Permit ;; CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
io- COMMUNITY DEVELOPMENT Permit#: FPS2015-00168
r Date Issued: 11/24/2015
TIGA ri 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 25101 DC04603
Jurisdiction: Tigard
Site address: 7405 SW TECH CENTER DR 160
Project: Cascadia Labs Subdivision: TECH CENTER BUSINESS PARK Lot: 2
Project Description: Add/relocate fire sprinklers
Contractor: VIKING AUTOMATIC SPRINKLER CO Owner: WPC TIGARD LLC
3245 NW FRONT AVE 307 LEWERS ST 6TH FL
PORTLAND, OR 97210 HONOLULU, HI 96815
PHONE. 503-227-1171 PHONE:
FAX: 503-227-1552
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/24/2015 $209.80
12%State Surcharge-Building 11/24/2015 $25.18
Type of Use: COM Plan Review-Fire Life Safety-COM 11/24/2015 $83.92
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 11/24/2015 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 11/24/2015 $5.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: 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 Req:
Battery Calcs Provided: Cut Sheets Required:
Total $325.90
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $12,900.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct qu s UNC b calling 503.232.1987 or 1.800.332.2344.
Se'1 _
Issue By: A � Permittee Signature: �iiAr�
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applicatio!CE V D
Firs; Protection System FOR OFFICE USE ONLY
City of Tigard OCT 15 2015 Received M 45- AI
Date/By: c2/. ,i` ♦ permit Nof9f /$/;w6e
II a 13125 SW Hall Blvd.,Tigard,OR 972Plan Review j►
= Phone: 503.718.2439 Fax: 503.59 Oy OF TIGARD Date/By: 4�A l'i (�' Other Permietipc/5 Qda6/
T I G n R D Inspection Line: 503.639.4175 BUILDING p�g�T�`1f��t�j���®� Date Ready:y: lurir. ® Page 2 for
Internet: www.tigard-or.gov W W9Yll1V H9 Notified/Method: //J1/e /men- I Supplemental Information
C �a t,,�t-&,l R.
" . - k., TYPE'OF"WORK i . REQUIRED DATA:!-ANll 2-FAMILY;DWEI LING
0 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
CATEGORY OF CONSTRUCTION . • • work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7405 SW Tech Center Drive New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:160 Project name:Cascadia Labs Covered porch area: square feet
Cross street/directions to job site: dC"" ' �'�l V' Deck area: square feet
v.J' Other structure area: square feet
PLitr A/I, r.,,„,
r. " 8:-P REQU RED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 �f,�V"' fG dtot 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
" DESCRIPTIONF'WORK work indicated on this application.
Add/Relocate sprinklers as needed for tenant improvement. Valuation: $12,900
Existing building area: square feet
New building area: square feet
►5 PROPERTY OWNER ❑ TENANT Number of stories:
Name:WPC Tigard LLC Type of construction:
Address:307 Lewers St 6th FL Occupancy groups:
City/State/ZIP:Honolulu,HI 96815 Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT ® CONTACT PERSON NOTICE
Business name:Viking Sprinkler All contractors and subcontractors are required to be
Contact name:Dave Bateman licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:3245 NW Front Ave jurisdiction in which work is being performed.If the
City/State/ZIP:Portland OR 97210 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)227-1171 Fax::(503)227-1552
E-mail:dave.bateman@vikingsprinkler.net
CONTRACTOR . ' BUILDING-PERMIT FEES* - - .
Business name:Viking Sprinkler (Please refer to fee schedule)
Permit fee:
Address:3245 NW Front Ave
City/State/ZIP:Portland,OR 97210 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)227-1171 Fax:(503)227-1552 (Due upon application submittal)
CCB lic.:64837 Total permit fees:
Authorized signat Amount received:
This permit application expires if a permit is not obtained
Print name: Dave Batema Date:10/19/15 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:t Building 1Permits\FPS-PermitApp_071514.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: 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
Z 11+heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work: add/relocate sprinklers as needed for tenant improvement.
Type of System (Complete A,B,,C or D as applicable):.
A.). Commercial Sprinkler . .. . ._
® Wet ❑ Dry
Additional Standpipes N/A
Information: Hazard Group Light Hazard
Density .10
Design Area N/A
K. Factor 5.6
Sprinkler Project Valuation: $ 12,900
13,.),:.;Type I - Hood Fire Suppression System-,
Hood Project Valuation: $
C.) Fire Alarm - . . .. _ .. __ .
Submittal shall Battery Calculations ❑ Yes
include: Individual Component El 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: $
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