Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
i 71 a . COMMUNITY DEVELOPMENT Permit#: FPS2022-00091
Date Issued: 6/27/2022
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101DD00300
Jurisdiction: Tigard
Site address: 7100 SW SANDBURG ST
Project: Sandburg Building Subdivision: None Lot: None
Project Description: Installation of low voltage fire alarm system to monitor fire sprinkler system.
Contractor: FIRE PROTECTION SERVICES Owner: CJH LLC
9950 SW ARCTIC DRIVE 2480 NE CENTURY BLVD
BEAVERTON, OR 97005 HILLSBORO, OR 97124
PHONE: 503-590-3732 PHONE:
FAX: 503-628-6214
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/27/2022 $112.96
12%State Surcharge-Building 06/27/2022 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 06/27/2022 $45.18
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 06/27/2022 $2.00
Occupancy Grp: S-1 Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 06/27/2022 $6.00
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: No
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $179.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $3,135.00
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 fo h in OAR 95 001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
7-P Issued By: //14:- 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.
Building Permit ApplicalE r r
ED
Fire Protection System tf�� y� V FOR OFFICE USE ONI
JUN v 2022 R
City of Tigard eceived
Date/By: te1 2L FeVi a2.2 /v6ds/
13125 SW Hall Blvd.,Tigard,OR Pi OF TIGA iG Plan Reiew
Phone: 503.718.2439 Fax: 503,.9 19,6,Q DateByv: a �
T I G A R D Inspection Line: 503.639.4175 III I LU I N G DIVISION Date Ready/By: ' / .runs: P1 See Page 2 for
Internet: www.tigard-or.gov �r'.NN'o�tifiieed/Method: r`19� Supplemental Information
771telc{ v ��
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 CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ElCommercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7100 SW Sandburg St New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg,/apt.no.: Project name:Sandburg Warehouse 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: 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.
Installation of Low-Voltage Fire Alarm system to Monitor Fire Sprinkler System Valuation: $$3,135.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON
NOTICE
Business name:Fire Protection Services,Inc. All contractors and subcontractors are required to be
Contact name:David Phipps licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:9950 SW Arctic Dr. jurisdiction in which work is being performed.If the
City/State/ZIP:Beaverton,OR 97005 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)509-3732 Fax::( )
E-mail: Fire2112@ymail.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Fire Protection Services,Inc.
Permit fee:
Address:9950 SW Arctic Dr.
State surcharge(12%of permit fee):
City/State/ZIP:Beaverton,OR 97005
FLS plan review(40%of permit fee):
Phone:(503)590-3732 Fax:( ) (Due upon application submittal.)
CCB lie.:154333 Total permit fees: i �O
1 i
Amountreceived:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: pp 6/7/2022 within 180 days after it has been accepted as complete.
David Phi s Date:
* Fee methodology set by Tri-County Building Industry
Service Board.
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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 a plicable):
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
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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