Permit • CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
t; COMMUNITY DEVELOPMENT Permit #: FPS2013 00013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/30/2013
Parcel: 2S113AC00103
Jurisdiction: TIGARD
Site address: 7228 SW DURHAM RD, STE# 800
Project: Argo International Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 25 -27,2;
Project Description: Modification of approximately (13) fire sprinkler heads for TI
Contractor: FIRESTOP CO Owner: PACIFIC REALTY ASSOCIATES
3203 NE 65TH ST #2 ATTN: N PIVEN
VANCOUVER, WA 98663 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 360- 718 -8604 PHONE:
FAX: 360 - 718 -8603
FEES
Description Date Amount
Specifics: Permit Fee - COM 01/23/2013 $102.20
12% State Surcharge - Building 01/23/2013 $12.26
Type of Use: COM Plan Review - Fire Life Safety - COM 01/23/2013 $40.88
Class of Work: ALT Type of Const: IIIB Info Process /Archiving - Lg $2.00 (over 01/23/2013 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process /Archiving - Sm $0.50 (up to 01/30/2013 $1.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: 0 Design Area: 0 .
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req: •
Battery Calcs Provided: Cut Sheets Required:
Total $158.84
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $2,500.00
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
•
applicabl- . • . •rk will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of •
issu. • -, or if work is • pended for more the 180 days. ATTENTION: Oregon law requires you to follow he rules adopted by the Oregon
U . Notification Center. os- • -s a - set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. ou may obtain a copy of the rules
• direct quesfons to OUNC by lirai 33 :87 or 1.800.332.2344.
Issued By: P'tL / / Permittee Signature: 7"
Call 503.639.4175 by 7:00 a.m. for the next available insp- ction 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 l SE ONLY
City Tigard Ti and Received
Date/13 : r / J i f� . 0l r permit No.: Q_
�p �y
13125 SW Hall Blvd., Tigard, OR 9738 N 2 3 2013 Plan Re3iew
Phone: 503.718.2439 Fax: 503.598.1960 DatelB : � Other Permit:
-I. I G AR D Inspection Line: 503.639.4175 CITY OF TIGARD Date Rea• s y: Juris: Pi See Page 2 for
Internet www.tigard - or.gov BUILDING DIVISION Notified/Method: VPP V /
/ h Supplemental Information
C��
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction 0 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.
❑ I- and 2- family dwelling ,Commercial /industrial
Valuation: $
El 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: ^7 Z , Z $ 5 t W r o v R H A INA cab . i New dwelling area: square feet
City /State /ZIP: Pd RT LA -0 b / O R 9, 2;2--4 Garage/carport area: square feet
Suite/bldgiapt. no.: 9 a 0 Project name: A R 6_o I N-TE z 14 R- t o i L Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
5 W - j 2. Ni- Pt V E, 4-1 I) VIP.... H 4A M 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.
Valuation: $ Z Soo ' °.O—
A D D R E Lo G.c r E A NI:. P 1-v CT 'F 1120 I
S fD 21 N lG l-G 12-5 '1'6 Acco,v1d O ATE - re NA N T Existing building area: 21 i S 0 o square feet
—
I M P V EM ENT New building area: square feet
$. PROPERTY OWNER ❑ TENANT Number of stories: y
- Name: PAC % F I C RE A LT'( A S S a C 1A S I L. P• Type of construction: 1 1 \- g
Address: is 3' 50 51 W. s E Gov ci I E ifbc.‘,.‘rf * 3, Occupancy groups:
City /State /ZIP: pc (LT LA N 9 IZ , 9 1 LL4 Exi sting:
� i3 �5 -
Phone: (56 3) 6 Z 9- - 6 3 0 0 Fax: ( 503) G24-1155 New:
s -
APPLICANT
0 CONTACT PERSON NOTICE
Business name: F ) R E STQ C..O . LL C
Q � All contractors and subcontractors are required to be
Contact name: go p 6- RE E N • licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 3'_< 3 N ► e, (0 5 11. ST. / SPAc E. 2, jurisdiction in which work is being performed. If the
City / State/ZIP: VA W (G U V E (Z 1 WA , X1 k 6 3
applicant is exempt from licensing, the following reasons
apply:
Phone: (36 0) '7 18 - (j G o 4 Fax: : (36o) - 716-S 6 0 3
E -mail: Gab e 9 Ire c 1'N ( - F - 1'1' e S iq C.o , L
CONTRACTOR _ BUILDING PERMIT FEES*
Business name: ,y E A S A V (Please refer to fee schedule, _
Address:
Permit fee:
City /State/ZIP:
State surcharge (12% of permit fee):
FLS plan review (40% of permit fee):
Phone: ( ) Fax: ( ) (Due upon application.)
1 CCB lic.: 1 g 3 . — 11 Total permit fees:
Authorized signature: �a„,if Amount received: f/5 39
In /l 111 Thia permit application cxpirca Ira permit is nut obtained
• Print name: 1`0 j3 E g b , G 2C€ N Date: k l 1 ( ) 1 3 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri -County Building Industry
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: 1 33 64 E W
Additional description of work: /q bb, (ZE Lo CAT c pLV& Sp 121 k L S TZ)
Ac- oMoDATE 'TEIJAN T IMPROVEMEI'
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes ,o
Information: Hazard Group L
Density .) o
Design Area N /A
K. Factor S . 6
Sprinkler Project Valuation: $ 2 SO O.
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
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 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
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 (12% of permit fee): $
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.
http: / /w.vw.tigard- or.gov /city_ hall/departrnents /cd /docs /FPS- PcrmitApp.doc Rcv 01/25/2012