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Permit i CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT _ �� Permit#: FPS2013-00120 • COMMUNITY DEVELOPMENT Date Issued: 09/16/2013 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 16/201 0100 Jurisdiction: Tigard Site address: 12520 SW GRANT AVE Project: St Anthony Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: 52 Project Description: Fire alarm system for new community center assembly building Connect to existing church. Contractor: CAPITOL ELECTRIC CO INC Owner: ST ANTHONY CATHOLIC CHURCH TIGAR 11401 NE MARX STREET 9905 SW MCKENZIE ST PORTLAND, OR 97220 TIGARD, OR 97223 PHONE: 503-255-9488 PHONE: FAX: 503-257-7121 FEES Description Date Amount Specifics: Permit Fee-COM 09/16/2013 $371.16 12%State Surcharge-Building 09/16/2013 $44.54 Type of Use: COM Plan Review-Fire Life Safety-COM 09/16/2013 $148 46 Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 09/16/2013 $2 00 Occupancy Grp: A-3 Height: ft 11x17) Stories: 2 Info Process/Archiving-Sm$0 50(up to 09/16/2013 $13.00 11x17) Misc Administration Fee 09/16/2013 $5.00 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 Yes Alarm Type: Automatic Pull Station Required Smoke Detectors Req: Battery Calcs Provided: Yes Cut Sheets Required. Yes Total $584 16 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation $29,000.00 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 NC by calling 503 232.1987 or 1.800.332.2344. Issued By: Permittee Signature: e _ / ��?_./ ��04/4 )‘.177e—■ 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. q. Building Permit Application RECEIVE Fire Protection System FOR OFFICE USE ONLY JI City of Tigard AUG 21 201. Date/Bea C� Permit No ,, i ��o/ % /2 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Win_ Phone: 503.718.2439 Fax: 503.598.1960 CITY TIGARD Date/By: It 1 l( L�� Other Perin R04.5 d0065' TIGARD Inspection Line: 503.639.4175 BUILDING DIVISI(�F Date Ready/By: . Juri- S10 upplemental See Page 2 for Internet: www.tigard-or.gov Notified/Method: / // AL�i�� le< Supplemental Information 4//4 1 u)/ 2 - 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. ❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $ 111 Accessory building El Multi-family Number of bedrooms: El Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address•gone exx,MAILenzio Strout /2520 SG() G N 7— "49i/e- 7 v/�.ie— New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 — Garage/carport area: square feet Suite/bldg./apt.no.: Project name:St Anthnony Community Ctr 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 • DESCRIPTION OF WORK work indicated on this application. Install fire alarm system per plans Valuation: $29,000.00 Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:Shorenstein Realty Services Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and maybe 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:Capitol Electric Company,Inc. (Please refer to fee schedule) Permit fee: 371.16 Address: 11401 NE Marx Street City/State/ZIP: Portland,OR 97220 State surcharge(12%of permit fee): 44.54 FLS plan review(40%of permit fee): 148.46 Ph t0 rq:(5 255-9488 }( 14 If Fax:(503)255-1966 (Due upon application.) CA lie.:48748 Total permit fees: 564.16 Authorized signature: Amount received: 581.16 This permit application expires if a permit is not obtained Print name:Dan Wilson Date:8/20/2013 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\FPS-Perm itApp,doc Rev 01/05/2012 440-46I3T(I I/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist A 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: Type of System(Complete A, B, C or D as applicable): A.) Commercial Sprinkler ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K.Factor Sprinkler Project Valuation: $ 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: $ 29,000.00 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): $ 29,000.00 Permit fee based on project valuation (see fee schedule): $ 371.16 Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ 44.54 FLS Plan Review(40% of permit fee): $ 148.46 TOTAL: $ 564.16 Plan review requires a completed application and three (3) sets of plans at submittal. Plan review fees are required at submittal. U:\FA Jobs\zz130090-45 St Anthony Community Ctr\1 FPS-PermitApp.doc Rev 01/0512012 PERMIT FEE DOUBLES IF WORK HAS STARTED WITHOUT BENEFIT OF PERMIT TO CALCULATE TOTAL FEE PERMIT FEE CALCULATION (REFER TO TABLE) $ 29,000.00 ROUNDED VALUATION $ 338.92 (BASE FEE FOR FIRST$ 25,000.00 OF VALUATION) + $32.24 ($ 8.06 PER $ 1,000.00 _ $371.16 BASE PERMIT FEE + $44.54 STATE SURCHARGE = 12% OF BASE PERMIT FEE + $148.46 PLAN REVIEW CHARGE = 40% OF BASE PERMIT FEE + $12.00 RECORDS RETENTION FEES + • $5.00 MISC ADMIN FEE (MAILING) $581.16 TOTAL DUE FOR THIS PERMIT EXAMPLE 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 12520 SW GRANT AVE, TIGARD, OR, 97223 Commercial - Fire Protection System 998 Alarm Final 2014-03-07 00:00:00 FPS2013-00120 PASS - No C of O NFPA 72 completion report received Violation Summary: Inspector Contractor