Permit (96) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
.1111 44
COMMUNITY DEVELOPMENT Permit#: FPS2017-00194
TrGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/04/2018
Parcel: 2S 112AA00600
Jurisdiction: Tigard
Site address: 6777 SW BONITA RD 140
Project: Spec Space Subdivision: None Lot: None
Project Description: Fire sprinkler permit:(11)sprinklers for new office.
Contractor: JR MERIT INC Owner: ICON OWNER POOL 1 WEST LLC
PO BOX 940 VANCOUVER WA BY RYAN
VANCOUVER,WA 98666 PO BOX 460169
HOUSTON, TX 77056
PHONE: 360-693-7474 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 01/04/2018 $123.72
12%State Surcharge-Building 01/04/2018 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 01/04/2018 $49.49
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 01/04/2018 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 01/04/2018 $5.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 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 $195.06
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $4,800.00
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 503.9 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 � 4 1,, FOR OFFICE USE ONLY
Cl of Tigard Received /� _ 1q
INCity
g Date/By: W) 7 /8 T l Permit No.: �,7 7 C)11 .
13125 SW Hall Blvd.,Tigard,OR 97223 t y (/
g n E c .t 1 2 01 1 Plan ` � p
Phone: 503.718.2439 Fax: 503.598.1960 Date/By l• �`Z � c 7 Other Permit: /3�1 ,O/ 7_60,-3/9;
1.,,, ARD Inspection Line: 503.639.4175 cin
J ate R ••" ,y: runs: 0 See Page 2 for "
Internet: www.tigard-or.gov ,i It ) L rid:
otifie ethod: f 1 e of
L �� 1 _ ./..„--- .4.), Supplementallaformahoa
99 t9,�
_* t REQUU RED DATA 1-A*STAMItit DW LING
Y
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
-; ',t .
CATEGORY OF CONSTRUCTION,; work indicated on this application.
0 1-and 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
1:1Master builder 0 Other: Number of bathrooms:
* Iw""fNTotal number of floors:
,IOSi'i'E FO�ATIUN 113'LOCATION';1, �#:�
Job site address: C.-2-1 7 Sw 73a N i1 New dwelling area: square feet
—
City/State/ZIP 4,1 611(_ e 7 2.2._1- Garage/carport area: square feet
Suite/bldg./apt.no.: Y 14 Project name: Sf 0 F-f iCCovered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: OMMERCIAL-USE CHEF" IS `;W
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
DESCRIPTION OF WVORK work indicated on this application.
(A/Sj-gt.L. Splot4 ap Lint-5,A-
It OFjF/CE /^/ L?j'/STINii au'Llvint�j Valuation: $ �jg66,
Existing building area: square feet
New building area: square feet
PROPERTY OWNER ', 1 0 TENANTmNumber of stories:
..
Name: C L(7 Type of construction:
Address:("At(' S J Co c,yr,,5rt1 Occupancy groups:
City/State/ZIP:pa-TL B,y2 c Existing:
r
Phone:( ) Fax:( )
New:
21 APPLICANT 0 CONTACT PERSON NOTICE .
Business name: ifc, .(hicr.,¶ . /(1 L All contractors and subcontractors are required to be
Contact name: �j►./ �A t 7glicensed with the Oregon Construction Contractors Board
_ under ORS 701 and may be required to be licensed in the
Address: 45 6 5KtIs 06771-1 Jft jurisdiction in which work is being performed.If the
City/State/ZIP:V C jUvaL 1 q e C6/ applicant is exempt from licensing,the following reasons
Phone:(760 ) 6, 3 "1 4- 4 Fax::( )
E-mail•JpSo^,I . S cm0-7s,,A.rk it_V 16 .,,--, Go rn.
BUILDING PERMIT FEES*
(Please er to fee schedule) v„
Business name., 1vi i.-j 1, L
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP:
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lie.: i 2,' '7 3 8 Total permit fees:
Authorized signature: 5 Amount received:
This permit application expires if a permit is not obtained
Print name/-5 0,,( >5,r,.l Date:(2-'7—1--i 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.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
erbe
to lie
1.) ❑ New 2.) Modification to sprinkler heads only:
0 Addition 0. 1-10 heads: No plan review required.
laAlteration 11+heads: Plan review required.
Repair r
Number of sprinkler heads: r
Additional description of work:N S'l t_ $ N V L Et-3- io-1- o o(z F
Type of System( pl t A,B, r" s: Pplicable);
.) Comm rcial Spri er
Wet 0
Dry
Additional Standpipes t,,//q
Information: Hazard Group 4e'1.
Density 4e)
Design Area 1.51)c
K. Factor c, C
Sprinkler Project Valuation: $ 4,Soo r
B.) Type i- Hood Fire suppression System
Hood Project Valuation: $�
C.) Fire Alarm
Submittal shall Battery Calculations 0
Yes
include: Individual Component es
Cut Sheets
Fire Alarm Project Valu,uio $
}
D.) Residential Sprinkle tend.Alone System)
Square Foota.e• Permit Fee:
0 to 2,000 $198.75
2,001 3,600 $246.45
37,6 1 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: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
H:\Permit Applications\TigardFireApp.doc Rev 01/05/2012 2