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HomeMy WebLinkAboutPermit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2023-00071 Date Issued: 5/31/2023 T f G..I T.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AD01700 Jurisdiction: Tigard Site address: 16920 SW 72ND AVE Project: Grocery Outlet Subdivision: ROSEWOOD ACRE TRACTS Lot: 26-34, P Project Description: Fire sprinkler system modifications. Contractor: DELTA FIRE INC Owner: BRIDGEPORT LAND LLC 14795 SW 72ND AVE 3939 NW ST HELENS RD PORTLAND, OR 97224 PORTLAND, OR 97210 PHONE: 503-620-4020 PHONE: FAX: 503-620-1058 FEES Description Date Amount Specifics: Permit Fee-COM 05/31/2023 $379.22 12%State Surcharge-Building 05/31/2023 $45.51 Type of Use: COM Plan Review-Fire Life Safety-COM 05/31/2023 $151.69 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/31/2023 $2.00 Occupancy Grp: M Height: 25 ft 11x17) Stories: 1 Info Process/Archiving-Sm$0.50(up to 05/31/2023 $128.50 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: ORD2 Density: 0.2 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 $706.92 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $29,599.00 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 art- o in OAR 952-001-0010 through OAR 952-001-0090. u m tain a copy of the rules Issued By: v111M Permittee Signature: Call 503.639.41 _ i, 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 �.,„ -1, 0 0 Fire Protection System FOR OFFICE USE()NIA Cityof Tigard i,i., Received I g fit.'?"�,, Date/By: �� II Pe 3 �� ©'t5 p� 14 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 ,,,,,,.. rAPlanRevie ■ UPI {f` ti,:.!`',:. ate/By: \- o `p�3 Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 T I c;,t l:ll Inspection Line: 503.639.4175 t ti dq� I 1 y-'�'•4'<9 to Ready/By: f- ,C►� 1ur El See Page 2 for Internet: www.tigard-or.gov � It Notified/Method S ,/,33 1.. /ice—�4�—� Supplemental Information P GT ��r^ I PIPE OF WORK" REQ A .'i -1?'AMILV DWELLILI4G ❑New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑■ Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the . - R OF coNs uctioN ,'` work indicated on this application. Valuation: $ El1-and 2-family dwelling 0Commercial/industrial 0 Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ElOther: Number of bathrooms: 4 ITE"INFORMATION;AND LOCATION Total number of floors: Job site address:16920 SW 72nd Ave New dwelling area: square feet City/State/ZIP:Tigard OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Grocery Outlet 3129 Tigard Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet rt 0.DA` A l4i"1►'IERCIAL-i1SE c 16 1 IC Subdivision: 1 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,DESCR(I' ION , work indicated ton this application. and profit fort e the Valuation: $29,599.00 Fire Sprinkler protection modifications Existing building area: square feet New building area: square feet IR(1ERTx s i r, „I„,„ "TENANT- : Number of stories:1 Name:Grocery Outlet 3129 Type of construction:Fire Sprinklers Address: Occupancy groups: City/State/ZIP:Tigard OR Existing: Phone:( ) Fax:( ) New: y AI'I'b :' r CONTACT I'�N t _ ... NOT ... � Business name:Delta Fire Inc All contractors and subcontractors are required to be Contact name:Lisa Fong licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:14795 SW 72nd Ave jurisdiction in which work is being performed.If the City/State/ZIP:Portland OR 97224 applicant is exempt from licensing,the following reasons apply: Phone:( )503-620-4020 ext 100 Fax: :( ) E-mail:lisaf@deltafire.com '; x r.. y�4 r' r z * ' 1 )w ,'w ��,r? �� 1st P �,r. .: �s. x��; ,. '�aN�. ��.,. . a � � 1 �BUII.IIIIITGPEItM1T . ,_,.. " 8..a`$F,4'. „;�.....(PICOS@ Wrotto fog 80 Il --"sxv ,rr .. Business name:Delta Fire Inc Permit fee: Address:14795 SW 72nd Ave State surcharge(12%of permit fee): City/State/ZIP:Portland OR 97224 FLS plan review(40%of permit fee): Phone:( )503-620-4020 Fax:( )503-620-1058 (Due upon application submittal.) CCB lic.:64174 Total permit fees: Amount received: Authorized signature: L' f . , C�.,,� v)'v" 1 v ' `� This permit application expires if a permit is not obtained Print name:Lisa Fon Date:05/23/2023 within 180 days after it has been accepted as complete. g * Fee methodology set by Tri-County Building Industry Service Board. I:A Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB) • f City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information x : Icli worko be done, r � � #s 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: 20 Number of alarm devices: N/A ❑■ 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: Aplete A, as :i x Sprinkler Type ❑■ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group ORD II Density .2 Design Area 1500 sq ft K. Factor 5.6 Sprinkler Project Valuation: $29,599.00 B.) T % •i. ' ' �t` $ ppressior� ..= t i Hood Project Valuation: $ .,. d § €` C ) �w J ire A�at x .szs j :tsperC;s' �, .".,.r. x.:_.., :ea �.., -, .. .. te: -- '+ ....c..,, r.<.. Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ esidei is Sptinlde g ne Syste i 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 g fir,, Sprinkler Project Square Footage: sq. ft. Ftre: r at a on rm #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\Pemuts\FPS_PermitApp_031016.doc 2