Permit w q CITY OF TIGARD r FIRE PROTECTION SYSTEM PERMIT 111 C. COMMUNITY DEVELOPMENT . Permit #: FPS2011 -00026
!! �� D ate Issued:
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S113AB00600
Jurisdiction: TIGARD
Site address: 16160 SW UPPER BOONES FERRY RD
Project: Dow Agrosciences Subdivision: PACTRUST BUSINESS CENTER Lot: 0
Project Description: Adding and relocating (27) sprinklers for TI. 3/11/11, reprinted to correct street name from 72nd Ave.
Contractor: FIRESTOP CO Owner: PACIFIC REALTY ASSOCIATES
3203 NE 65TH ST. #2 15350 SW SEQUOIA PKWY #300
VANCOUVER, WA 98663 PORTLAND, OR 97224
PHONE: 360 - 718 -8604 PHONE: 503 -624 -6300
FAX: 360 - 718 -8603
FEES i
Description Date Amount
Specifics: Permit Fee - COM 03/03/2011 $355.04
12% State Surcharge - Building 03/03/2011 $42.60
Type of Use: Plan Review - Fire Life Safety - COM 03/03/2011 $142.02
Class of Work: Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: Design Area:
K Factor:
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Gales Provided: Cut Sheets Required:
Total $539.66
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation:
Residential Square Footage:
Fire Alarm Valuation:
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 que • ns to NC b calling 503.232.1987 or 1.800.332.2344.
Issued B : / y J� - n J r Permittee Signatu A.1 r ...44 :j
�/.�C/ 7i(i5L1� t
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.
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
` • 2. COMMUNITY DEVELOPMENT Permit #: FPS2011 -00026
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/31/2011
Parcel: 2S113AB00600
Jurisdiction: TIGARD
Site address: 16160 SW UPPER BOONES FERRY RD
Project: Dow Agrosciences Subdivision: PACTRUST BUSINESS CENTER Lot: 0
Project Description: Adding and relocating (27) sprinklers for TI. 3/11/11, reprinted to correct street name from 72nd Ave.
Contractor: FIRESTOP CO Owner: PACIFIC REALTY ASSOCIATES
3203 NE 65TH ST. #2 15350 SW SEQUOIA PKWY #300
VANCOUVER, WA 98663 PORTLAND, OR 97224
PHONE: 360- 718 -8604 PHONE: 503 - 624 -6300
FAX: 360 - 718 -8603
FEES
Description Date Amount
Specifics: Permit Fee - COM 03/03/2011 $355.04
12% State Surcharge - Building 03/03/2011 $42.60
Type of Use: COM Plan Review - Fire Life Safety - COM 03/03/2011 $142.02
Class of Work: ALT Type of Const: IIIB Info Process /Archiving - Lg Sheet (over 03/31/2011 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process /Archiving - Sm Sheet (up to 03/31/2011 $22.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type:
Standpipe Required: No Hazard:
Density: .15 Design Area: 1260
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 $563.66
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $27,000.00
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 if • • k is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow - ules adopted by the Oregon
Utili Notification Ce ; . Th• e rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. ou ay obtain a copy of the rules
o direct questions to OUN. • cal i .03.232.1987 or 1.800.332.2344.
ssued By: k. k.
0
i/ / Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available ins. •n 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 61D FOR OFFICE USE ONLY
City of Tigard Re eiv
ill _ " 13125 SW Hall Blvd., Tigard, OR 97223 R 3 2 - � 1� FEERIZEI ,/
Plan Review omm
Phone: 503.639.4171 Fax: 503.598.1960 MA DateB : �..- , '' Other Permit: / ( p „ / ]a'
T l G A R D Inspection Line: 503.639.4175 ,TAGINRW , ate Ready/By: See Page 2 for
I www.tigard- or.gov OF 1' 1S1.11 llbti AF /�' Supplemental Information
TYPE OF WORIi REQUIRED DATA: 1- AND 2-FAMILY DWELLING
❑ New construction El Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
X . Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling Commercial /industrial Valuation: $
❑ Accessory building CI Multi-family Number of bedrooms:
1=1 Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: f 'd f 6 0 Sty V P e'= 60104€ S Ft( , 4.0A6- New dwelling area: square feet
City /State /ZIP: -17 C 4 p ) , OIL. L , 9 7 . Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: NO LV A6-iLos 64 ages i Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE 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
DESCRIPTION OF WORK work indicated on this application.
it-A1) p LV 6- lt b Go C it 7E pi/LE
,�1 11`� jNC Valuation: $ 2 . 7/ d O , Gb
l CCc 44 O � T E �N 4-,,TT (M f n At V eM €�7- Existing building area: y v ' square feet
New building area: square feet
X PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: f) l F t c ILEAt, T Y (PA ( ;n vs7) Type of construction: /'I _g
Address: 1 S3 5 0 .5141 S'�QUD'A f� - wY. Occupancy groups: 1
City /State /ZIP: porzT LA r' L) i (3 / , 9 7 L2 4- Existing: g r 44 g 1_8 cm AL
Phone: (56 3) 6 7 7e 7 Fax: ( 563) ‘ Z +—I 7 s S New: DE v, Wi sti p p d ncil
siif APPLICANT ❑ CONTACT PERSON NOTICE
Business name: p i /1.4 3 To p Gp , J L f. G All contractors and subcontractors are required to be
Contact name: g0 R �rfLC E N o /Z. /4T x
(C . 6,4 K licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 3 3 N 6-- 6 S h 5 ' S p , Z jurisdiction in which work is being performed. If the
City /State /ZIP: VA NGo t i V t 1 1 ” . 5 g 6 G 3 applicant is exempt from licensing, the following reasons
2l -719..... V� � p� apply:
Phone: ( 360 ) / g 6 O 4_ _ Fax: : ( !� jv0 . 1 f 18 - €4 6 a3
E -mail: by b i c' reek, ® ))-e s p C. cr, rr,
CONTRACTOR BUILDING PERMIT FEES*
,4 (Please refer to fee schedule)
SA name: � 4 , 4 6 A- S ,'T / s o V e- Permit fee:
Address:
State surcharge (12% of permit fee):
City /State /ZIP: FLS plan review (40% of permit fee):
Phone: ( ) Fax: ( ) (Due upon application.)
i CCB lie.: 1 g 3 27 l Total permit fees:
Authorized signature fl .,4 ten, Amount received:
T� LS29-1,. This permit application expires if a permit is not obtained
Print name: 1 a 7 A &- „ Date: 4 3 , /;/ ,' within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
i \ Building \Permits\FPS- PermitApp.doc 10/01/09 440- 3613T(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:
El Addition ❑ 1 -10 heads: No plan review required.
ig Alteration ❑ 11+ heads: Plan review required.
0 Repair
Number of sprinkler heads: 27
Additional description of work: A4 b Q� t E L o cA r c P LV G, //
S �='!— ►NAG i -S
As NC_SSA/1 -y P A T. 1r;
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Er Wet ❑ Dry
Additional Standpipes
Information: Hazard Group /-f .a s Lj & /i
Density / 5 , / p l
Design Area 5 o-z
K. Factor f(, 2.. 6
Sprinkler Project aluation: $ 2- 7, c ,. G2-
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations El 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% of permit fee): $
TOTAL: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
I: \Building \Permits \FPS- PemritApp.doc 10/01/09 2
FIRESTOP COMPANY,LLC
3203 NE 65 STREET, SPACE 2
VANCOUVER, WA. 98663
OFFICE: (360) 718 -8604
FAX: (360) 718 -8603
LETTER OF TRANSMITTAL
TO: CITY OF TIGARD
13125 SW HALL BLVD
TIGARD, OR. 97223
ATTN: DAN NELSON
RE: SUBMITTALS ON DOW AGROSCIENCES TI
BUILDING C
FROM: ROBERT GREEN DATE: 03/03/11
INCLUDES: 3 SETS OF SHOP DRAWINGS,
SPRINKLER HEAD CUT SHEETS, BUILDING
APPLICATION PERMIT, CHECK FOR $539.66 FOR
TOTAL OF ALL BLDG. DEPT. FEES
CC: FILE
X Urgent X For Review X Please Comment X Please Reply
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