Permit 11111 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
s COMMUNITY DEVELOPMENT Permit#: FPS2014-00109
T[GAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/18/2014
Parcel: 1 S 136C D90011
Jurisdiction: Tigard
Site address: 8060 SW PFAFFLE ST 102
Project: OneUp Solutions Northwest Subdivision: PFAFFLE PLAZA CONDO Lot: 1
Project Description: Install(3)new fire sprinkler heads for new office space.
Contractor: JR MERIT INC Owner: G3 LEASING LLC
4504 NE 68TH DRIVE ATTN: DIANE DEAUTREMONT
VANCOUVER,WA 98661 8060 SW PFAFFLE ST,STE 200
TIGARD,OR 97223
PHONE: 360-693-7474 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/18/2014 $69.92
12%State Surcharge-Building 06/18/2014 $8.39
Type of Use: COM Plan Review-Fire Life Safety-COM 06/18/2014 $27.97
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $106.28
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,200.00
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 ules adopted by the Oregon
Utility N ' cation Cen - Those rules are set forth in OAR 952-001-0010 through OAR 95 -r -I i : You m y obtain a copy of the rules
or dir questions to OUNC iy g 503.232.1987 or 1.800.332.2344.
Is ed By: / m ,� / Permittee Signature:
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 RECEIVED FOR OFFICE USE ON
Received
Ci}�, of Tigard Permit No.:fie-25,90/ -�/Q 9
`J g Date/By: �i�/��f�+' l �s�"y.�
13125 SW Hall Blvd.,Tigard,OR 97 N 18 2014 Plan Review /�,� ,/ 7/
7 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: / ,(PAA,/T r�177
I I G A R D Inspection Line: 503.639.4175 CfTYOF T IGARD Date Ready/By:y: Juris 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method:
Supplemental Information
BUILDIEDEISION
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
51.1 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling 'A Commercial/industrial Valuation: S
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: c:3049n 6,4..4 t.,I,...-A t FL4 New dwelling area: square feet
City/State/ZIP: TGO A,,2 Q 2 913.2_ Garage/carport area: square feet
Suite/bldg./apt.no.1) Project name: 0,4a op 5DL J rt O 4 S 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.
Tax map/parcel no.: Indicate the value(rotnded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on •: ..• Ica ion.
-�' Valuation: $ O 1
S;Ac, 3 Pc/4 o uT S as 1►sktr /1
R)12— ANA') 0c )La (see -Prc F012_164) Existing buildin• .• . square feet
New building area: square feet
❑ PROPERTY OWNER xi TENANT Number of stories:
Name: Et.,(4/..1 OP Sal..01-1 DI4 S , Type of construction:
Address: `80�I 00 SW P F�FFL.G Occupancy groups:
City/State/ZIP: lb(c.QO 1 UQ' lit? .' Existing:
Phone:( ) Fax:( ) New:
APPLICANT D CONTACT PERSON NOTICE
Business name: 3 Q MC12- r All contractors and subcontractors are required to be
Contact name: Q.�t�,ht�v217 C_ _' licensed with the Oregon Construction Contractors Board
G under ORS 701 and may be required to be licensed in the
Address: 45035 pc.:_ L, L t DQ 4E jurisdiction in which work is being performed.If the
City/State/ZIP:\/�-N L 60�L� ■ WA. applicant is exempt from licensing,the following reasons
CJ
apply:
Phone:(-Noel (Cp\S "141 4 Fax: :r i ) l3^' 1
E-mail: r.G J ` c C> L e -M fllt
. C O n/1
CONTIlaCTOR BUILDING PERMIT FEES*
�prr G C-".-17 (Please refer to fee schedule)
Business name: QJ Permit fee: ;9 92
Address:
City/State/ZIP: State surcharge(12%of permit fee): 39
FLS plan review(40%ofpermit fee): p�
Phone:( ) Fax:( ) (Due upon application.) !/
CCB lic.: l P 3 Total permit fees: �J L Amount received: 4/,(04)J b
Authorized signature:
--∎ This permit application expires if a permit is not obtained
Print name: Qt L0,10›.42—r1 l Date: W I til 14 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
t:l Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 440-46131(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) El 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: 3
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
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.
I:\Building\Pemrits\FPS-PermitApp.doc Rev 01/05/2012 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
8060 SW PFAFFLE ST 102, TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
July 9, 2014 at 12:34:24 PM
FPS2014-00109
Chip Barnett
Violation Summary:
Inspector Contractor