Permit A
� ' � � CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
' '1 a " -. COMMUNITY DEVELOPMENT Permit #: FPS2012 -00168
TIGARD' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/06/2012
Parcel: 2S113AC00102
Jurisdiction: TIGARD
Site address: 7272 SW DURHAM RD, STE# 100
Project: Indio Spirits Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 25 -27,2:
Project Description: Adding (13) fire sprinkler heads ,
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:
FAX: 503 - 620 -1058
FEES
Description Date Amount
Specifics: Permit Fee - COM 11/06/2012 $177.52
12% State Surcharge - Building 11/06/2012 $21.30
Type of Use:. COM Plan Review - Fire Life Safety - COM 10/30/2012 $71.01
' Class of Work: ALT Type of Const: IIB Info Process /Archiving - Lg $2.00 (over 11/06/2012 $2.00
• Occupancy Grp: S -1 Height: ft 11x17)
Stories: 1 Info Process /Archiving - Sm $0.50 (up to 11/06/2012 $8.00
.." 11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: ORD1
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 $279.83
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $9,920.00
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 • ' - . _ -nter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -00.0. You may obtain a cony of e rules
or d' -ct questions to O , C b elfin! 503.232.1987 or 1.800.332.2344. /
I - sued By: 1 , / ∎ l i , Permittee Signature: X L r4
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.
Building Permit Application
r Fire Protection System RECEIVED. FOR OFFICE USE ONLY
City of Tigard Received
g d / I Permit No.. F�'s•40i�...4049
" D ate/Bv
13125 SW Hall Blvd., Tigard, OR 97223 OCT 3 0 2012 _ Y
' . Phone: 503.639.4171 Fax: 503.598.1960 Da e/By�e�� ik, Timm Other Permit: .. Padvael . / ■ 6
TI G A R D Inspection Line: 503.639.4175 �� 1 IIJ T Date Ready : y: �r1A 6I1 - See Page 2 for
Internet: www.tigard or.gov 'y y � Notified/Method: / /// /„L- IP', Supplemental Information
��IL s.,00 /zo- / ,,d/ie
•
TYPE OF WORK . REQUIRED DATA: 1- AND 2- FAMILY DWELL
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
A 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 ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: a3 _ jl ,n(1 New dwelling area: square feet
City /State /ZIP: i � k 1 RI 1 Garage /carport area: square feet
Suite Idg. /apt. no.: ICO I Project name: AC - rvJ,( ' , Covered porch area square feet
Cross street/directions to job site: TOG . 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 (romded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
At a ' t l DESCRIPTION OF WORK p work indicated on this application. /�7'�
Ac'1d l 1� I iliAler 1/v Valuation: ' 9 qaO, Vl
1 � I
"'t"V T T. Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name Type of construction:
Address:
Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( )
New:
A APPLICANT ❑ CONTACT PERSON
� NOTICE .
Business name:Del-I a r 1 r e. , All contractors and subcontractors are required to be
Arbm, licensed with the Oregon Construction Contractors Board
Contact name:
k e'1� "' under ORS 701 and may be required to be Icensed in the
Address: 11_1715 :„) "7a A , jurisdiction in which work is being performed. If the
City/State /ZIP: r 4afd o quail applicant is exempt from licensing, the following reasons
/ (� , ! �,{j� / �/� /� apply:
Phone: ��� 09 - Fax: : ( . 3 ((ICJ 0 ^ 'l J 66 het E-mail: lP.l-1 lre. Corn
/ CONTRACTOR BUILDING PERMIT FEES*
Business name ,D r ife t Tj(_ (Please refer to fee schedule)
Address:
`-1795 5 7 � /
Permit fee:
� `,�� ^ O �/� n . State surcharge (12 %ofpermit fee):
City /State /ZIP: Lu (x0`
FLS plan review (40 %ofpermit fee):
Phone: (5C5 00 - 404,) Fax: ( • Co tt v v } — 166 ( Due upon application.)
CCB lic.: �r 17 / / Total permit fees:
Authorized signature: i i / ' / Amount received: n �Q�
...� iw /il/ This permit application expires if a permit is not obtained
Print name: ' r��j` • �,- O . d within 180 days after it has been accepted as complete. • Fee methodology, set by Tri - County Bu ilding Industry
Service Board.
I1 Budding \Permits /FPS- PermitApp.doc 03/23/06 440- 4613T(11 /02 /COMJWEB)
J r. 4r
• City of Tigard; Fire Protection Permit Che ° ''
* Page'2 - Supplemental Information* "' • :x'
Describe work to b'e'done:
- t) - New 2.) Modification tb sprinkler heads only:
7,4 Addition 1 -10 heads: No plan review required.
4 2 Alteration 11+ heads: Plan review required.
- ❑ Repair
Number of sprinkler heads: 13
Additional description of work'
•
- -
Type of System (Complete A, B, ..0 or D as .
A.) Commercial Sprinkler -
Wet ❑ Dry
Additional Standpipes A) pis
Information: Hazard Group 't'('(tj-
Density
Design Area I 50C)
K. Factor 5. 69
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System -
Hood Project Valuation: I $ NPN
•
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 $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: /V 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.
"Nevi" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
I: \ Building \ Permits \ FPS-PermitApp.doc 2
J E L 14795 S.W. 72nd AVENUE
PORTLAND, OR 97224 LETTER OF TRANSMITTAL
HONE FIRE, INC. CCB# 64 620 -4020
C RED
OCT 3 0 2012 DATE 10/29/2012 IJOB NO. 10 -5049
ATTENTION: Building Department
CITY CFT RE: Pactrust Business Center - Indio Spirtis, Inc.
TO: City of Tigard BUILDING DIVISION
13125 SW Hall Blvd
Tigard, OR 97223
VIA: Delivery By Heidi
COPIES I NUMBER I DESCRIPTION
3 Sheet I -I of I Architect Approved Drawings
3 Pg 1 -45 of 45 Architect Approved Data Submital
1 Pg 1 -1 of 1 Permit Application
I Each Check Totaling $11 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: OYES LINO BY DATE:
BY: Heidi Scarbrough /James Callaham