Permit p CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
$ COMMUNITY DEVELOPMENT Permit#: FPS2014-00124
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/11/2014
Parcel: 26112DA00300
Jurisdiction: Tigard
Site address: 15230 SW SEQUOIA PKWY 100
Project: North Coast Lighting Subdivision: PACIFIC CORPORATE CENTER Lot: PTS 6-7
Project Description: Relocating(37)sprinkler heads to provide coverage below cloud panels.
Contractor: COSCO FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES
2501 SE COLUMBIA WAY SUITE 100 ATTN: N PIVEN
VANCOUVER,WA 98661 15350 SW SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 360-816-8418 PHONE:
FAX: 360-883-6390
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/11/2014 $145.24
12%State Surcharge-Building 08/11/2014 $17.43
Type of Use: COM Plan Review-Fire Life Safety-MF 08/11/2014 $58.10
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 08/11/2014 $2.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 08/11/2014 $12.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD2
Density: .21 Design Area: 3000
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 $235.27
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $6,325.00
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 'ication - er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir t questions to OU by c- ling 503.232.1987 or 1.800.332.2344.
Iss ed By: , / I Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspec• 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.
Guffaw Permit Application
Fire Protection System FOR OFFICE USE ONLY
Received
City of Tigard Permit No.:
.rte
II i • 13125 SW Hall Blvd.,Tigard,OR 9 2 Plan Review
1 tither Permit:
III Phone: 503.718.2439 Fax: 503.598.1960 � Date/B : /���+♦ !G{�, —i•
\ \r 1 Inspection Line: 503.639.4175 Date Rea 0 See Page 2 for
Internet: www.tigard-or.gov t� Notified/Method: AG'� Supplemental Information
TYPE OF 411,111.106 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.
Valuation:1:3 I-and 2-family dwellin g Commercial/industri al $
❑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: 15230 SW Sequoia PKWY Suite 100 New dwelling area: square feet
City/State/ZIP:Portland/OR/97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:North Coast Lighting 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.
Add relocate sprinklers to provide coverage below cloud panels. Valuation: $$6,325.00
Existing building area: 7407 square feet
New building area: 7407 square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Type of construction: III-B
Address: Occupancy groups:
City/State/ZIP: Existing: M
Phone:( ) Fax:( ) New: M
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name:Cosco Fire Protection All contractors and subcontractors are required to be
Contact name:Jon Knapp licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:2501 SE Columbia Way,Suite 100 jurisdiction in which work is being performed.If the
City/State/ZIP:Vancouver/WA/98661 applicant is exempt from licensing,the following reasons
apply:
Phone:(360)699-4724 Fax::(360)883-6390
E-mail:jknapp@coscofire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Cosco Fire Protection (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 submittal)
CCB lic.:67508 Total permit fees:
Amount received:
Authorized signature: i
This permit application expires if a permit is not obtained
Print name:Jon K Date:07/21/2014 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Build ng\Parmits\FPS-PermitApp_071514.doc 440-4613T(I 1/02/COM'WEB)
•
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 32 Number of alarm devices: 0
® Addition or El 1-10 heads: Affidavit required and El 1-5 devices: Affidavit required and
Alteration (3)copies of sketch showing area (3)copies of sketch showing area
to existing of work within building structure of work within building structure
system
® 11+heads: Plan review required and El 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
® Wet El Dry
Additional Standpipes 0
Information: Hazard Group Ord. Haz. G-II
Density .21
Design Area 3000
K. Factor 5.6
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component El 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: $
I:\Engineering\00-SERVICE\PS 7308 North Coast Lighting\Submittal\FPS-PermitApp2ioc