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Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT .111 '' COMMUNITY DEVELOPMENT Permit#: FPS2021-00043 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/17/2021 TIGARD g Parcel: 2S101DD00703 Jurisdiction: Tigard Site address: 13950 SW 72ND AVE B Project: Plastic Metal Technologies Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4 Project Description: Dry chemical hood suppression system for a paint booth. Contractor: UNITED FIRE HEALTH & SAFETY EQUIPMENT CO IN Owner: FINLANDIA BUSINESS PARK, LLC 4611 NE MARTIN LUTHER KING JR BLVD 14010-B SW 72ND AVE PORTLAND, OR 97211 PORTLAND, OR 97224 PHONE: 503-249-0771 PHONE: FAX: 503-249-0572 FEES Description Date Amount Specifics: Permit Fee-COM 05/17/2021 $156.00 12%State Surcharge-Building 05/17/2021 $18.72 Type of Use: COM Plan Review-Fire Life Safety-COM 05/17/2021 $62.40 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 05/17/2021 $6.00 Occupancy Grp: B Height: 25 ft 11x17) Stories: 1 Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Dry • Standpipe Required: No Hazard: Density: 0 Design Area: 0 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Reg: Battery Calcs Provided: Cut Sheets Required: Total $243.12 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 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: }{o�lry Vu.ii De/W� O VI/AppUCAAtfo-rt 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. 11 Building Permit Application Fire Protection System FOR OFFICE USE ON I V City of Tigard Received _ �J Dates , Permit Nu.: rr"n�• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie `� ��I �,y �' � Phone: 503.718.2439 Fax: 503.598.1960 Date/By: c .8__a )' Other Permit: . ' , T I G A R D Inspection Line: 503.639.4175 Dace ReadyiEly: /J ., ® 2 for _�l Internet: www.tigardor.gov ifiied/Merhod: /y/T ir-54. SuppkmeMalInformation TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. ©Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I-and 2-family dwelling ©Cotrunerciallindustrial Valuation: S ElAccessory building El Multi-familyNumber of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION� AND LOCATION Total number of floors: Job site a ,,SeT W 6 72nd Ave A/ New dwelling area: square feet City/State/ZIP: •OR 97223 t3' Garage/carport area: square feet Suite/bldg./apt.no.: r—V Project name:Plastic Metal Technologies Covered porch area: square feet Cross street/directions to job site: South of SW Tech Center Drive Deck area: square feet 5...L'IC,-8 — 1345-0 b-J 0 C I 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. Install an Amerex Industrial Dry Chemical Fire Suppression System in a Paint Booth. r• r Valuation: S S7,200.00 Existing building area: square feet New building area: square feet 'D PROPERTY OWNER 0 TENANT Number of stories: Name: Plastic Metal Technologies Type of construction: Address: 7051 SW Sandburg Rd. Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: Phone:(503 ) 684-0725 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON -- -- _,.... NOTICE Business name:United Fire All contractors and subcontractors are required to be Contact name:Ed Wallace licensed with the Oregon Construction Contractors Board Address:4611 NE M.L.Blvd. jurisdiction ORS 701 and may be required to be licensed in the jurisdiction in which work is being performed.If the City/State/ZIP:Portland,OR 97211 applicant is exempt from licensing,the following reasons apply: Phone:(5 )249•on1 / Fax::( ) E-mail: eel/ K ✓�- f, _ CONTRACTOR BUILDING PERMIT FEES.':' Business name: United Fire (1'kme nlir iefarxltelefs) .�°=„t. Permit fee: Address:4611 NE M.L.K.Jr.Blvd. City/State/ZIP: Portland,OR9M1i State surcharge(12e/a of permit fee): Phone:( S03 ) 249 on1 Fax: FLS plan review(40%of permit fee): ( ) (Due upon application submittal) CCB tic.: CO& /4-- 16 .k r eL/ Total permit fees: Authorized si (� Amount received: �� / This permit application expires Ra permit is not obtained W Print name: ei(L9 c.p Date:4-9-2021 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. 1,1Building\Pennas\FPS-Perm0Ap>031016.doc 4404613Tt1 LW/COM/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: El New system Number of sprinkler heads: Number of alarm devices: 0 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): A.) Commercial Sprinkler Sprinkler Type I ❑ Wet ❑ 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 INDUSTRIAL DRY CHEMICAL FIRE SUPPRESSION SYSTEM Hood Project Valuation: $ 7,200.00 C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component 0 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): $ $7,200.00 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: $ 1:\Building\Permits\FPS_PermitApp_031016.doc 2