Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
II
I COMMUNITY DEVELOPMENT Permit#: FPS2014-00059
T t G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/07/2014
Parcel: 1 S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 570
Project: Houser&Allison Subdivision: ASHBROOK FARM Lot: PTS 5&
Project Description: Adding(7)fire sprinkler heads for TI expansion.
Contractor: PATRIOT FIRE PROTECTION INC Owner: SUN LIFE ASSURANCE CO OF CANADA
4708 NE MINNEHAHA ST BY NORRIS BEGGS&SIMPSON
VANCOUVER,WA 98661 121 SW MORRISON ST#200
PORTLAND, OR 97204
PHONE: 360-699-4403 PHONE:
FAX: 360-699-4485
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/07/2014 $69.92
12%State Surcharge-Building 04/07/2014 $8.39
Type of Use: COM Plan Review-Fire Life Safety-COM 04/07/2014 $27.97
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 $106.28
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,200.00
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 Notif .Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1190. You may obtain a copy of the rules
or dire uestions to 0- C b calling 503.232.1987 or 1.800.332.2344.
Issu d By: ��+ ., /� Permittee Signa ure: ♦ LZ�
Call 503.639.4175 by 7:00 a.m.for the next available ins•=ction 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 nt i i( F. l'sl:ON1,1 ` r
City of Tigard Date/B : ' 7 /1/ Permit No.:fnj ,/V ono 7
N 13125 SW Hall Blvd.,Tigard,OR 970 R 7 2 014 Plan Review u/#c l y
d' ' Phone: 503.718.2439 Far 503.598.1960 Date/B • Other Permit -eeti 7 A
"1'1 c Akl) inspection Line: 503.639.4175 CITY OF rIGARD Date Ready/By: J,cis: la See Page 2 for
Internet: www.tigard-or.gov �/ Notified/Method Supplemental Information
BUILDING DI%JI ION
Cl+ :• S' •pr }Y,r; t oK( • tm. ♦ • . r. r< M
. paw.
❑New construction
❑Demolition Permit fees"are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
N Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
. ,�,. ,:��, .f,,,,.:11:,:.,,,.,.:7; work indicated on this application.
, '��',"`�`i� .t''^' ., :"',µt . .:���G�O� QNSxRUC�t)N 'n^ .uz�,~��';,�:;:„
ID 1-and 2-family dwelling ® lli Commerciandustrial Valuation S
[D Accessory building ID Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
t t, s TA ,r ' ..' Total number of floors:
Job site address:9600 SW Oak Street New dwelling area: square feet
City/Statc/ZIP:Tigard, OR 97223 Garage/carport area: square feet
`
Suite/bldg./apt.no.:570&75 Project name: Covered porch area: square feet
Cross street/directions to job site:SW 95a Ave Deck area: square feet
Other structure area: square feet
,`;*. i*DtiXTi1.• , 0,-A`,;. ikt7N,, .:9 a•e c[a`a-yt.
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax ma ccl no.: Indicate the value(rounded to the nearest dollar)of all
p equipment,materials,labor,overhead,and the profit for the
a iti,J ka -.. F� ,T,' kk:,144,:, � ';op Wo�i c �,•, .,, y 1 .5i,; ,.,.r d,% work indicated on this application.
add sprinklers for new walls&ceilings Valuation: 51,200,00
Existing building area: same square feet
New building area same square feet
y, ..iJ PROPER aV1'D�E 14 ... ;®:;` ''';.: ` . `*. Number of stories: 5
Name:Rouser&Allison Type of construction: 3-B
Address:9600 SW Oak Street,suite 570&575 Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing: B
Phone:( ) Fax:( ) _ New B
,, s:4 • •<M :,t° ❑,:
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
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: 7
Additional description of work:
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►2 Wet ❑ Dry
Additional Standpipes no
Information; Hazard Group light
Density .1
Design Area 225
K.Factor 5.6
Sprinkler Project Valuation: $ 1200
Bi~7',TY. :;•.4654i i AP; ession SSste?4li "e4i:A .11- 41.",. i.. ),,71tti":'' ^'•16>` 40AV
Hood Project Valuation: 1 $
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Submittal shall Battery Calculations ❑ Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
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Square Footage: Permit Fee: .''rt' ,,•?;V',,V: +,.4 .;` '1
(a',,,..i`�.,4,,,.+o r-A:�e1,,,:•nii� '`pl, r,
0 to 2,000 $198.75 ;", ■". ?44,), "•:;=1 ;t:
2,001 to 3,600 $246.45 ,y,,w2` ,�':"; �'1 '•
3,601 to 7,200 $310.05 "" ;«, '.. U "',p :,,.�,t' .q.-4,
7,201 and greater $404.39 ,. . r., �,s'`•,..4.'3'.�'�-3:-
Sprinkler Project Square Footage: sq.ft.
':'.'etc,,, :,.1r,;':',:: 4,C"y 1`eAV)" `' r
Project valuation subtotal(see A,B&C above): $
Permit fee based on .ro'ect valuation see fee schedule : $
Permit fee based on square footage (see I)above): $
State Surcharge(12% of permit feel $
FLS Plan Review(409/o of permit fee): $
TOTAL: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
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