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HomeMy WebLinkAboutPermit (3) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 11111 COMMUNITY DEVELOPMENT Permit#: FPS2023-00064 Date Issued: 6/7/2023 T I G AR.O 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 Alarm. Installation of new fire alarm system. Contractor: SUPERIOR LOW VOLTAGE LLC Owner: BRIDGEPORT LAND LLC 6548 LIPSCOMB ST SE 3939 NW ST HELENS RD SALEM, OR 97317 PORTLAND, OR 97210 PHONE: 877-336-6213 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 06/06/2023 $112.96 12%State Surcharge-Building 06/06/2023 $13.56 Type of Use: COM Plan Review-Fire Life Safety-COM 06/06/2023 $45.18 Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 06/06/2023 $8.00 Occupancy Grp: M Height: 25 ft 11x17) Stories: 1 Info Process/Archiving-Sm$0.50(up to 06/06/2023 $17.50 11x17) 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: Automatic Pull Station Required: Yes Smoke Detectors Req: Yes Battery Calcs Provided: Yes Cut Sheets Required: Yes Total $197.20 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $4,000.00 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: L f P4FRIittee Signature: �i/e day6___ Call 503 .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 Y FOR Orrlcr 1 sr oNl,N City of Tigard REcEIVEn Danis d 5 ,723 % ,h., " 13125 SW Hall Blvd.,Tigard,OR 97223 yv t '� S Plan Review 1 Phone: 503.718.2439 Fax: 503.598.19 1 3 Date/By: ' T 'Q l; z T i G A R D Inspection Line: 503.639.4175 �"`' 2L Date Ready/By: tarts: See page for Internet: www.tigard-or.gov otified/ od: b3 // Supplemental Information CITY OF re"..,A: TYPE OF g"Vgi 1`is f E L;! 91PV REQUIRED DATA:1-AND 2-FAMILY DWELLING New construction ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El1-and 2-family dwelling 'J Commercialindustrial Valuation: $ Accesso buildi Number of bedrooms: ❑ ry ng ❑Multi-family ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: '6 9 20 .5u -7 2_ oc) New dwelling area: square feet City/State/ZIP: yi �i ©r, Garage/carport area: square feet Suite/bldg./apt.no.: Project name: 612.06F°in/ — 'Zci Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST 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 DESCRIPTION OF WORK work indicated on this application. I NA-17,41.-GP: (O t-) dF Pf'�) FigF f\t.�A'PtA- 61(6157,w Valuation: $ t"11, 00 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: 6r, sFt so�J Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT !CONTACT PERSON NOTICE Business name: VtPElL(i✓}R L.o� tk7crPr.41F All contractors and subcontractors are required to be Contact name: -1) +9 F. licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 3 ,sEL0 jurisdiction in which work is being performed.If the City/State%LIY: 5A applicant is exempt from licensing,the following reasons /� & 'D��C -( apply: Phone:(cr1 1) q-�$ y - s i Fax::( ) E-mail: ')As 5 012.1.24 Gott, CONTRACTOR BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) opcR ie7'2 Leiv,J 'vlot Permit fee: Address: jL f; Licp6LOh vE City/State/ZII': 1 J State surcharge(12%of permit fee): �N © GO! FLS plan review(40%of permit fee): Phone:(503) 806 .-,30 3( Fax:( ) (Due upon application submittal.) CCB lic.: Cfs 15,,-7 Total permit fees: Authorized signature: Amount received: This permit application expires if a permit is not obtained Print named Date: OS/6/I / within 180 days after it has been accepted as complete. 23 * Fee methodology set by Tri-County Building Industry Service Board. 14Building\Permits`FPS-PermitApp_03I016.doc 440-46I3T(l l/02/COM/WEB) 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: p New system Number of sprinkler heads: Number of alarm devices: 0 Addition or ❑ 1-10 heads: Affidavit required and 0 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 0 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 Sprinkler Type 0 Wet 0 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: $ C.) Fire Alarm Submittal shall Battery Calculations ® Yes include: Individual Component IN Yes Cut Sheets Fire Alarm Project Valuation: $L\ 00�c} 00 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\Pcmuts\FPS_PcrmitApp_031016.doc 2