Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
:1111 COMMUNITY DEVELOPMENT Permit#: FPS2015-00063
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/15/2015
Parcel: 2S 101 DC04603
Jurisdiction: Tigard
Site address: 7405 SW TECH CENTER DR 140
Project: Pivot Subdivision: TECH CENTER BUSINESS PARK Lot: 2
Project Description: Fire sprinkler modifications of(20)sprinkler heads for TI
Contractor: DELTA FIRE INC Owner: WPC TIGARD LLC
14795 SW 72ND AVE 307 LEWERS ST 6TH FL
PORTLAND, OR 97224 HONOLULU, HI 96815
PHONE: 503-620-4020 PHONE:
FAX: 503-620-1058
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/15/2015 $112.96
12%State Surcharge-Building 04/15/2015 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 04/15/2015 $45.18
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 04/15/2015 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 04/15/2015 $7.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: .10 Design Area: 1500
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 $181.20
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $3,533.00
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 dire uestions to s NC b calling 503.232.1987 or 1.800.332.2344.
0 Atiord
Is ued By: Permittee Signature: 1 I /
•
r ,
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.
Fire Protection System RECEIVED Building Permit Application // FOR OFFICE USE ONLY , ,,�/
City of Tigard APR 6 RDeacteeiBiveyd: 7 Permit No.: f'�iJ�/s (f/3
13125 SW Hall Blvd.,Tigard,OR 97223 6 2015 Plan Rev'-• / e .�
Phone: 503.639.4171 Fax: 503.598.1960 DateB : � •
• Other Permit: . J-AC{
WARD
Inspection Line: 503.639.4175 CITY OF TIGAIUj Date Rea. •: �� 3uris. iii See Page 2 for
I Internet: www.tigard-or.gov Notified/Method: r Supplemental Information
BUILDING DIVI 1 ► / ,e ' � 1.1
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
®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 ®Commercial/industrial Valuation: S
❑ Accessory building ❑Multi-family
Number of bedrooms:
❑ Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7405 SW Tech Center Drive New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Suite 140 Project name: -Pivot Group 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: f 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'parccl no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Relocated & add Sprinklers for new walls &ceilings Valuation: S 3,533.00
Existing building area: 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:Delta Fire, Inc. All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
Heidi Scarbrough under ORS 701 and may be required to be licensed in the
Address: 14795 SW 72nd Ave. jurisdiction in which work is being performed.If the
City/State/ZIP: OR 97224
applicant is exempt from licensing,the following reasons
Portland, apply:
Phone:(503) 620-4020 Fax::( 503)620-1058
E-mail: heidis @deltafire.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee scheduled
Business name: Delta Fire, Inc. Permit fee:
Address: 14795 SW 72nd Ave.
City/State/ZIP: Portland' OR 97224 State surcharge(8%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)620-4020 Fax:( 503) 620-1058 (Due upon application.)
CCB 1ic.: 64174 ), 11 11 Total permit fees:
Authorized signature: • Amount received: - —1
This permit application expires if a permit is not obtained
Print name: Heidi Scarbrough Date: 4-6-15 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.doc 03/23/06 440-4613T(II/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work 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: 20 ,
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Wet ❑ Dry
Additional Standpipes N/A
Information: Hazard Group Light
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $3,533.00
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 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
_ 7,201 and greater $381.50
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 (8%of permit fee): $
FLS Plan Review (40%of permit fee): $
TOTAL: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
"New"fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer,or NICET level"3"technicians.
I:\Building\Permits\FPS-PermitApp.doc 0323/06 440-46I3T(I I/02/COM/WEB)
EJELTLI i5L!cIvEn 5 S. LETTER OF TRANSMITTAL
F IREFAX, INC. #6417An 62
015
On of FI ARD DATE: 4/6/2015 JOB#: 15-5421
BUILDING DIVISION ATTENTION:
RE: Tigard Tech Center-Pivot Croup
TO: City of Tigard
13125 SW Hall Blvd.
Tigard,OR 97223
VIA: 'eJ'►U e ru b Fkai
COPIES I NUMBER I DESCRIPTION
3 Sheet 1-1 of 1 Drawings
3 Pg 1-1 of 1 Architect Approved Drawings
3 Pg 1-28 of 28 Data Submittal
1 Pg 1-2 of 2 Permit Application
THESE ARE TRANSMITTED as checked below:
X For Approval _For Review and Comment n
For Your Use _Approved
X As Requested _Submit copies for distribution
REMARKS:
REPLY REQUIRED: DYES ONO BY DATE:
BY: Steve McCourtney/Heidi Scarbrough
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
7405 SW TECH CENTER DR 140, TIGARD, OR,
97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2015-00063
Chip Barnett
Violation Summary:
Inspector Contractor