Permit 1 � , CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
111 1 COMMUNITY DEVELOPMENT Permit#: FPS2014-00117
T EGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/21/2014
Parcel: 1 S133AD02200
Jurisdiction: Tigard
Site address: 10730 SW 130TH AVE
Project: Westgate Baptist Church Subdivision: CHAPARRAL Lot: 1
Project Description: Fire alarm for 2nd story TI to complete classrooms,youth room,science lab,office and(2)restrooms.
Contractor: ADVANCED SECURITY&FIRE Owner: WESTGATE BAPTIST CHURCH
2218 NE SUNRISE LN 12930 SW SCHOLLS FERRY RD
HILLSBORO, OR 97124 TIGARD, OR 97223
PHONE: 503-519-4550 PHONE: 503-524-3500
FAX: 503-643-0848
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/21/2014 $102.20
12%State Surcharge-Building 08/21/2014 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 08/21/2014 $40.88
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 08/21/2014 $2.00
Occupancy Grp: E Height: ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 08/21/2014 $12.50
11x17)
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: No Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $169.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $3,000.00
Residential Square Footage: 0
Fire Alarm Valuation: $3,000.00
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, o ' - . is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility ification Cen - . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0 90. You may obtain a copy of the rules
or dir questions to OUN% by - ing 503.232.1987 or 1.800.332.2344.
Iss ed By: // Permittee Signature: 4.7t4e--72(ytet
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.
Building Permit Application
Fire Protection System FOR OI.TI( I: I Si: O".I.1
City of Tigard ci 1 0cei Permit No.:
.:te/By: .l9 l �=7°S ilk-Udl/7
• 13125 SW Hall Blvd.,Tigard,OR 97223 CIPP\I P lan Re
Phone: 503.718.2439 Fax: 503.598.1960 a 2014 Date/By: %'�' 71?�`'� Other Permit: a ,20ly_�`01
I I�; It a Inspection Line: 503.639.4175 JUL Date Ready :y: furls: ® See Page 2 for
Internet: www.tigard-or.gov Ir,AQ Notified/Method:7/2./,lf �c Supplemental Information
Ctly nl t �cpi I� /u1 bl I)1(
TYPE OF WORK,u RDSSIW�� 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
AAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El I-and 2-family dwelling i Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder El Other: Number of bathrooms:
tKg) JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site addT_ess: _ - �/ - /3 New dwelling area: square feet
City/State/ZIP: ) 54> .0 A o I L c Fe r�'y/�o f Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Aye S f D Ate /e hill S-T Covered porch area square feet
rj
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(rou:lded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
/90/Ci/ T/Gi) to -7` P /91 / / - Sys f
Valuation: $ 3 voe, Oo
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 00 ugew a ,f F 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 lcensed 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:
CONTJRACCTOR ) BUILDING PERMIT FEES*
Business name: /9‘3/✓/9 n C,... c 7 enC�/t J T /j F�•n e (Plcacereffeeuhthde
Address: / Y/ 6 S� ,L ,~n d,9 i n ./ Permit fee:
City/State/ZIP: Q E A yC P fQ n 7R 9 9Gej6 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(50.3)5./7 415546 Fax:(503) 443- 08'4 $ (Due upon application.)
CCB lic.: / 6 6 124 Total permit fees:
cnereetui
Authorized signature: Amount received:&Lir This permit application expires if a permit is not obtained
Print name: 6/9✓a / "/rn/9 t ;1;-- Date: 7/9'/pi within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permiu\FPSPermitApp.doc 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:
❑ 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: j $
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.
I:\Building\Permits\FPS_PermitApp.doc Rev 01/05/2012 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10730 SW 130TH AVE, TIGARD, OR, 97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2014-00117
Chip Barnett
Violation Summary:
Inspector Contractor