Permit 1,1 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
�.' COMMUNITY DEVELOPMENT Permit#: FPS2021-00014
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/16/2021
T I f AR-l� Parcel: 1S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD, STE#501
Project: Lithia Driveway Subdivision: None Lot: None
Project Description: Fire alarm permit-adding 10 fire alarm devices
Contractor: CAPITOL ELECTRIC CO INC Owner: LITHIA REAL ESTATE INC
11401 NE MARX ST ATTN DEBOER, MARK
PORTLAND, OR 97220 150 N BARTLETT ST
MEDFORD, OR 97501
PHONE: 503-255-9488 PHONE:
FAX: 503-257-7121
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/11/2021 $123.72
12%State Surcharge-Building 02/11/2021 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 02/11/2021 $49.49
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 02/11/2021 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 5 Info Process/Archiving-Sm$0.50(up to 02/11/2021 $6.00
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: Yes Alarm Type: Automatic
Pull Station Required: Yes Smoke Detectors Req: Yes
Battery Gales Provided: Yes Cut Sheets Required: Yes
Total $106.06
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $4,100.00
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:
all 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 RECEIVED 15-II2bl211
Fire Protection System FOR OFFICE USE ONLY
JAN 2 6 7021 Receive D/ 27.ZOO �qi)r)
City of Tigard Date/By: / Pe�itNe.:��SZO Clt�Ll
" 13125 SW Hall Blvd.,Tigard,OR 97223 Cif l l OF TIGARD Plan Review
_ . a, Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Q^L` •
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready By: / to ® See Page2for
Internet: www.tigard-or.gov Nolified/Method: I(( ( � � Supplemental In formation
TYPE OEllb 'm ° g s s di t �t
❑New construction ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
Valuation: $
❑ 1 and 2-family dwelling ®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION :1ND LOCATION Total number of floors:
Job site address:9020 SW Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:501 I Project name:Lithia Driveway Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area, square feet
REQUIRED DATA:CO\IMIERCI.\L-USE CHECKLIST
Subdivision: I Lot no.: I'e-mr.fees*arc based on theva:u. of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF \\ORK work indicated on this application.
Install tire alarm devices per submitted plans. Valuation: $$4,100.00
Existing building area: square feet
New building area: square feet
❑, PROPERTY O\ NI It ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) P.us: ( New:
❑ .APPLICANT 1.1 AC:I PERSON j{ 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:( ) I Fax::( )
E-mail: .a-y c dX
t' �� 3I ►Ik9Crd' r � il
Business name:Capitol Electric Company,Inc. '`>�to Migit lw
Permit fee: 123.72
Address: 11401 NE Marx Street
State surcharge(12%of permit fee): 14.85
City/State/ZIP:Portland,OR 97220 FLS plan review(40%of permit fee): 49.49
Phone:(503)255-9488 Fax:(503)255-1966 (Due upon application submittal.)
CCB lie.:48748 Total permit fees: 188.06
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Shane Tercek Date: 1/22/21 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:�Building�Permirs'FPS-Permi[App 031016.doc 440-4613T(11102/COM/WEB)
i t
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to he done: - -
F 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: 10
® 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) T
A. Commercial s rinkler • rrisaingPit 3' 1
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: I $
B.)_Type I - Hood Fire Suppression System
Hood Project Valuation: $
G
i mx' . ftlt'tr ,
Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: I $ 4,100
.
Square Footage: Permit Fee: s 41;i
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.
'e< " Cilia .3iiisi1 s ah liia
Project valuation subtotal (see A,B & C above): $ 4,100
Permit fee based on project valuation (see fee schedule): $ 123.72
Permit fee based on square footage (see D above): _ $
State Surcharge (12%of permit fee): $ 14.85
FLS Plan Review (40% of permit fee): $ 49.49
TOTAL: $ 188.06
Q:\Fire Alarm\FA Jobs\zz210084-45 Lithia Driveway L Embassy Center 501\job info\2 FPS PcrmitApp 2017.0126.dor
Capitol RECEIVFn
Electric Co., Inc. JAW 2r; yoz1
U!TV OF TIGARL
UILDINIC DIVISION
January 22, 2021
Plans Examiner
City of Tigard
Building Services
13125 SW Hall Blvd.
Tigard, OR 97223
Re: Tenant Fire Alarm System Additions
Lithia Driveway, Suite 501 @ Embassy Center
9020 SW Washington Square Road
Tigard, OR 97223
Please find attached a building permit application, three sets of plans, calculations, and
product submittals for the fire alarm tenant improvements at the address shown above.
Occupancy Group: B
The fire alarm system design includes the following:
1. Install new ADA synchronized fire alarm notification devices in the tenant space
including (8) horn strobes & (2) strobes.
2. We will pre-test the fire alarm devices prior to requesting a final fire alarm
inspection.
Please contact me if you have questions or comments.
Res ectfully,
S
Shane Terce
Project Manager/Estimator
Fire/Life Safety Division
Capitol Electric Company, Inc.
(503) 262-0405 Direct
shane@cepdx.com
NICET Level III, Fire Alarm Systems#140599
11401 NE Marx • Portland. Oregon 97220-1041 • 503-255-9488 • Fax 503-257-7121
CCB# 48748 • www.capitolelectricco.com