Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2021-00079
Date Issued: 8/5/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 400
Project: Spec Space Subdivision: None Lot: None
Project Description: Fire sprinkler permit:Relocating(4)sprinkler heads.
Contractor: FIRE SYSTEMS WEST INC Owner: GK TRIANGLE CORPORATE PARK III LLC
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:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/04/2021 $102.20
12%State Surcharge-Building 08/04/2021 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 08/04/2021 $40.88
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 08/04/2021 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 0
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Caics Provided: Cut Sheets Required:
Total $155.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,728.00
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: ON i96/ L4-7-4CJ Ac
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.
N
1111 City of Tigard Permit No.: , ✓.lbii. 600 71
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Date Received: lAii. )
- Inspection Line: 503.639.4175
T i G A k I) Internet: www.tigard-or.gov By: C, pi 7-. ..,,,,,,4
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS /1 _,
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: TRIANGLE III STE 400 TI Occupancy: B
Job Address: 13221 SW 68TH PARKWAY Type of Construction: 1-B
Suite: 400
Contractor: FIRE SYSTEMS WEST Phone: 360-693-9906
Number of Proposed or Altered Heads: 4
Type: WET Hazard: LIGHT Density: .10
1 FIRE SYSTEMS WEST Oregon Construction Contractors Board No. 49732
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers in a light-hazard occupancy.
b) Positions of sprinkler heads relative to architectural features such as soffits, beams, partitions,walls,etc.
complies with current adopted edition of NFPA 13.
c) The proposed work does not require hydraulic calculations.
d) Only one sprinkler head will be installed from one drop(exception: up to two heads from one drop may be
installed when each head is in a separate fire area).
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
f) Tenant improvements in a new building shall be equipped with Quick Response heads(see 2002 NFPA 13,
Section 8.3.3.1 for exceptions).
g) The installation shall comply with the requirements of the current adopted edition of NPFA 13.
h) Piping shall not be concealed until hangers and bracing are inspected.
i) Final approval shall be subject to onsite tests and inspections.
In addition, I understand the following is required:
• Submit(3)copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• A copy of this document with acoply of the sketch attached shall be available for all inspections.
2.
Signature: v � LQ 31127(�ti/� Date: 6/24/2021
Print Name: BRANDON WHITTAKER
I:\Building\Fonns\FireSprinklerAffidavit_071514.docx Page 1 of 1
G/aa_r
Building Permit Application _0
Fire Protection System FoR orrlcE I si:Oyl.)
City of Tigard RECEIVE i•Ee
ived f
7 G/ 01PermitNo.: ay
r 131SWHall BlvdTigard OR 97223w �fI/
i
Phone: 503.718.2439 Fax: 503.598.1960 �t 1 s p 5'
DateBy: iV/� Other Permit: t,flips �,`t d
T I G A R D Inspection Line: 503.639.4175 U C11G Date ReadyBy: / /'] /� _ Juns: See Page 2 for
ii'
Internet: www.tigard-or.gov Notified/Method: / !r1 s 771/11 Supplemental Information
CITY OF TIGARD 0 z f,,YA,levi _46, hr
TYPE OF W5 t= ILDING DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING
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 ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
t+. CATEGORY OF CONSTRU .
❑ 1-and 2-family dwelling NICommercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13221 SW 68TH PARKWAY New dwelling area: square feet
City/State/ZIP: TIGARD,OREGON 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: itcb Project name:TRIANGLE III STE 400 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
fJ REQUIRED DATA:COMMERCIAL-USE .
'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
DESCRIPTION OF WORK work indicated on this application.
FSW TO RELOCATE 11FADS'FO ACCOMMODATE REMODEL Valuation: $ 2728.00
Existing building area: 1909 square feet
New building area: 1909 square feet
p max!PERTY OWNER 0 TENANT Number of stories: 1
Name: CBRE Type of construction: I-B
Address:1420 5TH AVE STE 1700 Occupancy groups: B
City/State/ZIP:SEATTLE,WA 98101 B
Existing:
1 _ Phone:( 206 ) 292-6023 Fax:( ) New:
t
® APPLICANT ❑ CONTACT PERSON `
;. NOTICE.
Business name: FIRE SYSTEMS W F;ST All contractors and subcontractors are required to be
Contact name: BRANDON WHITTAKER licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:600 SE MARITIME AVE STE 300 jurisdiction in which work is being performed.If the
City/State/ZIP:VANCOUVER WA 98661 applicant is exempt from licensing,the following reasons
apply:
Phone:( 360 )693-9906 Fax: :( )
E-mail: BRANDONW4i'FIR[SYSTEMSWEST.COM
CONTRACTOR BUILDING PERMIT FEES*
Business name:
FIRE SYSTEMS WEST (Please refer to fee schedule
Address: 600 SE MARITIME AVE STE 300 Permit lee:
State surcharge(12%of permit fee):
City/State/ZIP: VANCOUVER WA 98661
FLS plan review(40%of permit fee):
Phone:( 360 )693-9906 Fax:( ) (Due upon application submittal)
CCB lie.: 49732 Total permit fees! /STT Pi
K�,_ 4 Amount received:
��,Authorized signature: (�(/
This permit application expires if a permit is not obtained
Print name: BRANDON WHITTAKER Date: 6/30/2021 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
Branden Taggart
From: #Building Permit Technicians
Sent: Tuesday, July 6, 2021 3:36 PM
To: 'BrandonW@firesystemswest.com'
Subject: FW: TRIANGLE III STE 400 FIRE SPRINKLER AFFIDAVIT: FPS2021-00079 - 13221 SW 68th
Pkwy Suite 400
Attachments: Permit application.pdf; Invoice.pdf
Hi Brandon,
This sprinkler permit is ready to issue now. The balance due is$155.84, and I have attached an invoice above for you to
reference. These fees can be paid online now at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for
the permit record number FPS2021-00079 under the Building tab. There is a 3%service fee for credit cards, but e-
checks do not have a service fee.
Once paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we may issue this
permit and make it available for pick up.
Thank you,
Branden Taggart
� q. City of Tigard
i m Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or,gov
From: Brandon Whittaker<BrandonW@firesystemswest.com>
Sent: Wednesday,June 30, 2021 9:56 AM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject:TRIANGLE III STE 400 FIRE SPRINKLER AFFIDAVIT
Warning!This message was sent from outside your organization and we are unable to verify the sender.
ATTN—Brandon,
Good morning brandon,
I have just received your voicemail you find the required application attached to this email. I was out of office Monday
and Tuesday the 28th and 29th sorry for the delay. If there is anything im missing or that is needed please don't hesitate
to contact me.
Thank you,
Brandon Whittaker
Fire Sprinker Designer
1
Fire Systems West, Inc.
600 SE Maritime Ave , Suite 300
Vancouver, WA 98661
T: 360-693-9906 I D: 360-314-3877
WACL#FIRESWI 140B1 I WAECL#FIRESWI 055LW i OR CCB#49732 I OR 37-655CLE
2