Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
MI 5 . COMMUNITY DEVELOPMENT Permit#: FPS2015-00138
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/14/2015
Parcel: 2510 1 BA00101
Jurisdiction: TIGARD
Site address: 7500 SW DARTMOUTH ST 120
Project: Great Clips Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: Adding 13 sprinkler heads to existing system.
Contractor: AFP SYSTEMS INC Owner: WAL-MART REAL ESTATE BUSINESS TR
19435 SW 129TH AVE BY PROPERTY TAX DEPT STORE 5935-00
TUALATIN, OR 97062 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 503-692-9284 PHONE:
FAX: 503-692-1186
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/14/2015 $102.20
12%State Surcharge-Building 09/14/2015 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 09/14/2015 $40.88
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 09/14/2015 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 09/14/2015 $1.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .20 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 $158.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,700.00
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 Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 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
Fire Protection System FI)I OFFI( II t SI. 0NI.1
RECEIVEReceived City of Tigard � : 4//' Permit No.: :
14 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
■ �� 1 Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1,'I
TI G A K D Inspection Line: 503.639.4175 AUG 31 2015 Date Ready/By: Juris: 65 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 1 p, - Supplemental Information
TYPE OF`
Mon 1=1 New construction ■ Demo Permit fees*are based on the value of the work performed.
ttton
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.
El 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
1 r fg ' s>(1� Total number of floors:
Job site address:7500 SW Dartmouth St. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no. `2.0 Project name:Great Clips Covered porch area: square feet
Cross street/directions to job site:Retail Bldg.#2 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
fax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Add 13 new sprinkler head drops off of existing wet sprinkler system Valuation: $$2,700.00
to cover new floor plan Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Type of construction: V-B
Address: Occupancy groups:
City/State/ZIP: Existing: M
Phone:( ) Fa.x:( 1 New: B-business
APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors arc required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: apply:
Phone:( ) Fax::( )
E-mail:april@afpsys.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:AFP Systems Inc. (Please refer to fee schedule)
Permit fee:
Address:19435 SW 129th Ave.
City/State/ZIP:Tualatin,OR 97062 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)692-9284 Fax:(503)692-1186 (Due upon application submittal)
CCB lic.:67534 Total permit fees:
Amount received:
Authorized signature:
/l This permit application expires if a permit is not obtained
Print name:Steve Frost Date:8/312015 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-Cotmty Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_071514.doc 440-4613T(1 M/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 13 Number of alarm devices:
® Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
Alteration (3) copies of sketch showing area (3) copies of sketch showing area
to existing of work within building structure of work within building structure
system
® 11+ heads: Plan review required and El 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type of System (Complete A,B, C or D as applicable):
A.) Commercial Sprinkler x
® Wet ❑ Dry
Additional Standpipes none
Information: Hazard Group light
Density 0.20
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 2,700.00
B.) Type T Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ 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: $
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