Permit 114 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2020-00071
Date Issued: 7/22/2020
T t(-;Ail L) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 460
Project: Spec space Subdivision: None Lot: None
Project Description: Relocate and demo(12)sprinkler heads.
Contractor: FIRE SYSTEMS WEST INC Owner: GK TRIANGLE CORPORATE PARK III L
600 SE MARITIME AVE#300 ATTN KBS REALTY ADVISORS
VANCOUVER, WA 98661 P 0 BOX 28270
SANTA ANA, CA 92709
PHONE: 360-693-9906 PHONE: 310-469-1258
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/17/2020 $77.99
12%State Surcharge-Building 07/17/2020 $9.36
Type of Use: COM Plan Review-Fire Life Safety-COM 07/17/2020 $31.20
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 07/17/2020 $2.00
Occupancy Grp: B Height: 65 ft 11x17)
Stories: 4 Info Process/Archiving-Sm$0.50(up to 07/17/2020 $3.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $123.55
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,500.00
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 503.232 87 or 1.8 0.33 2344.
Issued By: — Permittee Signature: C _ 1
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 FOR OFFICE USE ONLY
City of Tigard �������® Received ryn'
° 13125 SW Hall Blvd.,Tigard,OR 97223 J U N 11 2020 Plan Renew/�/ ` ,il Permit Now j�L Zd���7
I -. Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 7...J Q ' Tl� OtherPermit.
TIGAAD Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: / ;mds ® See Page 2 for
4.Internet: www.tigard-or.gov BUILDING DIVISION t��nfied/M ej� ` (�d: Supplemental Information
•
TYPE OF WORK �REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New cons action ❑ Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
X Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El (
1-and 2-family dwelling Commercial/industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I 3 2 2 i $W G rN pA gm W1l}V New dwelling area: square feet
City/State/ZIP: I i h A'-o/ !� Garage/carport area: square feet
Suite/bldg./apt.no.: 4(aa Project name:y 4ji-5l't c - riser 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: I 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.
�t'_�A i`�L 0 I a 5i 9g.1,./ L&z.S Valuation: $ (�SO, e
Existing building area: square feet ,
-�f New building area: square feet
E PROPERTY OWNER ❑ TENANT Number of stories:
Name: C e3 12..e. Type of construction:
Address: (3 O b 50, ! iW tV4 i . - 39x= Occupancy groups:
City/State/ZIP:epottfruti.,a ,cr- ?2D) Existing:
Phone:(4, ) 4c,, f (Z 54e Fax:( )
New:
A APPLICANT Aa CONTACT PERSON NOTICE
Business name: F Ifat,- SI/511s'h s WG5 r All contractors and subcontractors arc required to be
Contact name:JR L a wl /h j�co�/ licensed with the Oregon Construction Contractors Board
- under ORS 701 and may be required to be licensed in the
Address: Co 00 5e. mil RIT I me A-ve 4*len, jurisdiction in which work is being performed.If the
, �� I applicant is exempt from licensing,the following reasons
City/State/ZIP:
v/1N COUVGI_1 I�JIA qapply:
Phone:(360) .re 93 G90(... Fax: :( )
F.-mail:...ifi Nsp pefz-e 5 y 5-reor 5 wesr, cori
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name: F i fz Vt 5 Y5 fisr.r 5 LJIs S r Permit fee:
Address: &op 56 roil_IT( M g .094v5 0- 300
City/State/ZIP: Vf t vox 76c State surcharge(12%of permit fee):
r FLS plan review(40%of permit fee):
Phone:(3(,p )C f3 7 6c, :( ) (Due upon application submittal.)
CCB lic.:4 5 ? 3 2._ Total permit fees:
Amount received:
Authorized signature:
v7--+5•7--a'-- This permit application expires if a permit is not obtained
Print name3NbN S p,In yt 5 IJ Date: ‘,. Lt 1. Le, within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
IaBuildingiPermits\FPS-PermitApp_031016.doc 440-0613T(11/02/COM/WEB)
1
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: II Number of alarm devices:
115 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: le.a._oc.eiT6 Pak ,p6mo Pt it 5 P-1N Kt-4ms „o R 1 )
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type Wet ❑ Dry
Additional Standpipes 14�Q
Information: Sprinkler Supply Line ❑ Yes p No
Hazard Group L s,
Density b, O
Design Area ! .
K. Factor s',C 1C/ f /,Z K
Sprinkler Project Valuation: $ !57-s
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes f`�1/;%
include: Individual Component ❑ 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): $ I j 150,
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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