HomeMy WebLinkAboutPermit (5) IN CITY OF TIGARD COMMUNITY DEVELOPMENT FIRE PROTECTION SYSTEM PERMIT
Permit#: FPS2023-00067
Date Issued: 5/24/2023
T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S113AC01201
Jurisdiction: Tigard
Site address: 17015 SW 72ND AVE
Project: Mccormick&Schmicks Subdivision: COUNCIL VIEW ACRES(LOTS 1-20) Lot: 18
Project Description: Changing from phone lines to cell communicator.
Contractor: JOHNSON CONTROLS SECURITY SOLUTIONS LLC Owner: BV CENTERCAL LLC
6305 ROSEWOOD ST SUITE A ATTN: FRED BRUNING
LAKE OSWEGO, OR 97035 7455 SW BRIDGEPORT RD
TIGARD, OR 97224
PHONE: 855-201-1482 PHONE:
FAX: 503-675-4412
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/22/2023 $64.54
12%State Surcharge-Building 05/22/2023 $7.74
Type of Use: COM Plan Review-Fire Life Safety-COM 05/22/2023 $25.82
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 05/22/2023 $1.00
Occupancy Grp: A-2 Height: 25 ft 11x17)
Stories: 1
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: No
Battery Calcs Provided: Yes Cut Sheets Required: No
Total $99.10
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,000.00
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 y obtain a copy of the rules
Issued By: /� Permittee Signature:
f
Call 503.639.4175 by 7:00 a.m.for the next available insp Lion 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 Protection System �t FOR OFFICE USE()NI.).`";\Y 1 6 2023 ! eY7"
gardi111 N . 131SWHall Blvd.,Tigard,OR 97223 r
Phone: 503.718.2439 Fax: 503.598.1960 CITY O "b � Date By: J �— Other Permit:
BUILDINGiJaVI,:59 Date Ready/By: `�^/�+�J unr H See Page 2 for
I It.1 R D Inspection Line: 503.639.4175
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:I-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 [Commercial/industrial Valuation: $
❑ Number of bedrooms:
Accessory building El
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 17015 SW 72nd Ave Tigard OR 97224 New dwelling area: square feet
City/State/ZIP: Tigard OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project nameMCCORMICK&SCHMICKS 108329620-04 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE FIST
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
pgscRiPTION:OF WORK work indicated on this application.
Valuation: $ 1000
Change from phone lines to cell communicator C�
Existing building area: square feet
New building area: square feet
0 PROPERTY,OWNER el TENANT Number of stories:
Name: MCCORMICK&SCHMICTCS Type of construction:
Address: 17015 SW 72nd Ave Occupancy groups:
City/State/ZIP: Tigard OR 97224 Existing:
Phone:( ) Fax:( ) New:
}.APPLICANT ` EN CONTACT PERSON NOTICE'
Business name: Johnson Controls Security Solutions All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
Tjy Helms under ORS 701 and may be required to be licensed in the
Address: 6305 SW Rosewood St jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: Lake Oswego,OR.97035
apply:
Phone:( ) 971-294-1320 Fax::( )
E-mail: Tjy.Helms@JCI.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Johnson Controls Security Solutions Permit fee:
Address: 6305 SW Rosewood St.
State surcharge(12%of permit fee):
City/State/ZIP: Lake Oswego,OR.97035
FLS plan review(40/o of permit fee):
Phone:( ) 971-294-1320 Fax:( ) (Due upon application submittal.)
CCB lic.: 197010 Total permit fees:
v 7VlX.tl,N,2 Amount received:
Authorized signature: V
This permit application expires if a permit is not obtained
Print name: Date: within 180 days after it has been accepted as complete.
Tjy Helms 5/16/23 * Fee methodology set by Tri-County Building Industry
Service Board.
t:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe'work to be clone:
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(Conplete A,B,C or I)as applicable): s � '
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B«) Type - Hood Fire Suppression Syst .
Hood Project Valuation: $
e) nit-Warn
7',. .v " n x.K .., �.✓�..!!i Submittal shall Battery Calculations ❑ Yes
include: Individual Component 11 Yes
Cut Sheets
Fire Alarm Project Valuation: $ 1000
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\Permits\FPS_PermitApp_031016.doc 2