Permit CITY OF TIGARD PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2009-00024
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 Date Issued: 05/04/2009
Parcel: 1 S135ACLC043
Jurisdiction:
Site address: 9160 SW MANDAMUS CT
Subdivision: Lot:
Project: LONGSTAFF CONDOMINIUMS
Project Description: Install NFPSA 13R in new MF. Building 8(unit type B-1).
Owner: FEES
LONGSTAFF LLC Description Date Amount
7050 SW CLINTON Permit Fee-MF 05/04/2009 $192.46
TIGARD,OR 97223 Tax-12%State Surcharge 05/04/2009 $23.10
PHONE: 503-598-7565 Plan Review-Fire Life Safety-MF 05/04/2009 $76.98
Contractor:
JND FIRE SPRINKLER INC
12155 SW GRANT STE D
TIGARD,OR 97223
PHONE: 503-968-5200
FAX: 503-968-5920
Type of Use: MF
Class of Work: FPS Type of Const: VB
Occupancy Grp: R-1 Height: ft
Stories: 2
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .052 Design Area: 1256
K Factor: 4.9
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $292.54
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: 13228
Residential Square Footage: 0
Fire Alarm Valuation: 0
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 da s of
issuance,or if work is suspended for more the 180 days.ATTENTION:Oregon law requires you to follow the -s adopted by t e Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. Yo . obtain a cop of e rules
V .
Issued By: JLQit�^1,0 - Permittee Signature: 11, At
Call 503.639.4175 by 7:00 a.m.for an inspection that butiness�y.
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 ,1 I 'D I t>►z t>► I ►t f I s► <►.l.\
Received
City of Tigard �, Dates . _• OC .'� Permit No r`. •000 (,4-
• 13125 SW Hall Blvd.,Tigard,OR 97223 1 Plan Review . �J��dd,
II Phone: 503.639.4171 Fax: 503.598.1960 Date B : t� L'ai 4* La1 Other Permit
Inspection Line: 503.639.4175 CII i -)4 r `�tZD DNot ate R cadeto: 5-4.09 -rt ® See Page 2 for
I t t■n R > Supplemental Info
rmation
Internet: www.tigard-or.gov BUILDING DIVISION
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.
Valuation: S
❑ 1-and 2-family dwelling Commercial/industrial
❑Accessory building
El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: CA 1 Lo0 V, T J`t v u s r c r New dwelling area: square feet
'�City/State/ZIP: rD IR0`Q1� Garage/carport area: square feet
Suit 412)f pt.no.: V Project name: Lcs f COM Do S Covered porch area: square feet
Cross street/directions to job site: 9 S T* 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
n,�/�,, r Valuation: S 131Z2-0
Mc�3g, god? (gE S @1'"1N LaS Existing building area: 1 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 g CONTACT PERSON NOTICE
Business name: ^� All contractors and subcontractors are required to be
Contact name: 1 ) licensed with the Oregon Construction Contractors Board
r under ORS 701 and may be 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:
y:
Phone:( ) Fax: :( )
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: J) F.\ 5 K ` I JC r 'Please refe(Please refer roles schedule)
e' - I ,. n A.�- (� Permit fee:
Address: It 155- / 6,ICR/V/ 500E-
` d / 72.2 ( State surcharge(12%of permit fee):
City/State/ZIP: 3
FLS plan review(40%of permit fee):
Phone:(!3z)9'se 8..-5740 Fax:(56$) ?'g Sq Z O (Due upon application)
CCB lie.: bLiy j,05-- Total permit fees:
Authorized signature: /fit Pff". Amount received:
/ This permit application expires if a permit is not obtained
Print name: J L,J 10& Date: Lift 3/0
//// • Fee methodology set by Tri-County Building Industry
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.
El Repair
Number of sprinkler heads:
Additional description of work: ,t 1 3 R I ZOO
Type of System (Complete A,B,C or D as applicable):
A.) Commercial Sprinkler
Wet ❑ Dry
Additional Standpipes
Information: Hazard Group RES
Density ,0 5-2.5
Design Area y 05
K. Factor -i,q
Sprinkler Project Valuation: $ 1312:2.
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 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A,B&C above): $ 3 Z?.
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 2 sets of plans at submittal. Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer,or
NICET level "3" technicians.
C:\PERMIT APPLICATIONS\Tigard FPS-PermitApp.doc