Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2017-00175
Date Issued: 11/29/2017
r, p D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S113AB01400
Jurisdiction: Tigard
Site address: 7358 SW DURHAM RD
Project: Comm Subdivision: None Lot: None
Project Description: Fire sprinkler permit:Relocating(1)sprinkler head and replacing(18)sprinkler heads for TI.
Contractor: METRO SAFETY&FIRE INC Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 33650 ATTN: N PIVEN
PORTLAND, OR 97292 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-231-2999 PHONE:
FAX: 503-256-4691
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/29/2017 $134.48
12%State Surcharge-Building 11/29/2017 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 11/29/2017 $53.79
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Sm$0.50(up to 11/29/2017 $6.00
Occupancy Grp: B Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 3000
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 $210.41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $5,196.00
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
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: PermitteeSignature:
all 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 FOR OFFICE USE ONLY
City of Tigard G, p ,. Received y. w Date/By: 1/ /i I Permit No.: � )I coV�
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan RevieeR-
� Other Permit: f! } o f 2
Phone: 503.718.2439 Fax: 503.598.1960 1�,�, .}n r Date/By: �� �� t� .....4(.:7 ! w (.,�7"C�' !�a
T I GARD Inspection Line: 503.639.4175 N l `v1 8 ? 1 Date Ready/: . / Juris: See Page 2 for
Internet: www.tigard-or.gov Notified/Methd: 9l /9
7 ,c.
Supplemental Information
C.,00 ' � I / /
41\ , / Y OR issa k,,l,i 1 ,i i aigi 1i 1k4ii24 � II
//G:.,,
❑New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
VilLIIrrak ft , % ,;,7:; '..--,::;-,,,,,-v,,,
ii ��� � work indicated on this application.
1110111111-W , ' TE�� OF CLI �''nfi
1=I1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
% OB SITE INFO It1VIATIO' AND:LOCA oN 3 Total number of floors:
Job site address:7358 SW Durham RD New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:CVS Comm Covered porch area: square feet
Cross street/directions to job site:SW Upper Boones Ferry RD Deck area: square feet
Other structure area: square feet
.. i - r � \
QUIREI DA'I' ( 1 ! I
s RCIA ?'fiE CHECKLIST
Subdivision: Lot 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
DEC "I10 OE WORKS .. i �, ,, work indicated on this application.
We will be relocating 1 Sprinkler head due to light lay out. We will also Valuation: $5,196.00
change out 18 standard response sprinkler heads to quick response concealed Existing building area: square feet
sprinkler heads. New building area: square feet
®.PROPERTY OWNER ❑ TENANT Number of stories: I
Name:Pacific Realty Associates LP Type of construction: remodel
Address: 15350 SW Sequoia PKWY#300 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing:
Phone:( ) Fax:( )
..... ...,
: New:
F# 'PLIL L01TAw1EIOyr, . _ ,
iirc 1 .� . � Fl ,�,,`c�i. ,%/ \ \ ST E/ �
Business name:Metro Safety and Fire All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:Derek Langel under ORS 701 and may be required to be licensed in the
Address:PO box 33650 jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP:Portland,OR 97292 apply:
Phone:(503)231-2999 I Fax: :( )
E-mail:Derek@metrosafetyandfire.com
„
� •iI$ PE2MI 1( '''- .--„,c'W ' r r , '�kStii �es
Business name:Metro Safety and Fire Permit fee:
Address:PO box 33650 State surcharge(12%of permit fee):
City/State/ZIP:PO box 336502 (40%
�' FLS plan review of permit fee):
Phone:(503)231-2999 Fax:(503)256-4691 (Due upon application submittal.)
Total permit fees: ]
CCB lic.:63651
Amount received:
Authorized signature: D dp_ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Derek Langel Date:11/8/17 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuildingAPemits\FPS-PermitApp_0310 t 6.doc 440-4613T(11/02/COM/WEB)
` City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
u
PDeseri ,i F be d nes :,.1.0..'„:7.1.$1,70,1,'''''-f\ �
1.) Type of Work 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration onlyto alarm devices:
❑ New system Number of sprinkler heads: 18 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 work
41,91;%,,,,C)„,,, Byte , piete A
D as apph""Cele`}
A.) Cfl Tirol ial pnnkl�
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line .1 Yes ❑ No
Hazard Group
Density .10
Design Area 3000
K.Factor 5.6
Sprinkler Project Valuation: $ 5196.00
B.)"Z' ,pe I PP Y '
Hood"etre:Su re sio i S stele- ...... .,...,,
Hood Project Valuation: $
y
C-4p�e Alari1i
Submittal shahBattery Calculations ❑ Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
1pri ®"!,.*‘,11.7,, Cm) •'II1t%
� , _i, ✓Orris..< //
Square Footage: Permit Fee: j �
0 to 2 000 -7,4,„444:,
$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.
y\ \\ irk'. Prcite tt r„
k
Project valuation subtotal(see A,B &e Cc 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: $
2
Q\Users\Autospr nkMETROFIRE\Downloads\FPS_PemmitApp.doc