Permit (68) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
11111 COMMUNITY DEVELOPMENT Permit#: FPS2016-00070
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/25/2016
Parcel: 2S110DCO2200
Jurisdiction: Tigard
Site address: 15660 SW PACIFIC HWY A-5
Project: New Sound Subdivision: 1997-016 PARTITION PLAT Lot: 2
Project Description: Fire sprinklers-Modification of(15)sprinkler heads
Contractor: FIRE SYSTEMS WEST INC Owner: ROIC OREGON LLC
600 SE MARITIME AVE#300 ATTN: SCHOEBEL, RICHARD
VANCOUVER,WA 98661 8905 TOWN CENTRE DR, STE 108
SAN DIEGO, CA 92122
PHONE: 360-693-9906 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/07/2016 $102.20
12%State Surcharge-Building 04/07/2016 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 04/07/2016 $40.88
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 04/07/2016 $8.50
Occupancy Grp: M Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes 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 Req:
Battery Calcs Provided: Cut Sheets Required:
Total $163.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,500.00
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• .- o OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue. By: Permittee Signature:
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 timo of each inspection.
4 ..-.0.-
Building
'"Building Permit Application
Fire Protection System A VA '' FFOR Olcl; l'SI oy�l
City of Tigard tvo, Received�GG DateB3L / f f Permit No.:1.,1 .91:0169 04670 I
1 44 13125 SW Hall Blvd.,Tigard,OR 97223 el 1�'U
• Plan Review �
Phone: 503.718.2439 Fax: 503.598. DateBy: V� ' « 1 Other Permit: 4{iQ' /dp—Ct7/try
"I 1(,A R D Inspection Line: 503.639.4175 , !l s N Date Ready:y: 1 // auris: ® See Page 2 for
Internet: www.tigard-or.gov R ,c1Av Notified/Method: L 42/ /So Supplemental Information
t �"ly l At LzrvNA1 . - ,r{S
-
TYPE . liAtglr REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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: $
AccessorybuildingNumber of bedrooms:
❑ ❑Multi-family
0 Master builder 0 Other: Number of bathrooms:
JOB STYE INFORMATION"'AND"LOCATION Total number of floors:
Job site address:15660 SW PACIFIC HWY. New dwelling area: square feet
City/State/ZIP:TIGARD,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:A5 Project name:NEW SOUND Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
‘REQUIRED DATA: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.
RELOCATION/ADDITION OF SPRINKLER HEADS IN TENANT IMPROVEMENT Valuation: $$2,500.00
Existing building area: 1,100 square feet
New building area: 1,100 square feet
0 PROPERTY OWNER ®TENANT Number of stories: 1
Name:NEW SOUND Type of construction:
Address:15660 SUITE A5,SW PACIFIC HWY. Occupancy groups:
City/State/ZIP:TIGARD,OR 97224 Existing: B
Phone:( ) Fax:( )
New: B
® APPLICANT 0 CONTACT PERSON
' 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:chrisd@firesystemswest.com
CONTRACTOR - BUILDING PERMIT FEES*
Business name:FIRE SYSTEMS WEST
(Please refer to fee schedule)
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 9 Total permit fees:
Authorized signature: -� Amount received: ,J
rit",„,
��J �. This permit application expires if a permit i not obtained
Print name:BRENT CULLINANE Date:4/6/16 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1-10 heads: No plan review required.
® Alteration ® 11+ heads: Plan review required.
0 Repair
Number of sprinkler heads: 15
Additional description of work:
Type of System (Complete A,B,,.0 or.D as applicable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes NA
Information: Hazard Group LIGHT
Density 0.10
Design Area
K. Factor 5.6K
Sprinkler Project Valuation: $ 2,500.
B.) Type I - Hood Fire°Suppression System
Hood Project Valuation: $
C.) Fire Alarrm
Submittal shall Battery Calculations 0 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 $198.75
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: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
C:\Users\BrentC\Desktop\NEW SOUND\Tigard-PermitApp.doc Rev 01/05/2012 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
15660 SW PACIFIC HWY A-5, TIGARD, OR,
97224
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2016-00070
Chip Barnett
Violation Summary:
Inspector Contractor