Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
° ' ' COMMUNITY DEVELOPMENT Permit#: FPS2022-00111
T( ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/30/2022
G
Parcel: 2S112DC01400
Jurisdiction: Tigard
Site address: 15865 SW 74TH AVE 110
Project: S.C.Labs, LLC Subdivision: FANNO CREEK ACRE TRACTS Lot: 4
Project Description: Add and relocate 13 sprinkler heads
Contractor: FIRE ONE FIRE SYSTEMS INC Owner: JCS LLC
PO BOX 734 CRITERION CREEKVIEW LLC
OREGON CITY, OR 97045 BY SPECTRUM REAL ESTATE ADVISORS
1125 SE DIVISION ST#209
PORTLAND, OR 97202
PHONE: 503-557-9050 PHONE:
FAX: 503-557-9268
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/29/2022 $102.20
12%State Surcharge-Building 08/29/2022 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 08/29/2022 $40.88
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 08/29/2022 $9.00
Occupancy Grp: B Height: 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 $164.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,965.00
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 952-001-00 0 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: rmittee Signature: `��CG/
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.
s N
Building Permit Application qECEIV a
Fire Protection System FOR OFFICE I'SE ONLY
AUG 1 0 202
Cl Of Tigard Received Permit No.: ��l,iyll I
13125 SW Hall Blvd.,Tigard,OR 97223 �.ITY OF TIGAR II Plem Review�(ci ogfrp iI r TTT d —'
�. _ , Phone: 503.718.2439 Fax: 503.598.1960 BUILDING DIVISIo Ry. �/ .'/ �- p�pi. Other Permit:
Inspection Line: 503.639.4175 ate Ready/By: raris: H See Page 2 for
Internet www.tigard-or-gov ,otified/Method��/ , 7� Sup plemenrnl hrrormafi on
'TYPE or. WORK -- t :� . i IVLCLY DWELLING
El 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 0 Other: equipment,materials,labor,overhead,and the profit for the
' work indicated on this application.
CATEGORY OF CONSTRUCTION
❑ 1-and 2-family dwelling 1, Commercial/industrial Valuation: $
❑Accessory building El Multi-family Number of bedrooms;
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 5865 SW 74th Ave New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 1 1 0 Project name: S.C. Labs, LLC - 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 CHECKI.IS'I'
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-
Add and/or relocate pendent sprinkler heads due to Valuation: $2,965.00
new wall layout. Existing building area: 33,000 square feet
New building area: square feet
❑ PROPERTY OWNER r DK. TENANT ` - Number of stories: 1
Name: S.C. Labs, LLC Type of construction: Ill-B
Address: 15865 SW 74th Ave Occupancy groups:
City/State/ZIP: Tigard, Oregon 97224 Existing; B
Phone:( ) Fax:( ) B
—( New:
® APPLICANT ® CON'EAC'I PERSON * ,r * 4 a
Business name: Fire One Fire Systems, INC ,An contractors and subcontractors are required to be
Contact name: Nick Bocchetti licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: PO Box 734 jurisdiction in which work is being
g performed.If the
City/State/ZIP: Oregon City, Oregon 97045 applicant is exempt from licensing,the following reasons
apply:
Phone:(503 939-6 1 1 7 Fax ( )
E-mail: nickAfireone.org
CONTRACTOR ''' BUILDING PERMIT FEES* -sK- ''i:�
(Please refer a,fee schedule) „` .�l
Business name: Same as above
Permit tee:
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.: 98140 Total permit fees:
Authorized signature: - / Q
Amount received:
"� ��+v'4l �"` This permit application expires if a permit is not obtained
Print name: Nick S Bocchetti Date: 08Aug22 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
C\IseIding\Permits\FPS-PermttApp 031016.doc 440-4613'I(I1/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done: ,-,.„
1.) "1'ype of Work: 2.) Addition/alteration onl\ 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 applicable):
f
A.) Commercial Sprinkler
Sprinkler'1'\pe ® Wet ❑ _Dry
Additional Standpipes
Information: Sprinkler Supply Line ® Yes ❑ No
Hazard Group Light Hazard
Density .10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: S
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 Dotage:
1 b 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.
yx n t Fire Protection Permit Fees
Project valuation subtotal (see A, B (Sc 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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