HomeMy WebLinkAboutPermit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
II COMMUNITY DEVELOPMENT Permit#: FPS2023-00079
Date Issued: 7/6/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S134BC00300
Jurisdiction: Tigard
Site address: 12282 SW SCHOLLS FERRY RD
Project: Michi Japan Subdivision: None Lot: None
Project Description: New 6 gallon range guard fire suppression system into kitchen hood.
Contractor: PYE BARKER FIRE&SAFETY LLC Owner: FW OR-GREENWAY TOWN CENTER LLC
18260 SW 100TH CT PO BOX 790830
TUALATIN, OR 97062 SAN ANTONIO,TX 78279
PHONE: 503-691-9000 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/06/2023 $112.96
12%State Surcharge-Building 07/06/2023 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 07/06/2023 $45.18
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 07/06/2023 $156.00
Occupancy Grp: B Height: 25 ft 11x17)
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type:
Standpipe Required: No 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 $327.70
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 he 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. T set fo in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy
�off�the rules
Issued By: Permittee Signature: arI �r ���!794_ 54).-L 7YF_'0
Call 503.6 5 by 7:00 a.m.for the next available inspection date.
This perms 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
RECEIVED
Fife Protection System FOR OFFICE USE ON-1.\'
City of Tigard J U N 0 7 2023 Received co 7 a Peru l R.5 7 7 _LlE, ` 7 7
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
R Phone: 503.718.2439 Fax: 503.598.19 DateBy: _ C • Other Permit:
Inspection Line: 503.639.4175 `'CITY OF TIGrV�D Date ReadyBy: J ® See Page 2 for
It :1 it l) BUILDING DIVISION �/ Supplemental Information
Internet: www.tigard-or.gov Notifi eadye/hod: b a3 I pp
F(µa-i r91 i�c to c�'-"l
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
IA New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATE4 f !F FRUCTION ,
work indicated on this application.
Valuation: S
❑ 1-and 2-family dwelling ,Commerciallindustrial
El Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITEIRMIATION AND nLOCA Total number of floors:
Job site address:0 ,aQa..SW SOIA0t`S t, (�-d New dwelling area: square feet
City/State/ZIP:1A(.X d t N. CVT).9 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:(Jli rJ,1-\USW V'[''-.Qme,)1 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA CO +`ci f+'r'' CI 1ST
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 WORIMMIIIIIIMI work indicated on this application.
valuation: $3 m Z`�0
ThgtIMibon n 1.# at\tvn -Fits,
w n pre?non N S�p m t�� VA\ey \nco . Existing building area: square feet
'm^�S (l• `CJ ' �n New building area: square feet
IS,PROPERTY OWNER1.11111111 Number of stories:
Name:- Q 0 Type of construction:
Address: (va.,,c1/2 6 S(ma .ii.h,t1Y Occupancy groups:
City/State/ZIP:il t1 Ira GQ., CA11,/12? Existing:
Phone:(M3 ) 1 .-5-11 ervi Fax:( ) New:
,APPLICANT OK CONTACT PERSON NOTI'a
Business name:f l 1C LI/ 'cut CW\(t9 t1 A All contractors and subcontractors are required to be
Contact name:Rae'ra \`e1 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:WU,0 SW l )th jurisdiction in which work is being performed.If the
City/State/ZIP:"r` �r t otz- �O�� applicant is exempt from licensing,the following reasons
apply:
Phone:((71:3) (jarrt-yC'n,1 p. Fa :
1:ry( ) p
E-mail:r O a • ` o °J I t 5 - 1
CO1CTOR BUILDING PERMIT FEES*
Business name:Vt'+i,.e, 1/ cUrt i S'tEty (PleasereferWiseWoe*rkl
Permit fee:
Address: J p O Sw \CIDih
CA-
State surcharge(12%of permit fee):
City/State//ZIIP::1"VA,a Y\t ( "' COO tQ' FLS plan review(40%of permit fee):
Phone:(CIS)V Vl\-Ot0 J) Fax:( ) (Due upon application submittal.)
CCB lie.:'l \1.1.11- Total permit fees:
Authorized signature: �TV '--h "� Amount received:
This permit application expires if a permit is not obtained
Print name:gp C/ Pm g�`tQ ( Date: CD_1_�'}) within 180 days after It has been accepted as complete.
{` J * Fee methodology set by Tri-County Building Industry
Service Board.
I:lbuildmglPermitsaFPS-PermitApp_031016.doc 440-4613T(11/02/COM/WE6)
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 a.plicable):
A) Commercial Sprinkler kv x4 - e ,1-;;;
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: $ 31
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 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: $
I:\Building\Permits\FPS_PerutApp_031016.doc 2