Permit 'f r CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
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COMMUNITY DEVELOPMENT Permit#: FPS2015-00169
�l.,l ;;r Date Issued: 11/03/2015
T I+GARD 13125 SW Hall Blvd ,Tigard OR 97223 503 718 2439
�,,t. iv Parcel. 1S126BC01500
Jurisdiction- Tigard
Site address: 9000 SW WASHINGTON SQUARE RD
Project: Embassy Suites Hotel Subdivision: 2005-035 PARTITION PLAT Lot: 3
Project Description: Relocating and adding a total of(78)sprinkler heads for T I
Contractor. FIRE SYSTEMS WEST INC Owner: FO PORTLAND PROPERTY LLC
600 SE MARITIME AVE#300 BY WINSTON HARTON HOLDINGS LLC
VANCOUVER,WA 98661 745 FIFTH AVE 33RD FL
NEW YORK CITY, NY 10151
PHONE 360-693-9906 PHONE
FAX
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/26/2015 $177 52
12%State Surcharge-Building 10/26/2015 $21 30
Type of Use: COM Plan Review-Fire Life Safety-COM 10/26/2015 $71 01
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2 00(over 10/26/2015 $2 00
Occupancy Grp- R-2 Height: ft 11x17)
Stories: Info Process/Archiving-Sin$0 50(up to 10/26/2015 $4 00
11x17)
Commercial Sprinkler System:
Sprinkler Required No Sprinkler Type Wet
Standpipe Required No 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 Reg
Battery Calcs Provided Cut Sheets Required
Total $275 83
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation $10,000 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 direct questions to OUNC by calling 503.232 1987 or 1 800 332 2344
Issued By: Permittee Signature: /
c
Call 03 639.4175 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 ieli"t11) FOR OFFICE USE ONLY
1 of Tigard +��)� Received Permit No `
1711
City b = •r' 1G� Date/B 0 • 1� /lI 0�1� �' 1 y
13125 SW Hall Blvd,Tigard,OR 97223 �p �` L� Plan Review i
Phone 503 7t8 2439 Fax. 503 598 1960 C� IN Date/B iT j Other Permit �J �,i.
TIGARD Inspection Line. 503 639 4175 D �� `t,Date Ready:y r ra Sec Page-for
Internet. www tigard-or gov �ctk D�`,c�®� G i 'iIt• Supplemental
y �Y m Notified/Method.ed/Method Su lemental Information
ipb�� ��"cal _ 4✓i'j_lu
,` ,., TYPE"Or W,O ;.- '_ z REQUIRED'DATA: I=`AND;2-FAN IIliY;;D,WEL:LIr4
:rr, ''.�" .:e, a�.^ coo.� ��,; �.t'.�.:`,'.';,'. '.'L`";�� .:€,,:r'€ '�� c:, �����,: :..�,:�:,.,::.,,.,�.� ,,,.�• �s�'
❑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
" Gt�TEGORYrOF CONST UCTION work indicated on this application,
Valuation: $
❑ I-and 2-family dwelling ®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑,Master builder ❑Other: Number of bathrooms:
ww: 11`'5 JOB'SITE INFORMATION AND?LOCATION'`+ • `'''- Total number of floors:
Job site address 9000 SW Washington Sq. New dwelling area: square feet
City/State/ZIP:Tigard,OR Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Embassy Suites Tigard-TI Covered porch area: square feet
Cross street/directions to job site: Deck area• square feet
Other structure area: square feet
REQUIRED DATA:COMMERClAL0USE4CHECKLIST°
.tea. .: � � _ .._ r _ 4 • .: _
Subdivision: 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/parcel no.: equipment,materials,labor,overhead,and the profit for the
.--,;
`'" `-', ,mss° UESCRIPTIOiai`#, WORK .r,, '> '' work indicated on this application.t.
RELOCAI-1ON/ADDITION OF SPRINKLER HEADS IN TENANT IMPROVEMENT Valuation. $$10,000.00
Existing building area: square feet
New building area: square feet
' F- PROPERTY`O'V'ER` , ❑ TENANT: ; Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone'( ) Fax:( ) New:
,. gr PPLICANT ❑ CONTACT PERSO\T ' _'.- _
NOTICE
Business name FIRE SYSTEMS WEST All contractors and subcontractors are required to be
Contact name.CHRIS DEVICQ licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 600 SE MARITIME AVE.SUITE 300 jurisdiction in which work is being performed If the
City/State/ZIP: VANCOUVER,WA 98661 applicant is exempt from licensing,the following reasons
apply-
Phone (360)693-9906 Fax: :( )
E-mail ehrisd@firesysteinswest.com
t resystemswest.coni
4• • - m ' t -",q,-.,, - . r ONRACTOR om
BUILDING PERMIT FEES*` °•',
Business name FIRE Sl'S hE11'IS WEST ,- .^: j�(Plea.eerefertofee+chedule)-` As, .. ':--, -
Permit fee:
Address:600 SE MARITIME AVE.SUITE 300
State surcharge(12%of permit fee):
City/State/ZIP VANCOUVER,WA 98661 ,
FLS plan review(40%of permit fee):
Phone (360)693-9906 Fax.( ) (Due upon application)
CCB lic. 49732 Total permit fees: pA?5•83
6/A___ a
Amount received:
Authorized signature.
This permit application expires if a permit is not obtained
Print name.CHRIS DEVICQ Date: 10/26/15 within 180 days alter it has been accepted as complete.
* Fee methodology set by Tn-County Building Industry
Service Board
1\Budding\Pei toes\FPS-Pei ma App doe Rev 01/05/2012 440-4613"r(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: 7S Number of alarm devices:
(;g1 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.
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
AWet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ [(3)QC:0
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 $198.7 - .
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: $
f\Building\Permits\FPS_PermitApp_071514.doc 2
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
9000 SW WASHINGTON SQUARE RD, TIGARD,
OR, 97223
Commercial - Fire Protection System
999 Sprinkler final
FAIL
FPS2015-00169
Jeff Grove
Reschedule with detailed contact info
Violation Summary:
Inspector Contractor