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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2021-00041 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/28/2021 Parcel: 1S126BC01506 Jurisdiction: Tigard Site address: 9020 SW WASHINGTON SQUARE RD, STE#301 Project: Driveway Finance Subdivision: None Lot: None Project Description: Fire alarm permit-extend existing fire alarm notification circuit(31 devices) Contractor: PRIME ELECTRICAL SERVICES LLC Owner: LITHIA REAL ESTATE INC 3312 SE BELLA VISTA PL ATTN DEBOER, MARK VANCOUVER,WA 98683 150 N BARTLETT ST MEDFORD,OR 97501 PHONE: 503-318-5170 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 04/28/2021 $177.52 12%State Surcharge-Building 04/28/2021 $21.30 Type of Use: COM Plan Review-Fire Life Safety-COM 04/28/2021 $71.01 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 04/28/2021 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: Info Process/Archiving-Sm$0.50(up to 04/28/2021 $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 Calcs Provided: Yes Cut Sheets Required: Yes Total $277.83 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $10,000.00 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: owl L!GGfIX)Vt Ho Lb ,,De, Vege pp 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 13- - _ Fire Protection System RECEIVE; FOR OFFICE USE ONLY g� Received /y//2 J 2/ Penuil No..f- ZQL� V City of Tigard Date/By:��l 7/L '^9n �ry • I3125 SW Hall Blvd.,Tigard,OR 97223 r 'V,' plan Rev�v 1. 1 �1 �' guPG(/�/•W 2 Phone: 503.7L8.2439 Fax: 503.598.1960 APR '` �l° Date/By:3y: `7 0< Other Permit Ins Inspection Line: 503.639.4175 Date Ready/By: j + la See Page 2 for I c A R l s p CITY OF TIGARD No. 'Method: 0 . // er supplemental Information Internet: www.tigard-or.gov TYPE OF ti I !NIP lI Ita.' .� ,; WORK REQUIRE t I ATA:1-AND 2-FA6ili,Y DWELLING ❑Demolition Permit fees*are based on the value of the work performed. D New construction Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION Valuation: $ ❑ I-and 2-family dwelling ®Commercial/industrial - Number of bedrooms: ❑Accessory building ❑Multi-family ElMaster builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATIONif Total number of floors: Job site address: 9020 SW Washington Square Rd. New dwelling area: square feet city/state/z1P: Tigard, OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:STE 301 Project name: Driveway Finance TI Covered porch area: square feet Cross street/directions to job site: 3rd Floor Deck area: square feet Other structure area: square feet REQUIRED DA. KLIST Subdivision: Lot no.: Permit fees*are based on the value 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 WORK work indicated on this application. Extend existing fire alarm notification circuit for new Valuation: $ 10,000.00 Existing building area: square feet tenant improvement New building area: square feet 0 PROPERTY OWNER 0 TENANT' ;. _ Number of stories: Name Type of construction: office space Address: Occupancy groups: City/State/ZiP: Existing: Phone:( ) Fax: ( ) New: ® APPLICANT ❑ CONT'ACT PERSON NOTICE Business name: Prime Electrical Services, LLC All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board Contact name: Oleg Primachenko under ORS 701 and may be required to be licensed in the Address: PO Box 872395 jurisdiction in which work is being performed.If the applicant is exempt from licensing,the following reasons City/State/ZIP: Vancouver, WA 98687 apply: Phone:( 503)318-5170 Fax: :( ) E-mail oleg.p@,primeelectricalco.com CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule Business name: Prime Electrical Services, LLC Permit fee: Address: PO Box 872395 State surcharge(12%of permit fee): City/State/ZIP: Vancouver, WA 98687 FLS plan review(40%of permit fee): Phone: ( 360)335-3565 Fax:( ) (Due upon application submittal.) /CCB lie.: 217825Total permit fees: Amount received: Authorized signature: This permit application-expires ifs permit is not obtained Date: within 180 days after it has been accepted as complete. Print name: Oleg Primachenko4/12/2021 * Fee methodology set by Tri-County Building industry Service Board. 1\Rullding\PermitslrPS-PermitApp_031016.doe 440-4613T(1I/02iCOM/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: ❑ New system Number of sprinkler heads: Number of alarm devices: 31 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 ❑X 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'I'ype ❑ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B. T le I - Hood Fire Su, sression S stem- ` Hood Project Valuation: $ C.) Fire Alarm ;.. Submittal shall Battery Calculations ❑X Yes include: Individual Component ❑X Yes Cut Sheets Fire Alarm Project Valuation: $ 10,000.00 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): $ 10,000.00 Permit fee based on project valuation (see fee schedule): $ 177.52 Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ 21.30 FLS Plan Review (40% of permit fee): $ 71.01 TOTAL: $ 269.83 I:ABuilding\Pennits\PPS_PcrmitApp_03101G.doe 2 A