HomeMy WebLinkAboutPermit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I COMMUNITY DEVELOPMENT Permit#: FPS2022-00155
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/21/2023
Parcel: 1 S134AA01900
Jurisdiction: Tigard
Site address: 10115 SW NIMBUS AVE 250
Project: Dr. Saum Hadi Veterinary Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: B
Project Description: TI: improve existing fire sprinkler system.
Contractor: SPRINKIT FIRE PROTECTION INC Owner: ROBINSON, JERRY CHRISTOPHER TRUST
PO BOX 2227 DIETRICH, NANCY BISHOP
OREGON CITY, OR 97045 9701 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97222
PHONE: 503-272-6650 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/14/2022 $134.48
12%State Surcharge-Building 12/14/2022 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 12/14/2022 $53.79
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 12/14/2022 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 12/14/2022 $4.00
11x17)
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 $210.41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
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 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: 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 Application
Fire Protection System RECEIVED ro,k or, ,(,C I s,. ovl.v
City of Tigard Received i e1—d Perini
• 13125 SW Hall Blvd.,Tigard,OR 97223 NOV 6 ZU22 Dale By: I fD Kj9 � . QQ
: Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: )a_ 2" OtherPermit:
I-l t_A
P I) Inspection Line: 503.639.4175 CITY OF TIGARD Dale Ready/By:y: See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: . 19 e• I M Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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.
❑ I-and 2-family dwelling ®Commercial/industrial Valuation:
❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:10115 Southwest Nimbus Avenue New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: 1-S O Project name:Dr. Saum Hadi 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: 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.
TI -improve existing fire sprinkler system Valuation: 6,000.00 S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Dr. Saum Hadi Type of construction:
Address:101 15 SW Nimbus Ave Occupancy groups:
City/State/ZIP:Tigard, OR 97223 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ® CONTACT PERSON NOTICE
Business name:Sprinklt Fire Protection Inc. All contractors and subcontractors are required to be
Contact name:Nena Stringham licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:PO Box 2227 jurisdiction in which work is being performed.If the
City/State/ZIP:Oregon City, OR 97045 applicant is exempt from licensing,the following reasons
apply:
Phone:( 971)313-3826 Fax: :( )
E-mail:office c@sprinkitfire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Sprinklt Fire Protection Inc (Please relerlaleearheduBf
Permit fee:
Address:PO Box 2227
State surcharge(12%of permit fee):
City/State/ZIP:Oregon City, OR 97045
FLS plan review(40%of permit fee):
Phone:( 971)340-0996 Fax:( ) (Due upon application submittal)
CCe Iic.:211320 Total permit fees:
Amount received:
Authorized signature: �sC9s �
This permit application expires if a permit is not obtained
Print name:tie nngham Date:11/14/2022 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
l Building1Permiu\FPS-PermiaApp_031016.doe 440-4613T(I Iio2JC0MM'EB)
RECEIVED
City of Tigard: Fire Protection Permit Checklist NOV 1 6 2022
Page 2- Supplemental Information CITY OF TIGARD
B ILDING DIVISION
Describe work to be done: v
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 33 Number of alarm devices: Na
® 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 ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor 5.6
Sprinkler Project Valuation: $6,000.00
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: $n/a
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $n/a
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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