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Permit v CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT I I 2 COMMUNITY DEVELOPMENT Permit #: FPS2013 -00081 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/20/2013 Parcel: 2S112AA00300 Jurisdiction: Tigard Site address: 14200 SW 72ND AVE Project: Gerber Blades Subdivision: MILLMONT PARK Lot: 49 Project Description: Pipe (3) fire sprinkler heads into relocated portable office office. Contractor: WYATT FIRE PROTECTION INC. Owner: GERBER LEGENDARY BLADES 9095 SW BURNHAM 14200 SW 72ND AVE TIGARD, OR 97223 PORTLAND, OR 97223 PHONE: 503 - 684 -2928 PHONE: FAX: 503 - 684 -9657 FEES Description Date Amount Specifics: Permit Fee - COM 06/20/2013 $51.09 12% State Surcharge - Building 06/20/2013 $6.13 Type of Use: COM Plan Review - Fire Life Safety - COM 06/20/2013 $20.44 Class of Work: ALT Type of Const: Occupancy Grp: Height: ft Stories: 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 $77.66 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $425.00 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 •py • the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 4 . Issued B / Perm Signature: , Call 503.639.4175 by 7:00 a.m. for the next available inspecti • date. This permit card shall be kept in a conspicuous place on the job site until ompletion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Fire Protection System FOR OFFICE USE ONLY RECEIVED Received ��AVM ' / , � City of Tigard EI LID Rec eiv : PemritNo.: / 81 3111 • - " 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review • Phone: 503.639.4171 Fax: 503.598.1969 U N 2 ® 013 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard- or.gov C'ITY©FTIGARD Notified/Method: Supplemental Information TYPE 0 �NG DIVISION 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 dition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the C ATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwellingcmmercial /industrial 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: /42.0,C) . /,(1 7t. *"D /11,/,-- 4 J New dwelling area: square feet City /State/ZIP: T evf iz 7 / 674 9 z_Z 5 Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: 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 (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the n 6. DESCRIPTION OF WORK work indicated on this application. 7/P 3 f�/ �/ � PGIN1G " /1 14V l f) Valuation: $ 4z5 , ,!�) � .� ,Q'��� 6�� /am Existing building area: square feet � 3c New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: • Occupancy groups: City/ State/ZIP: Existing: g Phone: ( ) Fax: ( ) New: ).A>,'PLICANT ❑ CONTACT PERSON NOTICE Business name: /(2-�� - ` 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: ( ) ' Fax::( ) E -mail: CONTRACTOR BUILDING PERMIT FEES* Business name: 1 ,(/ tit 4-1----r F/p fp/2 fJ ��� �49".„) (Please refer to fee schedule) Address: 0 / Permit fee: City/State /ZIP: -f`Q,�'�D ,X_ g7Z -z 3 State surcharge (12% of permit fee): / FLS plan review (40% of permit fee): Phone: ( 3) b 4_ -092_6 Fax: (q)3) b8.4 -96 &"7 (Due upon application.) CCB lic.: &4D77 Total permit fees: Authorized signature: • Amount received: /77, This permit application expires if a permit is not obtained Print name: 6 A %I&9-"J Date: tp - - 3 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:1 Building tPermits\FPS- PemutApp.doc 03/23/06 440- 4613T(11 /02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Deg'Cii4e*orktd 1.) fl New 2.) Modification to sprinkler heads only: Ej Addition -- j4-1-10 heads: No plan review required. tgr. Alteration 11+ heads: Plan review required. Ej Repair • Number of sprinkler heads: Additional description of work: A.) ‘:k r ;C0714104eircial S p rin kl er Wet Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B) Type I- Hood Fire Suppression Systen '0U Hood Project Valuation: C) Fire Alarm Submittal shall Battery Calculations El Yes include: Individual Component El Yes Cut Sheets Fire Alarm Project Valuation: $ ' — • : O.) Resdential Sprinkler (Stand Mone 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. - 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.onusicity_hall/departments/cd/docs/FPS-PermitApp.doc 2 ._______. _ st.,, , e , I tlaktioLla1/44k 1 1 _______„,,,,,,..,........,_„„„„..._,......_„,,,,,..,_,.....„......c _.,„_oz_,(s. '------L. c.‘_.T. i 00, ., 4: i ,,,,,,‘ 0 . 0 ut 1 t: 1 1 1.,_ . \ 1 t .,Ne" , st v. Hilt Hl to .-, \ 2 a,X I' /$ ter 14 (.p G \ s4. ; rk 1 f) KtC-- I Ii 1 1 it FeACIrl Oa - - 7 ` / FR15 %z " C. 4D/ S K _ 60 15-5- c3 1 -:-..-- 14 - 4. k , ti W YAT T 1 4 o s s ' 4s.'/ 3 4 :. FIRE PROTECTION, INC. TCA-En / C7Z 9095 S.W. Burnham .., Tigard, OR 97223 MA J-& /7!, ; /Lb / ` (503) 684 -2928 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14200 SW 72ND AVE, TIGARD, OR, 97224 Commercial - Fire Protection System 999 Sprinkler Final 06/21/2013 00:00 FPS2013-00081 PASS - No C of O Violation Summary: Inspector Contractor