Loading...
Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2014-00192 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/07/2015 Parcel: 2S 101 DC00200 Jurisdiction: Tigard Site address: 13535 SW 72ND AVE 200 Project: Umpqua Bank Subdivision: 72ND BUSINESS CENTER Lot: 13 Project Description: Interior office remodel. Contractor: AFP SYSTEMS INC Owner: PNWP LLC#2 19435 SW 129TH AVE BY PACIFIC NW PROP LTD PTNSP TUALATIN, OR 97062 PO BOX 2206 BEAVERTON, OR 97075 PHONE: 503-692-9284 PHONE: FAX: 503-692-1186 FEES Description Date Amount Specifics: Permit Fee-COM 01/07/2015 $134.48 12%State Surcharge-Building 01/07/2015 $16.14 Type of Use: COM Plan Review-Fire Life Safety-COM 01/07/2015 $53.79 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 01/07/2015 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: Info Process/Archiving-Sm$0.50(up to 01/07/2015 $2.50 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: LT Density: .10 Design Area: 1500 K Factor: 5.6 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $208.91 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $5,700.00 Residential Square Footage: 0 Fire Alarm Valuation: 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 N. • - ion Cente . 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 OUNC b c- • . 03.232.1987 or 1.800.332.2344. \ i� Is.ued By: /i,t�� tf—/t.3 Permittee Signature: 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 1 .N it System Fire Protection S y 0-)C--- it eJi t i( 1 1 �1 t/•1 , City of Tigard 9 2��4 `� / �T/ Permit No,: — • 13125 SW Hall Blvd.,Tigard,OR 97223 oEC A i �� ra ! Phone: 5017182439 Fax: 503.598.1960 iv6t y� ; �© I Other Permit: `(i ,I • _4,. ' 7 I :,1c a Inspection Line: 503.639.4175 �v Ow `ckl . e Ready: : Ju;s: , See Page 2 for Internet: www.tigard or.gov (��,,� �1�G��11 Notified/Meth••: if/i y- Try Supplemental Information TYPE OF Wt V11 c e/ I &1-4et.J REQUIRED DATA 1-AND 2-FAMILY DWELLING ❑New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(romded to the nearest dolls)of all 53 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ID 1-and 2-family dwelling (Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: 0 Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 13555 5(.0 `12 tA,,.f New dwelling area: square feet City/State/ZIP: TI, 0..k.42.. O Garage/carport area: square feet Suite/bldg./apt.no.: 01� Project name: f, ,y pfd eel_ e'e Covered porch area square feet Cross street/directions to job site: �/ �/ V �"�'L 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. A�� Oa S, „tx.s.4t:.c.._- .$ Valuation: $ -70) I 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: Id APPLICANT ❑ CONTACT PERSON \ NOTICE` Business name: �� S S�e twS c vim All contractors and subcontractors are required to be Contact name:a kS Inc Oct-0-t? licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: ('143 nj,Go , (Z`9 eve . jurisdiction in which work is being performed.If the City/State/ZIP: [ . _. �, L op_ 1-2 0 62 Z applicant is exempt from licensing,the following reasons � n• apply: Phone:(5b3) (pot 2.. 9 2g,-( Fax::(0503) (129.2 •t l S(o E-mail: -5,93.4_ qC a...4 s,.ts. LJ cyy, CONTRACTOR BUILDING PERMIT FEES* . (Please refer toles ses =,Business name: qN„¢ Gl S Q�w, . Pr mit fee:Address: City/State/ZIP: State surcharge(12%of permit fee): FLS plan review(40%ofpermit fee): Phone:( ) Fax:( ) (Due upon application.) CCB lie.: U1 g 3 4 Total permit fees: Authorized signatur . >G Amount received: This permit application expires if a permit is not obtained Print name: 51,.sa4,._ e_4124-1).,_124. Date: (a( 1 within 180 days after it has been accepted as complete. l ` * Fee methodology set by Tri-County Building Industry Service Board. 11:16uiMdineRermiu\FPS-Permitpp.dee Rev 01/05/2012 440-4613T(11J02/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: [a Addition ❑ 1-10 heads: No plan review required. la Alteration ® 11+heads: Plan review required. ❑ Repair Number of sprinkler heads:QS Additional description of work: Type of System(Com lete A,B2C or D as applicable): A.) Commercial Sprinkler Wet ❑ Dry Additional Standpipes N/A Information: Hazard Group 41- Density - Design Area / �0 K.Factor 5'G $ Sprinkler Project Valuation: $ 5,`(On 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. I:\Building\Permits\FPS PemritApp.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 13535 SW 72ND AVE 200, TIGARD, OR, 97223 Commercial - Fire Protection System 999 Sprinkler final PASS - No C of O FPS2014-00192 Chip Barnett Violation Summary: Inspector Contractor