Loading...
Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT - si� COMMUNITY DEVELOPMENT Permit#: FPS2021-00080 T f(1 A k.f} 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/2/2021 Parcel: 2 S 113AB00500 Jurisdiction: Tigard Site address: 16083 SW UPPER BOONES FERRY RD 200 Project: Amica Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37 Project Description: Alteration of existing sprinkler system Contractor: EXPRESS FIRE SYSTEMS INC Owner: G&S FC LLC 1913 41ST STREET 16083 SW UPPER BOONES FERRY RD, WASHOUGAL, WA 98671 STE 120 TIGARD, OR 97224 PHONE: 360-953-8432 PHONE: FAX: 360-953-8394 FEES Description Date Amount Specifics: Permit Fee-COM 07/29/2021 $145.24 12%State Surcharge-Building 07/29/2021 $17.43 Type of Use: COM Plan Review-Fire Life Safety-COM 07/29/2021 $58.10 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 07/29/2021 $2.00 Occupancy Grp: B Height: 15 ft 11x17) Stories: 1 Info Process/Archiving-Sm$0.50(up to 07/29/2021 $6.00 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: LT Density: 0.1 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 $228.77 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $7,000.00 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 Issued By: "7 VG1NliL7Pi�11P� Permittee J OwApplica -von 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 mininitailimin'cz-7/ Fire Protection System RECEIVED City of Tigard JUL 6 2021 Date/By:Receiv� �,1�1Z� �V Permit No.:F�20�' O�e7V N13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie II Phone: .2 Other Permit: Phone: 503.718.2439 Fax: 503.598.196CITY OF TIGARD Date/By: 1 i , 1,11 Inspection Line: 503.639.4175 Date Ready/By: / / Juris B! See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION o ified/Method• Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all j 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 0 Commercialiindustrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 16083 SW Upper Boones Ferry Rd New dwelling area: square feet City/State/ZIP: Tigard;OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.:200 Project name: Amica office TI Covered porch area: square feet Cross street/directions to job site: Deck area: square feet SW Walnut st Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I 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.: W248495 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $7,000 Alteration of the existing fire sprinkler system,due to new wall partitions Existing building area: 11,000 square feet New building area: square feet 0 PROPERTY OWNER ® TENANT Number of stories: 3 Name: Amica Mutual insurance co. Type of construction: Ii-B Address: 25 Amica way Occupancy groups: City/State/ZIP: Lincoln/RI/02865 Existing: B Phone:( ) Fax:( ) New: B 0 APPLICANT 0 CONTACT PERSON NOTICE Business name: Express Fire systems All contractors and subcontractors are required to be Contact name: Mohamed Hussein licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 670 S 28th st. jurisdiction in which work is being performed.If the City/State/ZIP: Washougal,WA 98671 applicant is exempt from licensing,the following reasons apply: Phone:( 360 )953-8432 Fax: :( ) E-mail: mohamed@expressfiresystems.com CONTRACTOR BUILDING PERMIT FEES* Business name: Express Fire systems (Please refer to reegCrrle) Permit fee: Address: 670 S 28th st. State surcharge(12%of permit fee): City/State/ZIP: Washougal,WA 98671 e FLS plan review(40%of permit fee): Phone:( 360)953-8432 Fax:( ) (Due upon application submittal.) / CCB lic.: 193272iyf /I Total permit fees: Amount received: Authorized signature: This permit application expires if a permit is not obtained Print name: Mohamed Hussein Date: 7/2/2021 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/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: ❑ New system Number of sprinkler heads: 28 Number of alarm devices: ❑ 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 ❑x 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 ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes 0 No Hazard Group Light Density calculation not required Design Area calculation not required K.Factor 5.6 Sprinkler Project Valuation: $7,000 B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ i'V(,trPl rrx' r r i .,, 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°A)of permit fee): $ FLS Plan Review (40% of permit fee): $ TOTAL: $ I:\Building\Permits\FPS_PermitApp_031016.doc 2