Permit (85) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
s � f
R COMMUNITY DEVELOPMENT Permit#: FPS2017-00161
1111
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 10/30/2017
T1 t' tk .L� 9
Parcel: 2S101AC01800
Jurisdiction: Tigard
Site address: 7585 SW HUNZIKER RD
Project: Artistic Auto Body Subdivision: None Lot: None
Project Description: Fire alarm permit:Cellular communicator installation.
Contractor: PHILLIPS ELECTRONICS Owner: MOSTUL,TERRY A&DEBBI C
3247 NW 29TH AVE 7585 SW HUNZIKER RD
PORTLAND, OR 97210 TIGARD, OR 97223
PHONE: 503-222-5083 PHONE:
FAX: 503-227-4992
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/30/2017 $56.47
12%State Surcharge-Building 10/30/2017 $6.78
Type of Use: COM Plan Review-Fire Life Safety-COM 10/30/2017 $22.59
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 10/30/2017 $5.00
Occupancy Grp: S-1 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: Yes Alarm Type: Automatic
Pull Station Required: No Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $90.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $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 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 1.8.f 2.2344.
Issued By: ••rmittee Signature: / 12'1 e007-
Call 03.639.4175 by 7:00 a.m.for the next available inspectiO 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
\No
Fire Protection System FOR OFFICE USE ONLY
City of Tigard Received
g `� DateB � 677---
Plan
No.: > 1 7- 9 1!/_
III13125 SW Hall Blvd.,Tigard,OR 97223 i �' 7V LCJ 47r
Phone: 503.718.2439 Fax: 503.598.1960 C� .1.- Plan Rev
y1 ��~+1 Sir1/4.k.2.:,-.)cOther Permit:�i��//G}.,�j1'7 rct;473
T I GARD Inspection Line: 503.639.4175 �(y�a Date Rea..%I i e Juris: H See Page 2 for
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Internet: www.tigard-or.gov �.yl IA � d/M d: O //7/�4 Supplemental
u �r Su Iemeutal Information
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TYPE OF W %% 11)1
S REQUIRED DATA."AND D -F ILY WELLING'
❑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' CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling p Commercial/industrial Valuation: $ _�
Accesso buildin Number of bedrooms:
❑ ry g ❑Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB.SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 755— Ste" f-1 yr z t New dwelling area: square feet
City/State/ZIP: I IS�� (0're1 d Ir\ C `j2 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:dAr, '$k i L t Petty Covered porch area: square feet
Cross street/directions to job site: 5� 71 Nk 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.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
A k Cell-)i�r COMA%JA:ce or 0_,E;wI!akak' tc/.C.-- D
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors are 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
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax::( )
E-mail:
CONTRACTOR. BUILDING PERMIT FEES*
(Please refer to fee sehedule
Business name:
pin;It p5 Cleckfo,-1v‘9
Permit fee:
Address:32,41 it/v) 9,Ci 1-h )(ye,
State surcharge(12%of permit fee):
City/State/ZIP: (30t vkaw:) 0 �. q7a 10
f �. FLS plan review(40%of permit fee):
Phone:(503) Q,2t-a_ SP f,3 Fax:( ) (Due upon application submittal.)
CCB lic.: Total permit fees:
Authorized signature:
Amount received:
This permit application expires if a permit is not obtained
Date: within 180 days after it has been accepted as complete.
Print name:
e�� Co /� 2 7 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(1I/02/COM/WEB)
0
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 El 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 El 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 ❑ 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: $
C:\Users\Jono\Downloads\FPS_PermitApp(4).doc 2