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Permit
" FIRE PROTECTION SYSTEM PERMIT • CITY OF TIGARD `''1 • COMMUNITY DEVELOPMENT Permit#: FPS2013 -00020 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/29/2013 Parcel: 2S110CB10700 Jurisdiction: Tigard Site address: 15498 SW SUMMERVIEW DR Project: Arlington Heights No. 3, Lot 95 Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 95 Project Description: 13D Fire sprinkler system for New SF 2/5/13 REPRINTED to correct permit specific information Contractor: WYATT FIRE PROTECTION INC. Owner: STONE BRIDGE HOMES NW 9095 SW BURNHAM 4230 GALEWOOD ST, STE 100 TIGARD, OR 97223 LAKE OSWEGO, OR 97035 PHONE: 503 - 684 -2928 PHONE: 503 - 387 -7577 FAX: 503 - 684 -9657 FEES Description Date Amount Specifics: Permit Fee - RES 01/29/2013 $246.45 12% State Surcharge - Building 01/29/2013 $29.57 Type of Use: SF Info Process /Archiving - Lg $2.00 (over 01/29/2013 $4.00 Class of Work: NEW Type of Const: VB 11x17) Occupancy Grp: R -3 Height: ft Info Process /Archiving - Sm $0.50 (up to 01/29/2013 $15.00 Stories: 2 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: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $295.02 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 2502 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: Dki APPL/ e#4 / i oor 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. . CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT - . COMMUNITY DEVELOPMENT Permit #: FPS2013 00020 .TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/29/2013 Parcel: 25 110CB10700 Jurisdiction: Tigard Site address: 15498 SW SUMMERVIEW DR Project: Arlington Heights No. 3, Lot 95 Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 95 Project Description: 13D Fire sprinkler system for New SF Contractor: WYATT FIRE PROTECTION INC. Owner: STONE BRIDGE HOMES NW 9095 SW BURNHAM 4230 GALEWOOD ST, STE 100 TIGARD, OR 97223 LAKE OSWEGO, OR 97035 PHONE: 503 - 684 -2928 PHONE: 503 - 387 -7577 FAX: 503 - 684 -9657 FEES Description Date Amount • Specifics: Permit Fee - RES 01/29/2013 $246.45 12% State Surcharge - Building 01/29/2013 $29.57 Type of Use: SF Info Process /Archiving - Lg $2.00 (over 01/29/2013 $4.00 Class of Work: FPS Type of Const: VB 11x17) Occupancy Grp: R -3 Height: ft Info Process /Archiving - Sm $0.50 (up to 01/29/2013 $15.00 Stories: 2 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: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $295.02 Valuations: Required Items and Reports (Conditions) " Sprinkler Valuation: $0.00 Residential Square Footage: 2502 • 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 the rules or direct ques ' UNC by calling 503.232.1987 or 1.800.332.2344. �/ Issued By. Cee Permittee Signature: / — Call 503.639.4175 by 7:00 a.m. for the next available inspection d . e. This permit card shall be kept in a conspicuous place on the job site until corn/ etion of the project. Approved plans are required on the job site at the time of each i spection. Building Permit Application Fire Protection System EWER FOR OFFI USE i ONL Y ' ' - a Received City of Tigard t Permit pt�' x J a (9( — 000 :, l 't`' '� 13125 SW Hall Blvd. Tigard OR 97223 N o i 2 0 13 p anRevie Y w ( DO Phone: 503.639 4171 Fax: 503.598.1960 �A Lr O PlanR / t l Other Permit: �T IG)\RD =f '' ` Inspection Line: 503.639.4175 Date Read ' : r�is: E] See Page 2 for 4 „ 's'.i:•:'_ Internet: www.tigard- or.gov CITY OFTIGAR Notified/Method: I ) l 1:, Supplemental Information BUILDiNGDNISI01M (ft 1-1)1 /L t,c TYPE OF WORK REQUIRED DATA: 1 -AND 2- FAMILY DWELLING .New 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. and 2- family dwelling ❑ Commercial /industrial Valuation: $ '� ` Z� d' ❑ Accessory building ❑ Multi- family Number of bedrooms: 4 ❑ Master builder ❑ Other: Number of bathrooms: .. 5 JOB 'SITE_ INFORMATION AND LOCATION Total number of floors: (.9”, Job site address: 54" g 5/rl 60Y1,5; Y /e D2 , New dwelling area: 2 square feet City /State /ZIP: O.y a ,0 ©,2- 97 u¢ Garage/carport area: 5 D 2 square feet Suite/bldg. /apt. no.: Project name: ,-0 HEyd S Covered porch area: f 2_ D square feet Cross street/directions to job site: Deck area: 1 CIO square feet Other structure area: ------- square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: I Lot no.: 9. 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 DESCCRIPTION OF WORK , work indicated on this application. ( NOV /D Ai 7 / 7 f!/v/ 5L v JL Valuation: $ (= Ai,--1-0 zi 5o Z 54), PP,--: ` Existing building area: square feet 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: e.0076494-27:74._ All contractors and subcontractors are required to be Contact name: 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!' ._ y /- � � 7 �� (Please refer to fee'schedrde) . . Business name: ! i 9095 f ' ` AU � '7 . 6T. Permit fee: Address: J l/`,r State surcharge (12% of permit fee): City/State /ZIP: -r` a ® b 2 9 7 Z Z3 FLS plan review (40% of permit fee): Phone: (5 -03) 4e24 - z e 9 I Fax: ( - 9 ,5 , (Due upon application.) CCB lic.: 6.. 077 Total permit fees: Authorized signature: Amount received: ..-e--C. / This permit application expires if a permit is not obtained Print name:: /- -7� / ✓ Date:/ —243 —/ j within 180 days after it has been accepted as complete. * Fee methodology set by Tri -County Building Industry Service Board. r:\ Building \PermitsWPS- PermitApp.dac 03/23/06 440- 4613T(i l /02 /COWWEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done 1.) fig-New 2.) Modification to sprinkler heads only fl Addition 111 1-10 heads: No plan review required. fl Alteration 1-..11+ heads: Plan review required. fl Repair Number of sprinkler heads: Additional description of work: A. Commercial Sprinkler Wet Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor • Sprinkler Project Valuation: $ Hood Fire Suppression System Hood Project Valuation: • , C.) Fire Alarm Submittal shall Battery Calculations El Yes include: Individual Component CI Yes Cut Sheets Fiie Alarm Project Valuation: $ D) Reside*itial Sprinkler • .• • -. (Sta4d=4100 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): $ 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. http://www.ci.tigard.or.usicity_hall/departments/cd/docsrFPS-PermitApp.doc 2