Permit (28) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
S.. COMMUNITY DEVELOPMENT Permit#: FPS2017-00135
Tt GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/12/2017
Parcel: 2S 101 BA00600
Jurisdiction: Tigard
Site address: 7700 SW DARTMOUTH ST 110
Project: Fido's Tap House Subdivision: 1995-013 PARTITION PLAT Lot: 1
Project Description: Altering(21)sprinkler heads.
Contractor: CROSSFIRE SPRINKLER CO Owner: WAL-MART REAL ESTATE BUSINESS TR
17400 SE 82ND DR BY PROPERTY TAX DEPT STORE 5935-00
CLACKAMAS, OR 97015 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 503-210-5506 PHONE:
FAX: 503-210-5538
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/12/2017 $134.48
12%State Surcharge-Building 09/12/2017 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 09/12/2017 $53.79
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 09/12/2017 $1.50
Occupancy Grp: B Height: ft 11x17)
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD1
Density: .15 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 $205.91
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $5,780.00
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: / y.
Sri h -R5:Otil
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.
in
Building Permit Application
Fire Protection System ,a .a T FOR OFFICE USE ONLY
City of Tigard RDateved7 f-1/..)5L2,0/7...0(2/15".".
� ol,�v/1s_
. 0 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 2 8 2017Date B : � ���j PermitNo.. /
Phone: 503.718.2439 Fax: 503.598.1960 Plan Revievo—
Date/By: '' el , t ,Other Permit: 6��)U/'7..640/6 if
T I G A R D Inspection Line: 503.639.4175 • Date Ready/By: 7uris: ® See Page 2 for
!/
Internet: www.tigard-or.gov 1 , , tified/Method: 4.11-1/2, I Supplemental Information
47 ate: 4 ,5 .,, if C3 *ic , ; 3 ► ' 6 i 1'�W 1 ':
❑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
AI 14 work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
., 4o, 11T, ;0C aTtol<I Total number of floors:
Job site address:;.500i-W Dartmouth St New dwelling area: square feet
City/State/ZIP:Tigard,OR Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Fido's Covered porch area: square feet
Cross street/directions to job site: Deck area:
square feet
Other structure area: square feet
1 44 0rlsc*Et
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
equipment,materials,labor,overhead,and the profit for the
= ' ie . k work indicated on this application.
Rework existing fire sprinkler coverage to accommodate new walls&ceilings Valuation: $55,780.00
2a. V.9 c kL- \ pie.. iN,r, `.- Existing building area: square feet
New building area: square feet
,.. ktit ; � , � Number of stories:
Name:WalMart
Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax
( )
New:
Business name:Crossfire Sprinkler € . -:
All contractors and subcontractors are required to be
Contact name:Timothy A Bishop licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:17400 SE 82'd Drive jurisdiction in which work is being performed.If the
City/State/ZIP:Clackamas,OR 97015 applicant is exempt from licensing,the following reasons
Phone:(503)210 5506apply:
I Fax::(503)210 5538
E-mail:timothy@crossfiresprinkler.com
#1� l tom' FEks A'
m
Business name: A . A t se � .
Address: it—
Permit fee:
City/State/ZIP: State surcharge(12%of permit fee):
Phone:( ) Fax: ) FLS plan review(40%of permit fee):
(Due upon application submittal.)
CCB lic.: 11414- --___ Total permit fees:
Authorized signatur-• iTAT Amount received:
This permit application expires if a permit is not obtained
Print name:Timothy A Bishop Date:8/28/17 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
440-46131(11/02/COM/WEB)
Permit Checklist - ' 1
...
• Perini
' '' ' ' alarm devices:
• € Prigar
a
city of 1
' • iteration only to
Supplemental In , ,_ , . ,., Addition/alteration . , . ..
Protection
Page 2- , Ai _ . , _,, sprinkler heads: 'i
Tigard:
Fire
ermation
DeSetille W- k: 2.) Addition
/alteration
and
1.) Type of Wor
• kler heads:
0 1-5 devi.cesi
• area
les f sketch showing a
nn
Number of sprinkler .
ati(t6be'"one'• • /alteration only to
required and
(3)coP--within building structure
0 New system
Affidavit .
of wolk
0 1-10 heads: Af
copies f sketch showing area Number of.al
n Addition or
(3) .°. building structure . Affidevdiacvies.t: required
' Alteration
of work within
I:I
required and
(3) sets o-p
to existing
Plan review
Ale 11+ heads:
system
' (3) sets of plans. (3)
fl•
cfes:laPnlsa.
' --6+ devices: n review required and
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Hazard Grou.
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l'-lt.1--:;•''''''Submittal shall m ,14,44ziividual-
Alarm pro•ee ,..... .... ,;:i.,::.,;7„w -,•„.,.7t.:,-.7. ,,,,v--p I
include; _..........., Q Yes
Cut Sheets
Fire Ala—
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t Valuation: $
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' . Fee:
Permit
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S.uare Fo..
$246.45
fr.
. - '''*. , sq.-
,.." -.41::ti. *. ‘---- -
0 to 2,000 \
$310.05 - —1.1171114401A"-•!'4' •
e.
2,001 to 3,600 $198.75
3,601 to 7,200
,--Sprinider
,
. ,
,
, ..
7,201 and . eater
-- • Petiolt-' ., c above :
' Oteetto
Pt '
see A,B I3Z $
$404.39 ----
schedule :
• t valuation subtotal.
n see fee $
Project Squar: Footage:
Pr°ec • ct valuation D above :
,
,--
,,,
•
ermi.
d on s•uare roo - .ermit fee : 4)
. *i-fee based on pro e c ta.e see . .,
Permit fee base
t fee : $
40% of •emu $
TOTAL:
State Surchar:e 12%of .
FLS Plan Review
\FPS_PenTiltAPP—°31016.doc
nmts
I:\Building\Pe