Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
12 . •- COMMUNITY DEVELOPMENT Permit #: FPS2013 -00053
Date Issued: 05/23/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 2S101 DC04500
Jurisdiction: Tigard
Site address: 7555 SW TECH CENTER DR A
Project: LaCie, LTD Tenant Improvement Subdivision: TECH CENTER BUSINESS PARK Lot: 1
Project Description: Add and relocate sprinklers for new walls and ceilings
Contractor: PATRIOT FIRE PROTECTION INC Owner: SUMMIT PROPERTIES INC
4708 NE MINNEHAHA ST 5550 SW MACADAM BLVD STE 205
VANCOUVER, WA 98661 PORTLAND, OR 97201
PHONE: 360- 699 -4403 PHONE:
FAX: 360- 699 -4485
FEES
Description Date Amount
Specifics: Permit Fee - COM 04/25/2013 $199.04
12% State Surcharge - Building 04 /25/2013 $23.88
Type of Use: COM Plan Review - Fire Life Safety - COM 04/25/2013 $79.62
Class of Work: ALT Type of Const: IIIB Info Process /Archiving - Lg $2.00 (over 04/25/2013 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process /Archiving - Sm $0.50 (up to 04/25/2013 $7.00
11x17)
Misc Administration Fee 05/23/2013 $5.00
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 $316.54
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $12,000.00
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, 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 NC by calling 503.232.1987 or 1.800.332.2344. /
Issued By: / Permittee Signature: O �- n e� 77� _ ���V // /
Call 503.639.4175 by 7:00 a.m. for the next available inspection /" ndate.
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 RECEIVED FOR OFFICE USE ONLY
City of Tigard
Received ,� ' fit!
Date /B y: Pennit N o.: r
Fr P.3 r3 - [ c -3
Tigard, Plan 3125 SW Hall Blvd., Ti , OR 97 AVR 2 4 2013 y
g Review
I -
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ' Z2. ( -4 Other Permit: 6u PAV 5- G' 5
TIGARD Inspection Line: 503.639.4175 Date Ready 3uris: 0 See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method /a - ) � ca Supplemental Information
BUILDING DIVISION i/'M & ib
TYPE OF WORK 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 ® 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: 7555 SW Tech Center Drive New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: La Cie Covered porch area: square feet
Cross street/directions to job site: SW 72 " Ave 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.
add and relocate sprinklers for new walls and ceilings Valuation: $12,000.00
Existing building area: same square feet
New building area: same square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: LaCie Type of construction: metal studs
Address: 7555 SW Tech Center Drive Occupancy groups:
City /State /ZIP: Tigard, OR 97232 Existing: same (office)
Phone: ( ) Fax: ( ) New: same
® APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: Patriot Fire Protection, Inc All contractors and subcontractors are required to be
Contact name: Ted Baker licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4708 NE Minnehaha Street jurisdiction in which work is being performed. If the
City /State /ZIP: Vancouver, WA 98661 applicant is exempt from licensing, the following reasons
apply:
Phone: (360) 699 4403 Fax: : (360) 699 4403
E - mail: ted.baker @patriotfire.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: same as above
Permit fee:
Address:
State surcharge (12% of permit fee):
City /State /ZIP: FLS plan review (40% of permit fee):
Phone: ( ) Fax: ( ) (Due upon application.)
CCB lie.: 70822 Total permit fees:
Authorized signature: -► Amount received:
This permit application expires if a permit is not obtained
Print name: Ted Baker Date: 4 -23 -13 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
\Building \Permits \FPS- PermitApp doc 02/01/11 440- 4613T(I I /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:
❑ Addition ❑ 1 -10 heads: No plan review required.
® Alteration ® 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 16
Additional description of work:
Type of System (Complete A, B, C or D as ap I licable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes no
Information: Hazard Group light
Density .1
Design Area 225 & 400
K. Factor 5.6 &11.2
Sprinkler Project Valuation: $ 12,000
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
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 $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.
C: \Documents and Settings \ted.bakcr \ Desktop \W11,1. SUM VITAL \ Tigard 'I I Affidat'i1 see page 2.doc 02/01/11
REC EIVED
APR 24 2013
B ILDING
SION
TRANSMITTAL
DATE:4- ' -23 -13
To : City of Tigard Building Dept.
13125 SW Hall Blvd
Tigard, OR 97223
Att: Plans examiner
From: Ted Baker
re: LaCie T.I. fire sprinkler submittal
Enclosed you will find (3) sprinkler cut sheets, (3) FP1 fire sprinkler TI plan, (1)
permit application and (1) permit check in the amount of $xx.00. (12,000 valuation)
Please feel free to call with any question.
Thank you,
Ted Baker
OR CCB 70822
WA PATRIFP099CF
R ATRIOT TED BAKER - SERVICE PROJECT MANAGER
FIRE PROTECTION INC. D 360.816.8714 I C 360.831.5850 I TED.BAKER
4708 NE MINNEHAHA STREET 1 VANCOUVER, WA 98661 1 P 360.699.4403 1 F 360.699.4485