Permit 514 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
�. COMMUNITY DEVELOPMENT Permit#: FPS2013 00185
T t G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/09/2014
Parcel: 25101 CA00200
Jurisdiction: TIGARD
Site address: 7902 SW HUNZIKER ST
Project: BPMI Subdivision: 1994-025 PARTITION PLAT Lot: 2
Project Description: (21)new sprinklers in office space.
Contractor: SIMPLEXGRINNELL LP Owner: WALL STREET INDUSTRIAL LLC
6305 SW ROSEWOOD ST. A RICHARD VIAL EXECUTIVE CENTER LLC
LAKE OSWEGO, OR 97035 7000 SW VARNS ST
PORTLAND,OR 97223
PHONE: 503-683-9000 PHONE:
FAX: 503-675-6521
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/30/2013 $145.24
12%State Surcharge-Building 12/30/2013 $17.43
Type of Use: COM Plan Review-Fire Life Safety-COM 12/30/2013 $58.10
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 12/30/2013 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 12/30/2013 $12.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 840
K Factor: 5.4
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $235.27
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $6,901.00
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 Signatur=:
-- • 5 by 7:00 a.m.for the next available in-•_ 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.
Building Permit Application
Fire Protection System FOR FOR OFFICE USE ONLY
City of Tigard Date/Sea 1. 3a 1 fp PermitNo.: 0*v 13125 SW Hall Blvd.,Tigard,OR 97
\-ic ,,
Plan Review
® 2u�� Other Permit:
Phone: 503.718.2439 Fax: 503.598.19600EC Date/B : „AA( .
TI GARD Inspection Line: 503.639.4175 ���17��® Date Ready/By: r ® See Page 2 for
Internet: www.tigard-or.gov 9A-.1 Of �tta ethod: Supplemental Information
011 r �S:V` �,23ir At 1A, 1I •
TYPE OF '1r° ' n .ED 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 gi Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
lei ca. JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: HVU S,W aG( tzikPr S-t, New dwelling area: square feet
City/State/ZIP: /1'J -i(, O� 97423 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: g/2/1/1 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: 1 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.
Valuation: $ 6 G0
T.
�sfa (SPrWIE,v3 (AA o f ffce. Spare. 1
Existing building area: 8' Q square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
. APPLICANT ❑ CONTACT PERSON NOTICE
Business name: SLR e' ( fi. ,,,,,,ell All contractors and subcontractors are required to be
1' / licensed with the Oregon Construction Contractors Board
Contact name:
Jot2 /UQI SQbL under ORS 701 and may be required to be licensed in the
Address: (O?Q 5 5.0. trajajccd St. jurisdiction in which work is being performed.If the
City/State/ZIP: Lake/ 0510430, e. 47,3,-
applicant is exempt from licensing,the following reasons/ apply:
Phone:(503)lio,3' 9060 Fax: :(co3) 67S' &S—Z.l
E-mail:V OW. ko11 () S;1 4grZvu RQ1(,Cor&
CONTRACTOR BUILDING PERMIT FEES*
"A ./ (Please refer to fee schedule)
Business name:
SaiUK.e a,5 pp�'ca.vi Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP: o
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lie.: /t{99./ Total permit fees:
Authorized signature: J Amount received: J.�,/-7
/`, 1�-- This permit application expires if a permit is not obtained
vv� 01n� Z ZO ( � *
within 180 days after it has been accepted as complete.
Print name: f Date:
V Fee methodology set by Tri-County Building Industry
Service Board.
1;\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 440-4613T(I 1/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe w ork 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: Z
Additional description of work:
Type of System (Complete A,B, C or D as applicable):
A.) Commercial Sprinkler
{4' Wet ❑ Dry
Additional Standpipes
Information: Hazard Group /„c lam.
Density 0.10
Design Area 8Y6
K. Factor S �(
Sprinkler Project Valuation: $ 6� 9,
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://wttw.tigard-or.gov/city_hall/departments/cd/dots/FPS-PermitApp.doc Rev 01/25/2012