Permit q CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT
Permit#: FPS2022-00153
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2022
Parcel: 2S101 DA00104
Jurisdiction: Tigard
Site address: 13333 SW 68TH PKWY, STE#220
Project: TQL Expansion-Phase 2 Subdivision: VARNS ACRES Lot: 9
Project Description: Fire sprinkler permit for TI:Adding and relocating (36)sprinkler heads.
Contractor: FIRE SYSTEMS WEST INC Owner: TRIANGLE POINTE TWO LLC
600 SE MARITIME AVE#300 901 NE GLISAN ST, STE 100
VANCOUVER, WA 98661 PORTLAND, OR 97232
PHONE: 360-693-9906 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/21/2022 $156.00
12%State Surcharge-Building 11/21/2022 $18.72
Type of Use: COM Plan Review-Fire Life Safety-COM 11/21/2022 $62.40
Class of Work: ALT Type of Const: Info Process/Archiving-Lg $2.00(over 11/21/2022 $2.00
Occupancy Grp: B Height: 55 ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 11/21/2022 $6.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: 0.1 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: No Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $245.12
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $7,560.00
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: ��fiz 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.
e
Building Permit Application
Fire Protection System FOR oFFICII I SI.Oil.A
City of Tigard Received
at Bea i( lip./- Permit No.: -p1 loll L, 3
•
13125 SW Hall Blvd.,Tigard,OR 97223 p l-'- Plan Review I/�
I Phone: 503.718.2439 Fax: 503.598.1960 J Date/By: I ' )7�2 Other Permit. 3r.40,9-0):1 G27/}'l,a
_I.1( , 111., Inspection Line: 503.639.4175 NOV Date Reedy/By: lures: ® See Page 2 for
Internet: www.tigard-or.gov 'fied/Method:�l� / Supplemental Information
TYPE OF WOR�1gf ICI Di {'� REQUIRED DATA:1-AND 2-FAMILY DWELLING
- 'f : :.
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
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
El 1-and 2-family dwelling ®Commercial/industrial
ElAccessory building El Multi-familyNumber of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:13333 SW 68Ta PK WAY New dwelling area: square feet
City/State/ZIP:TIGARD,OR Garage/carport area: square feet
Suite/bldg./apt.no.:220 Project name:TQL EXPANSION PH 2-TI Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
ce Please e e-
111-Y ;1- sf t]�- Other structure area: square feet
7k48.L(1. d7. J VIA REQUIREDDATA:COMMERCIAL-USE CHECKLIST
Subdivision: iLot 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.
ADDITION/RELOCATION OF SPRINKLER HEADS IN TENANT IMPROVEMENT Valuation: $57,560.00
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ® TENANT Number of stories:
Name:TQL Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax: ( ) New:
N YC¢
ViVii APPLICANT ❑ CONTACT PERSON NOTICE
Business name:FIRE SYSTEMS WEST 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.SUITE 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:brandonw@firesystemswest.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:FIRE SYSTEMS WEST
Permit fee:
Address:600 SE MARITIME AVE.SUITE 300
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.)
CCB lie.:49732 Total permit fees:
Authorized signature: t52d4,6eenLa�W�.G C /i Amount received:
This permit application expires if a permit is not obtained
Print name:BRANDON WHITTAKER Date: 10/17/2022 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:1BuildinglPermas/FPS-PermitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1-10 heads: No plan review required.
® Alteration ® 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 36
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes
Information: Hazard Group LIGIiT
Density ., ►d
Design Area /52.V
K. Factor 5.6k
Sprinkler Project Valuation: $ 7560.00
B.) Type I - Hood Fire Suppression System
Flood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
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): $
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°/n of permit fee): $
TOTAL: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
\\Adams\Special Project\Current Projects\1-11-2399 TQL-Expansion Phase 2\09_Perpit Information&Inspections\TQL PERMIT APP.doc Rev 01/05/2012