HomeMy WebLinkAboutPermit (4) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
' COMMUNITY DEVELOPMENT Permit#: FPS2023-00086
Date Issued: 7/12/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 410
Project: Ikigai Wellness Subdivision: ASHBROOK FARM Lot: 5
Project Description: (9)additional sprinkler heads in TI with affidavit provided.
Contractor: FIRE ONE FIRE SYSTEMS INC Owner: KING CAPITAL INVESTMENTS LLC
PO BOX 734 ATTN KING, THOM
OREGON CITY,OR 97045 19250 NE PORTAL WAY
PORTLAND,OR 97230
PHONE: 503-557-9050 PHONE:
FAX: 503-557-9268
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/12/2023 $102.20
12%State Surcharge-Building 07/12/2023 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 07/12/2023 $40.88
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 07/12/2023 $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 S155.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,750.00
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 tain a copy of e rules
Issued By: 1 4; 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 RECEIVED
Fire Protectiona� System JUL 12 202 I,Y)R OFfIt'I-. I SI..ONI,I
City of Tigard Received V� 2 ^
DateB : �r . -5 V 7 Permit No.:fpS �'3 J-0
13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGA t Ian Review ff /I [J(
Phone: 503.718.2439 Fax: 503,598.1960 BUILDING DIVIS IBy' Other Permit:
_. dyBy: duns: Ed See Page 2 for
Internet: www.tigard•or.gov Notified/Method: Supplemental Information
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El New construction ❑Demolition Permit fees*are based on the value of the work performed.
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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building El Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOTS SITE INFORMATION AND LOCATION t " Total number of floors:
Job site address: 9bDO chi ,-7,4k S_ New dwelling area: square feet
City/State/ZIP: Ti 1,,,p F v(Z C 7'22_ Garage/carport area: square feet
Suite/bldg./apt.no.: t-.J v Project name: P1-Tzty- ,,I l i C, Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
iar„-SE CHECKLIST: ,
�-r" P tom. � '^°Rf' ^x�(aa:'
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.
,
Az fie—Ain�9/U% P E'ID') .tom E Valuation: z; 15D4 $
M 1 FZvk Air I pflPge�v r'Z-MI E Existing building area: square feet
New building area: square feet
", ❑ PROPERTY OWNER (3 TENANT Number of stories:
Name: c 'q )NIAType of construction:
Address: ClICI Spy t�R le. ‘7tf Ll Occupancy groups:
City/State/ZIP: Ti 05,er, f ye_ "`722) Existing:
Phone:( ) Fax:( )
New:
0 APPLICANT 0 CONTACT PERSON o ' 1' r-;r`:NOTICE '` „4`
Business name: r)e OA„ ?-y- y r E, 5 All contractors and subcontractor are required to he
Contact name: ��� licensed with the Oregon Construction Contractors Board
r`, r,c l H i••-.1j, under ORS 701 and may be required to be licensed in the
Address: 5 O ox --1 e3 y jurisdiction in which work is being performed.If the
City/State/ZIP: b (eon C�T1 t b� 2 at_� applicant is exempt from licensing,the following reasons
apply:
Phone:605) jr'. to 1 1 Fax: :( )
E-mail: \�V( %. __wc - 1
: C,�
CONTRACTOR w `
BUILDING PERMIT FEES*
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Business name. [j]�, Moose:refertoJeeschedule) _
Address: .�A,v 1 . ri 2 t� ��-c 0 I� Permit fee:
State surcharge(12%of permit fee):
City/State/ZIP:
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal)
CCB lie.: 9 Ca,) 4 -. Total permit fees:
Authorized signature: Amount received 5531
This permit application expires if a permit is not obtained
Print name: �t t c ��LGr.S � Date: vz .J(�2 �j within 180 days after it has been accepted as complete.
• Fee methodology set by Tri-County Building Industry
Service Board.
l',\Building\Acmita\PPS-PermiApp_031016.dot 440-4613T(I1/02ICOM/WEB)
C12 Tigard Permit No.: -
• 13125 SWW Hall Blvd.,Tigard,OR 97223
i Phone: 503.718.2439 Fax: 503.598.1960 Date Received: f) 3
Inspection Line: 503.639.4175 �
/
I I(A R I) Internet: www.tigard-or.gov By: V� 0 I
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: I TV, ,v,.-1 i_11 to Occupancy: L.t 1-1T
Job Address: to oO o of 1— Type of Construction: 1•.3
Suite: t 1 1 0
Contractor: g - O k (I a. a_ 5y S'7 v/5 Phone: 503 "'"n (4?! I^]
Number of Proposed or Altered Heads:
Typc: )1;2 ( Hazard: LA t FJ i Density: r 1 O
I, Ki t c _ 6 o c c E arc'6 ) Oregon Construction Contractors Board No. 91 1 b
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�th's document with a copy of the sketch attached shall be available for all inspections.
Signature: u ��� Q Date: 2(_ ti L 2 3
Print Name: Kt( Lk S , BOCC Ham)
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