Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I. . COMMUNITY DEVELOPMENTII
Permit#: FPS2023-00087
T[C A R o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/3/2023
Parcel: 2S 101 DA01900
Jurisdiction: Tigard
Site address: 7000 SW VARNS ST
Project: Madrona Recovery Subdivision: VARNS ACRES Lot: 3
Project Description: Adding and relocating(24)sprinkler heads for TI.
Contractor: EXPRESS FIRE SYSTEMS INC Owner: MRC RE LLC
670 S 28TH ST 7000 SW VARNES ST
WASHOUGAL,WA 98671 PORTLAND, OR 97223
PHONE: 360-356-8105 PHONE:
FAX: 360-953-8394
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/03/2023 $242.08
12%State Surcharge-Building 08/03/2023 $29.05
Type of Use: COM Plan Review-Fire Life Safety-COM 08/03/2023 $96.83
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 08/03/2023 $2.50
Occupancy Grp: 1-2 Height: 25 ft 11x17)
Stories: 2
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 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 $370.46
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $15,800.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: / Permittee Signature: /S„_
�s y-+G ��v L
503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Des-DescskF work to be done: .
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: _ Number of alarm devices:
❑ Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
Alteration (3) copies of sketch showing area (3) copies of sketch showing area
to existing of work within building structure of work within building structure
system
11+heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type of System (Complete A, B,C or D as applicable):
A.) Commercial Sprinkler H
Sprinkler Type jJ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ®1 No
Hazard Group Li$ht f ist7Aro
Density Ntie, ) NA — t,,)orK►uniWl to drops &urmove'S
Design Area ) Q 0 NA
K. Factor
Sprinkler Project Valuation: $ 15,goo
B.) Type I - Hood Fire Su. .ression S stem Mr
Hood Project Valuation: $
C.) Fire Alarm f "'
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.)jeriatntial Sprinkler (Stand Alone System)
Square Footage: Permit I cc:
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 (sec 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 PemiltApp_031016.doc 2