HomeMy WebLinkAboutPermit (2) IN CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
:
' ' COMMUNITY DEVELOPMENT Permit#: FPS2023-00074
Date Issued: 6/6/2023
T t GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 450
Project: ECI Subdivision: None Lot: None
Project Description: Fire alarm permit:Relocating(2)smoke/heat detectors and(3)notification appliances. Affidavit submitted.
Contractor: POINT MONITOR CORPORATION Owner: G&I X TRIANGLE CORPORATE PARK LLC
5863 LAKEVIEW BLVD STE 100 BY DRA ADVISORS LLC
LAKE OSWEGO, OR 97035 ATTN TAX DEPT
575 FIFTH AVENUE 38TH FL
NEW YORK, NY 10017
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/06/2023 $145.24
12%State Surcharge-Building 06/06/2023 $17.43
Type of Use: COM Plan Review-Fire Life Safety-COM 06/06/2023 $58.10
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 06/06/2023 $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: Yes Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Gales Provided: Cut Sheets Required:
Total $221.27
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $6,707.35
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature: ".../��` ":_,�
I 3.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
City of Tigard p c7,--,7:--- -, Received /
, cf jairild Permit No.: Irr, "Ad 0...
Phone: 503.718.2439 Fax: 503.598.1960 Date/B :
, III 13125 SW Hall Blvd.,Tigard,OR 97121 L..,,,,,,../4..., q• .11114DateiB :
Plan Review
Other Permit: .,„ / A
M Ate
TIGARD
Inspection Line: 503.639.4175 t' :'; ', ; Date Ready/By: ,.. n See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 6. .
Supplemental Information
it4ttittilitiAT*4, : , ' V&U4,144.0, -
El El construction Addition/alteration/replacement t r:Demolition
0 Othe Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
.:14V, f`„" n7.,;'''' :',: ,`At' . work indicated on this application.
' :"'"&"1,1' k.,, ":"'," 01,,)"$-,,,,,i,-,,,,:,-': ',,,',,'
Valuation: $bi.7)7 ' S
0 1-and 2-family dwelling Commercial/industrial
Number of bedrooms:
1=1 Accessory building 0 Multi-family
El Master builder 0 Other: Number of bathrooms:
Total number of floors:
Job site address: 1322,1 SI..../ 684'1 P6PIC....XA.7 New dwelling area: square feet
City/State/ZIP: -irk.,e,P- C/-7 22,3 Garage/carport area: square feet
,
Suite/bldg./apt.no.: LiSO _.-- .-. ,, i
Project name: 4,-....C.4 i: .01-- IL r—t t 1
.1., " 7ftikiS Covered porch area: square feet
Cross street/directions to job site: 1/.) 1-4coip 0/1 t")"'"_ Deck area: square feet
Other structure area: square feet
'r:itEOVIAEOVArktOMMRCT441$04*0044$T
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:
equipment,materials,labor,overhead,and the profit for the
iii.0,'46;; irtfr -2,74),Ir ,- :'', ,, , ," work indicated on this application.
.., ., ,' ,„,.e,-,..Me,: ,,,,,,' ,,,,,"',,`,.,",,,,---. '';',• ':"; " ,; ,1„'; ',0,q,
e Ataf-e4 .-y *Fe-.4'1 Ote_g‘8!"\/ Pfe--4-c-si—
i 6 Valuation: $
F; 1,- 1 Wed icera-Ardi Existing building area: square feet
New building area: square feet
“ LIRO$RIPOWNER' '-,,'. ,,16',:,,,,, 1,4„ ;:.:.:, ::, ,,: : --:;:: Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
4,,'",-44 r:A,PiLIAI4T , ,*: , ',"COOACI' 1St., `, '", ,' '-'",. 0,1"707",`,' ,,:.' ,'!4, of. , N,„„44%:,,,, --,
Business name: 5,17,1e. ....,_3 k/e1,-) All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: flit: syc...4 L.
f'ci under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP:
apply:
Phone:( ) Fax:
E-mail:
..:4eitiii444i0
Business name:I 0,n-4---- W101,iff Co ri<brek- 1 Oil Permit fee:
Address: 5 i5---G3 1......(xlcc„.,,/;e„,) /gook... .... t 60
State surcharge(12%of permit fee):
City/State/ZIP: Lay
Phone:(50‘.3) G 01.2__ q 7035
' i FLS plan review(40%of permit fee):
-2_7 ._ 0 i crY Fax:(sc.,3 9_10-39„,--7 7....- (Due upon application submittal.)
CCB lic.: , ?",..-5(10 / Total permit fees:
-, Amount received:
Authorized signature: ,
--/e - This permit application expires if a permit is not obtained
, ,_ within 180 days after it has been accepted as complete.
Print name: NtecA.I.N. MVO" Date:G/6/23
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\PPS-PennitApp_031016 doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
q5c�.� C - ��..,., .•g S @ 9�k+a.,.. � s .`x'n� '� , ..;. ,. .M�r.: ... .as.> an�:,:?i:. ',# ..'"4-' ,,,n ri
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: 5-
❑ Addition or ❑ 1-10 heads: Affidavit required and - 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:
tirwit a5l• t,v t—;" f B, `.'4 t Jr u.Jt
, r �
S.rinkler Time El Wet 0 D
Additional Stand•i.es
Information: IRIMMEnalla ❑ Yes ❑ No
Hazard Group
Densi
Desi. Area
K. Factor
Si •0 , • .•• • • I. $
`.raj'
Hood Project Valuation: $
tfalicarn z
1
Submittal shall Batte Calculations ❑ Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Pro•ect Valuation: $
x;
y �v�, �c�rl�tary�y�
1i) 1 ent1'0 t C?.'k +t ( 4nd 11ene'r ystem �
S.uareFoota.e: 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 •reater $404.39
Sprinkler Project Square Footage: sq. ft.
Project valuation subtotal see A,B &C above : $
Permit fee based on sro'ect valuation see fee schedule : $
Permit fee based on seuare footase see D above : $
State Surchar•e 12% of permit fee : $
FLS Plan Review 40% of permit fee : $
TOTAL: $
I:\Building\Permits\FPS_PernutApp_031016.doc 2
City of Tigard 1 77#- r �: �'
, 't 13125 SW Hall Blvd.,Tigard,OR 972 3 t i..,.L,.' ,, r�r ..,.,h
aIN Permit No.: Fr)203 -Gig )14
I Phone: 503.718.2439 Fax: 503.598.1960 Date Received: 616/?
Inspection Line: 503.639.4175
T1GARD Internet: www.tigard-or.gov .. By: 4i) (-1 i.n'?
FIRE ALARM Sy STEM AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: �xpet m ®C�A — ` C., 3_ 11 \ Occupancy: `�
Job Address: 2j '� �;t,►,� L(?�b'� �_i �t t� Suite: 4 5v
Contractor: ?be �,k., '( JC (\,\1 ( 1.:�;C 9 i Phone: �J O 3— (_0`2.7 — b \D O
Valuation of work: $ (1 O D t
Type of System: (check one) :iRequired ❑Non-required
(check one) ❑Automatic ❑Manual Both
c. Q ID ICJ e Q�,-Ir - o C L c\O r\ vA1.1
Total number of devices added or moved under this permit process is 5 total per tenant space.
Number of Proposed Smoke/Heat Detectors: To be Added(max 5) /To be Relocated(max 5) 2
Number of Proposed Manual Alarm Stations: To be Added(max 5) /To be Relocated(max 5)
Number of Proposed Notification Appliances: To be Added(max 5) /To be Relocated(max 5)
I, Cv'&u i Oregon Construction Contractors Board No. \ ci D a
certifythe fis true and defines the scope of work for this project:
wing p
a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction.
b) All notification appliances are located in accordance with the current state-adopted NFPA-72.
c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having
jurisdiction.
d) Exposed wiring will not be covered until inspected.
e) Final approval shall be subject to on-site tests and inspections.
f) Voltage drop is adequate to operate all appliances.
g) Battery supplies are capable of supporting the system modifications.
h) Compatibility of appliances and devices are in accordance with the FACP manufacturer's specifications.
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.
• Electrical permit.
• A copy of this document with a copy of the sketch attached shall be available for all inspections.
Signature: I Date: 5 2 D L-
Print Name: C:1
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1
I:\Building\Forms\FireAlarmAf£idavit 071514.docx Page 1 of 1