Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
111- 2. . �-_ COMMUNITY DEVELOPMENT Permit #: FPS2013 -00079
Date Issued: 06/18/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 2S 18/201 0200
Jurisdiction: Tigard
Site address: 14385 SW PACIFIC HWY
Project: Harbor Freight Tools Subdivision: CANTERBURY PLACE, AMENDED Lot: PTS 1-4
Project Description: Adjust (6) sprinklers for tenant improvement
Contractor: EXPRESS FIRE SYSTEMS INC Owner: KOLVE, G C
1913 41ST STREET 14389 SW PACIFIC HWY
WASHOUGAL, WA 98671 TIGARD, OR 97224
PHONE: 360- 953 -8432 PHONE:
FAX: 360 - 953 -8394
FEES
Description Date Amount
Specifics: Permit Fee - COM 06/18/2013 $156.00
12% State Surcharge - Building 06/18/2013 $18.72
Type of Use: COM Plan Review - Fire Life Safety - COM 06/18/2013 $62.40
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
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 $237.12
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $7,900.00
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: OA} , G / e �� 7 c'.vi
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.
ID
Buildin Permit A, licah
Fire Protection System .0 17 2 013 F OR OFFiCE USE ONLY
City of Tigard ;3 I
�F`�G�coN Date/B ea �� IM/ ' t No. f 1 /. _0007- 97.
13125 SW Hall Blvd.. ISgard, OR 97> 11► lV Plan Review
Phone: 503.718 -2439 Fax: 503-59R 1rtio ik.1 Date/B : other Per m etea0/3 _doe/ 1
l ,\ R i Inspection Line: 503.639.4175 B MI Date Ready/By: ® See Page 2 for
Internet; www.tigard oft.gov Notified/Method. Supplemental information
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❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the neatest dollar) of all
® Addition/alteration/replacement ❑ Other equipment, materials. labor, overhead, and the profit for the
t i
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❑ 1- and 2- family dwelling ® Commercial/industrial Valuation:
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Numbcr of bathrooms:
$r! r 1' ndrin- 1 ,k h fL. t+{+! QI+I 4. ),,, _ 3 lr!1 ti C r, t, •...u}' T' t ,+ r r� Total number of
1 � � � , ,i I 1 � N 1 +1 �'� �t r �r „ � +: C F� 1 � y
� L ✓ 1 7 � floors:
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Job site address: . W PACIFIC Hwy /y J2$ New dwelling area: square feet
City /State/ZIP: Tigard, OR 97224 Carage/carport area: square feet
Suitc/bldgiapt. no.: I Project name: Harbor Freight Tools Covered porch arca; square fcct
Cross street/directions to job site: Deck arca: square feet
Other structure arca: square feet
Subdivision: I 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
''fir equipment, materials, labor, overhead, and the profit for the
1,4:;.,:i7;7777,77.7 � � 1 IIr
r i I Yr 11 ,1`1 727- t ! i C ti l r R T 17, 717 7f� r i 1,1 1 14 i, J wor indicated on this application -
f.�,.,_
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Adjust 6 Sprinklers due to new rooms Valuation: $7,900.00
Existing building area: square feet
New building area: square feet
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Number of stories:
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1'11143
Name: Type of construction:
Address: Occupancy groups:
City /State/Z,1P: Existing. Ordinary Hazard
Phone ( ) Fax ( )
S-�;�-t�- New: Light Hazard
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Business name: 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:
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Business name: Express Fire Systems, Inc. ,
L - `I
Permit fee:
Address: 1913 41st Street
City /State/ IP: Washougal, WA 98671 State surcharge (12% of permit fee):
FLS plan review (40% of permit fee):
Phone: (360) 953 -8132 Fax: (360) 953 -8394 (Due upon application.)
CCB 1ic.: 193272 3 `I 115 Total permit fees:
Authorized signature:
Az- Amount received: ;� 37. /Z
,' ,; ,,% This permit application expires if a permit is not obtained
Print name: Pattie Wenholz Date: 06 -12 -13 ` within 180 days after It has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
1:\Building\pentn0e \FPS- PermlcApp.doc Rev 01/05/2012 440.4615T01 /02/COM/wea)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
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1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ® 1 -10 heads: No plan review required
® Alteration El 11+ heads: Plan review required.
❑
Repair
Number of sprinkler heads: 6
Additional description of woi*:
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►� Wet ■ D
Additional Stand • i • es N/A
Information: Hazard Grou. Li: ht Hazard
Densi N/A
Desi: Area N/A
K Factor 5.6 •R
r 7• S • rinkler Pro'ect Valuation: $ 7,900.00
p 1
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Hood Project Valuation: $
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1{ i�
Submittal shall Batte Calculations El Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Pro'cct Valuation:
r0 r arc: l ` , '`R i i i 2 I
r I }, � 1� {. r' , �t 1 {7 ✓ 1 h {I {
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,
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i.l I".(1,. 1{ , ,{ ✓�,,. :7c. _.. �. 'i�;!•L.. _r f .t !ilil LihS_,,.. .)11P,
S. uare Foota: e: Permit Fee: 1{i+ , 101 I 911 f i+
0 to 2,000 1 L E j. t Ur f I 11 tll i
$x98.75 �" ,�'
2,001 to 3,600 $246.45 J y `�, 1' {, L[ 1 ' fl 'i
3 601 to 7 200 $310.05i'd # tI ' ` #�: p J � 7 - t ✓ I f { J'}
{A 1 1 r 9I A `x
`= �w,1
MI 7 201 and : eater $404.39 ! ?j.r ,i i ? I tr' 0} ll (,a 44?`i!t • ,,
Sprinkler Project Square Footage: sq. ft.
u
. ?1dr i7 , 1 nor r��
_dP ., .r_ .:�a f .l.,. �,1,,,[._t.,l, .nCdr�_riL, � :... + _...� � r�7 � _�-. :; -._
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Project valuation subtotal see A, B & C above : 17,1,41
Permit fee based on •ro - ect valuation see fee schedule : EMEINIMPIr
Permit fee based on s • uare foota • e see D above : $
State Surchar, e 12% of . ermit fee •
FLS Plan Review 40% of .ermit fee: , . o
TOTAL: _gf�'f:�
Plan review requires a completed application and three (3) sets of plans at submittal. ()5 7 / - �
Plan review fees are required at submittal.
C\Uscrs \ Red \1Jocaments\__L-acpccss Misc \City of FORMS \Tigard City Fixe Pcotectiot2Syetem HARBOR FRRIGHT. Icev Vi /05/201Z