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Permit n CITY OF TIGARD - -; ,, FIRE PROTECTION SYSTEM PERMIT ' • COMMUNITY DEVELOPMENT Permit #: FPS2009 -00022 T l CARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/04/2009 Parcel: 1S135ACLCO31 Jurisdiction: Site address: 9256 SW MANDAMUS CT Subdivision: Lot: Project: LONGSTAFF CONDOMINIUMS Project Description: Install NFPA 13R in new MF. Building 6 (1 of 6 units) Owner: FEES LONGSTAFF LLC Description Date Amount 7050 SW CLINTON Permit Fee - MF 05/04/2009 $192.46 TIGARD, OR 97223 Tax - 12% State Surcharge 05/04/2009 $23.10 PHONE 503 - 598 -7565 Plan Review - Fire Life Safety - MF 05/04/2009 $76.98 Contractor: JND FIRE SPRINKLER INC 12155 SW GRANT STE D TIGARD, OR 97223 PHONE: 503 - 968 -5200 FAX: 503 - 968 -5920 Type of Use: MF Class of Work: FPS Type of Const: VB Occupancy Grp: R -1 Height: ft Stories: 2 Commercial Sprinkler System: Sprinkler Required Yes Sprinkler Type' Wet Standpipe Required: No Hazard: LT Density' 052 Design Area: 1256 K Factor 4 9 • Commercial Fire Alarm System: Fire Alarm Required Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Catcs Provided: Cut Sheets Required Total $292.54 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation 13228 Residential Square Footage. 0 Fire Alarm Valuation 0 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 rule . , pled by the Or-.!on Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You :y obta a copy oft rules • Issued By: 1 Permittee Si gnature: /// Call 503.639.4175 by 7:00 a.m. for an inspection that business • . y. 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. P\ ct 3 H Q I CO 0 aciSs rcd l CLQ C' 8uild Permit Application EXPIRED 2 /02., 4 I t "fi Fire Protection System I '-..` , .A - FOR OFFICI 11SE ONLY ', Received City of Tigard -'n9 Date/13 • . , _ - p' Pemut No . F32OCq , r `qp_ . • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revte ■ Phone: 503.639.4171 Fax: 503.598 . { � . 1 L �l DatelB : ' + Other Permit. Inspection Line: 503.639.4175 F , i r t Fr iC� ` ''• ` Date Ready/By tu 0 See Page 2 for T <; A IZ D g g BUILDING DI Di V'SION N otified/Method - �� ' I C � Supplemental Information Internet: www.ti and -or. ov Vl l.ill l�U TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING lEtNew 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. Valuation: $ ❑ 1- and 2- family dwelling 'Commercial /industrial ❑ 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: ZEI 10 m AW DAYIA(, S' c 1: New dwelling area: square feet City/State/ZIP: 6 ei.ck to ` 042, Garage /carport area: square feet Suit /bSdg. pt. no.: `p Project name: b "t` C on Do 5 Covered porch area: square feet Cross street/directions to job site: ` S T Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: I Lot no.: Permit fees* are based on the value of the work performed Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. MFfA 13 , ZOO f 1 e E Si14IVkLe-3 Valuation: $ 13 i z.2.2 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT g CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: 0 earl licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/ State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone:( ) I Fax::( ) E -mail: CONTRACTOR BUILDING PERMIT FEES* Business name: J )4) Fliac SAzialkL i, jc , (Please refer to fee schedule) _ Permit fee: Address: 1 Z 1 u) GRANT A so ]E D City/ State/ZIP: " ` o fk 1 72 2 State surcharge (12% of permit fee): F LS plan review (40% of permit fee): Phone: ( 33 ) ca, 8.-. I Fax: (5 9'g p 5 O (Due upon application) CCB lie.: 4,(43Q5- Total permit fees: Authorized signature: �� // /,1?t Plit Amount received: �� J This permit application expires if a permit Is not obtained Print name: J e ou plu I Date: Y 2 3/6 0 within 180 days after it has been accepted as complete. • Fee methodology set by Tri- County Building Industry F- .r 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: 3R l Zoo 7 Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler Wet ❑ Dry Additional Standpipes Information: Hazard Group gzs Density 10 5 2.5 Design Area 'j f4 LI 14e605 K. Factor HA Sprinkler Project Valuation: $ 13 B.) Type I - Flood Fire Suppression System Hood Project Valuation: I $ C.) Fire Alarm 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: 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): $ ) 3 2Z S Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (12% 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. C:\ PERMIT APPLICATIONS \Tigard FPS - PermitApp.doc 7