Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2022-00103
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/20/2022
Parcel: 2S108CC00300
Jurisdiction: Tigard
Site address: 15600 SW RIVER TERRACE BLVD
Project: Art Rutkin Elementary School Subdivision:ART RUTKIN ELEMENTARY SCHOOL Lot: 1
Project Description: Fire Alarm permit:Smoke detection, HVAC monitoring,sprinkler monitoring,elevator monitoring, kitchen
hood/suppression monitoring,and fire door release controls.
Contractor: PORTLAND ELECTRICAL CONSTRUCTION INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT 23J
1019 7TH ST 6960 SW SANDBURG ST
OREGON CITY, OR 97045 TIGARD, OR 97223
PHONE: 503-655-2281 PHONE:
FAX: 503-655-5033
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/20/2022 $750.24
12%State Surcharge-Building 09/20/2022 $90.03
Type of Use: COM Plan Review-Fire Life Safety-COM 09/20/2022 $300.10
Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 09/20/2022 $24.00
Occupancy Grp: E Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 09/20/2022 $55.00
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 Calcs Provided: Yes Cut Sheets Required: Yes
Total $1,219.37
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $88,960.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature:
A*--"4"—r //. L? >,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 1,$)
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.
r *
Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
City of Tigard Received r�' � �: Permit No.. Fp S 1 COG23
" 13 125 SW Hall Blvd.,Tigard,OR 97223 Plan Review (�
>s-Ill
7- :111 Other Permit:
' Phone: 503.718.2439 Fax 503.598.1960 Date/By: j J/1
TI GARD Inspection Line: 503.639.4175 Date Ready/By: larl ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 'r"( i.e. ,11 Supplemental Information
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
—
FA 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.
Valuation: $
❑ 1-and 2-family dwelling ❑Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
Master builder 01 Other: School Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15600 SW River Terrace Blvd. New dwelling area: square feet
City/State/ZIP: Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Art Rutkin ES Covered porch area: square feet
Cross street/directions to job site: Site access off of SW Taylor Ln Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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.
New Voice Evac F.A System for Art Rutkin E.S-Includes code minimum
'"S Valuation: $ 88,960.00
smoke detection, HVAC monitoring,sprinkler monitoring,elevator monitoring Existing building area: square feet
kitchen hood/Suppression monitoring,and Fire Door Release controls. New building area: 78,747 square feet
0 PROPERTY OWNER 0 TENANT Number of stories: 2
Name: Type of construction: V-B
Wik Address: Occupancy groups: E/S-1
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
E] APPLICANT it CONTACT PERSON NOTICE
Business name: Portland Electrical Construction Inc. All contractors and subcontractors are required to be
Contact name: Corey Donohue licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 22187 HWY 99E, NE jurisdiction in which work is being performed.If the
City/State/ZIP: Aurora, OR 97002 applicant is exempt from licensing,the following reasons
apply:
Phone:(503) 961-0160 Fax: :( )
E-mail: corey@portlandelectrical.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Portland Electrical Construction Inc. (Please eferra fee
ac" uie)
Permit fee:
Address:22187 HWY 99E, NE
City/State/ZIP:Aurora, OR 97002 State surcharge(12o%ofpermit fee):
FLS plan review(40/o of permit fee):
Phone:(503) 961-0160 Fax:( ) (Due upon application submittal.)
CCB lie.: 51764 Total permit fees: ,
Amount received: g L`! �.'
pgt!'2 signed by Corey Donohue , i
Authorized signature: Corey Donohue paae:zozz.os.zt tsssao-oroo t
This permit application expires if a permit is not obtained
Print name: Corey Donohue Date: 6.21.22 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
C\Building'Permits\FPS-Permit.4pp_03 tot 6.doc 440-4613T(t t/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: 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):
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line El 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 X❑ Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $ 88,960.00
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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