Permit 1; r CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
2 COMMUNITY DEVELOPMENT Permit#: FPS201500184
TWARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/23/2015
Parcel: 2S112AD01100
Jurisdiction: Tigard
Site address: 6650 SW BONITA RD
Project: Sleep Train Subdivision: 2000-020 PARTITION PLAT Lot: 1
Project Description: Fire sprinklers-Add(5)sprinkler heads
Contractor: FIRE SYSTEMS WEST INC Owner: PACA PROPERTIES LLC
600 SE MARITIME AVE#300 6600 SW BONITA RD
VANCOUVER,WA 98661 TIGARD, OR 97224
PHONE: 360-693-9906 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/23/2015 $91.44
12%State Surcharge-Building 11/23/2015 $10.97
Type of Use: COM Plan Review-Fire Life Safety-COM 11/23/2015 $36.58
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 11/23/2015 $1.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $140.49
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,000.00
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 c question -OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �/ ,, 4 / Perm ittee Signature: (I''
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.
Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
I Received
City of Tigard # a3 is �h Permit No.:605„940/5"-;-00/By
Date/By:
13125 SW Hall Blvd.,Tigard,OR 97223ppII c� Plan Review
Phone: 503.718.2439 Fax: 503.598.196ItOV 2 3 2015 Date/By. Other Permit:ktdpeteS-6o424,5
TIGARD Inspection Line: 503.639.4175 CITY v r� �./c Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov Cl 1 i OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
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,�,,.:.:,: .; ,. „ • :TY�P OF WORK. . -,�;.• .t.;:''.:... .r:,<•,. -;•: '
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City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
D,escrxbe1:work to beNdone. '
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: 5
Additional description of work:
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® Wet ❑ Dry
Additional Standpipes
Information: Hazard Group LIGHT
Density .1
Design Area
K. Factor 5.6k
Sprinkler Project Valuation: $ 2000
fir'„�. >� �.�- ". �,.�,... .�,,,� -� :•x _
�B.)� TypemI� Hoad Eire Suppression„Sysfema,„��A� .��,., � .:� . .w�>w�,�=�=;..°: .,.. _A-=
Hood Project Valuation: $
.,a •. ,.",: � .�.. - 1:Y. :��:��,'� ., b..•,a CHH
�
.-
Fire Alarm
`s^Y'
.. mit4='ski' ta.* 5 �_
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D. "Residentia1�.S pnnkler Stand Alone
Square Footage: Permit Fee:
0 to 2,0001)8.75` ,..;
,,° 444-
2,001
;_2001 to 3,600 $246.45 '1
..,,:r\ `�,:`<
3,601 to 7,200 310.05 :..> b $'' ,:` =,
7,201 and greater $404.39 ,.: -tea
Sprinkler Project Square Footage: sq. ft.
Fir'�Pr 'ec i`"'n e >aYFces
,., °: a:r�iir% •... _,_. - � �, _. .
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: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
C:AUsers\ChrisD\Desktop\V`(CORK\CI1Y INFO\Tigard\Tigard-perrnitApp.doc Rc,-91/05/2012
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
6650 SW BONITA RD, TIGARD, OR, 97224
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2015-00184
Chip Barnett
Violation Summary:
Inspector Contractor