Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
v
COMMUNITY DEVELOPMENT Permit #: FPS2010 -00051
TIGRD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
IAA Date Issued: 05/20/2010
Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 500
Subdivision: TRIANGLE CORPORATE PARK Lot: 2
Project: University of Phoenix
Project Description: Move (11) sprinklers, add (5) sprinklers.
Owner: FEES
GK TRIANGLE CORPORATE PARK III L Description Date Amount
BB# 73- 1771- GK1130, CBRE, PO BOX 2096
Permit Fee COM 05/20/2010 $83.37
WARREN, MI 48090 12% State Surcharge - Building 05/20/2010 $10.00
PHONE: Plan Review - Fire Life Safety - COM 05/20/2010 $33.35
Contractor:
ELITE FIRE SYSTEMS
PO BOX 26
GLADSTONE, OR 97027
PHONE: 503 - 568 -6235
FAX: 503- 635 -4232
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: B Height: ft
Stories: 5
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $126.72
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 1700
Residential Square Footage: 0
Fire Alarm Valuation: 0
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 -0100. You may o• :in a copy of the rules
or direct questions to OUNC by calling 503.246... • • . . z
Issued By: � Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
Fire Protection System
Building Permit Applic i i " C 1 �, FOR OFFICE USE ONLY
City of Tigard B •••/ LP /
Date Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 MAY — 6 2010 Plan Review r � r� "r
/
Phone: 503.639.4171 Fax: 503.598.1960 n OF /� , i, � 6E \ DateB r Other Permit . 45 4 , �Or I /� I /
Inspection Line: 503.639.4175 CITY Of TIG k ! I ! �.L Date ReadyBy: a See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DIVISION 5 �t Supplemental Information
1 r i �N V .
} _ ..x '`v,.gF,,. -ten. T r r ;c r y , ., v 11 ,5, ''3 ts4 - „ Wif c:`°.y
"' x, 't'"` ate - TI,Y, tz £YL x a F z ' ' . y : ` a . r Q 1 p D2 FA`Mll DWDLlIN
�:.�Zi z, >.'.;.., ,<.. .- .t s,s;.r .._r. ,..,�K. 5555 ., ..cA... <a ,__ �,.._ , .�_ ,..... . � _15 ;515,_ U. �.. . ... I_. .. .r_ . : ..a �<m. 5551 .,,� .tzr 55: �._w... aL-?. , .. T .. ,.�. ., . , ,,
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
• Indicate the value (rounded to the nearest dollar) of all
til ditierrlalteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
. ri u � a - ;- F r r U :� 3 r -'V t T '. work indicated on this application.
- � " y '3 OATEGOI2 OF rC01±TS , . i „ y
�.... ..� ,.�. ..::sf. .,- .r ____� .. .. ........ ;;; ..,. a_,s.._..xt. _K rus,�.: +....<'�... a :..., a... .. ..
Valuation: $
❑ 1- and 2- family dwelling ❑ Commercial/industrial
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
`' r� 'f r JOB SITE MiiiiiMAZIO iAD i' OCA1 ION Total number of floors:
:' f• -5 L .a .f ..,...�.. v v�` x-; ... _,. r .,.., 7•,/ ._ .,�., _ ,.. :;rs- , a+}x:� ? <. 5515;?
Job site address: T`
�t $ w ca Pa New dwelling area: square feet
City/State/ZIP: ` t( t) t C. 2 Garage/carport area: square feet
Suite/bldg. /apt. no.: J Project name: UIdLV a 2Sl Tr OF. ec Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
c,.a fii cr k fA aze 2 �. ..
REQTJIRED» ,,C> OMMERCL UUSE CHJ CKI IST
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
r. fir D.ES O .„, , .. - , ,,,,, ; ,,, , ,,,,...e, r . < work indicated on this application.
„ , 7s.`,.^ �.� •..'c.a..?s , x. n, �?- � ., .,a.: �. ,. >. ..s-e' sY rac .. 5115._ .....c_... ,.. ',. , r. °.
Valuation: $ I 76 d
1%&0•1 C— k. S eat N i-r- -L ' ir?- S , r O 0 b /
Existing building area: square feet
New building area: square feet
'a by RUYERT'
OWNER s z _ ` ®TcEiANT . : , Number of stories:
x ,,_,_: " ,r,..,..1-.) .....xe__ . ... _ ._ . .:7 " :^.k. .F v 0,.,, . .tom„, , ...:tit..,. . .41
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
g
Phone: ( ) Fax: ( ) New:
:� • a ® APPLICANT ' • ; � COISTACT PERSON _ r . "at NOT
Business name: LL vi - a �;,, �2 f� s yS T i; d...t s All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:
� C t. izon. 0 a 1 •.►.it 2 t under ORS 701 and may be required to be licensed in the
Address: 1� v o X 2. ‘ jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: ,
C- L(. 5 j 0 1 � ( fi . 9 * 1 C) Z. apply:
Phone: (Go 3) S Eiea ' 6 z - s s Fax: : (S p 5) G 3 S 4 --3 Z
-
E -mail:
-- -. .
w � , x ... CON 'RAC ' ,4,. . i r t
Business name: I , ,
"' r . JA D I NG PERMIT US:.., . .
Address: S M t ✓
Please refer to fee schedule.
City/State /ZIP:
• Fees due upon application
Phone: ( ) Fax:( )
` � ���� .� // • Amount received
CCB lic.:
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 9,,.„,4 Z,3 R (K p ct32, Date: b - C 2010 * Fee methodology set by Tri County Building Industry
Service Board.
is\ Building \Permits\FPS- PermitApp.doc 12103 440- 4613T(11 /02/COM/WEB) / 4 `7).
Fire Protection Permit Check List
f R
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration yC 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: lC,
Additional description of work:
Type of Sys # e&(Co'nplete A,B, C or D`as applicable)'
4A) Commercial_Sprmkler..'Y_ _ .
Wet n Dry
Additional Standpipes
Information: Hazard Group Lt c
Density . t o
Design Area Ls-0o
K. Factor
Sprinkler Project Valuation: $ ' ,: op
`B )�T�ype �- �Hood.Fire Supp>•ess><on S�stem'� r _ : � . ;__ _ _ .. _ �.�., >...._._.. . s _
Hood Project Valuation: $
Submittal shall Battery Calculations n Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
,:D) R_ es�denhalaSpr�nkler = (Stand AIone Syste;m) , m „x � '` kK
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50 3
Sprinkler Project Square Footage: sq. ft.
Project Valuation Subtotal (A, B & C): $ 'i 00
Permit fee based on valuation (see attached chart): $ art_ . S Q
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $ • —
FLS Plan Review 40% of Peuuit Fee: $ Z 5 .
TOTAL: $ p 2 S�
Plan review requires a completed application and 3 sets of plans at submittal. Plan review
fees are required at submittal.
"New” fire protection systems require that plans bear the original seal of an Oregon
licensed fire suppression engineer, or NICET level "3" technicians.
i:\ Buildin 12/24/03