Permit .111111 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
' ' COMMUNITY DEVELOPMENT Permit#: FPS2020-00035
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/05/2020
T[t"1 R O g Parcel: 2S115AB01900
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY C
Project: Ace Hardware Subdivision: 1994-028 PARTITION PLAT Lot: 2
Project Description: Fire sprinkler. Relocating and adding sprinkler heads for TI.
Contractor: BASIC FIRE PROTECTION INC Owner: SN PROPERTIES PARTNERSHIP
8135 NE MARTIN LUTHER KING BLV 1121 SW SALMON ST
PORTLAND, OR 97211 PORTLAND, OR 97205
PHONE: 503-285-1855 PHONE:
FAX: 503-285-0713
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/05/2020 $387.28
12%State Surcharge-Building 03/05/2020 $46.47
Type of Use: COM Plan Review-Fire Life Safety-COM 03/05/2020 $154.91
Class of Work: ALT Type of Const: Info Process/Archiving-Lg $2.00(over 03/05/2020 $218.00
Occupancy Grp: M Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 03/05/2020 $0.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: ORD2
Density: .2 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 $807.16
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $30,600.00
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
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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.
Building Permit Application ii
Fire Protection System ECENE FOR OFFICE USE ONLY
Cityof Tigard Received
g MAR 2 2020 ? �c / 4Sae2fo
�
Date/By:
13125 SW Hall Blvd.,Tigard,OR 97223 T r� Plan Review
■
Phone: 503.718.2439 Fax: 503.596.1960G'j�OF TtGARD Date/By: V
� — 2 -' G/
Inspection Line: 503.639.4175 Jm. rTICALD BUILDING DIVISION,
ewd: �Internet: www.tigard-or.gov Supplemental Information
TYPE OF WORK 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.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16200 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:C Project name:Ace Hardware Covered porch area: square feet
Cross street/directions to job site:SW Durham Rd 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.
Modify existing sprinkler system in Rite Aid. Valuation: $$30,600.00
Add new wet sprinkler and dry sprinkler system in new Ace Hardware Existing building area: 31140 square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:Harsch Investment Properties Type of construction: IIIB
Address:1121 SW Salmon St Suite 500 Occupancy groups:
City/State/ZIP:Portland,OR 97205 Existing: M
Phone:(503)973-0205 Fax:( ) New: M
® APPLICANT 0 CONTACT PERSON
NOTICE
Business name:Basic Fire Protection Inc. All contractors and subcontractors are required to be
Contact name:Uwe Parth licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:8135 NE MLK Jr Blvd jurisdiction in which work is being performed.If the
City/State/ZIP:Portland OR 97211 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)285-1855 Fax: :( )
E-mail:uwe@basicfire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Basic Fire Protection Inc.
(Please refer la fee schedule)
Permit fee:
Address:8135 NE MLK Jr Blvd
State surcharge(12%of permit fee):
City/State/ZIP:Portland,OR 97211
FLS plan review(40%of permit fee):
Phone:(503)285-1855 Fax:( ) (Due upon application submittal.)
CCB lie.:48641 Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Uwe Parth Date:3/3/2020 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
l:Building Permits\FPS-PennitApp_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
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:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ® Wet ® Dry
Additional Standpipes NO
Information: Sprinkler Supply Line ❑ Yes ® No
Hazard Group Ord Gr 2
Density .20
Design Area 1500
K. Factor 5.6, 11.2
Sprinkler Project Valuation: $ 30,600.00
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: $
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: 10135 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: $
C:\Users\uwe\DWG\20-3287 ACE TIGARD\Submittals\AIIJ\FPS_PermitApp.doc 2