Permit (46) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2017-00053
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2017
TIGARD Parcel: 1S134BC00300
Jurisdiction: Tigard
Site address: 12262 SW SCHOLLS FERRY RD
Project: Advantis Greenway Subdivision: None Lot: None
Project Description: Relocating sprinkler heads for new ceiling grid.
Contractor: T&L COMMUNICATIONS INC Owner: FW OR-GREENWAY TOWN CENTER LLC
PO BOX 87387 PO BOX 790830
VANCOUVER, WA 98687-7387 SAN ANTONIO,TX 78279
PHONE: 360-737-9725 PHONE:
FAX: 360-737-9648
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/11/2017 $156.00
12%State Surcharge-Building 05/11/2017 $18.72
Type of Use: COM Plan Review-Fire Life Safety-COM 05/11/2017 $62.40
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 05/11/2017 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: 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 $241.12
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $7,600.00
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 952-0+•-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 o .=40.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspectio 'ate.
This permit card shall be kept in a conspicuous place on the job site until co etion of the project.
Approved plans are required on the job site at the time of each in ection.
Building Permit Application
Fire Protection System FOR OFFICE LSE ONLV"
Tigard
Other Permit:�eP�vj �
'(
ilCityof Ti and Received
11,1 . 13125 SW Hall Blvd.,Tigard,OR 97223 FIECEtV By ����
Rgeevtew:. 1�� F (� Permit No.: / .3,�01, _,' ,
3
111 Phone: 503.718.2439 Fax 503.598.1960
Inspection Line: 503.6394175 Date Read, y: ?urs See Page 2 forTIGARDInternet: www.tigard-or.gov 3
PR2 4 201 Notified/Method: '
/' / 7 Od 7 I Supplemental Information
TYPE OF WORK cm( tOttF TRBARD REQUIRED DATA:1-AND 2-FAMILY DWELLING
w construction ,.L ®�1`�G DIVISION
❑ ❑De r hh 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 CONS work indicated on this application.
0 1-and 2-family dwelling Commercial/industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION6 4,
LOCATION Total number of floors:
Job site address: ,Lu K1 New dwelling area: square feet
�/'"� (�
City/State/ZIP: /O f L)f . - t Garage/carport area: square feet
Suite/bldg./apt.no.: J Project name: 1 J C bit Covered porch area: square feet
Cross street/directions to job site: v"°"'i 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.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
A. Valuation: $ 1 (4471,C0
Y 7 co
1 J ✓ Existing building area: 1 square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
.SAPPPLI iCANT y� S
" 0 CONTACT PERSON
•f t L---+ 1 1 I NOTICE
Business name: 'efki ti� All contractors and subcontractors are required to be
Contact name: '�.�/vi' J1 licensed with the Oregon Construction Contractors Board
f under ORS 701 and may be required to be licensed in the
Address: `'� , v 1:ei t ;�,� 'i jurisdiction in which work is being performed.If the
City/State/ZIP: ovsapplicant is exempt from licensing,the following reasons
apply:
Phone:e 01c 1 : I Fax: :( _-
61(046
E-mail: $ i 11*-- M '7 )i�, (.en1
COT
RACTOR
BUILDING PERMIT FEES*E
S*
Business name:��J�
CONTRACTOR
Inc/ (Please refer to fee schedule)
Address: l ` k " , Permit fee:
State surcharge(12%of permit fee):
City/State/ZIP: \tt
V V 0 � FLS plan review(40%of permit fee):
Phone: 1..-S1 Fax:( 13-1-904g. (Due upon application submittal.)
(4,77 � l'
CCB lic.: (-F Z7 er Total permit fees:
Authorized signator �) r%
r Amount received:
I / This permit application expires if a permit is not obtained
Print nam ' of t V Date: 1 1 within 180 days after it has been accepted as complete.
111 r * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_03 . :.doc 440-4613T(11/02/COM/WEB)
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. ' edition/alteration only to al.rm devices:
❑ ew system Number of sprinkler heads: Num.-r of alarm device .
c.)4
Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 de es: ' 'davit required and
Alteration (3) copies of sketch showing area (3) copie- • sketch showing area
to existing of work within building structure of work . building structure
system
11+ heads: Plan review required and 6+ devices: Plan -view required and
(3) sets of plans. sets of plans.
Additional description of work:
Type of System(Complete A,B,C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor 6, 2
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ 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: $
I:\Building\Permits\FPS_PemutApp_031016.doc 2
RH
R&H CONSTRUCTION El ,
APR 2 4 �_ •:r
SUBMITTAL COVER SHEET
CITY OF Tim,
To: Emily Smietana From: Jenny Volbeda BUILDING DN'-'t i"u ,,
Sum Design Studio R&H Construction Co.
231 SE 12th Avenue 1530 SW Taylor Street
Portland, OR 97214 Portland, OR 97205
Project: 1017.506. -Advantis Greenway TI
Submittal No. 15500-01 -- Fire Life Safety
Specification Section: 15500-FLS
Subcontractor/Supplier: T&L Communications Inc
Quantity Sent: 1
Revision No.: 0
Return to R&H by: 04/25/2017
R&H Review Status: No Exceptions Taken
Comments: Submittal Includes:
Product data and placement drawings for fire alarm and sprinklers.
REVIEW IS ONLY TO VERIFY GENERAL CONFORMANCEr
—,
DAT •
AND COMPLIANCE WITH THE DESIGN CONCEPT AND 4-21-17 BYESS
CONTRACT DOCUMENTS. SUBCONTRACTOR OR
SUPPLIER IS RESPONSIBLE FOR DIMENSIONS,ERRORS NO EXCEPTION TAKEN
AND OMISSIONS IN THESE DRAWINGS OR LISTS WHICH
HE SHALL CONFIRM AND CORRELATE AT THE JOBSITE D MAKE CORRECTIONS NOTED
WITH HIS WORK OR FABRICATION AND WITH THAT OF 0 REVISE&RESUBMIT
OTHER TRADES AFFECTED BY HIS WORK. HE SHALL BE
RESPONSIBLE FOR ANY DEVIATION FROM THE Li REJECTED
CONTRACT DOCUMENTS OR THESE DRAWINGS OR
LISTS UNLESS HE HAS OBTAINED WRITTEN APPROVAL tThis shop drawing review is for general conformance with
TO DO SO,AND SHALL BE RESPONSIBLE FOR THE i ccsntract documents only and does not relieve the
SATISFACTORY COMPLET ON OF HIS WORK. 1
contractor of his responc bil4 for;cmi;ilyncc with t
tcfed
r .:,. „.,. rawingsandsx:.,;fcMions.
By o_.1,1 SUM DESIGN STUDIO
i
Date: 4/18/17
PORTLAND OREGON
R&H Construction Co.
1530 SW Taylor Street Portland,OR 97205/TEL-503.228-7177/FAX:503-224-3638/www.ncconst.com
OR Contractors Registration No.38304//WA State license No.RHCON"I94P0//(A(518 No.852583
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12262 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00053
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor