Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT ` COMMUNITY DEVELOPMENT Permit#: FPS2021-00140 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/21/2021 Parcel: 2S101 DA00101 Jurisdiction: Tigard Site address: 13190 SW 68TH PKWY 100 Project: Triangle Corporate Park Subdivision: VARNS ACRES Lot: 9 Project Description: Installation of new fire panel due to failing panel Contractor: FIRE PROTECTION SERVICES Owner: PACIFIC NW PROPERTIES LIMITED PARTNERS) 9950 SW ARCTIC DRIVE STERN FAMILY LIMITED PARTNERSHIP BEAVERTON, OR 97005 STERN FAMILY LLC 6600 SW 105TH AVE#175 BEAVERTON, OR 97008 PHONE: 503-590-3732 PHONE: FAX: 503-628-6214 FEES Description Date Amount Specifics: Permit Fee-COM 12/20/2021 $112.96 12%State Surcharge-Building 12/20/2021 $13.56 Type of Use: COM Plan Review-Fire Life Safety-COM 12/20/2021 $45.18 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 12/20/2021 $2.00 Occupancy Grp: B Height: 25 ft 11x17) Stories: 2 Info Process/Archiving-Sm$0.50(up to 12/20/2021 $17.50 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 $191.20 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $3,800.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: How,, Va-v, De,Wege, Permittee Signature: 0i t,Ajyp-(i c a i o w Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. /1111. EC Building Permit .ApplicatioR„ EIVED it, ., ., Z Fire Protection System NOV 1 5 2021 rt)l,Off I( I I "I,t)yl 1 li Cityof Ti and Receives ,2O�/0 p %ITY OF TIGARU 1� �2ivimPermitNo.: Ilig13125 SW Hall Blvd.,Tigard,OR 9722 Date/ev: — Plan Review f [— / / Phone: 503.718:2439 Fax: 503.598J DING DIVISION Date&By: f a� Jc t Omer permit l I {,1, Inspection Line: 503.639.4175 Date Ready/By: / y ) 1 • fa See Page 2 for Internet: www.tigardor.gov No,'ieMMethod:4 i ) c)/ 1 (' Supplemental Information ��f �. i AI . .ls4 El New construction El Demolition Permit fees'are based on the value of the work performed. . Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the -. work indicated on this application. ❑ I-and 2-family dwelling 0 Commercial/industrial Valuation: S ❑Accessory building 0 Multi-family Number of bedrooms: El Master builder El Other Number of bathrooms: Total number of floors: Job site address: 13/f(U ,$'yam b 8 41-, PAW V (1.j New dwelling area: square feet City/State/ZIP: I %,�A" o Q c 1 ! ;y 3 Garage/carport area: square feet Suite/bldg./apt no.:% 4'1'!r 1,tyt) Project name: }1r,,hCI, GLav,f err Covered porch area: square feet Cross street/directions to job site: Deck area: square feet '-^` C'(%)i'... A✓e Other structure area: square feet 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.: equipment,materials,labor,overhead,and the profit for the work indicated on this application. ' f191 L i*,Vi.,0..„t)t yr w'%� rktw „- Fri Valuation. $ 31fo u.©!J Existing building area: square feet 1?-a+rt A. New building area: square feet Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: Business name: ,/ . t r ^c.i_ri {' r v? Se rv.(e ,p,G. All contractors and subcontractors are required to be Contact name: DeI-,'1• F P. S licensed with the Oregon Construction Contractors Board �� under ORS 701 and may be required to be licensed in the Address: 11,?S t%' SW. /44 F%c. Pr; jurisdiction in which work is being performed.If the City/State/ZIP: applicant is exempt from licensing,the following reasons t�r,.1,,r.-6n., OR y apply: Phone:(,,, ) S-c/ti' — 3 73 31 Fax::( ) E-mail: Business name: (-;, /3Y, /r.cl r. 5r.,c e S./ r.,2c: • Permit fee Address: %}-r .St., ,,4,^s;, 0-, . . CitylStatelZlP: (� O(i State surcharge(12%of permit fee):_ Phone:(t c ' FLS plan review(40%of permit fee): SiG - y f 3 I Fax:( ) (Due upon application submittal)_ CCB lie.: l ., Total permit fees: Authorized signature: / Amount received: // . � / This permit application expires if a permit is not obtained Print name: C * Irji°°? :°?/ P.�' Date: �. / within IRO days after it has been accepted as complete. �r (").t �. �`� • Fee methodology set by TYi-Cowry Building Industry Service Board, IABveciat\PenoiwFPS.PermtApp_03 t 0le.do, 4a44613T(I 1/02/CDM/WER) Eta _ City of Tigard: Fire Protection Permit Checklist Page 2-Supplemental Information ,; 1.) Type of Work: 2.)yAdditton/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: t*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 Ell9 (3)sets of plans. (3)sets of plans. _ Additional description of work: Sprinkler Type Wet 0 Dry Additional Stan., Information: Sprinkler Supply Line 0 Yes *0 No Hazard Group Density Design Area K.Factor Sprinkler Project Valuation: $ Hood Prct Valuation: $ Submittal shall Battery Calculations ...it Yes include: individual Component ®i Yes Cut Sheets Fire Alarm Project Valuation: I $ Square Footage: ' _ Permit Fee: 0 to 2,000 $198.75 r 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. Project valuation subtotal(see A,B&C above): $ Permit fee bascd•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\Penn is\F1's_PesmitApp_031016.doc 2