Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
114 s COMMUNITY DEVELOPMENT Permit#: FPS2014-00021
Tigard OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 02/05/2014
TtARJ� 9
Parcel: 2S 101 CA00200
Jurisdiction: Tigard
Site address: 7902 SW HUNZIKER RD
Project: BPMI Subdivision: 1994-025 PARTITION PLAT Lot: 2
Project Description: Adding(4)sprinkler heads.
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 02/05/2014 $83.37
12%State Surcharge-Building 02/05/2014 $10.00
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: No Hazard: LT
Density: .10 Design Area: 400
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 $93.37
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,674.00
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. ou may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: I Permittee Signature:
Call 50' .• by 7:00 a.m.for the next available in pection ••te.
This permit card shall be kept in a conspicuous place on the job site un • ..• .letion of the project.
Approved plans are required on the job site at the time of each inspection.
Buildin Permit A licatio Vtli)
Fire Protection System MR OMIT: t Sl•:ONLY
Ili City of Tigard ��14 Received ,2 Permit No.: + / _ _.a
n 13125 SW Hall Blvd.,Tigard,OR 972 t►� Plan Review
= Phone: 503.718.2439 Fax: 503.598.1960 Oc ,..- Ot{ Date/B Other Permit: ,j - •
TI G A R D Inspection Line: 503.639.4175 CC" 01.55 1` Date Ready/By: la See Page 2 for
Internet: www.tigard-or.gov 11�1r1G V Notified/Method: Supplemental Information
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
R Addition/altcration/replacemcnt ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
CI 1-and 2-family dwelling .Commercial/industrial Valuation: $
❑Accessory building El Multi-family Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION!AND LOCATION Total number of floors:
Job site address: TM S•W /It e./ Lai New dwelling area: square feet
City/State/ZIP: KI, Of?. q'72Z. Garage/carport area: square feet
Suite/bldg./apt.no.: J "Project name: BPhil" 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: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Add el S�ZGLL1Gvs 1.�2 EEO ei/OwL Valuation: y — - $
/1�GC Existing building area: t/0 ) square feet
New building area: square feet
❑ PROPERTY OWNER a TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax: i I New:
-APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: (.1,r te(L,C6rLbtvte,�i All contractors and subcontractors are required to be
Contact name: T�/ / licensed with the Oregon Construction Contractors Board
do I'� Ne 1 lc under ORS 701 and may be required to be licensed in the
Address: 6m-5 5 0. ILotijo6d 1, jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: L 031,) (O/ 01. R7a3s apply:
Phone:TO 3)(083. 9 OO ✓ Fax: :(5-63)05-.65-z/
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name: j awf-! /1 C 4 p p ti£k{ (Please refer to fee schedult�
vLJ Permit fee: 13 -
Address: /
State surcharge(12%of permit fee): /0.QC
City/StateJZIP: FLS plan review(40%of permit fee): -_
Phone:( ) Fax:( ) (Due upon application.)
CCB lic.: it-/992/k, Total permit fees: 't 3.3 7
Authorized signa
Amount received: C 3 3 )
u
This permit application expires if a permit is not obtained
Print name: �ov`, I elSOV. . Date: 2/Sli y * within 180 days after it has been accepted as complete.
Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\PermitsS FPS-PermitApp.doe Rev 01/05/2012 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Nlo ation to sprinkler heads only:
El Addition 16 1-10 heads: No plan review required.
❑ Alteration ❑ 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
Information: Hazard Grou. _
Density 1-0./0
Design Area 400
K.Factor , (7
Sprinkler Project Valuation: $ /671/
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.
I:\Buildin \Permits\FPS_Pemriul .doc Rev 01/05/2012
8 PP 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7902 SW HUNZIKER RD, TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2014-00021
Jeff Grove
Violation Summary:
Inspector Contractor