Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
111 a • • COMMUNITY DEVELOPMENT Permit#: FPS201300074
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/12/2013
Parcel: 1 S 135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 570
Project: Houser & Allison Subdivision: ASHBROOK FARM Lot: PTS 5 &
Project Description: Installing (8) sprinkler heads for TI.
Contractor: WESTERN STATES FIRE PROTECTION Owner: SUN LIFE ASSURANCE CO OF CANADA
13896 FIR ST STE B BY NORRIS BEGGS & SIMPSON
OREGON CITY, OR 97045 121 SW MORRISON ST #200
PORTLAND, OR 97204
PHONE: 503 - 657 -5155 PHONE:
FAX: 503 - 657 -5182
FEES
Description Date Amount
Specifics: Permit Fee - COM 06/12/2013 $102.20
12% State Surcharge - Building 06/12/2013 $12.26
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: LT
Density: .10 Design Area: 900
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 $114.46
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $2,470.00
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 OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
�--` �� G _ , -
0i
Call 575 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.
•
To: Pep. 5 of 6 2013-06-10 10:30:04 POT 15036575182 From: Wan Jy Bateman
Building Permit Application . •. - _
Fire Protection S y s t e m. . . . . .. . • .p,\� FOR USE ONLY
City of Tigard 1 � c 1��Q r •cnnit �/ 1 Ii
13125 SW Hall Blvd., Tigard, OR 972 `` 7 Plan Review /,,
9 Phone: 503.718.2439 Fax: 503.598.1960 , r� •
Date'° : Other Permit:
T 1 G A R 17 Inspection Line: 503.639.4175 � parr tteadyit3y: ® ®Sec Page 2 for
Internet: www.tigard or.gov Notified /Method: !�� "� Supplemental Information
TYPE OF WORK 41 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: 9600 SW Oak Street New dwelling area: square feet
City /State /ZIP: Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: 570 Project name: PlasmAtifiecgiztite440 Covered porch area: • square feet
Cross street/directions to job site: ls 2 i 4 SOtJ 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.
•
Fax 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.
Install 8 new QR recessed sprinklers for new tenant. Valuation: $$2,470.00
Existing building area: 17250 square feet
New building area: 0 square feet
®! PROP RT1 ' OV1"N , 'ER
, ,,� . _ '�=," ❑�. TDNAN`I'�; �� Number of stories: 5
Name: Norris, Beggs, & Simpson • Type of construction:
Address: 121 SW Morrison Street, Suite 200 Occupancy groups:
City /State/ZIP: Portland, Oregon 97204 Existing:
Phone: (503)626 -0893 Fax: (503)626 -7942 New:
®,APPLIC1N7 -, ,p C ONTACT PERSON
Business name: Western States Fire Protection Company All contractors and subcontractors are required to be
Contact name: Steve Jones licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 13896 Fir Street, Suite B jurisdiction in which work is being performed. If the
City.'State/LIP: Oregon City, OR 97045 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 657 -5155 Fax: : (503) 657-5182 •
E -mail: steve.jones@wsfp.us
..
.. .... CTOR . , - - _.
ONTRA , . , -;.,c. �� ,,
':,C BUILDING PERMIT FEESk •' .
Business name: Western States Fire Protection Company [PleasrrdlrrlorrrsrNrdalr)
. Permit fee: / Opt, a ,)
Address: 13896 Fir Street, Suite B -
City/State /ZIP: Oregon City, OR 97045 State surcharge (12% of permit fee): /04
FLS plan review (40% of pennit fee):
Phone: (503) 657 -5155 Fax: (503) 657 -5182 (Due upon application.) / —
CCB lic.: 104570 i Total permit fees: 0 / / N. 2'((p
Authorized signature: Amount received:
This permit application expires if a permit is not obtained _ -
Print name: Steve Jones Date: 6/10/2013 within 180 days after it has been accepted as complete.
• Fee methodology set by Tri- County Building Industry
Service Board.
I. , BuildingiPermuswPS •PermilApp.doc Rev 0105.2012 440 -46137(11 r02,'COM'WCB)
To: Papa 6 of 6 2013 -06 -10 10:30:04 PQT 15036575182 From: WanOy Bateman
•
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Deseribe 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: 8 •
Additional description of work: -
• Type of System (Complete A B C or D as applicable):
A.) Commercial Sprinkler •
® Wet ❑ Dry
- Additional Standpipes 2
• Information: - Hazard Group Light
Density 0.10
Design Area 900 sq. ft.
K. Factor _ 54
Sprinkler Project Valuation: $ 2,470.00
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) Ressdentlal Spnnkler (Sta Alone. S} stem) ;
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 three (3) sets of plans at submittal.
Plan review fees are required at submittal.
C:\ isers \stones \Documents \FORS \2013 \IS3469 Plan West Suite 570\ Il'S•1'ermitApecloc Rev 01/05/2012