Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#. FPS2015 00148
Date Issued: 10/15/2015
TIGARD 13125 SW Hall Blvd,Tigard OR 97223 503 718.2439
Parcel: 2S112AA00900
Jurisdiction: Tigard
Site address: 14160 SW 72ND AVE 150
Project: UPS Subdivision: 1992-007 PARTITION PLAT Lot: 1
Project Description: Fire sprinkler system for high-piled storage
Contractor: IN PLANT INSTALLATIONS INC Owner: ICON OWNER POOL 1 WEST LLC
PO BOX 2166 BY RYAN
NAPLES, FL 34106 PO BOX 460169
HOUSTON,TX 77056
PHONE 239-774-2199 PHONE
FAX
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/14/2015 $134 48
12%State Surcharge-Building 10/14/2015 $16 14
Type of Use: COM Plan Review-Fire Life Safety-COM 10/14/2015 $53 79
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2 00(over 10/14/2015 $4 00
Occupancy Grp• S-1 Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0 50(up to 10/14/2015 $2 00
11x17)
Commercial Sprinkler System•
Sprinkler Required Yes Sprinkler Type Wet
Standpipe Required Hazard
Density 0 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 $210 41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation. $5,100 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 ►s 'cation Ce Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules
or. ect questions to OUN .y c. ng 503 232 1987 or 1 800 332 2344
Issued By• // Permittee Signature: "�/411,11r�L
Call 503.639.4175 by 7:00 a.m.for the next available inspe ion date.
This permit card shall be kept in a conspicuous place on the job site ntil completion of the project.
Approved plans are required on the job site at the time of each inspection.
„,.
Building Permit Applic? EIV.DP
Fire Protection System FOR OFFICE I'SF ONIA'
City of Tigard SEP 2 3 2015 Received 9 n permit No prim,6/5"...-6V2 (/ '
14 13125 SW Hall Blvd,Tigar t 7_ DateB Oc -'
a gg g�tl� Plan Review �'
Phone 503 718 2439 Fax i9:1 $:0. Il�lintli Date/B �SfL D Mfg,Other Permit
T I i;A R 1:) Inspection Line 503 6396 i Date ReadyBy s: H See Page 2 for
Internet www ti and r• Notified Method /
g -O _ Supplemental Information
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Permit fees*are based on the value of the work performed.
❑New construction ❑Demolition
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑ Other High Piled Storage equipment,materials,labor,overhead,and the profit for the
,� `EEiz,;tih', : ,'1EE{`• work indicated on this application
LAP„: 'Ir., ��:f�E ia�::. ;;.�>"'.a�t' s„*3�f %EEL•,,E:E,,,,,, •;,•
,'. ,,,ATEG{mIi,,, :C(JNSTRUGTION iii ,r;�,{;E,,,, ;4, PP
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Valuation $❑ 1-and 2-family dwellin g 0 Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms
❑Master builder ❑Other. Number of bathrooms
)?`'1rv,. TC)B€SIT 41;,,FORMATIO AND.'GOCATION I, a l°' t'
3 ,;At {,. ,' = _; Total number of floors
_ t %'s,��;.C» 1 9n,::E:A�rao..., „'�:'.EEas,n'�+..�r- ..� rsvitur s,t's,,r„r:� srtdm d,<„�imFF� 'A.'-""�-.;�.1s5 S
Job site address 14160 SW 72nd Ave. New dwelling area square feet
City/State/ZiP Tigard, OR 97224 Garage/carport area square feet
Suite/bldg/apt no.Suite 150 Project name UPS Supply Chain Solutions Covered porch area. square feet
Cross street/directions to job site. Deck area. square feet
Located between SW Bonita Rd.and SW Landmark Ln. Other structure area. square feet
,.,�,,.,, ,... ��:J'•,. .. `. {„ .ins „v
J.,,�
REEQUIRED DATA a COMMERCiAL-USE;CHECI�LISTTTT ^,
,.^S3$EEEtu:,:Ev`riEEE,E;EE„ ,';'h--`=:fi: +,:fl eatEl^n"•a`•
Subdivision Lot no.. Permit fees*are based on the value of the work performed
fax map/parcel no APN#2S112AA 00900 Indicate the value(rounded to the nearest dollar)of all
equipment,maters s labor,r,overhe
ad and the profit fit for the
{ E ,,;,,,rt3, 1)'Epw rio 3E W QILR E„t3` 'r E EaEi"(,-,; ',1E'tE:,sr'E;-;,;K ::. work indicated on this a PP lication
.,^ , �,;, Nt»t,` ,,„',,,,,,,,,,r.,,,,,„ yxr.� fS'1{t,, „. `ffti” IRr,i.,, 7�,:E,E,,:.,€E,ii: .
High-Piled Storage. Rack installation plans have already been submitted and Valuation $5,100.00
approved under BUP2015-00262 Existing building area.I)i $3 8 square feet
New building area' IN//4 square feet
1 1:4'"ra ilfKOpRTY" 'NiN.'l R i,�:, ;µ4,-: , d ''�z F;;€"® EEEN.A�T '1V-.:
sz' " Number of stories 1 n>.yy , n^ma>n . zp ...::6ve> , ".' . „y .;� . ss0 %>. n.:,<i{rfi, 1d:r ,
1E6
Name'Robert Jones(UPS Supply Chain) Type of construction.Type III-B
Address 14160 SW 72nd Ave., Suite 150 Occupancy groups.S-1 &B
City/State/ZiP Tigard, OR 97224 - Existing:S-1 & B
Phone ( )503-684-1731 Fax ( )
New
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,;, 4 �., E., , A,1.14, Te ., .Eii ,;t® ta . AC,, ,,x #CO.,Ns..° i�; _?r3;at E "�- 3,�. ' � 3°NTICE E„,„,E„aY � l” �»'': ,E.
Business name Premier Fire Consulting, LLC
All contractors and subcontractors are required to be
Contact name.Kevin Gray licensed with the Oregon Construction Contractors Board
/ l�f�� under ORS 701 and may be required to be licensed in the
Address 13337 South St.,#151 °� jurisdiction in which work is being performed.if the
City/State/ZiP Cerritos, CA 90703 applicant is exempt from licensing,the following reasons
�" apply
Phone.( 1 562 42-4134 ,(P Fax ( 1562-865-2004 No work to be done,applying for an operational permit only
E-mail kevin @premier-fire.net
`f .;: , ,.. ., li L ;r 1,: vk ' : fi- 4:1 1 g�� ,
��' ;g UILDeNGRERMiTA FEE S>ws4 %
'B (ilease eito1 I eechi diite!i _?t':,,.E
usiness name nj PL,9- ..)T / ,JTr4} - .9'T/O/OS IA)C-
Permit fee.
Address PC , ko X d i‹..4v
City/State/ZiP A)/ State surcharge(12%of permit fee)
/ FLS plan review(40%of permit fee)
Phone ( ) Fax ( ) (Due upon application submittal)
CCB lie. /U/ f7 Total permit fees
Authorized signature // Amount received ��
/�� This permit application expires if a permit is not obtained
Print name Kevin Gray Date. within 180 days after it has been accepted as complete.
* Fee methodology set by Tn-County Building industry
Service Board
I\Building\Pumas\FPS-Perm,tApp_071514 doc 440-46131(11/02/COM/WEB)
SEE' 671017" /72—C tNS m
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
' ,
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
I=1 New system Number of sprinkler heads: Number of alarm devices:
El Addition or El 1-10 heads: Affidavit required and 111 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 11 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
High Piled Storage only-all sprinkler work to be done will be under a separate permit
- , 'nfa
a§.14pptis4bie).;,,q,
, • " 39*"Ntk "
'11,5;y3f,...;ordinettihust,rinkiet440r 01,W,‘," '• 4" " '"` ,,P14?q,';.'' 4444iP, <
!'n.kair Octralt,41, oim:Iteitfi,.! :1P,14,==abv:lie,%„-AttN„
IEI Wet El Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
Siip'in144SiOn
Hood Project Valuation: I $
:, ,„ „
AfigrA-5,,Apoolorftoo!
- ,
Submittal shall Battery Calculations P Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
41VrIACTIP7'''.!;A,.
; _44,.,44,tf,",,,,,:4q4, ,:"Ii.44Ar,4 04'`,4 '4 4 .444 40,4444 '04.! ''4■ '
(StAricLAlone'8ystelii) '"Y"
Square Footage: Permit Fee:
, „ '
0 to 2000, $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39 "!.'4 riOin4
Sprinkler Project Square Footage: sq. ft.
FirPMéectioñ Pnit 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\Users\PRECIS-1\Appllata\Local\Temp\ITS_PermitApp.doc 2
I
IN PLANT INSTALLATIONS INC
PO BOX 2166
NAPLES FL 34106
CCB LICENSE 101927 CONSTRUCTION CONTRACTORS BOARD � a
POCKET CARD
RESIDENTIAL BOND' NONE LICENSE NUMBER: 101927 .< = a
COMMERCIAL BOND$20,000 EXPIRATION DATE 10/21/2016 fold and detach
INSURANCE. $1,000,000/$2,000,000 ENTITY TYPE.Corporation
INDEP CONT STATUS EXEMPT . ENDORSEMENT(S):Commercial Specialty Contractor Level 2 along
perforation
RMI JUDITH HORNE
HOME INSPECTOR CERTIFIED. NO IN PLANT INSTALLATIONS INC
' PO BOX 2166 4 4 4 4 4
NAPLES FL 34106 LICENSE CARD
E1111111111111111111 lIIIIII 4 4 4 4 4
i. ,.,,,, ,,,1.. ,y;,,,,,x'r7!,t^.,-....... ::r„�-.....—...w...c43 ,„.„2.....;.v.,.L. :,"."..:::s,.'„ ----«,�. : a ,°,,,,f'', , .., .*.... T`-7, I
' STATE OF OREGON. '11
11.1,i, CONSTRUCTION CONTRACTORS BOARD
LICENSE CERTIFICATE I)
LICENSE NUMBER: 101927 4'
This document certifies that
IA
IN PLANT INSTALLATIONS INC il
1 PO BOX 2166
■ ' NAPLES FL 34106
: is licensed in accordance with Oregon Law as a Commercial Specialty Contractor Level 2.
ii
. s
is I'1
License Details:
EXPIRATION DATE: 10/21/2016
ENTITY TYPE: Corporation ,
l INDEP CONT. STATUS. EXEMPT
RESIDENTIAL BOND. NONE
I ;
COMMERCIAL BOND: $20,000
INSURANCE' $1,000,000/$2;000,000
RMI. JUDITH HORNE
l' ' „
HOME INSPECTOR CERTIFIED: NO s
Dianna Howse
From: Dianna Howse
Sent: Monday, October 12, 2015 10:09 AM
To: 'kevin @premier-fire.net'
Cc: #Building Permit Technicians
Subject: RE: FPS2015-00148
Hi Kevin,
I see that you have provided a return envelope for the issued permit and plans. You may pay the permit fees online at
https://aca.accela.com/tigard/and click on Search Permits/Pay Fees under Building. Enter FPS2015-00148 in the record
number field. Expand the fee details and click on the Pay Fees link. We accept all credit cards, except American Express.
After we know the contractor information, and once the fees have been paid, we can issue the permit and put it in the
mail to you.
Thank you.
Dianna Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd.,Tigard, OR 97223
503-718-2430
From: Dianna Howse
Sent: Monday, October 12, 2015 10:01 AM
To: 'kevin @premier-fire.net'
Cc: #Building Permit Technicians
Subject: FPS2015-00148
Hello Kevin,
We have completed plan review for the fire protection system permit for UPS Supply Chain Solutions at 14160 SW 72nd
Ave.,Tigard, OR. The balance due for permit fees and plan review is$210.41. You can pick up the permit Monday-
Thursday, 8:00 am to 4:30 pm. Our office is closed on Fridays.
Before we can issue the permit, we will need a licensed contractor identified. You list Premier Fire Consulting, LLC as the
applicant/contact, however the contractor information is not listed on the permit application. If you have a CCB number
of the contract, please let me know and I can insert that into the permit. Otherwise, please provide this information
when you arrive to pick up the permit.
Thank you.
Dianna Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd.,Tigard, OR 97223
503-718-2430
1