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Permit (75) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT F' ! COMMUNITY DEVELOPMENT Permit#: FPS2017-00122 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/09/2017 Parcel: 2S101AB03100 Jurisdiction: Tigard Site address: 12115 SW 70TH AVE Project: Red Rock Center Subdivision: 2012-009 PARTITION PLAT Lot: 3 Project Description: Sprinkler supply line for building C. Contractor: EMMETT PHAIR CONSTRUCTION Owner: TIGARD TRIANGLE PARTNERS LLC 16650 FIR LANE 18187 SIERA DR LAKE OSWEGO, OR 97034 LAKE OSWEGO, OR 97034 PHONE: 503-572-8606 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 08/09/2017 $123.72 12%State Surcharge-Building 08/09/2017 $14.85 Type of Use: COM Plan Review-Fire Life Safety-COM 08/09/2017 $49.49 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 08/09/2017 $0.50 Occupancy Grp: Height: ft 11x17) Stories: 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: Battery Calcs Provided: Cut Sheets Required: Total $188.56 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $5,000.00 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 1.800.3.32.2344. Issued By: S_e,x,zzo__ •- ee Signature: , `j ,rte 40 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 OFFICE USE ONLY" City of Tigard ro " Received A Date/B >� Permit No.: :i4-700 y. - li . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re k.� Phone: 503.718.2439 Fax: 503.598.19. (1Q1\ Date/13 & :,„„,,. miiiiii Other Permit: _ , � r ) ,— 0- TI G A R D Inspection Line: 503.639.4175 • +ate Rear Juris: :. See Page for Internet: www.tigard-or.gov ��, ��y 'i\ dwi. ed/Meth..: • if '�yl `i•-c Supplemental Information TYPE OF WORK .(o1 o ba®r‘� &i`".L / ' ` , c;v $Q REQUIRED DATA:1-AND 2-FAMILY DWELLING „New construction 0 Dem tT 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. ❑ 1-and 2-family dwelling ommercial/industrial Valuation: $ I=1Accessory building ❑Multi-family Number of bedrooms: ElMaster builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: ),2 //r S ,,(,, 7Of11 ct vy New dwelling area: square feet City/State/ZIP: •—r- " Garage/carport area: square feet 11 J C htJv� Suite/bldg./apt.no.: ` Project nani'e: A„ 8 poi< of et,l.1-.er Covered porch area: square feet Cross street/directions to job site: D otti-F 1ry1,,L4 L,/ -7 P‘`47 a Pt Deck area: square feet Other structure area: square feet it/ - 1* [.1.- p S c i' E.eQUIRED DATA:' OMMERCIAL-USE;CHECKLI T Subdivision: 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 T equipment,materials,labor,overhead,and the profit for the l yh ,DESCRIPTION OI ORK ,- work indicated on this application. 'S4-e-4ty( •+ir- (t-k< i Al" a Valuation: $ Existing building area: square feet New building area: square feet r Number of stories: POERTY O ' xr { [ x VS Name: cat5, •[f-y Q 07 i-v, j Type of construction: Address: 1 Occupancy groups: City/State/ZIP: Existing: ..Phone:( ) Fax:( ) New: ANT M ICr<'.0 CONTA a. 0,4a-7,,,,r, _-" � '. � �� _... ,..�. -,..; fit';., ' Business name: 'C l ri, r out%; 0 D sii,lu'l,,©ti All contractors and subcontractors are required to be nlicensed with the Oregon Construction Contractors Board Contact name: a�X v F;-<tunder 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: Phone:0(70) 7g !^1,1! y 3 Fax::( ) E-mail: `6 nCQ . e p \ $O .r,C v ,,,1.1 x>� ... ' *, it az, PERMIT FEW:zr x �` " CONTRA � °. �t� ;} age refer fee schedulel :i ': ' Business name: 5 1t.)Ln. t Permit fee: Address: State surcharge(12%of permit fee): City/State/ZIP: FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application submittal.) CCB lie.: S''7 ji,2.7 Total permit fees: Authorized signature: 4-= Amount received: This permit application expires if a permit is not obtained Print name: 1;0,!) Date: within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\FPS-PermitApp_031016.doc 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: El 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 ❑ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line Yes ❑ No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ kloodVire,SRppre&ion System Hood Project Valuation: $ .irey� Xr'?' �, ,'� ''�n" ate'�' �: Alarm ''" 4: d fi' lzzk Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D) Res t a1 ! ' ' ' (Stall e Syste N:. Square Footage: Permit Fee: 0 to 2,000 $198.75 2,001 to 3,600 $246.45 = � 3,601 to 7,200 $310.05 :44,4y 7,201 and greater $404.39 Sprinkler Project Square Footage: sq. ft. Fire Protectiermit Fe; 4.; 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: $ I:\Building\Permits\FPS_PermitApp_031016.doc 2