Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
11111
s COMMUNITY DEVELOPMENT Permit#: FPS2021-00113
Date Issued: 9/29/2021
T I Cl,' R p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 113BA02300
Jurisdiction: Tigard
Site address: 7560 SW DURHAM RD
Project: PWCC Subdivision: 2017-013 PARTITION PLAT Lot: 2
Project Description: Fire sprinkler system improvements.
Contractor: SPRINKIT FIRE PROTECTION INC Owner: B&B COMMERCIAL PROPERITES LLC
PO BOX 2227 3 MONROE PKWY#601
OREGON CITY,OR 97045 LAKE OSWEGO,OR 97035
PHONE: 503-272-6650 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/29/2021 $102.20
12%State Surcharge-Building 09/29/2021 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 09/29/2021 $40.88
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 09/29/2021 $6.00
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: 0.1 Design Area: 1500
K Factor: 05.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $161.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,500.00
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: Permittee Signature:
Holly Vaw De,WeAe, Ow AppLiza4-i.0-vv
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 Applicati ECEIVE £-9ItkPir2A
Fire Protection System SUU' n FOR OFFICE I SI: OyI.I
City of Tigard r�/OF
�C / „ Received fr., G/ /� ,�^ �r►
I i Vf�lal1HV Date/By: 7 I / 2-i .- d PermitN6 S2071_ co /i 'g
13125 SW Hall Blvd.,Tigard,OR 972'13 Plan Revie J I
Phone: 503.718.2439 Fax: 503.598lij DING DIVISION. Date/By: sa, 21 ) Other Permit:
7 I G A R t) Inspection Line: 503.639.4175 Date Ready/By: �kris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: I. ' 1hr Supplemental Information
TYPE OF WORK REQUIRED D TA:1-AND 2-FAMILY DWELLING
El New construction El 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
CATEGORY OF CONSTRUCTION work indicated on this application.
ElI-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building El Multi-familyNumber of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7560 SW Durham Rd New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: PWCC 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.
improve existing fire sprinkler system Valuation: $ 2,500.00
Existing building area: 10,000 square feet
New building area: square feet
❑ PROPERTY OWNER lia TENANT Number of stories:
Name:PWCC Type of construction:
Address:7650 SW Durham Rd Occupancy groups:
City/State/ZIP:Tigard, OR 97223 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT 0 CONTACT PERSON
NOTICE
Business name:Nena Stringham All contractors and subcontractors are required to be
Contact name:Sprinklt Fire Protection Inc. licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:PO Box 2227 jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP:Oregon City, OR 97045
apply:
Phone:( 971)313-3826 Fax: :( )
E-mail:office@sprinkitfire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Sprinklt Fire Protection Inc. (Please refer tn fee schedule)
Permit fee:
Address:PO Box 2227
State surcharge(12%of permit fee):
City/State/ZIP:Oregon City, OR 97045 FLS plan review(40%of permit fee):
Phone:(971 ) 280-2675 Fax:( ) (Due upon application submittal.)
CCB lie.:211320 Total permit fees:
Authorized signature: r l � � .4k
Amount received:
,v •
This permit application expires if a permit is not obtained
Print name:Nena Stringham Date:9/16/2021 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
P.\Building\Permits\FPS-Permit App_031016.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 D 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
Sprinkler Project Valuation: $ 2,500.00
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $N/A
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $N/A
D.) Residential Sprinkler (Stand Alone System)
Square footage: Permit lee:
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\Pemuts\FPS_PermitApp_031016.doc 2