HomeMy WebLinkAboutPermit (3) ohCITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I `, COMMUNITY DEVELOPMENT Permit#: FPS2023-00059
Date Issued: 6/21/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10350 SW GREENBURG RD
Project: Margarita Factory Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Modify and add to the existing sprinkler system.
Contractor: EXPRESS FIRE SYSTEMS INC Owner: LINCOLN CENTER LLC
670 S 28TH ST BY SHORENSTEIN PROPERTIES LLC
WASHOUGAL,WA 98671 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO,CA 94104
PHONE: 360-356-8105 PHONE:
FAX: 360-953-8394
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/22/2023 $443.70
12%State Surcharge-Building 05/22/2023 $53.24
Type of Use: COM Plan Review-Fire Life Safety-COM 05/22/2023 $177.48
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/22/2023 $2.00
Occupancy Grp: A-2 Height: 25 ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 05/22/2023 $28.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: 0.1 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 $704.42
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $37,800.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Cen ose rules are se rth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy oft rules
Issued By: Permittee Signature:
r
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System RECEIVED
City of Tigard 1 DateB d ✓ [ a 3 KA PenniL 6F5�.Q).� "000 9
• 13125 SW Hall Blvd.,Tigard,OR 97223 �� � �
g Plan Review �r eJ / ' Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 6 2 I
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: uris: See Page 2 for
1 1 c:,1 PA) Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: .2-243 Supplemental Information
_
El New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
)0 %1 4tv k: �$ r _ � i R' Ki work indicated on this application.
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El 1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building El Multi-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
4 ' r ,'' Total number of floors:
Job site address: 10350 SW GREENBURG RD New dwelling area: square feet
City/State/ZIP: TIGARD/OR/97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: DIOSA/MARGARITA FACTORY Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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Subdivision: I Lot no.:1 S135AB01003 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: R1224776 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
sty 5 iWi t� , t t $ 1. $; work indicated on this application.
.�s�. ... £"''� _ *�.s„�_; ",''��",,;.t�x s�,r � �"�, �'' ,> yam" *,�'�,,.� �.,ri,.M..0.4^,z. A1yx�
MODIFY AND ADD TO THE EXISTING SPRINKLER SYSTEM PER ATTACHED PLANS Valuation: 37,800 $
Existing building area: 8773 square feet
New building area: 11,580 square feet
k ,i , sue . ,4A f f r
"� ., ,, g i i Number of stories: 1
Name: LINCOLN CENTER LLC Type of construction: V-B
Address: 235 MONTGOMRY ST., 16TH FLOOR Occupancy groups: A-2
City/State/ZIP:SAN FRANCISCO,CA 94104 Existing: A-2
Phone:( ) Fax ( )
New A-2
.rsf " f ,o ' ,,i. i £ + ze , � S "r u,; r t e , ...
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,
Business name: EXPRESS FIRE SYSTEMS All contractors and subcontractors are required to be
Contact name: MOHAMED HUSSEIN licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 670 S 28TH ST. jurisdiction in which work is being performed.If the
City/State/ZIP:WASHOUGAL/WA/98671 applicant is exempt from licensing,the following reasons
apply:
Phone:( 360)583-8625 Fax::( )
E-mail: MOHAMED@EXPRESSFIRESYSTEMS.COM
�;'�s+t r .'�`# �`r a�irk::.ram -�^ry'1 K�;s'�x'' � . .. . f�.,,�-as' � '��,�� $�,'i'.'7:.�' �,�s �f;�,�.+�,��r�R, �:�r`'t`�,,?.n �,1 �,�.� ..,,. -�. . ,.., ,. .p.2W,?� t.�'€'t`�?s. 3, s
3 40 A.�,�,-'a;3 r,#";"n?.c tv ,'. ^'3- ,.e„ a..,,. v .,,,,„,,.., .:r r...,-c„,.:. 0:14 .�s,r° . r,,,i�N 0*�?44.37 3, r�.»>j;,x s" ' 'eaqx 1 k
Business name: EXPRESS FIRE SYSTEMS -�s* MOS • ' �. ;, tgati ll._
Permit fee:
Address: 670 S 28TH ST.
State surcharge(12%of permit fee):
City/State/ZIP: WASHOUGAL/WA/98671 e
FLS plan review(40%of permit fee):
Phone:( 360 )583-8625 Fax:( ) (Due upon application submittal.)
3/ r l /� Total permit fees:
CCB lic.: 193272
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: / Date: 4/28/2023 within 180 days after it has been accepted as complete.
I * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(II/02/COM/WEB)
•
City of Tigard: Fire Protection Permit Checklist
Pa�yge 2-Supplemental Infoyrmation
.4001
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 43 Number of alarm devices:
❑X 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
El 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
t '+' a 'c t rog ryt .' r k "
Sprinkler Type 0 Wet ® Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group LIGHT HAZARD
Density 0.1
Design Area 2,209
K.Factor 5.6
Sprinkler Project Valuation: $ 37,800
Hood Project Valuation: $
3. g l y f t 4 { F a s� x: i, b "wY :k k xs'� ' G!..`' X 14 S t 5 2 - v
oyv ���"^�=°' ,r' '£s rh r r k a a m '"�
k `' it L `'k 04 ;t m h;C r ,4W-q-_ -J^t t A- . t O d �k A ?t z^e 'r" - ,� »< ro F
7,WgCr ., "ta -'�b. :wtt:ot ,.. ,c. ..k�- ."'..,,,.w . ,. .. .a,. ,. 9,.,,.ri�..,_r iog;z vt"h'd._.-.4_^- _aMiaKv a*: aF.U.oibi:' rLai _� a _ .,
Submittal shall Battery Calculations El Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
nt 2 r w ? ,.� v t'r r .. ',� r t t iwFS !# r s
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C F #.o k'T M1 { LGt i, g i; rat 4;t .ka }koN ti Y I�'.,2"n t ea "3 uvs'� s sSi h. '�i }q i Y "k fil"3� f {
r 2' � �, 3, t ; 'ji.tn'•SR r : r e :.x "* "r q`,"A 4 t I$ - t v 'r r j
��x` fl���T�+� Y'^" r�^�- *'� t�+�� '�� r ,��,�' N��,,._.��'3� `�'t.,S �?" S u'. �=, k ;'v°�s �i� _ �-Z a f�,�r 0. `r`.�'� S*04
r�Square Footage: Permit Fee: WIYO4OMW� � x` �v � � z ° )1I4
zf
Oto2000 $198.75gtf
2,001 to 3,600 $246.45 ,0 co , 0 ,g,Nttiti
3,601 to 7,200 $310.05 - p�� „ s r '" $' ' *k t°
;t�.t �.#. � .+x 4^hi�.a'� .;'nf` �yi �t ��1
7,201 and greater $404.39 w .' .:, f .
Sprinkler Project Square Footage: sq. ft.
,"ra1''',t "y.+, g`"tP u.a s .t u-"` -i „y , an: a r
m�x. .. -:�;,..�„`.;,�°111 a'; r .d nub . .,��_ ,.,2._'t1d .�...>, :> � '�* 1. m,Y� li*..,tri..,.,_, ,. i i.,, „_ ,., .�
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_PemritApp 031016.doc 2