Permit (49) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2019-00092
TL .A.R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/09/2019
Parcel: 2S 112AB01300
Jurisdiction: Tigard
Site address: 7333 SW BONITA RD
Project: Rogers Machinery Subdivision: None Lot: None
Project Description: Fire alarm permit:Adding cellular communicator to existing fire alarm system. Affidavit submitted.
Contractor: JOHNSON CONTROLS SECURITY SOLUTIONS LLC Owner: BONITA PACKAGING PRODUCTS
6305 ROSEWOOD ST SUITE A 7333 SW BONITA RD
LAKE OSWEGO, OR 97035 PORTLAND, OR 97223
PHONE: 855-201-1482 PHONE:
FAX: 503-675-4412
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/09/2019 $72.61
12%State Surcharge-Building 07/09/2019 $8.71
Type of Use: COM Plan Review-Fire Life Safety-COM 07/09/2019 $29.04
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 07/09/2019 $1.00
Occupancy Grp: Height: ft 11x17)
Stories:
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: No
Battery Calcs Provided: No Cut Sheets Required: Yes
Total $111.36
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential-Square Footage:- 0
Fire Alarm Valuation: $1,300.00
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
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
his ' .�i1Z�!!�•___. i�T �? 7• ;:e21
Call 50 .6.6§9.4175 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 FOR OFFICE USE ONLY
City of Tigard DateBec 7' �� PermitNo.:�� _
- " 13125 SW Hall Blvd.,Tigard,OR 97223 s.-
g °k Plan Review
Phone: 503.718.2439 Fax: 503.598.19E �� �� Date/B : Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: See® Page 2 for
Internet: www.tigard-or.gov JUL2°19 Notified/Method: E7I. Supplemental Information
l:) L J
_TYsPE'=OF,W JitW -TIGARD- - --REQUIREDDATTA 4I- ND--FAMILY DWELLING--
❑New construction �rtiata � ��td�??� •
,,.. 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.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7333 SW Bonita Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Rogers Machinery Cell Add 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.
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.
Add cellular communicator to existing fire alarm system. Valuation: $ fJc
Existing building area: sque feet
New building area: square feet
0 PROPERTY OWNER ® TENANT Number of stories:
Name:Rogers Machinery Type of construction:
Address:7333 SW Bonita Rd Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:( ) Fax:( ) New:
APPLICANT ®I CONTACT PERSON NOTICE
Business name:Johnson Controls All contractors and subcontractors are required to be
Contact name:Tjy Helms licensed with the Oregon Construction Contractors Board
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
City/State/ZIP:Lake Oswego,OR 97035 applicant is exempt from licensing,the following reasons
apply:
Mone:(971)294-1320 Fax:: —
E-mail:Tjy.Helms@JCI.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Johnson Controls (Please refer to fee schedule
Permit fee:
Address:6305 SW Rosewood
City/State/ZIP:Lake Oswego,OR 97035 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)451-2055 Fax:( ) (Due upon application submittal.) 4.
CCB lic.:197010 Total permit fees: f/ 34'
Authorized signature: 1 Amount received:
This permit application expires if a permit is not obtained
Print name:Tjy Helms .: 7/8/19 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building)Permits\FPS-PermitApp_031016.dor 440-4613T(11/02/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:
❑ New system Number of sprinkler heads: Number of alarm devices: 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
❑ 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 ❑ Wet ❑ 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 ® Yes
Cut Sheets
Fire Alarm Project Valuation: $ 1300
R:e�idential S r
.) "` p inkier(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): $ 1300
Permit fee based on project valuation (see fee schedule): $ 72.61
Permit fee based on square footage (see D above): $ 0
State Surcharge (12% of permit fee): $ 8.71
FLS Plan Review(40% of permit fee): $ 29.04
TOTAL: $ 110.36
C:\Users\thclms\Documents\permits\Fire permit submittals\Rogers 108329281 01\FPVermitApp(2).doc
City of TigardkiECF. Permit No.: I .S. "-i.CW
III - e 13125 SW Hall Blvd.,Tigard,OR 97
Phone: 503.718.2439 Fax: 503.598.1960 ' a1y Date Received: 7/7`/.,
Inspection Line: 503.639.4175 i t,�i �7 2
T 1 G A R D Internet: www.tigard-or.govy By: r. et --
III
FIRE ALA ' MAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: EZ,)y A; ) c\k ek 2 ,1 Occupancy: \?
Job Address: -7 3 3 3 ' .L3 ‘3,"...1.c1 rZ b Suite:
Contractor: S C Phone: 6" 9 5 3-- g - 5--
Valuation
jValuation of work: $ 9 0 t
Type of System: (check one) ['Required 4Non-required
(check one) I4Automatic ❑Manual ['Both
/-ciL( 1 C e 1\ C0 .�.,� ti t c (til. y /-
Total number of devices added or moved under this permit process is 5 total per tenant space.
Number of Proposed Smoke/Heat Detectors: To be Added(max 5) /To be Relocated(max 5)
Number of Proposed Manual Alarm Stations: To be Added(max 5) /To be Relocated(max 5)
Number of Proposed Notification Appliances: To be Added(max 5) /To be Relocated(max 5)
I, Fre r.( C 4x4...,5 Oregon Construction Contractors Board No. I ( 3 0 1 a
certify the following is true and defines the scope of work for this project:
a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction.
b) All notification appliances are located in accordance with the current state-adopted NFPA-72.
c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having
jurisdiction.
d) Exposed wiring will not be covered until inspected.
e) Final approval shall be subject to on-site tests and inspections.
f) Voltage drop is adequate to operate all appliances.
_ g) Battery supplies are capable of supporting the system modifirationc
h) Compatibility of appliances and devices are in accordance with the FACP manufacturer's specifications.
In addition, I understand the following is required:
• Submit(3) copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• Electrical permit.
• A copy of thi,d. • 1 • i with a copy of the sketch attached shall be available for all inspections.
Signature: •' Date: 7/ 7 / 1 c1
Print Name:
I:\Building\Forms\FireAlarmAffidavit 071514.docx Page 1 of 1