Permit (146) E
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT f- Permit#: FPS2017-00011
T 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2 39 ,4AS
Date Issued: 03/02/2017
G 8, 9 Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY
Project: PacTrust Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Fire Alarm-Building 241 -Modification 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)
Misc Administration Fee 03/02/2017 $5.00
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 $458.24
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 question . OUNC by calling 503.232.1987 or 1.800.332.2344.
•
Issued By: i Permittee Signature:
•
= _ - P i// _
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.
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
NJ- COMMUNITY DEVELOPMENT Permit#: FPS2017-00011
13125 SW Hall Blvd.,Ti Date Issued: 03/02/2017
and OR 97223 503.718.2439
Trt;. l=:n s
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY
Project: PacTrust Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Fire sprinklers-Building 241 -Modification to common area update:lobby,bathrooms,and stairs.
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)
Misc Administration Fee 03/02/2017 $5.00
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 $458.24
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $20,278.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility i kation er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or rest questions to OU b 'ng 503.232.1987 or 1.800.332.2344.
I ued By: Permittee Signature:
�Qi '�— f/`llw.G
/rilTsi
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System RECEIVED
v(1Il(1l'F1CJ-: F SC l)tiLl
City of Tigard gecelved
13725 5W Hal1 Blvd.,Tigard,OR, 97233 FEB 9 2017 tiaierBy; "--
III �/ I7 Permit No.: f"x"r/l7 dq
Phone: 503.639.4171 Fax 503.598.1960 Pian Re e
Inspection Line: 503.639.4175 r �y�y Date Re �2-� Other Permit: �o�1lo�a
1IC 1.t[� CITY OF DateRe_1 cy:
Internet www.tlgard or.gov Not €ed/M 1 1 A /42 �� 3uris. ®$K Page 2 for
(� g�lDIVISION upptementalInformation
� V' Z 11* n: t' ' a a ,f€ -rrH. - t r .
SEEi New construction 0 DemOlition Pemtit fees*are based on the value of the work performed.
indicate the vailte(rowided to the nearest dollar)cif all
El Addition/alteration/replacement El Other: equipment,materials,labor,
for the
J � $ipr Ml,ky.: i >...,..w V:4 i•'..7s -. !.
rofit
_.* L { t r . • 1. I 1 .1 - ,
n.
0 1-and 2-family dwelling ®Commercial/industrialValuation: S
0 Accessory building 0 Multi-family bedrooms:
❑Master builder ❑Other
Number of bathrooms:
Job site address:15350 SW sequoia Pkwy
New dwelling area: square feet
City/State/ZIP:Tigard,OR
Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:PaeTrust Bldg 241 Coveszci porch area: square feet
Cross street/directions to job sits:
Deck
r a
at Subdivision: ��• square
Lot no.: Permit fees*are based on the value of the wOrk perfrmed.
'fax map/parcel no.: (roundedcate the value 1 '
equipment,materials,labor,overhead,and the profit for the
dollar) all
Relocate Existing Sprinkler Heads into new ceilings to maintain proper coverage
Valuation: 1 : li
New building area: square feet
Ci ty/S tate/ZIP:
.,.,,
� :
0tl? c i '. k t '._. ,TC4 . ^- .;ki ..-.: ..- 'R.^ . ✓ M= - -- .1.721, 7.,01-3:-72^F:17.
, .
4g, Business name: All contraCtors and subcontractors are required to be
licenseIwiththeOregon Construction
Contractors Board
1• under ORS 701 and may be required to be licensed in the
jurisdiction • is beingperformed.
applicant exempt • 1 licensing,the following reasons
• •1
"�-w z
,.�,��-`�:.i � ;c��r_,,,.�. _._._.. = 7� 3 "Vr� .Ta c vp��
w,. 1 : ,,Business name:Crossfire Sprinkler Company
Address:17400 SE 82 DrivePermit fee:
City/State/ZIP:Clackamas,OR 97015 _
Phone:(503)210-5506 l Fax:(503)210-553B s 'of permit fee):
CCB Jic.:174746 1I 1
a_ Total permit fees:
Authorized signature:
Alf" NNW
received:
IIIWThis permit application expires if a permit is not obtained
' Print name:Timothy A . a 1 op ! Date:2/7/17 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
I:,nuaabioecm,it irrs•r«maApy.soc 10/¢1,09 Service Board.
44€ 46131(1 r102JCOMLl4TB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
4�fi�y<:.� �itf,`;s�^' f x }'Xt ,q'"= � yy��at ntS
"•:="14"'-a e r .ted iii '.. ' P. I :CV . "ts ' r^4�'�4•2 e`. ` '-a6 ,XlirT''�+- rr jt:" "'".�`y-7 -F''i"a2
l T e of i + #., t 'S'''' y, a'✓r + a -, devices:a
yP Work 2.) Addition/alteration only to sprinkler heads: 3.) Additio alteration
oto al rm
alteration aril}>to alarm
❑ New system Number of sprinkler heads: t o3
Number of devices:
Addition or
❑ 1-10 heads: Affidavit required and
Alteration (3) copies ❑ 1-5 devices; .a.,' quired and
of sketch showing area (3)copiesshowing area
to existing of work within buildingstructure of
system of wo - ..: . buildin_ tructure
[f 11+heads: Plan review required and
/ (3) sets of plans. 0 6+devices: Plan review re. . 'red and
(3)sets of plans.
Additional description of work:
4�6} `•b°i�F r t�� f 6�r e`t��`'`t�'i.a� '. � �',��"."`'�`��; "'rye�' r� -�
.,-:-.4..,-------.:.--4.-i •c`^ s t � k•t s ,.1' f, i t £ ay --` .`v,-'w s` d -"r;z .... x
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",.. ,kit , a. u x ,yv "`5. -x v-" G •,..15' 'N i r•+%'F`d 3sc 43i.,` '-e. * , ,r�3 r IP -* �..
-",..vs-A 41...V:; ,_,.... .3 arx..0 +. s 7-... N.e'SC.f ' 5 IF I."1:44.44
rd x _ ,,;-t,,,1.,,s. }n• 3 h "* �--D
..s, t«^.k,IF 4..-.:„ ti�L�{3;?^ltca.� �,>..,..".'�n'u4��zY.u..s�.�'�.r`,�:�.^=.a.'�isz.�t�+x��,e�%''�•^c:
Sprinkler Type p Wet" ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line
0 Yes (] No
Hazard Group
Density
LO
Design Area t cc:,
K.Factor 5 , (a
Sprinkler Project Valuation $ 20
.�.'J'a�xc` --� _.�i+'.y� "sr "' s^x-..3"...�'..A.,-,-F ,k-s"-'".s•' 2 '
r r.arA
iV V
7"' ' `; hR� » x a .. rz: . . ac .4.4.41 ... a.. •, ..a ,i xr
Hood Project Valuation: $
�z »'aa.t.:•y *"ca.ry''F .M :t?� -9a" ,� �- t,�fr � �a" rn�rs - .1-1s �"-` . + r?ti# MLC �'rTe.. - n �„�'7 : aCl,' Eec . � ta a: # i � t wri=.. .ice. iist , faYe. . „.. ...Submittal shall Battery Calculations
CI Yes
include:
Individual Component ❑ Yes
Cut Sheets
Fire Alarm.Project Valuation: J $
.s�? ; 4 -sn'G:tT fx.s
iprn -_. �ss
, '",fxas"
R3
•
'a
iii c .+ .4,...,5?-7r . a.i - *ty . ' • '."'- w —- .. c•-`T- � x •*-1, :. ' * Ar� k a .3es },, r -^,- �ctq ' "ri : ;7°1"3,;:?* .em r� � Wy ' zg., 3tsP :: '?W?a » •t . rT } zµ, ,fit . ! xS }Square Footage: Permit Fee: - ex* r
g .
rt..,;•,' �`�?-ufz } w�
am
,0 to 2,000 s r c t•-�F x...
C
tt1$198.7 }t � t4 s 4.200to 3,600 � '� �, ra ` t � k 1111 3,601 to 7,200
$310.05 i, - a ,,.7. ...7,201 andgreater $404.39 4r.r�}+}:F��' �u' " ' r -r
J r n �
Sprinkler Pr t
Project SquareFootage:
. ft.
yC:. �. .�. q
4.
�.ti�..�-+`..ed""r.7
-a. !.d ,.,..w.:• ..... x air' -+�"-ice"
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'emit fee : $
TOTAL: $
I',lit Jdinu\Permit:,`;FPS_PcrmitApp_It3701G.duc
2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15350 SW SEQUOIA PKWY, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00011
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor