Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
'°'! COMMUNITY DEVELOPMENT Permit#: FPS2015-00044
T f GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/13/2015
Parcel: 1 S 134AB03300
Jurisdiction: Tigard
Site addross: 10330 SW SCHOLLS FERRY RD
Project: Muslim Educational Trust Subdivision: ENGLEWOOD Lot: 88
Project Description: Fire alarm for new 2-story building and partial basement for a private school.
Contractor: HEIL ELECTRIC CO Owner: MUSLIM EDUCATIONAL TRUST INC
8425 SE STARK ST PO BOX 283
PORTLAND, OR 97216 PORTLAND, OR 97223
PHONE: 503-255-4074 PHONE:
FAX: 503-255-4139
•
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/13/2015 $395.34
12%State Surcharge-Building 05/13/2015 $47.44
Type of Use: COM Plan Review-Fire Life Safety-MF 05/13/2015 $158.14
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 05/13/2015 $22.00
Occupancy Grp: E Height: ft 11x17)
Stories: 3
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: No Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $622.92
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $31,895.00
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 No ••• Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir- t questions to ► NC by -fling 503.232.1987 or 1.800.332.2344.
Is-ued By: a `, f Permittee Signature: tea/1mm ,Ac„.11.2,9_,,,
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.
Builtliurie Permit Application
Lire Protection System p FOR 011 I I l �F ()\I 1
q City of Tigard RECEIVF may: IVII Permit No.: rps CIS— ,lly
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review"
' = Phone: 503.718.2439 Fax: 503.598.1960mAR 17 2015 Date/B �� Other Pemnt:Ei ; =1 `1 QOlo-T
Inspection Line: 503.639.4175 Date Ready/By: Jun,: FZI See Page 2 for
T I( A K D Notified/Method: Supplemental Information
Internet: www.tigard-or.gov A1ci-ryn OF i '�,. . ,) / / / PP
TYPE o���cING 014iYi(,3N f��� Qa� �f
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.
El 1-and 2-family dwelling ❑Commercial/industrial Valuation: $
El Accessory building El Multi-family Number of bedrooms:
❑Master builder ®Other A3-E Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:10330 SW Scholls Ferry Rd- New dwelling area: square feet
City/State/ZIP:Tigard,Or.97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:MET Covered porch area: square feet
Cross street/directions to job site:Conestoga Dr. Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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
DESCRIPTION OF WORK work indicated on this application.
New fire alarm system for new building. Valuation: 531,895.00
Existing building area: square feet
New building area: 36041 square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Type of construction: 2-B
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New: A-3,E
❑ APPLICANT ig CONTACT PERSON NOTICE
Business name:Heil Electric Co. All contractors and subcontractors are required to be
Contact name:Darrell Gore licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:8425 SE Stark St jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,Or.97216 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)250-1778 Fax: :(503)255-4139
E-mail:darrell @hell-electric.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Heil Electric Co. (1°lnur�a mfeeedule)
Permit fee:
Address:8425 SE Stark St.
City/State/ZIP:Portland,Or.97216 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)255-4139 Fax:(503)255-4139 (Due upon application submittal.)
CCB lic.:000387 Total permit fees: �9 -�.,Y 2
���.!'�W Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within name:Darrell Gore Date:3/17/15 n 180 days after it has been accepted as complete.
• Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PennitApp_071514.doc 440-4613T(11/07JCOM/WEB)
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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:
® 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 (Complete A,B,C or D as applicable):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: 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 ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 31,895
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: $
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