Loading...
Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2013-00118 T WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2013 Parcel: 2S113AB00500 Jurisdiction: TIGARD Site address: 16083 SW UPPER BOONES FERRY RD 300 Project: Spec Space Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37 Project Description: Add(11)new fire sprinkler heads Contractor: BLACKSTONE FIRE PROTECTION LLC Owner: G&S FC LLC 612 NE SQUIRE RD 16083 SW UPPER BOONES FERRY RD, WASHOUGAL,WA 98671 STE TIGARD,OR 97224 PHONE: 503-708-7437 PHONE: FAX: 360-838-0162 FEES Description Date Amount Specifics:. Permit Fee-COM 10/07/2013 $67.23 12%State Surcharge-Building 10/07/2013 $8.07 Type of Use: COM Plan Review-Fire Life Safety-COM 10/07/2013 $26.89 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 10/07/2013 $3.50 Occupancy Grp: . Height: ft 11x17) Stories: • Commercial Sprinkler System: Sprinkler Required: Yes ' Sprinkler Type: Wet Standpipe Required: Hazard: LT Density: .10 Design Area: 1500 K Factor: 11.2 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $105.69 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,100.00 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: / - - W C• .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. Building Permit Application Fire Protection System RECEIVED FOR OFFIC[: tiSE ONLY g Received �ir � Ps /2 n III q City of Tigard Permit No.: J a 13125 SW Hall Blvd.,Tigard,OR 97223'81-11.J 2013 Plan Review i��, �� C Phone: 503.718.2439 Fax: 503.598,J,Q ) , p Date/B : Other Permit: TI G n K D Inspection Line: 503.639.4175 (;j j�'OFTIGARD Date Ready/By: Q Iter tug /tj ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: ! �� / /v Supplementallnformation 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(rotnded to the nearest dollar)of all Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the J CATEGORY OF CONSTRUCTION work indicated on this application. — ❑ I-and 2-family dwelling Commercial/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: / '/i n%3 5 y, J -p-,-, _ oalfe53.Z.D7 New dwelling area: square feet City/State/ZIP: L .IZ D Z. Garage/carport area: square feet Suite/bldg./apt.no.: 300 Project name: 41��0i �� A, ��- 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(rowded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application.f , Valuation: $ I a �� L \\) tr�I j�ZiIb.4L�25 i ) od Existing building area square feet New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: /APPLICANT "CONTACT PERSON NOTICE Business name: (A�4STv n1>,:, )ri re G 0 1 All contractors and subcontractors are required to be Contact name: �� C�C� l.0 licensed with the Oregon Construction Contractors Board� under ORS 701 and may be required to be licensed in the Address: (0\'L A) ` (D ✓t I2,. Z1✓, jurisdiction in which work is being performed.If the City/State/ZIP: �� applicant is exempt from licensing,the following reasons �``--,,, "" 4 t 0.11., R L� 4 A apply: Phone: .11/3 ) �O - , _ Fax: :6620) 3A- ni LIZ E-mail: �k44-n) P "b t r4 C!e5'1'O1J t✓�1_C .Cd 4i1 CONTRACTOR BUILDING PERMIT FEES' Business name: , t J(S pi t, .1 ?ZC 1 LL (PleaserejerrPermi fee:schedule) Address: L O ZIr 1� Permit fee: City/State/ZIP: W� tAr L., Wl k_ State surcharge(12%of permit fee): �kp ) FLS plan review(40%ofpermit fee): Phone:(5j>)goo-�4 3-7_ Fax:( 0) a`(9'Z_ (Due upon application.) CCB lic.: f er t CI)/v Total permit fees: Authorized signature: CX Amount received: This permit application expires if a permit is not obtained Print name: _ Date: I c9 • Fee methodology set by Tri-County Building Industry Service Board. 1:tBuilding\Penniu\FPS-PermitApp.doc Rev 01/05/2012 4404613T(11/02/COM/WEB) 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 )2L11+heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: I7 )( )U\ Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler Wet ❑ Dry Additional Standpipes Information: Hazard Group L—I Density t f D Design Area I c' ) K. Factor Sprinkler Project Valuation: $ f n0 ceD 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. 1:\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 2