Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2021-00091
TIC:A It D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/16/2021
Parcel: 2S112DD01400
Jurisdiction: Tigard
Site address: 15686 SW SEQUOIA PKWY
Project: Courtyard by Marriott Subdivision: PACIFIC CORPORATE CENTER Lot: 5
Project Description: Fire Sprinkler permit-add,relocate and remove sprinklers to accommodate for remodel.Remove and reinstall
piping for new roof trusses
Contractor: PATRIOT FIRE PROTECTION INC Owner: PACIFIC REALTY ASSOCIATES LP
4708 NE MINNEHAHA ST PO BOX 58990
VANCOUVER, WA 98661 SEATTLE, WA 98138
PHONE: 360-699-4403 PHONE:
FAX: 360-699-4485
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/16/2021 $328.16
12%State Surcharge-Building 08/16/2021 $39.38
Type of Use: COM Plan Review-Fire Life Safety-COM 08/16/2021 $131.26
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 08/16/2021 $2.00
Occupancy Grp: E Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 08/16/2021 $28.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: LT
Density: 0.1 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 $528.80
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $23,900.00
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
/0„.‘4,47
Issued By: Permittee Signature: -(' //e,
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 ApplicationRECEIVE1_ r�iz
Fire Protection System 2 t FOR OFFICE USE ONLY
City of Tigard JUL MA Received sj� pe mit No. f r
g Date/Dy:Or /O' f-°,2I "-4 LCJ��'" 1
13125 SW Hall Blvd.,Tigard,OR 97223 ITY OF TIGARU Plan Revie / ^^ Other Pe ( y�
Phone: 503.718.2439 Fax: 503.598.l9 Date/By: w?'< -OL ��-(./v�'&L
1-IGARt7 Inspection Line: 503.639.4175 3UILDINGV�/SIO1si D...attttee Ready, y: . Jurysr J ® See Paget for
Internet: www.ligard-ocgov DIVI " ymy ied/Method:� / / / ( I Supplemental Information
/06'.
TYPE OF WORK 6/ REQUIRED DATA: 1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Pe fees*are based on the value of the work perfo/04
Indicate e value(rounded to the nearest dollar)o all
®Addition/alteration/replacement D Other: equipment, 1 aterials,labor,overhead,and the 1'ifit for the
CATEGORY OF CONSTRUCTION work indicate. on this application.
El1-and 2-family dwelling M Commercial/industrial Valuation: S
❑Accessory building El Multi-familyNumber of bedroom:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15686 SW Sequoia Pkwy New dwelling are.- quare feet
City/State/ZIP: Tigard, OR 97224 Garage/cargo,area: squi,a feet
Suite/bldg./apt.no.: Project name:Courtyard Marriott Renovation Covered ..rch area: square
Cross street/directions to job site: SW Upper Boones Ferry Road De area: square feet
ether structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit tees*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.
Valuation: $ 23, 900
add, relocate & delete sprinklers to accommodate
remodel. Romove & re-install piping for new roof trusses Existing building area: same square feet
New building area: same square feet
PROPERTY OWNER ❑ TENANT Number of stories: 4
Name: Pactrust Type of construction: 5B
Address: 15350 SW Sequoia Pkwy, suite 300
Occupancy groups:
City/State/Z1P: Portland, OR 97224 Existing: A-3, R-1
Phone:(503 ) 624 6300 Fax:( ) New: A-3, R-1
APPLICANT 0 CONTACT PERSON NOTICE
Business name: Patriot Fire Protection, Inc All contractors and subcontractors are required to be
Contact name: Ted Baker licensed with the Oregon Construction Contractors Board
4708 NE Minnehaha Street 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: Vancouver, WA 98661 applicant is exempt from licensing,the following reasons
apply:
Phone:( 360) 699 4403 Fax: :(360 ) 699 4485
E-mail: ted.baker@patriotf ire.coin
CONTRACTOR BUILDING PERMIT FEES*
Business name: same as above (Pre refer w fee schedule
Permit fee:
Address:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
.4 Phone:( ) Fax:( ) (Due upon application submittal)
CCB lie.: 70822 Total permit fees:
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name: Ted Baker Date: 7-2 9-21 within 180 days after it has been accepted as complete.
- - ------ -- * Fee methodology set by Tri-County Building Industry
Service Board.
I.\Building\Pemmits\PPS-PemiitApp_071514 dac 440-4613T(11/02/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: 92 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
Zi 11+ heads: Plan review required and ❑ 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
® Wet ® L)ry
Additional Standpipes no
Information: Hazard Group light
Density .10 (existing)
Design Area N/A
K. Factor 4.3 & 5.6
Sprinkler Project Valuation: $ 22,450
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations El Yes
include: Individual Component El 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: $
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