/10/2012 $16.14 Type of Use: MF Plan Review - Fire Life Safety - MF 07/31/2012 $53.79 Class of Work: FPS Type of Const: VB Info Process /Archiving - Lg $2.00 (over 09/10/2012 $6.00 Occupancy Grp: R -2 Height: ft 11x17) Stories: 2 Info Process /Archiving - Sm $0.50 (up to 09/10/2012 $14.00 11x17) 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: No Alarm Type: Automatic Pull Station Required: No Smoke Detectors Req: Yes Battery Calcs Provided: No Cut Sheets Required: Yes Total $224.41 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $6,000.00 Residential Square Footage: 0 Fire Alarm Valuation: $0.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available insp ion date. / This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application -- - 's -- Fire Protection System r ;,. 7 '. a', I_' 1_,$,,, Foiz Oii is : usE ()Nix ` zr City of Tigard JUL Received 2012 Date/B : '/ i Perm No. s,2o42 X10 /ay a 13125 SW Hall Blvd., Tigard,OR 97223 Plan Revte • ' 1 / ' C . Phone: 503.718.2439 Fax: 503.598.1 ^ ' ...' r'',.77, • q "^ A 2 Other Permj ' 00 2 i i r 0 Inspection Line: 503.639 '' V ' t , �, Date Ready/B : 1s' ® See Page 2 for T I G n li p Internet: www.tigard -or.gov r A ' i ' p` ; , ,„ „ � ; ,, ; ,, , • �,/ r ;� Notified/Method: _I/ w '�D Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING Q � construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded 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. El 1- and 2- family dwelling Q-C ercialIindustrial Valuation: $ ❑ 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: ?3y(o INNgs g 1,si\.).. 5 e- ? Sae 9 351 9.3 602 i New dwelling area: square feet City/State /ZIP: 'Ticeol O 0— 9 - 7223 9.? 68 ? Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 4% ,x1E, Covered porch area square feet Cross street/directions to job site: C6.0 Nes �F) 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. cl 4�t,�Nw� S� \ KS To a Valuation: _ ) $ C. I (�00 Existing building area square feet New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stones: Name: Type of construction: Address: Occupancy groups: City/State /ZIP: Existing: Phone: ( ) Fax: ( ) New: Q--APPLICANT CONTACT PERSON NOTICE Business name: a\ -3v <, ,J % c ( \ o,J ( . All contractors and subcontractors are required to be Contact name: ,,, u licensed with the Oregon Construction Contractors Board t� `..`'c� tL under ORS 701 and may be required to be lensed in the Address: `SS :\ L F \ tz S-T S v----el e jurisdiction in which work is being performed. If the City/State /ZIP: 0 0.-r£(ro ,1 eK applicant is exempt from licensing, the following reasons Q apply: Phone: � , ) _ St,sc" Fax:: ( ) E -mail: CONTRACTOR BUILDING PERMIT FEES* Business name: 5 (v., Aa, , J NC� (Please refer w fee schedule) Permit fee: Address: City/State /ZIP: State surcharge (12% of permit fee): FLS plan review (40 % ofpermit fee): Phone: () (00'1 - S ('SS Fax: ( ) (Due upon application.) _..5:7, 79" CCB lic.: \OLV'S^ 0 Total permit fees: i \ Amount received: Authorized signature: �- `".,__, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print nam k. „- \\ .— \ 002. yam Date:^ 31 \-2,0 \-L * Fee methodology set by Tri -County Building Industry Service Board. 1: \Building\Permits \FPS- PermitApp.doc Rev 01/05/2012 440- 4613T(11/02/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 D as applicable): A.) Commercial Sprinkler • ❑ Wet ❑ Dry - Additional Standpipes • . ' Information:, Hazard Group ' Density Design Area K. Factor Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm V - 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: O'to 2,000 . $1 - 98.75 _ 2,001' to 3;600• $246.45 " • 3,601 to 7,200 $310.05` J V 7,201 and greater $404.39 Sprinkler Project Square Footage: _ sq. ft. Fire Protection Permit Fees Project valuation subtotal (see A, B & C above): $ V Permit fee based on project valuation - (see fee. schedule): V $ • • Permit fee based.on square footage, (see -D above): , $ State Surcharge (12% of permit fee): $ V • FLS Plan Review (40% of permit fee):_ $ TOTAL: $ Plan review requires a completed application and three (3) sets of plans at submittal. Plan review fees are required at submittal. • • I: \ Building \Permits \FPS- PermitApp.doc Rev01 /05/2012 2 •