Permit (39) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
N . :. COMMUNITY DEVELOPMENT Permit#: FPS2017-00078
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 � Date Issued: 06/12/2017
TIGARD9 r"" "�� Parcel: 2S101DA01900
,„.04702,,
Jurisdiction: Tigard
Site address: 6996 SW VARNS ST
Project: Madrona Recovery Subdivision: VARNS ACRES Lot: 3
Project Description: Fire alarm-Modification/addition of(54)devices. 9/12/17:REPRINT to change address from 6996 to 7000 SW
Varns.
Contractor: OMLID AND SWINNEY FIRE PROTECTION Owner: NELSON VIAL LLC
157 S 47TH ST 7155 SW VARNES ST#120
SPRINGFIELD, OR 97478 TIGARD, OR 97223
PHONE: 541-741-1775 PHONE:
FAX: 541-741-0347
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/12/2017 $231.32
12%State Surcharge-Building 06/12/2017 $27.76
Type of Use: COM Plan Review-Fire Life Safety-COM 06/12/2017 $92.53
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 06/12/2017 $4.00
Occupancy Grp: R-4 Height: ft 11x17)
Stories: 3 Info Process/Archiving-Sm$0.50(up to 06/12/2017 $22.50
11x17)
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: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $378.11
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $15,000.00
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. 987 or 1.800.332.2344.
Issued By: / Permittee Signature: ,p/te4
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.
IICITY OF TIGARD
® Permit#: FPS2017-00078BUILDINGPERMIT
COMMUNITY DEVELOPMENT 'j-
' �� Date Issued: 06/12/2017
[GARD 13125SW Hall Blvd.,Tigard OR 97223 503.718.2439
'® 14 Parcel: 2S101DA01900
Jurisdiction: Tigard
Site address: 6996 SW VARNS ST
Project: Madrona Recovery Subdivision: VARNS ACRES Lot: 3
Project Description: Fire alarm-Modification/addition of(54)devices. 9/12/17:REPRINT to change address from 7000 to 6996 SW
Yarns.
Contractor: OMLID AND SWINNEY FIRE PROTECTION Owner: NELSON VIAL LLC
157 S 47TH ST 7155 SW VARNES ST#120
SPRINGFIELD, OR 97478 TIGARD, OR 97223
PHONE: 541-741-1775 PHONE:
FAX: 541-741-0347
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-COM 06/12/2017 $231.32
Occupancy Grp: R-4 Occupancy Load: 12%State Surcharge-Building 06/12/2017 $27.76
Plan Review-Fire Life Safety-COM 06/12/2017 $92.53
Dwelling Units: Info Process/Archiving-Lg$2.00(over 06/12/2017 $4.00
Stories: 3 Height: ft 11x17)
Bedrooms: Bathrooms: Info Process/Archiving-Sm$0.50(up to 06/12/2017 $22.50
Value: $15,000 11x17)
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $378.11
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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: -ifite�/�G� Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. f/' —G',,/ (--,/
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.
t. CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
' COMMUNITY DEVELOPMENT Permit 4: FPS2017-00078
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/12/2017
Parcel: 2S 101 DA01900
Jurisdiction: Tigard
Site address: 7000 SW VARNS ST
Project: Madrona Recovery Subdivision: VARNS ACRES Lot: 3
Project Description: Fire alarm-Modification/addition of(54)devices.
Contractor: OMLID AND SWINNEY FIRE PROTECTION Owner: NELSON VIAL LLC
157 S 47TH ST 7155 SW VARNES ST#120
SPRINGFIELD, OR 97478 TIGARD, OR 97223
PHONE: 541-741-1775 PHONE:
FAX: 541-741-0347
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/12/2017 $231.32
12%State Surcharge-Building 06/12/2017 $27.76
Type of Use: COM Plan Review-Fire Life Safety-COM 06/12/2017 $92.53
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 06/12/2017 $4.00
Occupancy Grp: R-4 Height: ft 11x17)
Stories: 3 Info Process/Archiving-Sm$0.50(up to 06/12/2017 $22.50
11x17)
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: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $378.11
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $15,000.00
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 toOUNC by calling 503.232.1987 or .... 344.
issued By: / Permittee Signature
Arimor
Call 503.639.4175 by 7:00 a.m.for the next available insp•• on date.
This permit card shall be kept In a conspicuous place on the Job site it completion of the project.
Approved plans are required on the Job site at the time of each inspection.
Building Permit Application
Fire Protection.System RECEIVE Reaei�rod 1�oa oI FIeE tisE ONLY
City of Tigard / Permit loo.:/--1056/o/ GAO 7
13125 SW Hall Blvd.,Tigard,OR 972 �/ DateFB: �;,/ 7—
• ■ & I 2 2 .2017 Plan Re' ► i � Other Permit: 4
Phone: 503.718.2439 Fax: 503.598) Date/B , ��
'AGA/2.D Inspection Line: 503.639.4175 CITY
�y TIG
[y f 1 Dale Ready 1 : lurk: 0 See Page 2 for
Internet: www;tigard-or.gov CITY OF TIGARD Notified/Method: ,.11m Supplemental information.
BUIL ING DIV(SI N
,.� R �aii Ipl ud �" i rz
' -,':'1„:,,,,,,,,:,;',,,,:,„„,41000,-
„,,, ,,tl, 1 T1,'PE OF WORCC ,, _< '- .. iLi fig+ J,otED 3)A, t ai,,.:4 `FAtA f d :r,,el' dr
0 New construction 0 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
Gr itdi RtYiO il!cO1ThI'�IR'cTIO�l : ,iii ,„ work indicated on this application.
El I-and 2-family dwelling ®Commercial/industrial Valuation: S
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
.� 1(1q A4F4 m�iysw,„g, s li tlF
',17,;',!;,1,,i,11y Ill01 I .6,--,.,..i..,,,, INFOl21<IA'i`It N 1►:L('CAT1 ON Total number of floors:
Job site address: 7000 SW Varns St New dwelling area: square feet
City/State/ZIP: Tiagrd Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Madrona Recovery Center-N Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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
M(!II5k DESCRUmiiiiY OF.WORK ,^ t,!1 work indicated on this application.
Valuation: S 145-t6 C)
Existing building area: / square feet
New building area: square feet
I I bf ,, -0. �R i : i ; �I° ' -Yi in , i--','',
',--" ,---:,?::11- Number Number ofstori :
, � � _ ro . Ii,®�I�l ,. . _e.
Name: Type ofconstruction
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone Fax:( New:
lu n ( -- ppc¶p°I,il ai Iii i� �'dWjl('pa�}i ntiy�� !a.„
"a iT,�Fi' E;i ��F.;w.Mfk.., .. mi-;, ��i�; , I�1',!�IJ �'COTril�i � (ryd"a",,K QN {' i,,:1,' , X II „c NfIs l'ol6� Y°W xiy” 'T, «aiw°a p v
Business name: Omlid and Swinney Fire Protection All contractors and subcontractors are required to be
Contact name: Reliant Johnson licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 157 S 47j4 Street jurisdiction in which work is being performed.If the
City/State/ZIP: Springfield,OR 97478 applicant is exempt from licensing,the following reasons
apply:
Phone:(:(541)741-1775) Fax::(541741-0347
E-mail:
t ' . 1 IqwIIRI� bar cO � ,„,r„, a !!!:,, A Ap , i it°BUAIrIg r
s ` (le"s "Ix 'r° I _Business name; Omlid and Swinney Fire Protection
Permit fee:
Address: 157 S 4714 Street
City/State/ZIP: Springfield,OR 97478 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(541) 741-1775 Fax:(541)741-0347 (Dire upon application submittal)
CCB lie.: 104570 Total permit fees: //( au
Authorized signature: Amount received: `L/
C-41This permit application expires if a pernift is not obtained
Print name: Keilani Jo nso0n Date:., 2.1 within 180 days after it has been accepted as complete.
7
* Fee methodology set by Tri-County Building Industry
Service Board.
1:1auildingWumils\FPS-PernnitApp_031016.doc 440-4613T(11/O2/COAVwR.a)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe wotk to be done. '" >:: . . , ,;.:`:
1.) Type of\York: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
® New system Number of sprinkler heads: Number of alarm devices: 54
❑ 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 181 6+devices: Plan review required and
(3) sets of plans. (3)sets of plans.
Additional description of work:
Type of S rstetn (Complete A,B,C on)as a plicable)
A) Commercial Sprinkler
Sprinkler Type 0 \Vet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line 0 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: $ 15,000.00
D) Residential Sprinkler(Stand Alone System)
Square Footage: Permit Fee: r .
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 P otectton Permit Fees ..
Project valuation subtotal(see A,13 &C above): $ 15,00.000
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: $ 201.60
C,\Users\'1'ia.(;)ay\I)c$ktop\ITS_PcrrnitApp_031016 north.doc 2
s�157 South 47th Street
Springfield,OR 97478
4
Phone:(541)741-1775 0 1.1
Toll Free:(800)503-1775
Fax:(541)741-0347
www.omlidandswinney.com FIRE PROTECTION&SECURITY OR CCB NO.104570
•division ofWSFP
Letter of Transmittal
TO: City of Tigard DATE: May 12, 2017
Attn: Building Permits JOB NO.:
13125 SW Hall Blvd. SUBJECT: Madrona Recovery Center-South
Tigard, OR 97223 7000 SW Varns Street
WE ARE SENDING YOU THE FOLLOWING:
Copies Date No. Description
3 5/12/17 Fire Alarm System Drawings
2 5/12/17 Fire Alarm Equipment Information
1 5/12/17 Building Permit Application
THESE ARE TRANSMUTED AS CHECKED BELOW:
For approval For review & comment Q As requested For your use Other:
REMARKS:
If you can please return one (1) set of the approved plans to our office in the provided envelope, we
would appreciate it. If you should have any questions, please do not hesitate to contact me at (541)
744-3545 or via email at keilani.johnsonPomlidandswinney.us Thank you.
Copy to: File Signed— Lit_ • ..
Keilani Johnson
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6996 SW VARNS ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00078
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor