Permit 1 - �� CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
4 1 • COMMUNITY DEVELOPMENT Permit#: FPS2015-00085
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2015
Parcel: 2S113AA00300
Jurisdiction: Tigard
Site address: 16300 SW 72ND AVE B3
Project: Stout Tanks&Kettles Subdivision: ROSEWOOD ACRE TRACTS Lot: C
Project Description: Adding sprinklers for new racking.
Contractor: PARKER FIRE PROTECTION INC Owner: PACIFIC REALTY ASSOCIATES
30205 SE KELSO RD ATTN: N PIVEN
BORING, OR 97009 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-663-6278 PHONE:
FAX: 503-663-7297
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/02/2015 $285.12
12%State Surcharge-Building 06/02/2015 $34.21
Type of Use: COM Plan Review-Fire Life Safety-COM 05/19/2015 $114.05
Class of Work: ALT Type of Const: I I B Info Process/Archiving-Lg$2.00(over 06/02/2015 $2.00
Occupancy Grp: S-1 Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 06/02/2015 $12.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard:
Density: .37 Design Area: 2000
K Factor: 11.2
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $447.88
Valuations: I Required Items and Reports(Conditions)
Sprinkler Valuation: $19,600.00
Residential Square Footage: 0
Fire Alarm Valuation: 50.00
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
Utilit otification e -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
o i irect questions to OUN ,.b .• 503.232.1987 or 1.800.332.2344.
Issued By: I Permittee Signature: AIO / rte"
A La Call 503.639.4175 by 7:00 a.m.for the next available inspectio /ate.
This permit card shall be kept in a conspicuous place on the job site until co pletion of the •roject.
Approved plans are required on the job site at the time of each inspection.
.1 .Isuilding Permit Application
Fire Protection System FOR OFFICE USE ONLY
City of Tigard Received
Date/By: ill (j Peril No.: ��jJ
Eril
• 13125 SW Hall Blvd.,Tigard,OR 97223 NO) Plan Review r •J���CS [Y� ,_■
Phone: 503.718.2439 Fax: 503.598.1960 !\� Date/By: 5 2 ` Other PermitA,P 2 for 0 —7 .�
TIGARD Inspection Line: 503.639.4175 G Date Ready/By: ris: BI See Page 2 for
Internet: www.tigard-or.gov Q�y o15 Notified/Method: /� / � Supplemental Information
TYPE OF WOR IN n � C; REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑ New construction ❑l)eq>�p'!{tibrt i�v). Permit fees*are based on the value of the work performed.
ll�r' ONQ� Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement ❑✓TRUCTION- equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONS work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑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: 16300 SW 72"Ave New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: bldg 3 Project name:Stout Tanks and Kitties 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:OPB Building 3 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.
Increase Existing Sprinkler System for Rack Storage Valuation: $$19,600.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 0 TENANT Number of stories: 1
Name:Stout Tanks and Kitties Type of construction:
Address: 16300 SW 172"d Ave. Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(503)372-9580 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON NOTICE
Business name:Parker Fire Protection Inc. All contractors and subcontractors are required to be
Contact name:Robert Parker licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:30205 SE Kelso Road jurisdiction in which work is being performed.If the
City/State/ZIP:Boring,Or 97009 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)663-6278 Fax: :(503)663-7297
E-mail: pk.fire @comcast.net
CONTRACTOR BUILDING PERMIT FEES*
Business name:Parker Fire Protection Inc.
(Please refer to fee schedule)
Permit fee:
Address:30205 SE Kelso Road
State surcharge(12%of permit fee):
City/State/ZIP:Boring,OR 97009
FLS plan review(40%of permit fee): J
Phone:(503)663-6278 Fax:(503)663-7297 (Due upon application submittal.) Mt. US
CCB lie.: 124300 Total permit fees:
Authorized signature: Pe' I/ Amount received:
( t�i/V V� This permit application expires if a permit is not obtained
Print name:\`a 4�k - Date:5/19/15 within 180 days after it has been accepted as complete.
i * Fee methodology set by Tri-County Building Industry
Service Board.
(:\Building\Permits\FPS-PermitApp_07I514.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: 188 Number of alarm devices:
® Addition or ❑ 1-10 heads: Affidavit required and ❑ 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: modify existing system to Rack Storage of 20'
Type of System (Complete A, B, C or D as applicable): "
A.) Commercial Sprinkler
Wet ❑ Dry
Additional Standpipes
Information: Hazard Group class 1 thr 3 c
Density .37
Design Area 2000 sq ft
K. Factor 11.2
Sprinkler Project Valuation: $ 19600
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: $
C\Documents and Settings\Parker Fire Protecti\My Documents\Downloads\FPS_Penf2itApp.doc
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
16300 SW 72ND AVE B3, TIGARD, OR, 97224
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2015-00085
Jeff Grove
Violation Summary:
Inspector Contractor