Permit p CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
= • COMMUNITY DEVELOPMENT Permit#: FPS2021-00139
Date Issued: 12/21/2021
T F G A RD 13125 SW Hat Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 101 DA00100
Jurisdiction: Tigard
Site address: 13010 SW 68TH PKWY 100
Project: Triangle Corporate Park Subdivision: VARNS ACRES Lot: 9
Project Description: Installation of new fire panel due to failing panel in building 1.
Contractor: FIRE PROTECTION SERVICES Owner: PACIFIC NW PROPERTIES LIMITED PARTNERSI
9950 SW ARCTIC DRIVE STERN FAMILY LIMITED PARTNERSHIP
BEAVERTON, OR 97005 STERN FAMILY LLC
6600 SW 105TH AVE#175
BEAVERTON, OR 97008
PHONE: 503-590-3732 PHONE:
FAX: 503-628-6214
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/20/2021 $112.96
12%State Surcharge-Building 12/20/2021 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 12/20/2021 $45.18
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 12/20/2021 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 12/20/2021 $12.50
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:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $186.20
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $3,800.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: H Vo- De,Wegr✓ Permittee Signature: �w A
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applicatidn3 E C E IVE D 1� '`$- l t 1 2 I
Fire Protection System NOV 1 5 2021 FOIL oFFIC. 1 '-.1 i r\1 ,,
Received a/ a �z/ '!r Permit No.:/—/"V2O2/Z.CI/ 9
City of Tigard 2gITy OF TIGARD Os"'B"
Iii 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review
s' Phone: 503.718.2439 Fax: 503.59t►DING DIVISION Date/By. J"t+ a I other Permit
1 I i ,, Inspection Line: 503.639.4175 Date Ready/By: II ! r See Page 2 for
Internet: www.tigard-or.gov off rod' �� /� Supplemeotalluformanon
Permit fees'are based on the value of the work performed.
pg New construction ❑Demolition
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteratiordreplaeetnent 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
Valuation: $
❑1-and 2-family dwelling ®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other Number o bathrooms:
Total number of floors:
Job site address: t,'j 0V) `;yv, (o$"1 i-u7yJ CI) New dwelling area: square feet
City/StateJZIP: ----S, ,,�,,.r)„ 4 O(Z ""(a y3 C\ Garage/carport area: square feet
Suite/bldg./apt.no.: ,,,,:,e. aIlici I Project name: C.4\,.t� C,\-hv,-ft Jki Covered porch area: square feet
Cross street/directions to job site/ Deck area: square feet
w - Ave - —_ -- --- Other structure area: square feet
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
work indicated on this application.
tt ( Valuation: $ t ,"
j- ,,,1 Fll c,j' i,,, 0t,. 0-n.") l\., c).'-'nf j l-o cc�plfil_? ..,1;1
Existing building area: square feet
New building area: square feet
Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
Business name: 'a',r t t r c 1 f c tt',c n . r r J,t e, :o ti,, All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: O"a",J., cp r . 1 Y,, under ORS 701 and may be required to be licensed in the
Address: if Cr...;) S .4 a)-c 0,, jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: 3r.„ve,-c-c, 0R c't 7-"ir apply:
/
Phone:(CO ) rj 90 - 37 3 1 Fax::( )
E-mail: F;r`e- 2-1 i,)-." . YwM'c L,Lr".
Business name:Fir?... -Rt.- E-t6... c,,, ..se,-'v,r e4 ',,,,U, Permit fee:
Address:ri%S C :„; ,4-,-, f:c Ot-. a
State surcharge(12%of permit fee):
City/State/ZIP: 13r-,,.v(,.c-i : OR t'Nc,-' - • FLS plan review(40%of permit fee):
Phone:(3V3 ) 'J 'Ay- 3 7.- ( Fax:( .) (Due upon application subnittaL)_
CCB lie: $1 ; ; Total permit fees:
Amount received:
Autlwriz signature:
This permit application expires if a permit is not obtained
1 Print name: d Date: within 180 days after it has been accepted as complete.
</ 1. .�� ,, I 6 1��/xl I • Fee methodology set by Tri-County Building Industry
Service Board.
1.1Hvddma•➢,,om'FPS-Panto App_O310I6.dor 440.4613T(1 INl/COM/WE"a)
•
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
••
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�,� r�r �� ° •�h a.ns�eexlc Z.SvYa.L. ? t. ,. »k t� ri.R 1„..,S�i .5,�. , r. i{h�b, ,'• 3..�4 e�_ c4^� a' • ',4`
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 ' ❑ 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 p work: _
Sprinkler Type ■ Wet 0 Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes [j No
Hazard Group
Density
Design Area
K.Factor
Sprinkler Project Valuation: $
Hood Project Valuation: $
Submittal shall Battery Calculations Yes
include: Individual Component V Yes
Cut Sheets
Fire Alarm Project Valuation: $
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,
Project valuation subtotal(see A,B&C above): $
• , Permit fee based-on project valuation(sec fee schedule): $
Permit fee based on square footage(see D above): $ J
State Surcharge(12%of permit fee): $
FLS Plan Review(40%of permit fee): $
TOTAL: $
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