HomeMy WebLinkAboutFPS2024-00178 (2) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
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COMMUNITY DEVELOPMENT Permit#: FPS2024-00178
Date Issued: 1/9/2025
T f GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115BA02500
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HVVY S
Project: America's Best Contacts and Eyeglasses Subdivision: 2004-015 PARTITION PLAT Lot: 1
Project Description: Fire sprinkler permit:Adding(32)heads.
Contractor: SWIFT FIRE PROTECTION COMPANY Owner: SN PROPERTIES PARTNERSHIP
2017 NW VAUGHN ST#10087 1121 SW SALMON ST
PORTLAND, OR 97296 PORTLAND, OR 97205
PHONE: (360)605-1133 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/20/2024 $199.04
12%State Surcharge-Building 12/20/2024 $23.88
Type of Use: COM Plan Review-Fire Life Safety-COM 12/20/2024 $79.62
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 12/20/2024 $27.00
Occupancy Grp: B Height: 25 ft 11x17)
Stories: 1
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 $329.54
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $11,940.00
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 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: + �,
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.
I
Building Permit Application
Fire Protection System . ,,,,ti V I.; FOR OFFICE USE oNIX
City of �/
Of Tigard Date/By: (,/`"t l i.. fe Permit No.: TISuyzik_ 06 t
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: J Ds._ J 7•ay. Other Permit:
1. t,.1 l D Inspection Line: 503.639.4175 0 i
Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: /� t 7�{ i ✓ Supplemental Information
�/
O 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
:fF"tAR7C, Ebro 1 iii p work indicated on this application.
El1-and 2-family dwelling $Commercial/industrial Valuation: $
ElAccessory building El Multi-familyNumber of bedrooms:
El Master builder El Other: Number of bathrooms:
/A()B,*,*:*llr >�.AtkoaK �Nlu`�,�tP
Total number of floors:
Job site address:TiGARD -row I 3QuARE, .SZpp Sw fact PIC 0(v y;STe$ New dwelling area: square feet
City/State/ZIP: 'SIG A Q O, C?(t crnt 4 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:ANettC41C t?St (_w,�2 Covered porch area: square feet
Cross street/directions to job site: 4.. , / .. �)y�►�� Deck area: square feet
Other structure area: square feet
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
b UON OF ORK work indicated on this application.
A D C1 10G mew F 1 rte 5f R.1 u Kl£Q S fCfJOA sirs Valuation: $A4 co •QQ
DOC'co Me� WAW oi. �((1 y LA YQVQ Existing building area:33Q�1 square feet
�Jlr New building area: square feet
. I PROPERTY OWNER YA Number of stories: 1.
Name: P AU L M y K(CIA Type of construction: 11 B
Address: Occupancy groups:City/State/ZIP: Existing: LIG, I 1.M W2 A it
0
Phone:(yogi 448 2588 Fax:( ) New: LIG NA. W AZA IC 0
p.A,lPrwc� C7 + rrr ar sol
Business name: G(,J j p''r F I W elegytecri 614 All contractors and subcontractors are required to be
Contact name: GlobeJ 1 A S S�+� licensed with the Oregon Construction Contractors Board
Aunder ORS 701 and may be required to be licensed in the
�W
Address: , 1,34) v A Ho S` # 4 jurisdiction in which work is being performed.If the
City/State/ZIP: �LA OI CM? OL96 applicantp is exempt from licensing,the following reasons
lI apply:
Phone:( ) S Aa 3 3 Fax::( )
E-mail: G. A us e I,FT -rl r.cv
3
CONThAGTOR x.
` :.�t` a;oefeA.J�!e.aiali�eJidrj
Business name: S w i r r r`tE n OQ-`CCtr(a b Permit fee:
Address: 20,E; ).k ) OA 0G u Sr # •10o B 7
City/State/ZIP: State surcharge(12%of permit fee):
�/ � /4 i30, 0 7 6 FLS plan review(40%of permit fee):
Phone:Oa)60 5 14 33 Fak:( 4) (Due upon application submittal.)
CCB lic.: 24 5 7da Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: G,.Ye,it 3 A N S 3 E 0 Date:At/3 ii02 ti within 180 days after it has been accepted as complete.
a * Fee methodology set by Tri-County Building Industry
Service Board.
I:\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 robe done e,,,
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:
1§1 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
Eg„11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
'ape of System,(Corlta<plete:A,I3,C car ).as app cable :` r ... ,
a
A.) pnmercia prinkler�
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group L(GN r NA2 C)
Density a /.,I
O. 4. Gpm sm .3(
Design Area 3 a 1 5
K. Factor {j . C
Sprinkler Project Valuation: $
B.) Type I- Hood"'Fire Suppression System
Hood Project Valuation: $
Farcer
Submittal shall Battery Calculations 0 Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
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 fi
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