Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
111
COMMUNITY DEVELOPMENT Permit#: FPS2022-00061
Date Issued: 5/9/2022
l t;A R l 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S135BB00700
Jurisdiction: Tigard
Site address: 10655 SW GREENBURG RD
Project: Stanley Steemer Subdivision: None Lot: None
Project Description: Fire sprinkler permit-Adding 32 heads.Supply from existing overhead lines at roof.
Contractor: PATRIOT FIRE PROTECTION INC Owner: FAIRMOUNT FINANCIAL INVESTMENT GROUP L
4708 NE MINNEHAHA ST BY WINKLER,VICTOR
VANCOUVER,WA 98661 5611 NE COLUMBIA BLVD
PORTLAND, OR 97218
PHONE: 360-699-4403 PHONE:
FAX: 360-699-4485
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/03/2022 $145.24
12%State Surcharge-Building 05/03/2022 $17.43
Type of Use: COM Plan Review-Fire Life Safety-COM 05/03/2022 $58.10
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 05/03/2022 $6.00
Occupancy Grp: B Height: 25 ft 11x17)
Stories: 1
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 $226.77
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $6,200.00
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 •: e the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules a - forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: ///� Permittee Signature: 5-9-22
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
is 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 CE \JEale
Fire Protection System VV FOR OEM.1. t tif.O\I 1
City of Tigard �PR Z071 DateBy 121
,22 Permit No.: FP52on—(w\(o 1
13125 SW Hall Blvd.,Tigard,OR 97223 �j r ���,1 Plante
lan Review �+►�+
C Phone: 503.718.2439 Fax: 503.598.1960,�I I d� r�Ut ^ DateBy: y-a 6 �� i other Permit:
TIGARn Inspection Line: 503.639.4175 ���D�V1MI`I DateReadyBy: t luris: 0 SeePage2for
Internet: www.tigard-or.gov �°`.-f�� Notified/Meth • /� Trel Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING;'
❑New construction 0 Demolition Pe . fees*are based on the value of the work perfo r ed.
Indicate e value(rounded to the nearest dollar)o .II
®Addition/alteration/replacement 0 Other: equipment, . aterials,labor,overhead,and the .•.fit for the
CATEGORY OF CONSTRUCTION work indicate. on this application.
Valuation: $
❑ I-and 2-family dwelling El Commercial/industrial
❑Accessory building 0 Multi-family Number of bedroom
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10655 SW Greenburg Road New dwelling are. quare feet
City/State/ZIP: Tigard, OR 9/223 Garage/cargo' area: squ..e feet
Suite/bldg./apt.no.: Project name: Stanley Steemer T.I. Covered .orch area: square f-,
Cross street/directions to job site: SW Cascade Ave De area: square feet
ether structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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.
Valuation: $ 6,200
add sprinklers to accommodate new ceiling in offices.
Supply from existing overhead lines at roof. Existing building area: same square feet
New building area: same square feet
ID PROPERTY OWNER 0 TENANT Number of stories: 1
Name: Stanley Steemer Type of construction: 3B
Address: 10655 SW SW Greenburg Road Occupancy groups:
City/State/ZIP: Tigard, OR 97223 Existing: B, S-1
Phone:(614 ) 255 4369 Fax:( ) New: b, S-1
® APPLICANT 0 CONTACT PERSON NOTICE
Business name: Patriot Fire Protection, Inc All contractors and subcontractors are required to be
Contact name: Ted Baker licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4708 NE Minnehaha Street jurisdiction in which work is being performed.If the
City/State/ZIP: Vancouver, WA 98661 applicant is exempt from licensing,the following reasons
aPP y:
Phone:(360) 699 4403 Fax::(360 ) 699 4485
E-mail: ted.baker@patriotfire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name: same as above (Please refer lofee schedule)
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP:
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal)
CCB lie.: 70822 Total permit fees:
Authorized signature: IP/------
Amount received:
This permit application expires if a permit is not obtained
Print name: Ted Baker Date: 4—13—2 2 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Pennils\FPS-PennitApp_071514.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: 3 2 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 El 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
❑ Wet ® Dry
Additional Standpipes no
Information: Hazard Group light
Density .10 (existing)
Design Area N/A
K.Factor 5.6
Sprinkler Project Valuation: $ 6,00
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: $
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