Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
•
114 COMMUNITY DEVELOPMENT Permit#: FPS2018-00107
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2018
T I c.A R.i7 g Parcel: 1S136DA02400
Jurisdiction: Tigard
Site address: 11123 SW 68TH PKWY
Project: RPC Tigard Storage Subdivision: WAY LEE Lot: 1
Project Description: Install fire alarm devices for new building.
Contractor: CAPITOL ELECTRIC CO INC Owner: RPC TIGARD 68 LLC
11401 NE MARX STREET 2101 CEDAR SPRINGS RD STE 1600
PORTLAND, OR 97220 DALLAS, TX 75201
PHONE: 503-255-9488 PHONE:
FAX: 503-257-7121
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/20/2018 $395.34
12%State Surcharge-Building 09/20/2018 $47.44
Type of Use: COM Plan Review-Fire Life Safety-COM 09/20/2018 $158.14
Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 09/20/2018 $12.00
Occupancy Grp: S-1 Height: ft 11x17)
Stories: 3 Info Process/Archiving-Sm$0.50(up to 09/20/2018 $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: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $635.42
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $31,840.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection�idate. � irkfa*t1
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
{'Building Permit Applicatiop ffii , j t
r
Fire Protection}� System FOR OFFICE USE ONLY
"J g nni (( Date/By: y40::.7Permit NoRD$ /J ��/O 7
Cl of Ti and hill 4l2:1 Receivd ��� /
° 13125 S50 Hall Blvd.,Tigard,OR 97219 iw;_ i t- i Plan Revi el,_ ���e/1/�
' Phone: 503.718.2439 Fax: 503.5981 6 t 3 Date/By: - J) Other Perm
TIGARD Inspection Line: 503.639.4175 '5..„,1„:„ ` fl ,,,Nki�" Date Ready/By: / .� Juris: ® See Page 2 for
Internet: www.tigard-or.govg t Notified ethod:�/ �� �� Supplemental Information
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0 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
tt . �i, Q C � T m , uwork indicated on this application.
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Valuation: $
0 1-and 2-family dwelling 0 Commercial/industrial
1.3
❑Accessory building 0 Multi-family Number of bedrooms: cs
n
❑Master builder ❑Other: Number of bathrooms:
rIii0q i4i ll .t u 0 - a try ' I
Total number of floors:
„ � I 'u 1
Job site address:11123 SW 68'Parkway New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 = 4 i Garage/carport area: square feet IP
Suite/bldg./apt.no.:shell Project nam- Tigard Storage Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
l i,.�.,1�� C's ri" CO1 l .T
IIS .:,':,.1..S..7::::::':.,*,:-':
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
' u'III"II,', bE ' t'.ilii"N<OF " ORK h work indicated on this application.
Install fire alarm devices for building per submitted plans. Valuation: $31,840
Existing building area: square feet
New building area: square feet
h � i `P 'ity11' R nU
'',',Pi401 ,, Number of stories:
� ,,,i nm
Name:Shorenstein Realty Services Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
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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:
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hn wq o t 08 „{ . ;� I ` " +
g Alf�e1acieftXe)
Business name:Capitol Electric Company,Inc.
Permit fee: 395.34
Address: 11
401 NE Marx Street
State surcharge(12%of permit fee): 47.44
City/State/ZIP:Portland,OR 97220 0
FLS plan review(40%of permit fee): 158.14
Phone:(503)255-9488 Fax:(503)255-1966 (Due upon application submittal.)
CCB lic.:48748 Total permit fees: 600.92
�' Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Shane Tercek Date:08/23/18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(I 1/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
� .le ':� 1 ,a+4.lMllll',91 ill rylVl, IPIWII IIIIIII�IIgIiI1IY R rF 'ir y
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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:
€}& �,• .,nu ;^, � .7. hlallnlQ�V'�1911 IWwyl i`T�'a�u ukti � dll�9ll M1��dIQ Ih�IIiIIQI�f�'�UIII11NyF : �'; Upfl Na'y � N, � _ I Irllllll�,u
Type o s (Camille A C' a I) � pt �II
Agit' 1I hllyl IMiNVItiey 1 IV1 y1, II IlII
�,., I^•�._ I IINIg1..= esu,".I ,. i1 !IL11�111VII� ,. W � .... .�.. _ �� - -- - _ , ,
Sprinkler Type Wet
P YP Dry
d iti n
A 1 d o a
Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B) Typ .I ood Fire ppr ssio t,System ;;` j M y
Hood Project Valuation: $�"+ '" l ,1 111
•
- .: I�IY�r.iy�111NN�hl 1Qlr"V11�
_ � , I,��u 1 vN1n u'.
Yes
shall BatteryCalculations
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Project Valuation: $
. ;� � ,11111 IYIII I IIIII11h 1
' ¢Ii1111VIi11yI rq Mf11I11',IHI^I aaIl1I1111h1I1
�1 1 1Re a Sprinkler( Stal l i-e..
MIII
IIIIII a. II �I,,h -e
S.uare Foota e:
Permit Fee: s t I tl111611s 111111 IIII I IIIIII ,� ;'�
-gip i1I Ioi! 9'i IVIIIII IV1��>"Ii911 Il' Cr ; S oiwl N
5*I IIIV � ,},. iSCr'.,M IIII ��+k �st-
0 to 2,000 $198.75 ;IIIhIIIIIIpIiMll�� '1111 �I1
Ideal
2,001 to 3,600 $246.45II,I III;FI}h�r""` 4 7h ilk IIIIIIIjII
'I vI 1 III �.7 41111111 1 4 -
3,601 to 7,200 $310.05w1:111aI1IN11191'III4h°IIII;�I,Iiidlp11�111II
.3'_ ,rhII po11 wqI 1411111
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
_�,�.T�, d uu�1�11911 � i.Id . ... ,•:��. .� �� _ 1rC Pr-.�= Cin�'�rlCi '�11,�4�w� �- � .. � � � 1V. . ,
Project valuation subtotal (see A,B & C above): $ 31,840
Permit fee based on project valuation (see fee schedule): $ 395.34
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ 47.44
FLS Plan Review(40% of permit fee): $ 158.14
TOTAL: $ 600.92
Q:\Fire Alarm\FA Jobs\zz181432-45 Tigard Storage\1 FPS_PermitApp 2017.0126.doc 2