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Permit IICITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT . ' COMMUNITY DEVELOPMENT Permit FPS2020-00068 Date Issued: 06/10/2020 T[GAR.L 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136DC03300 Jurisdiction: Tigard Site address: 11774 SW 72ND AVE Project: JoJo's Java Subdivision: 72ND AVE APARTMENTS Lot: Project Description: Fire alarm permit:Adding(2)fire alarm notification devices for NAC circuit extension. Affidavit submitted. Contractor: DYNAMIC SERVICE FIRE SECURITY LLC Owner: 72ND AVENUE PROPERTY LLC 1041 FABRY RD SE BY RICHARD CASSINELLI SALEM, OR 97306 4804 NW BETHANY BLVD#I-2 PORTLAND, OR 97229 PHONE: 503-302-7122 PHONE: FAX: 503-990-7222 FEES Description Date Amount Specifics: Permit Fee-COM 06/10/2020 $51.09 12%State Surcharge-Building 06/10/2020 $6.13 Type of Use: COM Plan Review-Fire Life Safety-COM 06/10/2020 $20.44 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 06/10/2020 $0.50 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: No Sprinkler Type: Wet Standpipe Required: No Hazard: Density: 0 Design Area: 0 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Yes Alarm Type: Pull Station Required: No Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $78.16 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $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: /� r. 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 rttr 011 le I 1 +tI a-t.v City of Tigard 4 3a 'No, FPS�t1 II,- 131Z5 SW Halt Blvd.,rived,OR 91273 1'Lat�evi¢w (�A/ '71J- 0®a �ic +70 WL 4(a. Phan= 503.71t1.2431- Fax: 503:59&1960 tAro /Y eyc ' Pe 1-l6 n I, Inepam lin e ne 503:f3h1'.4175 Data riandy 13y- lane: El See-Pager for Internet: www.trgard-or.goc NoufiedMethud: 6 /it,rgy2Supplemental toformattou. i` , 'FYYE OF WORN.. REQUIR DDAT.iJ-01R3-:FAMi(.N'X`R 4A4#.ir':, '❑New oanstrnetien '❑Deamlition ' Vomit*ea'are Atasecloo the wainerofthe comic pelfaeudd. C tiadalxratis�rephaooaneet ❑Other: indicate the wane(wounded to the neaaett41ollar)of all equipment,amnaaerffih,labor,e+rerbard,.and the profit far the swot indiupedern te application.tFL GICIX ,K7 ❑1-and 2-k inilyd ❑welling j Cestamercialfmdnstrini Valuation: S ❑Accessory building ❑Mu1ti-family Number of bedrooms: Master builder ❑Other: Number of bathrooms: zeO a711 E 8.'4AT ASI/�t',f3CA1TON Total rcmeaber of floors lob site addnees //7 7 /s C r r'` 2e„elite_ New dwe li r aeear square feet City/State/ZIP: —} - f/ 9/[ 9 7 Q Gougelearport area: square feet Suite/bldg./apt.no.: J Proved name:- �/ 1„ .0 ✓�IAACovered porch area: square foci Cross streetidirections to job site: Jai/ Deck area: square feet Other structure area: square feet Snlod visson: Lot no.: Aermit lies"sine 3esedmn the value of the work performed. Tax-tnapirerul no.: Indicate Ms sahtrat(nmried tofor nxut4lollar)of all . iP�i malaria* d end the morn law rise 8loprror Vy!MARK work indicated on thisaplicatian. )I71Pi11S./V� it// l' (./re-jl i � Valuation S ' <:U `A Existing truttdtne area: square feet 4 New building area: square feet _Q PR?1'SFf�\'Q94lYEli` . ©C L79 PAt+P1 ' Number of tundra: 3 Name: Type rEcars¢etcrion: Addams: Otcapanty City;State/7,IP: ( ) Existing: Phony( ) Fax New: Business Allcm�ewtaawlsubomtmewaalereguiredto` g be Contact natnc licensed with theme C sist nt ctiao CaneBawdrBawd under ORS 701 srstlaaay be*wired to be lammed 1 in the Adams: juriarSeo®m which work is bring perfermod.If the City/State/VP: .applimet rszatime foam limos:am,the folowirg - apply: Phone:( ) I Fax::( ) E-mail: a fyyrt r-// /is�fre ' i �_. a; SS��, . , Pelf«: f! r Gt � Q � State ssmharge(12%of permit fee): _City/Siatci'T,IP; (t�/4 . 7 3,0 ---- �C FI.S plan review(40%of petmit fee): Phone:J',3)3Q*5"^`,�'/Q/! Fax:( 1 (fhre er on a firntlon srrhmirraf i Cal lit.: /$/so Total permit fees: Asitharmod sistar erne: Amass s+osxivoii;k..... .".../1/41.7%,o This permitapptiewttaa-zpia'es tie peemltis not4btaimd Print: O ! Dux: wttLfaaa6ulrfanisar4tl�bawtaoarptedeeempbae i J✓ "too d fYl / "' Scry octhedwbgyset byTd4Coveoty Building Industry v ( Sctvix Bwsad. Y..tnnadrtte,'rC*n.rts yes-PnnmtApp a}1Bte.aoc n.<My nt vtC'1WFrt) I A City of Tigard: Fire Protection Permit Checklist Page Z-Supplkmeritat Infonnation L) Type of Work: 2.) Addition/alteration only to.sprinkler heads: 3.). Addition./alteration only to alum devices: ❑ New system Number of sprinkler heads: Number cif alarm devices CZ Addition or ❑ 1-10 heads: Affidavit required and devices: Affidavit required and Atteration (3)*copies of sketch showing area (3)copies of sketch showing area To.ta.i iig of work within building structure of work within building structure sl swm 0 11+heads: Plan-review required and L] J6-t devices: Plan ides required and <3)sets of plans. (3)sets+of plans. Additional description of work: Type s+ c cte orn as:appI t. Sprinkler Type 0 Wet 0 Dry Additional Standpipes Information: Sprinidcr Supply Linc ❑ Ycs ❑ No Hazard Group Density Design Arm K.Factor Sprinkler Project Yaluatiore '$ 13.) Type 1`- Rvrsd Fire Suppression System Hood Prof ectValuation: $ Submittal shall '1 Battery Calculations ❑ Yes include: Individual Component ❑ Nes 1relf/45, i f/�j & Cut Sheets G.(,•Ji117/r{f`f, 1.4, f Fire Alarm Project Valuation: $ 3o4 ., r. _ 4 } •'y � k f Square Footage: Permit Fee. 0 to 2,900 31'98.75 2,001 to 3,600 S246.45 3,601 to 7,200 S310.05 _ 7,201 and greater j $404,39 Sprinkler Project Square Footage: sq.ft.i . Fine:P�orecairp PiL :e+r Project valuation subtotal (see A,13&C above): S Permit fee based on.project valuation(see fee schedule): S Permit fee based on square footage (sec T) above): $ State Surcharge (12%of pert-nit fcc): $ FLS Plan Review (40%of permit fee): $ TOTAL: $ 1- e;Hwy\pews,'lFPS_Pamitapp_rsngissac 2 \ 1 City of Tigard Permit No.: FPS 3rJ C)CJrX —1/1 ... 13125 SW Hall Blvd.,Tigard,OR 97223 Phone 503.718.2439 Fax 503.598.:1960 Date Received: ‘a//%t Inspection Line: 50e- r.gov 5 r'1Ci Alt i), Internet: ww�w.tigardr�r.gov By: ��/7 FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (MAXIMUM OF 5 DEVICES WITHOUT PLANS) Project Name: )C 's00), Occupancy: Job Address: k`--A`"tU \j --la c)()e, Suite: Contractor: tl y \( jEC'[11C P Fc> 'L\ _ Phone:' a —1\2 �,(' � � Valuation of work: S - �`JL i Type of System: (check one) (Required DNon-required (cheek one) {Automatic .QManual QBoth 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(.5) (`) /To be Relocated(.5) Number of Proposed Manual Alarm'Stations: To be Added(mn.5) 0 /To be Relocated(mix s) Number of Proposed Notification Appliances: To be Added(mix 510\ /To be Relocated(mix n 1,L 9_ \\Ne.c v LQp Oregon Construction Contractors.Board No. certify the following is.true an 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 arc 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 modifications. 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 this document��� with a copy of the sketch attached shall be available for all inspections. Signature: \�"�-'�-\ 5� Date: 5— �' Print Name: V L�5c\ L\BuildingWForms\FireAlarmAffidnvit_071514.docx Page 1 of I