Permit .14 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
4.
COMMUNITY DEVELOPMENT Permit#: FPS2022-00135
Date Issued: 11/29/2022
T I .;A RI) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S136DC04600
Jurisdiction: Tigard
Site address: 7255 SW DARTMOUTH ST
Project: Planet Fitness Subdivision: 1995-013 PARTITION PLAT Lot: 3
Project Description: Fire alarm permit for TI.
Contractor: ERTELL ELECTRIC LLC Owner: COMMERCIAL NET LEASE REALTY, INC
PO BOX 219 450 S ORANGE AVE, STE 900
HILLSBORO, OR 97123 ORLANDO, FL 32801
PHONE: 503-841-4511 PHONE:
FAX: 503-359-5652
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/29/2022 $346.98
12%State Surcharge-Building 11/29/2022 $41.64
Type of Use: COM Plan Review-Fire Life Safety-COM 11/29/2022 $138.79
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 11/29/2022 $10.00
Occupancy Grp: A-3 Height: 25 ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 11/29/2022 $7.00
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: Yes
Battery Calm Provided: Yes Cut Sheets Required: Yes
Total $544.41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $26,000.00
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 • s - - , within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to f• •w the rul- -••• by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You m-, obtain a -•y of the rules
Issued By: /It3V Permittee Signature:
\ Call 503.639.4175 by 7:00 a.m.for the next available inspe. ion ;ate.
This permit card shall be kept in a conspicuous place on the job site until\c�rhpletion of the project.
Approved plans are required on the job site at the time of each inspection.
' Building Permit Application
Fire Protection System RECEIVE I FOR OFFICE USE ONLY
Cityof Tigard OCT } Received }r t� y� - Permit No.: ��y /►� }
g i I [i `ULL Date/By. Lnl irei Ai. I�11 pp;lnr� ,,,, Vim.
1 i • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
`� ■ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: / ��' - �/yff'' Other Permit:give
11^�,-/v�' Z�
TIGARll Inspection Line: 503.639.4175 CITY OF^TIGARU Date ReadyBy: ^�'" �� ' ist h0 See Page 22 for l.V
Internet: www.tigard-or.gov
niU�Si�� Nolified/MeWod:��rT� upplemental Information
G Ewaatr c1.14.4► U -7I>-r-
TYPE OF WORK REQUIRED DATA: I-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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling TSI Commercial industrial Valuation: S
❑Accessory building 0 Multi-family Number of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AN➢ LOCATION Total number of floors:
Job site address: 7255 SW Dartmouth St New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Planet Fitness Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-LSE 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 1;; u work indicated on this application.
Install fire alarm system for new tenant improvement Valuation: $ 26,000
Existing building area: 22,268 square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories: 1
Name: Commercial Net Lease Realty, Inc Type of construction: II B
Address: 450 S Orange Ave, suite 900 Occupancy groups:
City/State/ZIP: Orlando, FL 32801 Existing: M, B& S1
Phone:( ) Fax:( ) New: A-3, B & S1
0 APPLICANT 0 CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax::( )
E-mail: 1.1 t1.1(`l e!eftt t7 rl....7.. . .. :?a l� ��'
Ice e'.`fttte(= ty"'�. ea':‘
CONTRACTOR BUILDING PERMIT FEES*
(Please refer in fee schedule) -
Business name: Ertel) Electric, LLC
Permit fee:
Address: PO Box 219
State surcharge(12%of permit fee):
City/State/ZIP: Hillsboro, OR 97123
FLS plan review(40%of permit fee):
Phone:( ) 503-841-4511 (Due upon application submittal.)
CCB lic.: tgel 540 Total permit fees:
J
Authorized signature:
t This alicatiAmount received:
permitppon expires if a permit is not obtained
2022 within l80 days after It has been accepted as complete.
Print name: Dylan W ntwo h Date:Oct 24th
' * Fee methodology set by Tri-County Building Industry
Service Board.
NBuilding'Permits)FPS-PermiiApp_031D16.doc 440-4613T(1 UO2/COMAVEO)
•
•
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe work to be done: ray Y' ti_ net jfi,as+
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 0 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):
A.) Commercial Sprinkler , .,,a,
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: $ 26,000
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): $ 26,000
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: $
I:\Building\Pemilts\FPS_PemitApp_031016.doc 2