Permit FOR OFFICE USE ONLY—SITE ADDRESS:
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Please complete this form when submitting information for plan review responses and revisions.
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City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
_11P4 Transmittal Letter
T 1 G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Dan DATE RECEIVED:
DEPT: BUILDING DIVISION itiCEi p EP
FROM: Melissa OCT 19 2015
COMPANY: Delta Fire, Inc. Citli OFT'l&AKb
10;7 PHONE: 503/620-4020 . (DING DtV1 :
RE: QCD Freezer Expansion High Pile Storage , 'S2015-00093
(Site Address) (Permit Number)
7319 SW Kable Lane Suite 500
(Project name or subdivision name and lot number)
ft
ATTACHED ARE THE FOLLOWING ITEM :
Copies: Description: i p' : Description:
Additional set(s) of plans. 3 Revisions: High Pile Storage
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. 1 1 Basement and retaining walls.
Beam calculations. I `� Engineer's calculations.
Other(explain): 0
REMARKS: Installing sprinkl s 'sr High Pile Storage
f FOR Oc2.2_fk..5—
FICESE ONLY
Routed to Permit Technician: Date: 0 ' Initials `qY J
Fees Due: ❑ Yes , [VNo Fee Description: Amou e:
/ $
/ $
Special
$
$
Instru ions:
Reprint Permit(per PE): ❑ Yes [-''No Done
Applicant Notified: /712/, SSG Date: /6 ,(6/ir Initials: �;
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 h r
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
Permit#: FPS2015-00093
R • COMMUNITY DEVELOPMENT
Date Issued: 06/04/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S112DB00401
Jurisdiction: Tigard
Site address: 7319 SW KABLE LN 500
Project: Quality Custom Distribution Subdivision:HERN PACIFIC TIGARD INDUSTRIAL Lot: 4
Project Description: Install(27)dry pendent sprinklers into freezer from above existing branch lines and(4)pendent heads into office
space.
Contractor: DELTA FIRE INC Owner: PACIFIC REALTY ASSOCIATES
14795 SW 72ND AVE ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-620-4020 PHONE:
FAX: 503-620-1058
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/27/2015 $274.36
12%State Surcharge-Building 05/27/2015 $32.92
Type of Use: COM Plan Review-Fire Life Safety-COM 05/27/2015 $109.74
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/27/2015 $2.00
Occupancy Grp: S-1 Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 06/04/2015 $20.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Dry
Standpipe Required: NO Hazard: ORD2
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 $439.02
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $18,753.00
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 ma, obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /� �411 Permittee Signature:
- Adt.
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 ��,`,t ll
EIVrT
Building Permit Applicatio �,1 je 1 Oil 01-11( 1 1 'l OM 1
City of Tigard Received v27 6-- ti---
13125 SW Hall Blvd.,Tigard,OR 97221^QY 2 7 2015 Date/By: Permit Nops.Za�s,04,093
Plan Revie .'Q
Phone: 503.639.4171 Fax: 503.598.1960 + �5 Other Perini/GU-veis-JO%Zs
Date/By: �•
T I(i A it Ii Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified Method: •
`.Ar Supplemental Information
de t.,1 , a:
TYPE OF WORK REQUIRED DATA:I-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
El 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 in Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
eig! / JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:_ 4.9' \7 Kable Ln. New dwelling area: square feet
City/State/ZIP: Tigard, OR Garage/carport area: square feet
Suite/bldg./apt.no.L.. Q Project name:QCD - Freezer Expansion / Covered porch area: square feet
Cross street/directions to job site: QCL,gL/7y e.u.J7V/-7 !.�%7ZJ/3-Gt7oA. 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(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Install 27 dry pendent sprinklers into the freezer from above existing Valuation: $ 18,753.00
branch lines and 4 pendent heads into office space. Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 1 ❑ 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: Heidi Scarbrough licensed with the Oregon Construction Contractors Board
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: Portland, OR 97224 applicant is exempt from licensing,the following reasons
apply:
Phone:( 503)620-4020 Fax::(503)620-1058
E-mail: heidis @deltafire.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Delta Fire, Inc. Permit fee:
Address: 14795 SW 72nd Ave.
State surcharge(8%of permit fee):
City/State/ZIP: Portland, OR 97224 FLS plan review(40%of permit fee):
Phone:(503)620-4020 Fax:( 503) 620-1058 (Due upon application.)
CCB Tic.: 64174 Total permit fees:
Authorized signatureifixiiii; Amount received:
This permit application expires if a permit is not obtained
Print name: Heidi Scarbrough Date: 5-26-2015 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I.Building PermitsTPS-PermitApp.doc 03!2306 440-4613T(1 I i02 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:
El Addition ❑ 1-10 heads: No plan review required.
IN Alteration ® 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 31
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
® Wet ® I)ry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ 18,753.00
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): I $
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.
1:\Building\Pamits\FPS-PcmitApp.doc 03/23/06 440-4613T(11/02/COM/WEB)
i: : E LTO 14795 S.W.72nd AVENUE
PORTLAND,OR 97224 LETTER OF TRANSMITTAL
FIRE, INC. cy'�'E1
MAY 2 7 2015 DATE: 5/26/2015 I JOB#: 155400
CITY OF TIGAR TTENTION: Building Department
BUILDING DIVISIuw OBP III-QCD Freezer Expansion
TO: City of Tigard
13125 SW Hall Blvd.
Tigard,OR 97223
VIA: Delivery By Heidi
COPIES I NUMBER I DESCRIPTION
3 Sheet 1-1 of 1 Architect Approved Drawings
3 Pg 1-37 of 37 Architect Approved Data Submittals
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: Devin Ganz/Steve Cartales/Heidi Scarbrough