Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2012 -00132
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/22/2012
Parcel: 2S112AC01500
Jurisdiction: Tigard
Site address: 7319 SW KABLE LN 600
Project: Solestruck Subdivision: FANNO CREEK ACRE TRACTS Lot: 23, PT 2
Project Description: Add /relocate (24) sprinkler heads for TI
Contractor: DELTA FIRE INC Owner: PACIFIC REALTY ASSOCIATES
14795 SW 72ND AVE ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 620 -4020 PHONE: 503 -624 -6300
FAX: 503 -620 -1058
FEES
Description Date Amount
Specifics: Permit Fee - COM 08/06/2012 $112.96
12% State Surcharge - Building 08/06/2012 $13.56
Type of Use: COM Plan Review - Fire Life Safety - COM 08/06/2012 $45.18
Class of Work: ALT Type of Const: IIIB Info Process /Archiving - Lg $2.00 (over 08/22/2012 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process /Archiving - Sm $0.50 (up to 08/06/2012 $32.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: 0 Design Area: 0
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 $205.70
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $3,500.00
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, . ' wo 's suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility •tification Cente Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0r:0 You may obtain a copy of the rules
or dir ct questions to OUN b , g 503.232.1987 or 1.800.332.2344.
• � � / i L►
Iss ed By: / !/ ■ / Permittee Signature: v
•
Call 503.639.4175 by 7:00 a.m. for the next available ins pection 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.
I
Fire Protection System 1 %-� 47 0 1 '
Building Per mit App lication PJ `°° fi' t - F OR OFFICE USE ONLY
IIIII C of Tigard AUG 0 6 2 0 ZoateBy S to yf Permit No.: r F 5, (). • V(3}—
a 13125 SW Hall Blvd., T igard, O R 97223 . Plan Review ,
. ' �' ' f D�� OQ /D /
( ° .; ::; Phone: 503.639.4171 Fax: 503.598.1960 CM/ OF / I �,/� ` s . te/B : O a& - __ Other Permi t / 1
Inspection Line: 503.639.4175 e� �; o , e Ready ® See Page 2 for
T IGr1RD. g � g B0 � ;•.'tsliV �
Internet: www.ti or. ov � '� �� �- i r , t" 7 ''' 1 � d/Me Supplemental P2 f o r ormatlon
TYPE OF WORK SW- / REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ 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.
❑ 1- and 2- family dwelling ® CommerciaUindustrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7319 SW Kable Lane New dwelling area: square feet
City/State/ZIP: Tigard, Or 97224 Garage/carport area: square feet
Suite/bldg. /apt. no.: 600 Project name: OBP III - Solestruck T.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: I 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.
Argil( reloaa c - li i11VNlp r u,Q cb -Prr J Valuation: $$3,500.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Pactrust Type of construction:
Address: 15350 SW Sequoia Parkway #300 Occupancy groups:
City/State/ZIP: Portland, OR 97224 Existing:
Phone: (503)624 -7787 Fax: ( ) New:
® APPLICANT ® CONTACT PERSON NOTICE
Business name: Delta Fire, Inc. All contractors and subcontractors are required to be
Contact name: Heidi Scarbrough licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 14795 SW 72od Ave. jurisdiction in which work is being performed. If the
City/State/ZIP: Portland, Or 97224 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 620 -4020 I Fax: : (503) 620 -1058
E -mail: heidis @deltafire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name: Delta Fire, Inc. (Please refer to fee schedule)
Permit fee:
Address: 14795 SW 72' Ave.
City/State/ZIP: Portland, OR 97224 State surcharge (8% of permit fee):
FLS plan review (40% of permit fee):
Phone: (503) 620 -4020 I Fax: (503) 620 -1058 (Due upon application.)
JCB lic.: 64174 Total permit fees:
Authorized signature:
hix -i, Amount received: � This permit application expires if a permit is not obtained
Print name: Heidi Scarbrough Date: 8 -6-12 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri -County Building Industry
Service Board.
l:\Building\Permits \FPS- PnmitApp.doc 03/23/06 440- 4613T(I I /OJCOM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe w ork to 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: 24
Additional description of work
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
(0 Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ 3,500.00
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calcillarions ❑ 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 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
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 (8% 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
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
I:\Build'wg\Pamits \FPS- PemitApp.doc 03/23/06 440-4613T(II /02/COM/WEB)
D E amp 14795 S W. 72nd AVENUE
P oH3-620-4020
4 LETTER OF TRANSMITTAL
FIRE, INC . �A 0 1 6 7 2 4 0 °58
DATE 8/6/2012 IJOB NO. 12 -4986
ATTENTION: BUILDING DEPARTMENT
RE: OBP III SoleStruck
TO: City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223
VIA: Heidi Scarbrough
COPIES I NUMBER I DESCRIPTION
3 Sheet 1 -I of 1 Architect Approved Drawing
3 Pg 1 -54 of 54 Architect Approved Data Submittal
1 Pg 1 -1 of 1 Permit Application
1 Each Check Totaling $203.70 For Permit Fees
THESE ARE TRANSMITTED as checked below:
X For Approval For Review and Comment n
For Your Use _ Approved
X As Requested Submit copies for distribution
REMARKS:
REPLY REQUIRED: DYES LINO BY DATE:
BY: Craig Spicer /Heidi Scarbrough