Permit CITY OF TIGARD71 FIRE PROTECTION SYSTEM PERMIT
2 COMMUNITY DEVELOPMENT Permit#: FPS2017-00010
T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/06/2017
Parcel: 1 S 126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 400
Project: Aerotek Subdivision: None Lot: None
Project Description: Fire alarm-modification, add(1)notification device and relocate(2)devices.
Contractor: FIRE PROTECTION SERVICES Owner: WISCO REAL ESTATE EQUITY FUND I
5573 SW ARCTIC DRIVE 1501 SW TAYLOR ST STE 100
BEAVERTON, OR 97005 PORTLAND, OR 97205
PHONE: 503-590-3732 PHONE:
FAX: 503-628-6214
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/06/2017 $67.23
12%State Surcharge-Building 02/06/2017 $8.07
Type of Use: COM Plan Review-Fire Life Safety-COM 02/06/2017 $26.89
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 02/06/2017
Occupancy Grp: B Height: ft 11x17) $2.00
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: Yes Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required:
Total $104.19
Valuations:
Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,100.00
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
issuanc r_,_if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
U''y Notification` ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
r direct questions to OLtNC calling 503.232.1987 or 1.800.332.2344.
Issued By: ik )� Permittee Signature: y/
,/,
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.
Fire Protection System
Building Permit Applic ED
FOR OFFICE LSE ONE\
City
l of Tigard Date/Bea L�/J�M /n5 . /7 ��,�JO
g Permit No.: �/ OV CC�C.r
13125 SW Ha11 Blvd.,Tigard,OR 7 7 Plan Review'
` Phone: 503.639.4171 Fax: 503.5 0 67 1 Date/B : Other Permit: , 4
r. -
T I GA R D Inspection Line: 503.639.4175t: w •OF' y1 it,/1-11—ii, Notified/Method:Notified/Method: Supplemental Information
BUILDING DIVISION!
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❑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
, x � q„y v� � ” Y•` 4"a s "7 Rwork indicated on this application.
�,
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
``* � )” �a1 v ' "" ` "a „‘rk" wF`g"�� °
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° . w , Total number of floors:
Job site address:9020 SW Washinton Square Rd New dwelling area: square feet
City/State/ZIP:Tigard OR Garage/carport area: square feet
Suite/bldg./apt.no.:400 I Project name:Aerotech Covered porch area: square feet
Cross street/directions to job site:Scholls Ferry rd Deck area: square feet
Other structure area: square feet
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P: .1°1' W
Subdivision: Lot 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
a a�, ��� r equipment,materials,labor,overhead,and the profit for the
q1a „ " �, � 'rodv" c »
" tea t work indicated on this application.
sh"�" �3 p� a t. 'z�; w.
Relocate 2 horn strobes adding one to Fire system Valuation: $$1,100.00
Existing building area: square feet
New building area: square feet
�
Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax ( )
ggl� New:
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Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) I Fax::( )
E-mail:
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Business name:Fire Protection Services Inc _�� �•� �^-- �^-•- w-�_ .,�• "fit".�-�,x'���e.
Permit fee:
Address:5573 SW Arctic Dr
City/State/ZIP:Beaverton Or 97005 State surcharge(8%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)590-3732 Fax:(503)628-6214 (Due upon application.)
CCB lie.:154333 Total permit fees:
Authorized signature: / Amount received: #/04/. /9
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:David M Phipps Date:02-06-2016
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp.doc 03/23/06 440-46131(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
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1.) El New 2.) Modification to sprinkler heads only:
Z Addition ❑ 1-10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
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Additional Stand•i•es
Information: Hazard Grou•
Densi
Desi Area
K. Factor
• � , • • � $
Hood Project Valuation: $
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!!JIIP ao a a+ �F`aa $vu:X� vv,.,ro,uu::araat ,�w ,3"as:m
Submittal shall Batte Calculations El Yes
include: Individual Component ® Yes
Cut Sheets
Fire Alarm Pro'ect Valuation: $ 1100.00
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S•uare Footate: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50 a v v
3,601 to 7,200 $292.50
7,201 and t eater $381.50
Sprinkler Project Square Footage: sq. ft.
.wk a.,„«,i0,;I x :aF\' r, a' aria a a�~�w.� a, '\S S��\b Waar ^aa
Pro-ect valuation subtotal see A,B &C above : $ 1100.00
Permit fee based on ero'ect valuation see fee schedule : $
Permit fee based on s•uare foota•e see D above : $
State Surchar.e 8% of .ermit fee : $
FLS Plan Review 40% of eermit fee : $
TOTAL: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
"New"fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer,or NICET level"3"technicians.
F:\Current Projects\Aerotech\Fire Alarm(Building).doc 2
City of Tigard Permit No.: ,�jdSap/7- /0
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Date Received: �(p//7
T I c;A R D Inspection Line: 503.639.4175 //--��
Internet: www.tigard-or.gov By: / ,� ) /3k4.
. i ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS
FEB 1 f OR TENANT IMPROVEMENTS
iv q� � e (MAXIMUM OF 5 DEVICES WITHOUT PLANS)
(.1ILDP( L.9}ie "`,4 yty
Project Name: A cev& &A 7 Occupancy: Orr/4-y
' `�� /1cJ
Job Address: Z 0; Sc,✓ '!i;;Ye S4g Y/ Suite: G/c2c.)
Contractor: �,f t' iero tf r 74 .i-r irC s ..,Ls-f cd Phone: 5"-_,,-- 3 7
Valuation of work: $ j; !D D o6
Type of System: (check one) � Re Required
❑Non-re uire
d
(check one) DAutomatic ❑Manual ❑Both
Total number of devices added or moved under this permit process is 5 total per tenant space.
Number of Proposed Smoke/Heat Detectors: To be Added(max 5) /To be Relocated(max 5)
Number of Proposed Manual Alarm Stations: To be Added(max sl /To be Relocated(max 5)
Number of Proposed Notification Appliances: To be Added(max 5) / /To be Relocated(max 5) r
I, Oregon Construction Contractors Board No.
certify the followin s true and defines the scope of work for this project:
a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction.
b) All notification appliances are located in accordance with the current state-adopted NFPA-72.
c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having
jurisdiction.
d) Exposed wiring will not be covered until inspected.
e) Final approval shall be subject to on-site tests and inspections.
f) Voltage drop is adequate to operate all appliances.
g) Battery supplies are capable of supporting the system modifications.
h) Compatibility of appliances and devices are in accordance with the FACP manufacturer's specifications.
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.
• Electrical permit.
• A copy of this document with a copy of the sketch attached shall be available for all inspections.
Signature: . , - ` Date: d — 5 �,w 7
Print Name: /,,ez, /70 490,5'
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