Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
111I • COMMUNITY DEVELOPMENT Permit#: FPS2020-00048
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2020
Parcel: 2S 110DB01300
Jurisdiction: Tigard
Site address: 15294 SW ROYALTY PKWY
Project: Tigard Animal Hospital Subdivision: 1996-010 PARTITION PLAT Lot: 2
Project Description: Add and/or relocate sprinkler heads due to new wall layout.
Contractor: FIRE ONE FIRE SYSTEMS INC Owner: TIGARD INVESTMENT PROPERTIES LLC
PO BOX 734 11086SE OAK ST
OREGON CITY, OR 97045 MILWAUKIE, OR 97222
PHONE: 503-557-9050 PHONE:
FAX: 503-557-9268
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/29/2020 $112.96
12%State Surcharge-Building 04/29/2020 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 04/29/2020 $45.18
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 04/29/2020 $9.50
Occupancy Grp: B 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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Gales Provided: Cut Sheets Required:
Total $181.20
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $3,575.00
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 503.23 1987 or 1.800.332.2344.
Issued By: ittee-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
Fire Protection System I I)It I)i 1 I t 1 1 .I (I v I 1
Cityof Tigard Received / ) 461 PetmitNyGS?t .20 '—r`1oeixe
g p Da<e/ey:�/ 7 2t
13125 SW Hall Blvd.,Tigard,OR 97223 t'1 Clan Revie
' a Phone: 503.718.2439 Fax: 503.598.1960 �����L,a1 Date/By: T. 2.0 Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: June: HISee Page 2 for
r APR9 202n
No Lf/ill�' Gf)) Supplemental informationInternet: www.tigardor.gov l
•
TYPE OF w€09f1DINn (lnitQIr;,. REQUIRED DATA:1-AND 2-FAMILY DWELLING
D 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling NICommercial/industrial Valuation: S
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15294 SW Royalty Parkway New dwelling area: square feel
City/State/ZIP: Tigard/OR/97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Tigard Animal Hospital 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 and/or relocate pendent heads due to new wall layout Valuation: 3,575.00
Existing building area: 3293 square feet
New building area:3293 square feet
® PROPERTY OWNER 0 TENANT Number of stories: I
Name: Tigard InvestmentPropenes Type of construction: Tenant Improvement
Address: 11086 SE Oak Street Occupancy groups: B
City/State/ZIP: Milwaukie/OR/97222 Existing:
Phone:( ) Fax:( ) New:
El APPLICANT ® CONTACT PERSON NOTICE
Business name: Fire One Fire Systems Inc. All contractors and subcontractors are required to be
Contact name: Nick Bocchetti licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: PO BOX 734 jurisdiction in which work is being performed.If the
City/State/ZIP: OregonCity/ applicant is exempt from licensing,the following reasons
ry Cl /OR/97045 apply:
Phone:(503) 939-6117 Fax: :( )
E-mail: nick@fireone.org
CONTRACTOR BUILDING PERMIT FEES*
(Please refer m fee schedule)
Business name: Fire One Fire Systems Inc.
Permit fee:
Address: PO BOX 734
State surcharge(12%of permit fee):
City/State/ZIP: Oregon City/OR/97045 FLS plan review(40%of permit fee):
Phone:(503)939-6117 Fax:( ) (Due upon application submittal)
CCB lie.: 98140 Total permit fees:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
Print name: Date: April 8, 2020 within l80 days after it has been accepted as complete.
Nick Bocchetti p ' Fee methodology set by Tri-County Building Industry
Service Board.
I:\Buildiag\Pennts\FPS-PmnaApp 03I016.doc 4404613Tt1 I/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: 13 Number of alarm devices:
j 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 NA
Information: Sprinkler Supply Line ® Yes ❑ No
Hazard Group Light
Density ,10
Design Area 1500
K.Factor 5.6
Sprinkler Project Valuation: $ 3 575.00
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component 0 Ycs
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: 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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