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Permit (16) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT - Permit#: FPS2017-00029 :• COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/16/2017 TIC,,�It Cr 9 Parcel: 2S101AA00100 Jurisdiction: Tigard Site address: 12300 SW 68TH AVE Project: Landmark Ford Subdivision: WEST PORTLAND HEIGHTS Lot: 9 Project Description: Fire alarm for TI:Installing(1)control panel,(1)cellular communicator,and(1)smoke detector. Contractor: PHILLIPS ELECTRONICS Owner: CORLISS,JAMES L&CORA K 3247 NW 29TH AVE PO BOX 23970 PORTLAND, OR 97210 TIGARD, OR 97281 PHONE: 503-222-5083 PHONE: FAX: 503-227-4992 FEES Description Date Amount Specifics: Permit Fee-COM 03/16/2017 $102.20 12%State Surcharge-Building 03/16/2017 $12.26 Type of Use: COM Plan Review-Fire Life Safety-MF 03/16/2017 $40.88 Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 03/16/2017 $4.00 Occupancy Grp: Height: ft 11x17) Stories: Info Process/Archiving-Sm$0.50(up to 03/16/2017 $5.50 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: Alarm Type: Pull Station Required: Smoke Detectors Req: Vas- Total sTotal $164.84 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $2,650.00 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 folio rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090.. You .y a copy of the rules or direct questi -to OUNC by calling 503.232.1987 or 1.800.332.2344. - —' Issued B " o', — Permittee Signature: 1-d--e-____- ..& Call 503.639.4175 by 7:00 a.m.for the next available inspecti•n 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. s * 1 € BuPermit Application /2/� Commercial /2E,'9tc-+2'Ee•T7t1/J Sys 1 FOR OFFICE FSE OyLI City of Tigard RE � I V Received Permit No.: lig13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review r Eri ", C. Phone: 503.718.2439 Fax: 503.598.1960 +�A R j Date/B : LNIE" Other Permit: �s / j T I G A R D /Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for Internet: www.tigard-or.gov city 11,1. D Notified/Method: L IMI Supplemental Information B� ,LD1N DIVISION .l•ei,� t )?� ' TYPE OF'W ", ' REQ I 1>4)AiTA:;I-AND 1-FAMILY OWEI- IM 0 New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRIICUON work indicated on this application. ❑ 1-and 2-family dwelling ®'Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION` Total number of floors: Job site address: 19,300 $ 8 A' New dwelling area: square feet City/State/ZIP: -c8cu,eil Tresiy_,. 41.7 223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Mcg-✓K. c✓Ci. se v�'tQ Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQ11IR D DATAt COMCOMMERMLVSE CHECKLIST Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the Pep t� i1R ` ;1ON WORK :` work indicated on this application. ae / 51) Pep lace_ ©i 1"x A c 1- c...e. t�.k✓Dv„ 40 ex.',6 VA $r,,.3� tn�°S Valuation: $ b t - — Existing building area: square feet oi,Ack :,,sk•lk Cellvtcar � CoCoAl 06,1c N New building area: square feet El FROFERTY':OWI R. ❑ TENANT = Number of stories: ,,,2_ Name: - Name: Type of construction: f/3 Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) _ _ ow A '.1.1 CAN _T '4w o NTACT ,, 1"II1:;.lRsICr F)NMIT FEES*': Business name: Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: City/State/ZIP: Total fees due upon application: Amount received: Phone:( ) Fax::( ) E-mail: „}c i4.Q �.� \3 Q�`a t'f n PKOTOV tl'I.T`AI+ SOLAR " SYSTEM FEES* ' � Lo r*� Commercial and residential prescriptive installation of CONT ACT" ri roof-top mounted PhotoVoltaic Solar Panel System. Businessname: �� s ��C�ia9 n 1 Submit two(2)sets of roof plan with connection details -> 5 and fire department access,along with the 2010 Oregon Address: 32„4-7 NbJ C ` Solar Installation Specialty Code checklist. Permit fee(includes plan review City/State/ZIP: �'p�\ (f)(44 0,.� q72 it) $180.00 and administrative fees): Phone:($0;) ) ;22�• 5-0 j`_'t Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: !25-3 b2( Total fee due upon application: $201.60 Authorized signature: gi,„,ri--- ,R1 This permit application expires if a permit is not obtained L within 180 days after it has been accepted as complete. Print name: �-.pp .$ iri Date:,..041/i 7 * Fee methodology set by Tri-County Building Industry v ' Z` �/ , Service Board. I:\Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/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: 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 ❑ 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 Sprinkler Type [j Wet a Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B.) Type I- Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations [r Yes include: Individual Component []'Yes Cut Sheets - -- 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: $ C:\Users\Jono\Downloads\FPS_PermitApp.doc 2