Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
<'• COMMUNITY DEVELOPMENT Permit#: FPS2020-00078
Date Issued: 8/14/2020
Tt GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 460
Project: Spec space Subdivision: None Lot: None
Project Description: Fire alarm. Relocating smoke detectors and horn strobes after remodel.
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 08/14/2020 $123.72
12%State Surcharge-Building 08/14/2020 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 08/14/2020 $49.49
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 08/14/2020 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 08/14/2020 $6.00
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 $198.06
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $4,232.00
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 952-001-0010through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to O C by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: g
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 Ri i,_*,3 FOR OFFICE USE ONLY
City of Tigard I, r, DR.ea
(��' 6�a-
13125SWHallBlvd.,Tigard,OR 97223 JuN t- c
• • ) L OZO
Plan Review
1 Phone: 503.718.2439 Fax: 503 598 1960 Date/By: i'�0 ^.c)„.Criii Permit p90.2c au1
Inspection Line: 503.639.4175 a q Date Ready/By: _aae. �'ee age 2 for —t
ri nRn (' tip' 1( i ' =i� y o I a
Internet: www.tigard-oY.gov - � � ` Notificd/Me[hod: S/7/�ff � Supplemental Information
iiter. _ I
4V .41La Li)cr]`1- i
TYPE OF WORK /:A C_..e.__ / � / REQUIREDDATA:1-AND2-FAMILY DWELLING
❑El New construction Demolition l t. j,r � �✓�',� /r - 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: ,6, equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling Commercial/industrial Valuation: $
ElAccessory building El Multi-familyNumber of bedrooms:
❑Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: L !z/ S4) 6,07, P S,_ lg1/ New dwelling area: square feet
City/State/ZIP:T C, AAA 0 2 1 4-'j223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: u(p J Covered porch area: square feet
Cross street/directions to job site: �1 Sd.�.r� , Deck area: square feet
�u..1 Cekro I'.aitu,, �s, A-r-"t2 Sat) + �J/7 Other structure area: square feet
/ REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
pp DESCRIPTION OF WORK work indicated on this application.
S La stel6 Ac i) - 5 �"J.ger Valuation:
X $ 4 Z.SZ.O.
U- .,1V.! 1 �#O�L ro _ Existing building area: square feet
1'G!� _ , --u C� r OP O �,et.Ii _ New building area: square feet
❑ PROPERTY OWNER ❑ TENASIT Number of stories:
Name: 465 Z 0 J t,Q Type of construction:
Address: FZ7 /SO?( - S7c, Occupancy groups: 3�
City/State/ZIP: /IsN rt� 4.00_a Gd•'1 9 Z?6,9 Existing:
X
Phone:( ) Fax:( ) New:
' ., <'
$• APPLICANT ❑ CONTACT PERSON NOTICE
Business name: J ../e-.0 S , 7 t ,15 DES v^ All contractors and subcontractors are required to be
Contact name: �.,may,, licensed with the Oregon Construction Contractors Board
id_L�Qu GV�f!�+w+� under ORS 701 and may be required to be licensed in the
Address: 660 S `Gt a vr-u=' 41 U[. jurisdiction in which work is being performed.If the
City/State/ZIP: Q E��' applicant is exempt from licensing,the following reasons
y V 4/-1 G()of ye t_ , I,,.14 t apply:
Phone:(346) Cfp7JT .. CI 'a Fax::( )
E-mail: fro t s S T2-„t S-LJQ S?'. c oi-
CONTRCTOR BUILDING PERMIT FEES*
Business name: SAo-yyta � g Ltd J ' (Please refer to fee schedule)
i1'.J Permit fee:
Address:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal.)
CCB lie.: ' `l / ? 32- 1 otal permit fees:
i /� Amount received:
Authorized signature: G�(�t/Jf-*V/v
This permit application expires if a permit is not obtained
Print name: Cj1J,(,4"--'' V es,, Date: 6 f-zc/Z,O within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building'Permits\FP$-PermitApp_031016.doc 440-4613T(1 IPo2/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
De$.41bc work to . ,
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
0 New system Number of sprinkler heads: Number of alarm devices: _4
Addition or El 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
1 LI 11+ heads: Plan review required and )216+ devices: Plan review requited and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type of System (Complete
'
Sprinkler Type 0 Wet 0 Dry
Additional Standpipes
Information: Sprinkler Supply Line Li Yes 0 No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
Hood Project Valuation: $
Submittal shall Battery Calculations 0 Yes
include: Individual Component LI Yes /4-t - 5140,f
A.) s
Cut Sheets
Fire Alatm Project Valuation: $ e)6
Square Footage Permit Fee: 7P,ktgaiRt7M11,4.Ki5015f-FMAT:#.17:
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.
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): $
FIS Plan Review(40%of permit fee): $
TOTAL: $
I:\ \Pcmlits\FPS PermitApp_031016.doc 2