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Permit III CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2021-00115 Date Issued: 11/8/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 136DA00100 Jurisdiction: Tigard Site address: 11308 SW 68TH PKWY Project: Comcast Subdivision: None Lot: None Project Description: Fire sprinkler permit-relocating 21 sprinkler heads. Contractor: JET INDUSTRIES INC Owner: BENENSON 68TH PARKWAY KEY LLC,THE 1935 SILVERTON RD NE 708 3RD AVE,28TH FLOOR SALEM, OR 97303 NEW YORK, NY 10017 PHONE: 503-363-2334 PHONE: FAX: 503-363-2622 FEES Description Date Amount Specifics: Permit Fee-COM 10/14/2021 $102.20 12%State Surcharge-Building 10/14/2021 $12.26 Type of Use: COM Plan Review-Fire Life Safety-COM 10/14/2021 $40.88 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/14/2021 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: Info Process/Archiving-Sm$0.50(up to 10/14/2021 $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 Reg: Battery Calcs Provided: Cut Sheets Required: Total $163.34 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $3,000.00 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: Ho V De,Weg� Permittee Signature: Ow Ap194.A.C.614-1-0-14, 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 .1 • Fire Protection System RECEIVED FOR OFFICE USE ONLY City b r3 1 2 0 Lt07 7 Received�j 2 f 2021 2"S/_/o t G of TigardDatei y(f7 V PcrmitNo.: L_l�/(/ 1111 '11 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revievt • Phone: 503.718.2439 Fax: 503.598.19t9ITy OF TIGARL Date/By: I 0 'J3-.) Other Permit: Inspection Line: 503.639.4175 Da Ready/By: Juri See Page 2 for 1"i.^K° p BUILDING DIVISION' l / ' PP Internet: www.tigard-or.govotified/Method: Supplemental TYPE OF WORK REQUIRED DAT :1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all gi Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I-and 2-family dwelling IXCommercial/industrial Valuation: $ 0 Accessory building 0 Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11308 SW 68TH PKWY New dwelling area: square feet City/State/ZIP: TIGARD, OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: COMCAST TI Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 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. FIRE SPRINKLER RELOCATION FOR MINOR REMODEL Valuation: $ 3000.00 Existing building area: square feet New building area: square feet X PROPERTY OWNER ❑ TENANT Number of stories: Name: COMCAST TIGARD Type of construction: Address: 11308 SW 68TH PKWY Occupancy groups: City/State/ZIP: TIGARD, OR 97223 Existing: Phone:( ) Fax:( ) New: .1 APPLICANT % CONTACT PERSON NOTICE Business name: JET INDUSTRIES All contractors and subcontractors are required to be Contact name: BRET DAVIS licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 1935 SILVERTON RD NE jurisdiction in which work is being performed.If the City/State/ZIP: SALEM, OR 97301 applicant is exempt from licensing,the following reasons yapply: Phone:(503)798-4418 Fax: :( ) E-mail: BRET.D@JETINDUSTRIES.NET CONTRACTOR BUILDING PERMIT FEES* Business name: JET INDUSTRIES (Please refer u,fee schedule) Permit fee: Address: 1935 SILVERTON RD NE State surcharge(12%of permit fee): City/State/ZIP: SALEM, OR 97301 FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application submittal.) CCB lic.: 3944 c13/ Total permit fees: Amount received: Authorized signature: This permit application expires if a permit is not obtained Print name: BRET DAVIS Date: 09-17-2021 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_03 1016.doc 440-4613T(1 1/02/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: 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 ® 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 ❑ No Hazard Group Density Design Area K. Factor 5.6 Sprinkler Project Valuation: $3000.00 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: $ 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%of permit fee): $ FLS Plan Review (40% of permit fee): $ TOTAL: $ I:\Building\Permits\FPS_PermitApp_031016.doc 2