Permit l, CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
° l I 14COMMUNITY DEVELOPMENT Permit#: FPS2021-00145
Date Issued: 1/25/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S1 34AD06200
Jurisdiction: Tigard
Site address: 10565 SW NIMBUS AVE 110
Project: Big leaf Networks Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: A
Project Description: Fire alarm permit-install fire alarm notification in new tenant space.
Contractor: FIRE SYSTEMS WEST INC Owner: DIETRICH, NANCY BISHOP
600 SE MARITIME AVE#300 ROBINSON, JERRY CHRISTOPHER TRUST
VANCOUVER,WA 98661 ROBINSON, LYNN ET AL
9701 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97222
PHONE: 360-693-9906 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 01/24/2022 $209.80
12%State Surcharge-Building 01/24/2022 $25.18
Type of Use: COM Plan Review-Fire Life Safety-COM 01/24/2022 $83.92
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 01/24/2022 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 01/24/2022 $10.50
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 $333.40
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $12,700.00
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
//I c
Issued By: Permittee Signature: •
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.
BuildinE Permit Application ei
Fire Protection System RECEIVED 1:012 OFFICE IISF.()Nil
City of Tigard
Received DateB}: Z i v� Permit No..fS2 W/41
/
13125 SW Hall Blvd.,Tigard,OR 97223 DEC 13 2021 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/Ba: —p,. Other Permit:
Inspection Line: 503.639.4175 t.ITY OF TIUAHL Date Ready/By: J BI See 1'ttge 2 for
I��`�R J Internet: www.tigard-or.gov fred/Method: / � Supplemental Information
ZUILDING DIVISION
TYPE OF WORK REQUIRED DATA: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
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTIONwork indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
0 Accessory building ®Multi-family
Number of bathrooms:
Other:
0 Master builder 0 ,
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10565 SW Nimbus Ave Ste.I59 Ito New dwelling area: square feet
City/State/Z1P:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./pt.no.: Project name:BIg Leaf T.I. - Covered porch area: square feet
Cross street/directions to job site:Sw Nimbus&Sw Shools Freey Rd Deck area: square feet
1/4 Mile south on nimbus. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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
DESCRIPTION OF WORK work indicated on this application.
Install fire alarm notification in new tenant space.
Valuation: 44 409 1 zi ?OD
Existing building area: square feet
New building area: 1,400 square feet
0 PROPERTY OWNER I 0 TENANT Number of stories: 1
Name: Type of construction: Steel
Address: Occupancy groups:
®___ -®
City/State/Z1P: Existing:
Phone:( ) I Fax:( ) New: B
® APPLICANT 0 CONTACT PERSON NOTICE
Business name:Fire Systems West All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:Walt Ovenstone —, wider ORS 701 and may be required to be licensed in the
Address:600 Se Maritime Ave jurisdiction in which work is being performed.If the
, applicant is exempt from licensing,the following reasons
City/State/ZIP:Vancouver,Wa,98661 _ apply;
Phone:(360)693-9906 {Fax::( )
E-mail:Walto@firesystemswest.com
CONTRACTOR BUILDING PERMIT FEES*
(please refer tole schedules _„
Business name:Same as above _�._, Permit fee:
Address:
State surcharge(12%of permit fee):
Cit /State/ZIP:
y FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon altcation submittal./
CCB lie.:49732 Total permit fees:
. "-'"' __—_,. -..._
Amount received:
Authorized signature: ,, / �� l ""
LrLL This permit application expires if a permit is not obtained
s Print name:Walt Ovenstone I Date: 12/8/21
within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
t lauilding\Permit11FPS-PermitApp_031016.doc 440.4613T(I 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:
El New system Number of sprinkler heads: Number of alarm devices: 5
® 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: Install new fire alarm panel to monitor fire sprinkler,network to apartment
building panels.
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: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm . x ;. ,: r
Submittal shall ' Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 12400
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): $
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