Permit (102) n CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
$ COMMUNITY DEVELOPMENT Permit#: FPS201600027
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/17/2016
Parcel: 2S 101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 440
Project: Spec Space Subdivision: VARNS ACRES Lot: 9
Project Description: Fire sprinkler modification of(7)sprinkler heads. Combining suites 440 and 450 into one suite:440.
Contractor: T&L COMMUNICATIONS INC Owner: GK TRIANGLE CORPORATE PARK III L
PO BOX 87387 ATTN KBS REALTY ADVISORS
VANCOUVER,WA 98687-7387 P 0 BOX 28270
SANTA ANA, CA 92709
PHONE: 360-737-9725 PHONE:
FAX: 360-737-9648
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/17/2016 $83.37
12%State Surcharge-Building 02/17/2016 $10.00
Type of Use: COM Plan Review-Fire Life Safety-COM 02/17/2016 $33.35
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 02/17/2016 $0.50
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 $127.22
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,700.00
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 Notifica.• 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 stions to •UNC by calling 503.232.1987 or 1.800.332.2344.
II ' rij6 )
Issued y: � 2 � Permittee Signature: �� I ( ,
.daidmi WA
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
Protection System Y
Fire Y IdECEIVEI FOR OFFICE USE ONLY-
City of Tigard ReceDatived
d �'/7 I� Permit No.: a0t6- 7
'. y-
w 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 015`00?J�/
• Phone: 503.718 2439 Fax: 503.59 - 6Q r� Date/By:
Other Permit:
Inspection Line: 503.639.4175 r i D 17 2016 Date Ready/By. Suns 0 See Page 2 for
TIGARD p Notificd/Method: I Supplemental information
Internet: www.tigard-or.gov
CITY OF MARI
w h4,t - T�Y1 moms* ,' c,� :',,,::::::-5,:,!,� ,,', REQUIRED `I DATA ANDA2FAMILY.DWELLING4,
❑Demolition Permit fees'are based on the value of the work performed.
❑New construction Indicate the value(rounded to the nearest dollar)of all
lgi Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
A_ ' - ° ATEGORY OF CONSTRUCTION, ;W- work indicated on this application.
Valuation: S
❑1-and 2-family dwelling DI Commercial/industrial
Number of bedrooms:
Multi-famil
❑Accessory building 0 y
❑Master builder
❑Other: Number of bathrooms:
x rzi ;p: 3,W,FO ION A D I.:ocATIUN , :4 itl Total number of floors:
Job site address: 13221 SE 68th Parkway New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223
Garage/carport area: square feet
Suite/bldg./apt.no.:440/450 Project name: Triangle Corporate Center Covered porch area: square feet
Cross street/directions to job site: )Q:Q_ _- 6p0--0....e., Deck area: square feet
1 Other structure area: square feet
'REQUIREDxDATA:;COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Valuation: S 1,700.00
Fire Sprinkler Tenant Improvement
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER * ®TENANT¢ ,d ',5- Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
'*?:
City of Tigard RECEIVFP
Permit No.: /' .::9O/( -6x.0a7
111 41 13125 SW Hall Blvd.,Tigard,OR /
I Phone: 503.718.2439 Fax: 503.598.1960 Date Received: /7/*
Inspection Line: 503.639.4175
T 1 t'A 1' Internet: www.tigard-or.gov FEB 1 7 2016
B C _ P
FIRE SPItIii1Npp�� 1L(ARFIDAVIT FOR ALTERATIONS
BUNVAAIN MPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Triangle Corporate Center Occupancy: Commercial
Job Address: 13221 SE 68th Parkway Type of Construction: TI
Suite: 440/450
Contractor: T&L Communications, Inc. Phone: 360-737-9725
Number of Proposed or Altered Heads: 7
Type: Wet Hazard:Light Density: .10gpm
L Larry Bushaw Oregon Construction Contractors Board No. 6778
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers in a light-hazard occupancy.
b) Positions of sprinkler heads relative to architectural features such as soffits,beams,partitions,walls, etc.
complies with current adopted edition of NFPA 13.
c) The proposed work does not require hydraulic calculations.
d) Only one sprinkler head will be installed from one drop (exception: up to two heads from one drop may be
installed when each head is in a separate fire area).
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
f) Tenant improvements in a new building shall be equipped with Quick Response heads (see 2002 NFPA 13,
Section 8.3.3.1 for exceptions).
g) The installation shall comply with the requirements of the current adopted edition of NPFA 13.
h) Piping shall not be concealed until hangers and bracing are inspected.
i) Final approval shall be subject to onsite tests and inspections.
In addition, I understand the following is required:
• Submit(3)copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• A copy of this document with a copy of the sketch attached shall be available for all inspections.
Signature: \--4 (2(�� Date: Z -160 -1 G
Print Name: Larry Bushaw
I:\Building\Forms\FireSprinklerAffidavit_0715I4.docx Page 1 of 1
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
13221 SW 68TH PKWY 440, TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2016-00027
Jeff Grove
Violation Summary:
Inspector Contractor