HomeMy WebLinkAboutFPS2024-00092 p CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2024-00092
Date Issued: 7/10/2024
T g GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134BC00200
Jurisdiction: Tigard
Site address: 12194 SW SCHOLLS FERRY RD
Project: Hydrabad Hub Subdivision: None Lot: None
Project Description: Kitchen hood fire suppression system.
Contractor: ABC FIRE EXTINGUISHER INC Owner: ATLAS GREENWAY LLC
4848 NE 102ND AVE 808 SW ALDER ST STE 200
PORTLAND, OR 97220 PORTLAND, OR 97205
PHONE: 503-772-1643 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/27/2024 $134.48
12%State Surcharge-Building 06/27/2024 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 06/27/2024 $53.79
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 06/27/2024 $12.00
Occupancy Grp: B Height: 12 ft 11x17)
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes 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 Calcs Provided: Cut Sheets Required:
Total $216.41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
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
Issued By: ' Permittee Signature: �ll�
Call 03.639.4175 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.
L1uildin2 Permit Application � :�� (
Fire Protection System RECEIVE F<,It uI► lc I 1 S1, c,\1.1
City of Tigard 44 i J Z02t Received ,( rrF 2^ /0
Date/By: 5 (� ?`7 Pen X.'.L(t1 O?
13125 SW Hall Blvd..Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 S, i ,44 -pi Other Permit:
�,*nn�(�/ �A Date/By:
T I G A It I> Inspection Line: 503.639.4175 III 1 OF I INI1 Pate Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov o I S NG DIVISI Notified/Method: f' iy/J s1 /91)—' I Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
Q 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.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building ❑ Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12194 Scholls Ferry Road New dwelling area: square feet
City/State/ZIP: Tigard, OR, 97229 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Hydrabad Hub 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.
Installation of new kitchen fire suppression system. Valuation: s5850
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON
NOTICE
Business name: ABC Fire Extinguisher, inc. All contractors and subcontractors are required to be
Contact name: Bob Ward licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4848 NE 102nd Ave jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
Portland OR 97220 apply:
Phone:(503)484 8833 Fax: :( )
E-mail: Bob.ward@abcfirex.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: ABC Fire Extinguisher, inc.
Permit fee:
Address: 4848 NE 102nd Ave
State surcharge(12%of permit fee):
City/State/ZIP: Portland OR 97220 FLS plan review(40%of permit fee):
Phone:(503 )772 1643 Fax:( ) (Due upon application submittal.)
CCI3 lie.: 133214 Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: �o,(Z) /e._ Date: .` ��c,'Ltf * within 180 days after it has been accepted as complete.
Z/ Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PcrmitApp_031016.doc 440.4613T(I 1/02/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 0 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
0 11+ heads: Plan review required and 0 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 0 Wet 0 Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $ 5850
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component 0 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: 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: $
I:\Building\Permits\FPS_Perm itApp 031016.doc 2