Permit (206) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a a . . COMMUNITY DEVELOPMENT Permit#: FPS2016-00195
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2016
,
Parcel: 2S112DD01600
Jurisdiction: Tigard
Site address: 15575 SW SEQUOIA PKWY 130
Project: BFit Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: Fire alarm
Contractor: ASSET PROTECTION PARTNERSHIP Owner: PACIFIC REALTY ASSOCIATES
1812 16TH AVE ATTN: N PIVEN
FOREST GROVE, OR 97116 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-719-1977 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/12/2016 $306.64
12%State Surcharge-Building 12/12/2016 $36.80
Type of Use: COM Plan Review-Fire Life Safety-COM 12/12/2016 $122.66
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 12/12/2016 $6.00
Occupancy Grp: A-2 Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 12/12/2016 $10.00
11x17)
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: Yes Alarm Type: Automatic
Pull Station Required: Smoke Detectors Req: No
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $482.10
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $22,000.00
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 o in a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ._. Permittee Signature:
al lI`SQ3.639.4175 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.
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
❑ 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
❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Mann
Submittal shall Battery Calculations Ig Yes
include: Individual Component =11 Yes
Cut Sheets
Fire Alarm Project Valuation: $ / 00d
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: $
I:\Building\Permits\FPS_PemutApp_071514.doc 2
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
15575 SW SEQUOIA PKWY 130, TIGARD, OR,
97224
Record Type:
Commercial - Fire Protection System
Inspection Type:
998 Alarm Final
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
FPS2016-00195
Inspector:
Jeff Grove
Contractor