Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
• COMMUNITY DEVELOPMENT Permit#: FPS2019-00152
T i G A R p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/09/2020
Parcel: 1 S136DD02300
Jurisdiction: TIG
Site address: 11799 SW 69TH AVE
Project: HAMPTON INN&SUITES Subdivision: Lot:
Project Description: Fire alarm permit for a new 87,872 sq.ft.five-story, 152 room hotel with parking structure.
Contractor: PORTER ELECTRIC INC Owner: DVKOCR TIGARD, LLC
7320 NE ST JOHNS RD 1419 W MAIN STREET, SUITE 110
VANCOUVER,WA 98665 BATTLEGROUND,WA 98604
PHONE: 360-574-1366 PHONE: 360-723-0024
FAX: 360-573-3723
FEES
Description Date Amount
Specifics: 12%State Surcharge-Building 01/09/2020 $114.91
Info Process/Archiving-Lg$2.00(over 01/09/2020 $56.00
Type of Use: COM 11x17)
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 01/09/2020 $27.50
Occupancy Grp: R-1 Height: 55 ft 11x17)
Stories: 5 Permit Fee-COM 01/09/2020 $957.59
Plan Review-Fire Life Safety-COM 01/09/2020 $383.04
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: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $1,539.04
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $132,128.00
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 Cent e . Those r es 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 C calling 503.232.19 or 1 00.332.2344.
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.
Buildini Permit Application
Fire Protection System ` FOR OFFICE USE ONLI'
City of Tigard EI\/E® Received _
E� v Date/By: ��/1 t / `� i Permit No.. rPS it.c/ ��5
- 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review
r� l
Phone: 503.718.2439 Fax: 503.598.1960
DEC1 2019 Date/By: )_^
Other Permit: ,"/,�}J 7—Oa C,
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: See Page 2 for
Internet: www.tigard-or.gov Arli) ed/lygthod: Supplemental Information
TYPE OF WORK_. REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction El 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 El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling IDCommercial/industrial Valuation: $
0 Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ®Other:Rl Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:11799 SW 69th Ave New dwelling area: square feet
City/State/ZIP:Tigard Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Hampton Inn&Suites Covered porch area: square feet
Cross street/directions to job site:SW Clinton&SW 69th Ave 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.
Fire Alarm for Sprinkled RI Building Valuation: $$132,128.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax::( )
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name:PORTER Electric inc
Permit fee:
Address:7320 NE St Johns Road
City/State/ZIP:Vancouver WA 98665 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(360)574-1366 Fax:(360)573-3723 (Due upon application submittal.)
CCB lic.:46678 Total permit fees:
Amount received:
Authorized signature: (bap
This permit application expires if a permit is not obtained
Print name:Bill Robinson Date: 12/10/19 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.doc 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:
❑ 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: $ 132,128
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): $ 132,128
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: $
C:\Users\Bill\Documents\Jobs\Tigard Hampton Inn\FPS_PermitApp.doc 2