HomeMy WebLinkAboutPermit (2) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
` I COMMUNITY DEVELOPMENT Permit#: FPS2022-00161
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/29/2022
Parcel: 2S 113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 100
Project: Avamere Subdivision: None Lot: None
Project Description: Fire sprinkler permit for TI:Adding and relocating(5)sprinkler heads with an affidavit.
Contractor: MCKINSTRY COMPANY LLC Owner: UNITUS COMMUNITY CREDIT UNION
16790 NE MASON STREET SUITE 100 BY ACCOUNTING
PORTLAND, OR 97230 1300 SW 6TH AVE
PORTLAND, OR 97201
PHONE: 503-331-0234 PHONE:
FAX: 503-331-6907
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/29/2022 $61.85
12%State Surcharge-Building 11/29/2022 $7.42
Type of Use: COM Plan Review-Fire Life Safety-COM 11/29/2022 $24.74
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 11/29/2022 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $94.51
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: ,W4( Permittee Signature: 04(`!^
Call 503.639.4175 by :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 RECEIV 1 FOR OFFICE USE ONLY
f1G G City of Tigard Received Permit No.:
ate/B i`� 'aa'" \ �, ^GO �D
11 13125 SW Hall Blvd.,Tigard,OR 97223 2�r Ian Review
1 ■'' Phone: 503.718.2439 Fax: 503.598.1960 N v Date/B : Other Permit:
TIGARD Inspection Line: 503.639.4175 .1-e Ready/By: Juris: la See Page 2 for
Internet: www.tigard-or.gov CITY OF TIG �,• -d Method: Supplemental Information
BUILDING DIVI -
�/ i ,��
GG z:� ,% TYPE OF WORK - j REQUIRED DATA:1-AND 2-FAMILY DWELLING
El New construction El 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
j i!�6 work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: $
El1-and 2-family dwelling 0 Commercial/industrial
ElAccessory building ❑Multi-family Number of bedrooms:
ElMaster builder JOB SITE INFORMATION AND LOCATION /El Other: Number of bathrooms:
f �� � %/' Total number of floors:
I /
Job site address: 7632 SW Durham Rd. New dwelling area: square feet
City/State/ZIP: Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 10 0 Project name:Avame r e Suite 100 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCE_ 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
�-" jf�/� DESCRIPTION OF WORK w� �%� � work indicated on this application.
Relocate (4) and Add (1) sprinkler for new Valuation: $ 900
Wall Existing building area: square feet
New building area: square feet
j� 0 PROPERTY OWNER 0 TENANT �/ Number of stories:
Name: Felton Properties Type of construction:
Address: 6915 S . Macadam Ave Occupancy groups:
City/State/ZIP: Portland, OR 97214 Existing:
Phone:( ) Fax:( ) New:
% A ❑ APPLICANT , i ❑ CONTACT PERSON xis -, - % j ��i-4
Business name: Mc K i n S t r y C o . LLC All contractors and subcontractors are required to be
Contact name: Alex F o r k e r licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 16790 NE Mason S t . Suite 100 jurisdiction in which work is being performed.If the
City/State/ZIP: Portland, OR 9723 0 applicant is exempt from licensing,the following reasons
apply:
Phone:( 97D-420-7550 Fax: :( )
E-mail:AlexF@mckinstry . corn
�= ," CONTRACTOR�� 4� -0"-''''''
j i%% / s,
,. _, / /v ,. // -f BUILDING PERMIT FEES
!� (Please refer to fee schedule
Business name: MCKinstry Co . LLC
Permit fee:
Address: 16790 NE Mason St . Suite 100
City/State/ZIP: P or t land OR 97230 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( 9 71)-4 2 0-7 5 5 0 Fax:( ) (Due upon application submittal)
CCB lie.: 172811 Total permit fees:
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name: Alex Fork e r Date: 11/2 2/2 0 2 2 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:Building Permits FPS-PermitApp_031016.doe 440-4613T(1 102 COM WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
-721
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: 5 Number of alarm devices:
® Addition or ❑X 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: Relocate (4) and add (1) sprinkler head
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 0 No
Hazard Group Light
Density 1 . 0
Design Area
K. Factor 5 . 6
Sprinkler Project Valuation: $ 9 0 0
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 • eater $404.39 r7= f , ,
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: $
I:\Building\Permits\FPS_PermitApp_031016.doc 2
City of Tigard RECEIVED PermitNo.: ` j.3 09y),_ col(oi
IIn 13125 SW Hall Blvd.,Tigard,OR 97223
2 Phone: 503.718.2439 Fax: 503.598.1960 NOV 2 9 2022 Date Received: ilia.,;/a),
Inspection Line: 503.639.4175
T1GARP Internet: www.tigard-or.gov CITY OF TIGARD By: K AL i\l
BUILDING DIVISION
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(i to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Avamere Suite 100 Occupancy: B
Job Address: 7632 SW Durham Rd Type of Construction:
Suite: 100
Contractor: McKinstry Co. LLC Phone: 971-420-7550
Number of Proposed or Altered Heads: 5
Type: Hazard: Light Density: 1
I Alex Forker (McKinstry Co) Oregon Construction Contractors Board No. 172811
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers in a light-hazard occupancy.
b) Positions of sprinkler heads relative to architectural features such as soffits, beams,partitions, walls, etc.
complies with current adopted edition of NFPA 13.
c) The proposed work does not require hydraulic calculations.
d) Only one sprinkler head will be installed from one drop (exception: up to two heads from one drop may be
installed when each head is in a separate fire area).
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
f) Tenant improvements in a new building shall be equipped with Quick Response heads (see 2002 NFPA 13,
Section 8.3.3.1 for exceptions).
g) The installation shall comply with the requirements of the current adopted edition of NPFA 13.
h) Piping shall not be concealed until hangers and bracing are inspected.
i) Final approval shall be subject to onsite tests and inspections.
In addition, I understand the following is required:
• Submit(3) copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• A copy of thi oc ent with a copy of the sketch attached shall be available for all inspections.
Signature: Date: 11/22/2022
Print Name: Alex Forker
I:\BuildingForms\FireSprinklerAftidavit_071514.docx Page 1 of I
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