Permit 1111 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
111 - COMMUNITY DEVELOPMENT Permit#: FPS2014-00168
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/16/2014
Parcel: 2S112AB00300
Jurisdiction: Tigard
Site address: 7350 SW LANDMARK LN 120
Project: Cambridge Precision Machine Subdivision: 1992-007 PARTITION PLAT Lot: 2
Project Description: Install(4)sprinkler heads in offices.
Contractor: OWNER Owner: B-1 LANDMARK LLC
PRENT HICKS BY PRENTISS C HICKS TR
PO BOX 23633 429 A NW SKYLINE BLVD
TIGARD, OR 97223 PORTLAND,OR 97229
PHONE: 503-292-6226 PHONE: 503-292-6226
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/16/2014 $51.09
12%State Surcharge-Building 10/16/2014 $6.13
Type of Use: COM Plan Review-Fire Life Safety-COM 10/16/2014 $20.44
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 $77.66
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $300.00
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 • . may o:in a copy of the rules
or direct (ions • •UNC by calling 503.232.1987 or 1.800.332.2344.
lssu d By: , 1 / 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 R f CIEIVED , I l l: t l i l i 1 i l ',l t)NI
City of Tigard /� � A,/Received •r Permit No.: fp5241 /95/
• 13125 SW Hall Blvd.,Tigard,OR 9733 6 Plan Review
Phone: 503.718.2439 Fax: 503.59 . �q9 1 p 20 14 Date/By: Other Permit:
Inspection Line: 503.639.4175 Date Ready/13y: turfs: gi See Page 2 for
I (' IL l) Notified/Method: Supplemental TIGARD
Internet: www.tigard-or.gov CITY pP lemental Information
TYPE OWORR DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rotnded 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 El Commercial/industrial Valuation: S
El Accessory building El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 73 co S to LANOtit Arz Iz. LN. ,501 1-.6 t!O New dwelling area: square feet
City/State/ZIP: T(e„j4-Zp, Cal.. q72 ..y Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: dfini BQg)�5 t" clslou 141.0,4 Covered porch area square feet
Cross street/diredions to job site: 72 K.11_ ? 1.44 ND* q ty LAk E 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(rowded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
it.(S 14LL- 4 SPQJMk_LS/2_ H'44 S Iy N €tU Valuation: $ ,!300
rfc 4P45 Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: ..----� pir 14 cis Type of construction:
Address: ,p e . Bev( Z,3L3 3 Occupancy groups:
City/State/ZIP: rid.412_t) t O a_ co 2p1 - 3 ..s3 Existing:
Phone:( 3) 242(p2Z[ Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be lensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax: :( )
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
/� /v E /� (Please refer to fee schedule) g
Business name: (/�1J / Permit fee: 6(,
Address:
State surcharge(12%of permit fee): to,t3
City/State/ZIP:
FLS plan review(40%ofpermit fee):
Phone:( ) Fax:( ) (Due upon application submittal.) ol-'0•4
CCB lic.: Total permit fees:
Authoriz d signature: Amount received: 4 7 7,4I'0,
This permit application expires if a permit is not obtained
Print name: ` Date: 10 h`// within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I.\Building\Permits\FPS-PermitApp_071514.doc 440-4613T(11/02/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: Number of alarm devices:
pit Addition or J] 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 ❑ 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 ❑ I)r■
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: I $
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 02%of permit fee): $
FLS Plan Review(40%of permit fee): $
TOTAL: $
I:\Building\Permits\FPS_PermitApp_071514.doc 2
CAMBRIDGE PRECISION MACHINING, SUITE 138-12--e)
7350 SW LANDMARK LANE,TIGARD OR 97224 RECEIVED
10/16/2014
OCT 16 2014
NEW SPRINKLER HEADS
(Approx.) CITY OF TIGARI,
h A BUILDING DIV1SI(M
70' —
0 0 —•
r. ,
1�-,) l�,
• 14-9"
DOCK
NOTE: SPRINKLER PLAN CALLS FOR 4 NEW HEADS.
ALL OTHER AREAS ALREADY EQUIPPED.
PERMIT APPLICANT:
1 PRENT HICKS
B-1 LANDMARK LLC
PO BOX 23633
TIGARD, OR 97281-3633
(503) 292-6226
prent.hicks @gmail.com
pc3 2a/ /
00/6g
CAMBRIDGE PRECISION MACHINING, SUITE 1.38 /94°
7350 SW LANDMARK LANE,TIGARD OR 97224 RECEIVED
10/16/2014
NEW SPRINKLER HEADS OCT 16 2014
h A (Approx.)
CITY OF TIGARD
BUILDING DIVISION
70'
Air • _
CI
II
• •
�, • 14.9
DOCK E !!J
T el I
NOTE: SPRINKLER PLAN CALLS FOR 4 NEW HEADS.
ALL OTHER AREAS ALREADY EQUIPPED.
PERMIT APPLICANT:
PRENT HICKS
B-1 LANDMARK LLC
PO BOX 23633
TIGARD, OR 97281-3633
(503) 292-6226
prent.hicks @gmail.com
City of Tigard Permit No.: 06;0/Z1-400/61
1111 I 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Date Received: /6//�//�
i `E. Inspection Line: 503.639.4175
Internet: www.tigard-or.gov By: /L • 4_ywa^
FIRE SPRINKLER AFFIDAVIT FOR ALTERATI10EIVEP
OR TENANT IMPROVEMENTS ' T 16 2014
(1 to 10 SPRINKLER HEADS WITHOUT PLANS) CI'T'Y OFTIGARD
BUILDING DIVISION
Project Name: ¶V4,%1T (C.1c Occupancy:
Job Address: 7 3C-0 .w • L!�N rat,4 1L 1C C N. Type of Construction:
Suite:
Contractor: 0C V Phone:
Number of Proposed or Altered Heads: LI
Type: Hazard: Density:
/cies Oregon Construction Contractors Board No. e'-')/:-;NI Ca--
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers in a light-hazard occupancy.
b) Positions of sprinkler heads relative to architectural features such as soffits, beams, partitions, walls, etc.
complies with current adopted edition of NFPA 13.
c) The proposed work does not require hydraulic calculations.
d) Only one sprinkler head will be installed from one drop (exception: up to two heads from one drop may be
installed when each head is in a separate fire area).
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
f) Tenant improvements in a new building shall be equipped with Quick Response heads (see 2002 NFPA 13,
Section 8.3.3.1 for exceptions).
g) The installation shall comply with the requirements of the current adopted edition of NPFA 13.
h) Piping shall not be concealed until hangers and bracing are inspected.
i) Final approval shall be subject to onsite tests and inspections.
In addition, I understand the following is required:
• Submit(3) copies of a sketch showing the area of work within the building's structure.
• B • • : • I rotection system permit.
• 6 copy of this doe •I ent with a copy of the sketch attached shall be available for all inspections.
Signature: Datc: I O //b/ /y
Print Name: E�2 �T'
I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of I
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
7350 SW LANDMARK LN 120, TIGARD, OR,
97224
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2014-00168
Chip Barnett
Violation Summary:
Inspector Contractor