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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT • COMMUNITY DEVELOPMENT Permit#: FPS2014-00014 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/12/2014 Parcel: 2S101AB01606 Jurisdiction: Tigard Site address: 7357 SW BEVELAND RD 100 Project: Well&Good Coffee House Subdivision: HERMOSO PARK Lot: 17 Project Description: Hood fire suppression system for TI. Contractor: UNIVERSAL FIRE EQUIPMENT Owner: MIF LLC 18260 SW 100TH CT 7357 SW BEVELAND RD#200 TUALATIN,OR 97062 TIGARD, OR 97223 PHONE: 503-691-9000 PHONE: FAX: 503-691-9004 FEES Description Date Amount Specifics: Permit Fee-COM 01/27/2014 $102.20 12%State Surcharge-Building 01/27/2014 $12.26 Type of Use: COM Plan Review-Fire Life Safety-COM 01/27/2014 $40.88 Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 01/27/2014 $15.50 Occupancy Grp: A-2 Height: ft 11x17) Stories: 2 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 $170.84 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $2,450.00 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 No' n 1,- - . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or dir questions to OUN calling 503.232.1987 or 1.800.332.2344. Is ued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspectio •ate. 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 Applicati C,_ NNV Fire Protection System �^ '°'11/4 11W 1/1:1:1( I I ■I \I.1 \ ( Received City of Tigard JP � Q Date/B : 17 f.�� Permit No.: —a 13125 SW Hall Blvd.,Tigard,OR 97223 WI Plan Revieir 1 • T , I��� Other Permit: Phone: 503.718.2439 Fax: 503.598.14(+@ rY t�`v S 0 Plan R : �1� ■ ,� �E7/ - • TI c n R l) Inspection Line: 503.639.4175 �,1 ��Cj vl Date Ready/By: /� // w nuns ® See Page 2 for Internet: www.tigard-or.gov B{`l1� Noti�ad/Method: c /�9 II Ti(D Supplemental Information Vv L,� TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑Newtruction ❑Demolition Permit fees*are based on the value of the work performed. 'A/ Indicate the value(rounded to the nearest dollar)of all ddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El 1-and 2-family dwelling o mmerciaiIindustrial Valuation: $ 1:1 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: 73c7 5-� 8,,,delan,( 4C, New dwelling area: square feet City/State/ZIP: -1—;//��r-� i--.)(2_,, e7-7 7 3 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Covered porch area square feet Cross street/directions to job site: t u 9 a0,1) &#-t4 L 4z:, -I Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST 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 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Z�'1 5_47:)..A0/43.11...0_1_1_, /� At /2 rc7�� l_ ,oc/:3,`� Valuation: $Z� -C� i' _s- - , � v . ,..55-Z-",---t Z � /4-4L Existing building area square feet ex h„ ,_ L h, 9, New building area: square feet OPERTY OWNER ❑ TENANT Number of stories: Name: ,"--7Z7,07-7 C7 Zr___ Type of construction: Address: -73s----7 6--,...,.., 1g,cuj J ,. Occupancy groups: City/State/ZIP:f i -f, 6.9A cr7 a'Z.? Existing: Phone:(3) 6 0_ /74- 7 Fax:( ) New: igiC PLICANT 0..e01/PACT PERSON NOTICE Business name:ilh N airs- �� 7 g n f yy��f All contractors and subcontractors are required to be Contact name:G � - licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be Ikensed in the Address: J g-z G s(,r2 /pj7" CI, jurisdiction in which work is being performed.If the City/State/ZIP: T,' �-1-// cy�r -,7 o6 "Z applicant pp is exempt from licensing,the following reasons Phone:3) 4 `��l. 5'E?Vv I Fax::( ) E-mail: CONTRACTOR / BUILDING PERMIT FEES* Business name: S f,,._.G_ 14-S- 4 p 0� - J (Pleaere/era°Ieeacl�dlele1 Permit fee: Address: City/State/ZIP: State surcharge(12%of permit fee): FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application.) CCB lic.: ?•b 7 2 3 ., Total permit fees: P 7O< 8i Authorized signature. / _ Amount received: This permit application expires if a permit is not obtained Print name: ,,dir f e Date: /-2 7—/CK within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I.\Building\Permita\FPS-PennitApp.doe Rev 01/05/2012 440-4613T(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: El Addition El 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: $ ?it C.) Fire Alarm Submittal shall Battery Calculations El Yes include: Individual Component El 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. I:\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 2 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 7357 SW BEVELAND RD 100, TIGARD, OR, 97223 Commercial - Fire Protection System 920 Suppression Trip Test 2014-02-27 00:00:00 FPS2014-00014 PASS Violation Summary: Inspector Contractor