Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT f • Permit#: FPS2013 00157
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 l0 Parcel:�/ Date Issued: 10/31/2013
25101 DC04603
Jurisdiction: Tigard
Site address: 7405 SW TECH CENTER DR 130
Project: NTI Audio Subdivision: TECH CENTER BUSINESS PARK Lot: 2
Project Description: Installing(2)sprinklers in warehouse offices for new tenant. /I �
Contractor: FIRE SYSTEMS WEST INC Owner: WPC TIGARD LLC
600 SE MARITIME AVE#300 307 LEWERS ST 6TH FL
VANCOUVER,WA 98661 HONOLULU, HI 96815
PHONE: 360-693-9906 PHONE:
FAX: 503-289-2208
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/30/2013 $61.85
12%State Surcharge-Building 10/30/2013 $7.42
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 120
K Factor: 5.9
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $69.27
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
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, work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili otification nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or irect questions to O NC by • ing 503.232.1987 or 1.800.332.2344.
ill C
ssued By: /, Permittee Sig ature:
Call 503.639.4175 by 7:00 a.m.for the next available insp on 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.
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a ; COMMUNITY DEVELOPMENT Permit#: FPS2013-00157
T WARD 13125 SW Halt Blvd.,Tigard OR 97223 503.718.2439 Date Issued:
Parcel: 2S101DC04603
Jurisdiction: Tigard
Site address: 7405 SW TECH CENTER DR 130
Project: NTI Audio Subdivision: TECH CENTER BUSINESS PARK Lot: 2
Project Description: Installing(2)sprinklers in warehouse offices.
Contractor: FIRE SYSTEMS WEST INC Owner. WPC TIGARD LLC
600 SE MARITIME AVE#300 307 LEWERS ST 6TH FL
VANCOUVER,WA 98661 HONOLULU, HI 96815
PHONE: 360-693-9906 PHONE:
FAX: 503-289-2208
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/30/2013 $61.85
12%State Surcharge-Building 10/30/2013 $7.42
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 120
K Factor: 5.9
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $69.27
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
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 r les adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR • 'I -0090. You ma obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.8t
--Issued By: ee Signature: c
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 �`\ (\�`' Received 10 3e/i3 g•�— Permit No.: �S (1 fJo(S7
Fr 13125 SW Hall Blvd.,Tigai97223 eapp r�Q`\3 Plan Review
Phone: 503.718.2439 Fax: 503.9.j960 ® Other Permit:
U Date/By:
TIGARD Inspection Line: 503.639.4175 a��� Date Ready/By: luris ® See Page 2 for
Internet: www.tigard-or.gov y p� rt� �C� Notified/Method: (p Supplemental Information
TIT E±t ORK 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: $
El 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:7405 TECH CENTER DRIVE New dwelling area: square feet
City/State/ZIP:TIGARD,OREGON Garage/carport area: square feet
Suite/bldg./apt.no.: 130 Project name:NTI AUDIO Covered porch area: square feet
Cross street/directions to job site:72ND 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.
INSTALL(2) FIRE SPRINKLERS IN TWO SMALL OFFICES IN WAREHOUSE Valuation: -fib 9 6C7
AREA
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER CA TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name:FIRE SYSTEMS WEST All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:RICHARD CASE under ORS 701 and may be required to be licensed in the
Address:600 SE MARITIME AVE SUITE 600 jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP:VANCOUVER,WA 98661 apply:
Phone:(360)693-99606 Fax: :(503-)289-2208
E-mail:dickc @firesystemswest.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:FIRE SYSTEMS WEST Permit fee:
Address:600 SE MARITIME AVE.SUITE 300 State surcharge(12%of permit fee):
City/State/ZIP:VANCOUVER,WA 98661 FLS plan review(40%of permit fee):
Phone:(360)693-9906 Fax:(503-)289-2208 (Due upon application.)
Rif 3/15
Total permit fees:
CCB lie.:49732 R!
Amount received:
Authorized signature: f This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:RICHARD CASE Date: 10-28-13 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 440-4613T(I1/02/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 El 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes N/A
Information: Hazard Group LIGHT
Density .10
Design Area SINGLE ROOM f
K. Factor 5.9
Sprinkler Project Valuation: $
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 three (3) sets of plans at submittal.
Plan review fees are required at submittal.
http://www.tigard-or.gov/city_hall/departments/cd/docs/FPS-PermitApp.doc Rev 01/25/2012