Permit (143) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
2 COMMUNITY DEVELOPMENT Permit#: FPS2017-00012
TIGARD 9 -
13125 SW Hall Blvd.,Tigard OR 97223 503.71:.' CP-
AMIDate Issued: 03/02/2017
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN
Project: PacTrust Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Fire Alarm-Building 240-Modifications to common area update:lobby,bathrooms,and stairs. 3/8/17, Reprinted
to correct description to fire alarm.
Contractor: CROSSFIRE SPRINKLER CO Owner: PACIFIC REALTY ASSOCIATES
17400 SE 82ND DR ATTN: N PIVEN
CLACKAMAS, OR 97015 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-210-5506 PHONE:
FAX: 503-210-5538
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/09/2017 $295.88
12%State Surcharge-Building 02/09/2017 $35.51
Type of Use: COM Plan Review-Fire Life Safety-COM 02/09/2017 $118.35
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 02/09/2017 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 3 Info Process/Archiving-Sm$0.50(up to 02/09/2017 $1.50
11x17)
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 Cates Provided: Cut Sheets Required:
Total $453.24
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $20,278.00
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 que ' t OUNC by calling 503.232.1987 or 1.800.332.2344. /7
Issued B Permittee Signature / 42./ /
i......1.4._i
Call 503.639.4175 by 7:00 a.m.for the next available inspect" n 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.
IIICITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
f 1 ' COMMUNITY DEVELOPMENT
Permit#: FPS2017-00012
T I r,;E un 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/02/2017
Parcel: 2S112DA01400
Site address: 6650 SW REDWOOD LN Jurisdiction: Tigard
Project: PacTrust
PARTITION
bdivision:
Project Description: Fire sprinklers-Building 240-Modifications to common ar auupdate::lobby,bather om4s,and stairs. PLAT
Lot: 2
Contractor: CROSSFIRE SPRINKLER CO
17400 SE 82ND DR Owner: PACIFIC REALTY ASSOCIATES
CLACKAMAS, OR 97015 ATTN: N PIVEN
15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-210-5506 PHONE:
FAX: 503-210-5538
Description Date
pecifics: Amount
S
Permit Fee-COM 02/09/2017
12%State Surcharge-Building $3$295.88
Type of Use: COM 02/09/2017 $35.51
Class of Work: ALT Plan Review-Fire Life Safety-COM 02/09/2017
Type of Const: IIB Info Process/Archiving-Lg$2.00 over $112.00
Occupancy Grp: B Height: ft 11x17) ( 02/09/2017 $2.00
Stories: 3 Info Process/Archiving-Sm$0.50u
11x17) ( P to 02/09/2017 $1.50
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: yP
q Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Valuations: Total $453.24
Required Items and Reports(Conditions)
Sprinkler Valuation: $20,278.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This
permit will expire if work is not started within 180 days ofq
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct que '. s to s. C by calling 503.232.1987 or 1.800.332.2344.
Issued :y: , CP— c
Permittee Signature:
Arlo"
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
B-- a—diPermit Aaalication
Fire Protection System
City of TigardRECEIVED 1 OH 01 l( I:t'SJ:ON L
• .13125 S W Hall Blvd,Ti
'� i! Bard OR 97223 Recov 3' Permit No.:`j
Phone: 503.b39:4 i 7l Fax: 503.598.19�p
Pt Review —`►_ i l`f-���dVa
1 tc,n t;t> inspection Line: 503.639.4175 I'�D " ,n17 Date R : -1� ��,� ILIBMIN rtr Permit //�� �
Internet: www lig 0163 .41 yy Date Ready. SSL .g fl
* 6*OQ a S
T i
CITY'$d -, - f��A"1!E Notified/Method. _ /�� $le Page l2 for
-� `' r..Y1 O `, - supplemental Information
//(///����•• -. , t17, raw r
❑New construction .:�. .;;
(]Demolition =-.• •o ,, - `
®Addihon/alteragan/ I Permit fees*are based on the value of the work
rep acement ❑Other
Indicate thevalue .Performed. ..
a - (rounded to the nearest dollar)of all
o,vrc i
.• �.. .w .al �A 'i � equipment,materials,labor,i overhead,and the profit for the
❑ !-and 2-family dwelling -r- - wark.indicated on this application
®Commercial/industrial Valuation: $
0 Accessory building
0 Multi-family Numberofb
0 Master builder edrooms:
0 to 0 Other
�' - - Number of bathrooms:
Job site address:6650 SW Redwood Lane m Total number of floors:
City/StatelZlP:Tigard,OR New dwelling area:
square feet
Suite/bldg./apt:no.: Project name:Pac Trust Bldg 240 Garage/carport area;
square feet
1� Cross street/directions to job site: Covered porch area: sNquare feet.
N
Deck area:
s;.
square feet
Other structure area:
N Subdivision: square feet
s Tax ma I LOt no.: .n2�d',-- •,: T.� /- x-i ,..-t .i 7Gt 1 'T7..a s;` �,m e. .
map/parcel noPermit f •are 'f the w
� ees based on the value of the wotic ..,,��•
�� Indicate the value(rounded to the nearest dollar)of all red.
.T
... d t* HTML y �_ equipment,materials,labor,overhead,and the profit for the
LI Relocate Eslating Sprinkler Heads into new ceilings to rnatatain propercoverage Va uationcated on this . $cation.
a _ 4S2p,27&SNI
- ustiticltHJ`tlli area.,. i _...e eel .___...
� zop
�. .° ►i a "` rG p New building area square
-"•+*.Can.'rer- s:.': .e...:-.:'Y...^` V{ .......:�.......... ...1¢. "Y wit***
feet
ailiNGIF
Address: l yp _of:eot on
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v s
(??)� Phone ( J`oFL+
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..:.: a._3_ � tit�>�Y�.1 t� ,<;.'�,..-... � .`s.... .,.
.4. Existing;
1112
"''- •- �'"-.=.......s -;+-;. ..;_c.« _.� f;'..»."iE^^..'Cz @''.ear€s �. -
Business name: `»~mom =t' I
cd. .Y:.-- -;.-.77;-..,.-7-..-: ° sic
Contact name: o- _
All contractors and subcontractors are required to be
Address: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed.If the
Phone;( ) applicant is exempt from licensing,the following reasons
1231111111111111.....
apply:
Business name: "
. . .._.F,
Crossfire Sprinkler Company 8 U
DM*......1111.11.112111111nit fee: 1.1111.11
Address:17400 SE g2"°Drive j .=N.:0 :`x "
City/State/ZIP:Clackamas,OR 9701$
State surcharge(12%of permit fee): 111111111111
Phone:(503)210-5506
Fax:(503)210 553$ FLS plan review(40%of permit fee):
CCB lie.: 174746 Due a .n a..licarion.
�o --���ib
Authorized signatur- ,.iri`' ' --- Total permit fees: 1111111111111111
Print name:Timothy A Bishop Amount received: 111111111111
This permit application expires if a permit is not obtained
Date:2/7/17 within 280 days after it has been accepted as complete,
1.F3uitd ngtppr�&yq�pg,pRmrtApp.doc taot wow)
* Fee methodology set by Tri-County Building Industry
dd04613TO Ii0?:'Op. Eg9 Service Board,
City of Tigard: Fire Protection Permit Checklist
Page 2 Supplemental Information
M tet..:r r q4a'. q�, . ' °T_vr.-xt. t„ „ � - , �'
1.) Type of Work: 2.) Addition/alteration only o sprinkler heads: 3.) Addition/alteration only to alarm devices:
0 New system Number of sprinkler heads: 101
Number o - arm devices:
Addition or ❑ 1-10 heads: Affidavit required and
Alteration (3) 0 1-5 devices: � +• •avit required.and
copies of sketch showing area (3)existing of work within buildingstructure o ) co•I-' ' sketclbowing area
system ark within building cture
11+ heads: Planreview required and 0 6+ devices: Plan review requi -d and
(3) sets of plans. (3)sets of plans.
Additional description of work:
i 3 r 7 ti ez• W 4 A Lc? 'cr...-1--•11,, �,.S.f�y.-r�E rr7VaF ESA q" ..tr - :- '. `' ".,..
' '' 9...*''''''''
-1 r ram 'a''''74 , ..fu(e' -1,.i -Q, i, �� �3 'e�=°u a.....'`k^t is"t''•" 'X- Ott-fi5:-Z tx "c-. -
..a z'�'�, ''' i _. *,• . yy..y;.4""2� W:£3 $'a„� a..r.i r'a-y, -1,4'E,�, , r' r 'fi,; .-c- "''` ri
L a G e a F i' a'`_ a"r - uta + I *�.t� 1, 4y .,:-. air' ,, .,. _ .. ` ,.t...-4.----,•:.,.i.: - 3' '"'a „ s,5""`i'
W."!rn' 1I.,'.1: ..r ?p .-a ` �,Y .02MckAlgslA"'44r. T...� 4 4 r,' gvt.. .,.'4.-.. •..-.+r's'fi 5 tet` _'f.- ^.•� ,.. .
-.;-t.4:Ra ,: =-- v-t'.,„s a-."� .r -.''X '•.R - 'rt >% =itr } .Ja> cw
Sprinkler Type F `D:.y
Additional ►l Wet 0 Dry
Standpipes
Information: Sprinkler Supply.Line
0 Yes 0 No
Hazard Group L`c 4-T.
Density o
Design Area t 5-0c)
K. Factor 5,
4, (-,-
Sprinkler
Proec",..t Valuation:
� $ Z c>
'YOr
2
1
xti"
` �, µ 1b .
1r +l -=iF7 ^� �'9 aHood Project Valuation: $} A � � " - " ' -,1 '`.` ` ~ x+w *Sir ""t �_-45. ,:,121 1,t' c' � { � rsazf yr::& 41- '.a t �rr . .t. r • ,44 ' £ t t� ��' s r4;: ,., <r .. � L
� .1- ,`-1 b; : ,l4 g 4 •7-1 � : "`gg� .Submittalshall
Battery Calculations ❑ Yes
include: individual Component
0 Yes
} Cut Sheets
Fire Alarm Project Valuation:
?..kT,,,,,,,I.-4-. 1,,,-,--,..,,,,-4..-, gs -..„.,,,,,.....745—,.....„,,,-„,--1,1...t. ' .,4',yLhay
s mia., y r6:• , , ae "', ,� .. ` rgeaaa-'4, -as .t �7,7i�- -.qt- .- o ^, t ` 4,' w ,_s AL , , r e•*- ^. .p � 41- ' 1.*,*:: t1r::t .,r, =' ., � { � �Square Footage:
111111
Permit Fee:
x
. .,.s.a. n _�+'y 'fit ,+n.'L'.. `T`U- 'at#�,,.7_•a ��,...
IIIII 0 to 2,000 $19$.75 ,_ ��x .� � 47 —
2,001 to 3,600 f ,, x .;'4R-, zw �� ' •
/0 00 $246.45 ” ':„ .,'.K> , .- ,s1 A� .. . -
3,601 to 7,200 t C rt ,10 Y� r�s.,,rte . 34.
$310.05 ,Y :.; rix .ups
7,201 and greater
4$1z:7-3-4-7�-°� n t t ' - fi
$404.39 ”rte -� .P,-3 ,,�t f �.r
ztc_., i ,n' X5 .
..y� ,3..Fvr^ a��;..”...,1%,--..,,:-:,-n•. �. yc3+. -..�;;^��.
Sprinkler Project Square Footage:
'�.. •-�"",,,�e..�.,.n.nr .'.L r ti taxa .k f e 1A[ z.,',2."•
1� 3. ;.t_ fir-
� '.""`..ifs^ � 'rt .? .y r.:y�
Project valuation subtotal (see A,B&C above): $ �``w
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.ermit fee.: $
TOTAL: $
1 ,Budding\PermmAITS_PcrmitApp_01111O.tioc
2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6650 SW REDWOOD LN, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00012
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor