Permit n CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
lig 11. COMMUNITY DEVELOPMENT Permit #: FPS2013 -00099
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/31/2013
Parcel: 2S113AA00100
Jurisdiction: Tigard
Site address: 16350 SW 72ND AVE
Project: Safeguard Business Systems Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS A,B
Project Description: Fire sprinkler modifications to accomodate new racking. Approximately 114 heads.
Contractor: WESTERN STATES FIRE PROTECTION Owner: PACIFIC REALTY ASSOCIATES
13896 FIR ST STE B ATTN: N PIVEN
OREGON CITY, OR 97045 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 657 -5155 PHONE: 503 - 624 -6300
FAX: 503 - 657 -5182
FEES
Description Date Amount
Specifics: Permit Fee - COM 07/31/2013 $242.08
12% State Surcharge - Building 07/31/2013 $29.05
Type of Use: COM Plan Review - Fire Life Safety - COM 07/31/2013 $96.83
Class of Work: ALT Type of Const: IIIB Info Process /Archiving - Lg $2.00 (over 07/31/2013 $2.00
Occupancy Grp: S -1 Height: ft 11x17)
Stories: Info Process /Archiving - Sm $0.50 (up to 07/31/2013 $5.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard:
Density: .43 Design Area: 2000
K Factor: 11.2
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $374.96
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $15,500.00
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, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility N ' cation - - -r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dire questions to OU • b -fling 503.232.1987 or 1.800.332.2344.
Issu d By: , 00 ,i4 - Permittee Signature: V C f4 / , l . �JJ
- 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
Fire Protection System R FOR OFFICE USE ONLY
City of Tigard 'JUL 2 2 2013 Received
Date /B • Permit No.: ag e / .„,ii �� S
V 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie w
• Phone: 503.718.2439 Fax: 503.598.1960 Date /By: * / r V 7 • (� Other Permit: i P /„1 6( 17/
Inspection Line: 503.639.4175 CITY OF TIGARD Date Read /B Juris: ® See Page 2 for
TI GAI:I� pp ���� {�� n' /�
Internet: www.tigard- or.gov BUILDING DIVISIO Notified /Method: 7 / / • Supplemental Information
TYPE OF WORK ' QUIRED 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.
El 1- and 2- family dwelling ® Commercial /industrial Valuation: $15,500
❑ 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: 16350 SW 72 Ave. New dwelling area: square feet
City /State /ZIP: Tigard, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: BI 4 Project name: Safeguard DocuSource 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.
Upgrade overhead sprinkler system to accommodate new rack storage. Valuation: $$15,500.00
Replace section of feed main and install new sprinkler heads. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Pac Trust Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Western States Fire Protection All contractors and subcontractors are required to be
Contact name: Jared Hill licensed with the Oregon Construction Contractors Board
under ORS 70I and may be required to be licensed in the
Address: 13896 Fir St. Suite B jurisdiction in which work is being performed. If the
Ciry /State /ZIP: Oregon City, OR 97045 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 657 -5155 I Fax::( )
E -mail: jared.hill @wsfp.us
. CONTRACTOR BUILDING PERMIT FEES*
Business name: Same as applicant (Please refer to fee schedule)
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.: 104570 Total permit fees:
Authorized signature. / / Amount received:
/ ! /' This permit application expires if a permit is not obtained
Print name: 3 i r•, Alf Date: 7/18/13 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 Rev 01 /05/2012 440-46 I 3T(II /02 /COM /WEB)