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HomeMy WebLinkAboutPermit IN CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2022-00090 f I. A I:C! 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10l312022 Parcel: 1 S135CA02600 Jurisdiction: Tigard Site address: 11130 SW GREENBURG RD Project: Good Neighbor Center Subdivision: None Lot: None Project Description: Fire Sprinkler permit-add(2)standard pendents and(2)standard upright sprinklers tied to existing Contractor: WESTERN STATES FIRE PROTECTION Owner: EAST WASHINGTON COUNTY SHELTER 17500 SW 65TH AVE PARTNERSHIP COUNCIL LAKE OSWEGO,OR 97035 DBA GOOD NEIGHBOR CENTER 11130 SW GREENBURG RD TIGARD,OR 97223 PHONE: 503-657-5155 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 06/13/2022 $123.72 12%State Surcharge-Building 06/13/2022 $14.85 Type of Use: COM Plan Review-Fire Life Safety-COM 06/13/2022 $49.49 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 06/13/2022 $0.50 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Wet 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 $188.56 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $4,837.00 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: 4.,,,t,./7 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 E E I V E D (flo Fire Protection System FOR OFFICE USE ONLY F� . City of Tigard �' �u2�� Received O 9 i `J g Date/By: Ili_ /i l L� ")� Permit No.: - Ill 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review i,7 :MI s Phone: 503.718.2439 Fax: 503.598.196%,' O F TI GA F U Date/By: � Other Penn it: T t G A R U Inspection Line: 503.639.4175 i WING N G n lU i C i O Date Ready/By: /�ry 7 '—m7i�7 ® See Page z for Internet: www.tigard-or.gov Notified/Method:,,a d /� t,/t Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction 0 Demolition Permit fees*are based on the value of the work performed. ►q Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ❑ 1-and 2-family dwelling 21 Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11130 SW Greenburg Road New dwelling area: square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Good Neighbor Center Covered porch area: square feet Cross street/directions to job site: Deck area: square feet SW Greenburg Road and SW Tiedeman Ave Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. 1 S 13 5 CA 0 2 6 0 0 w 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 2 Standard Pendents and 2 Standard Valuation: $ 4, 837 . 00 Upright sprinklers tied into existing Existing building area: square feet Fire Sprinkler system New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: East Washington County Shelter Type of construction: Commercial Address: Occupancy groups: city/state/zIP: Tigard, OR 97223 Existing: Light Phone:( ) Fax:( ) New: Light CD APPLICANT ❑ CONTACT PERSON NOTICE Business name: Western States Fire Protection All contractors and subcontractors are required to be Contact name: Patrick Mae 5 licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 17500 SW 65th Ave jurisdiction in which work is being performed.If the City/state/ZIP: Lake Oswego, OR 97035 applicant is exempt from licensing,the following reasons apply: Phone:(5 0 3) 305 3027 Fax::( ) E-mail: patri_ck .maes@wsfp . us CONTRACTOR BUILDING PERMIT FEES* fee Business name: Western States fire Protection (Please refer mermitedarc Address: 17500 SW 65th Ave Permit fee: State surcharge(12%of permit fee): City/state/ZIP: Lake Oswego, OR 97035 FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application submittal.) CCB tic.: 104570 Total permit fees: Authorized signature: %���/// Amount received: / ' �__ "-- — This permit application expires if a permit is not obtained Print name: Patrick a e s Date: 5/2 7/2 0 2 2 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. Iv\Building\Permits\FPs-PermkApp_031016.doc 440-4613T(11/02/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: 4 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 ® Yes El No Hazard Group Density Design Area K Factor Sprinkler Project Valuation: $ 4, 8 3 7 . 0 0 B.) Type I- Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Batter;Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: I $ 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): $ 4, 8 3 7 . 0 0 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_PexmitApp_031016.doc 2 RECEIVED City of Tigard MAY 3 1 2022 Permit No.: FZQ -100C10 111 13125 SW Hall Blvd.,Tigard,OR 97223 1 Phone: 503.718.2439 Fax: 503.598.196CITY OF TIGARD Date Received:3.639.4 ©5/31/202z Il(!p;,,I" Internet:spect Line: 50d-orgo175 01 V! 71C; Internet: vvww.tigazd-or.gov BUILDING DIVISION By: FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS CO to 10 SPRINKLER HEADS WITHOUT PLAN c�`" Project Name: Good Neighbor Center Laundry Addition Occupancy: Light Job Address: 11130 SW Greenburg Road Type of Construction: Commercial Suite: Contractor: Western States Fire Protection Phone: 503-3053027 Number of Proposed or Altered Heads: 4 Type: SSU/SSP Hazard: Light Density: •1 I Patrick Maes Oregon Construction Contractors Board No. 104570 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 this document with a copy of the sketch attached shall be available for all inspections. Signature: Patrick Maes ' �" 6nq °°""" Date: 5/27/2022 Print Name: Patrick Maes 1:1BuildinglFonnslFireSprinklerAffidavit_071514.docx Page 1 of 1