Permit (112) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
.11114 114
11. COMMUNITY DEVELOPMENT Permit#: FPS2017-00174
c3,,‘RD13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2017
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7204 SW DURHAM RD 300
Project: Kelley Imaging Subdivision:
Project Description: Altering(45)sprinkler heads for TI. None Lot: None
Contractor: WESTERN STATES FIRE PROTECTION
Owner: PACIFIC REALITY ASSOCIATES LP
17500 SW 65TH AVE ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-657-5155 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM
11/21/2017 $242.08
12%State Surcharge-Building 11/21/2017 $29.05
Type of Use: COM Plan Review-Fire Life SafetyCOM
Class of Work: ALT Type of Const: IIIB - 11/21/2017 $96.83
yp Info Process/Archiving-Lg$2.00(over 11/21/2017
Occupancy Grp: B Height: ft 11x17) $2.00
Stories: 1 Info Process/Archiving-Sm$0.50(up to 11/21/2017
1 $12.50
1x17)
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 $382.46
Valuations:
Required Items and Reports(Conditions)
Sprinkler Valuation: $15,719.00
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 m.y obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: < PermmeeSignature:
Cal 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 RFOFIVPD
City of Tigard Received i F� 1a7-
114 14 DateJBy: t f!! Permit No.: s
13125 SW Hall Blvd.,Tigard,OR 972 1 V 9 2017 Plan Revie • �" ��
Phone: 503.718.2439 Fax: 503.598. •.1 Date/By: ! l'' ( I her Permit: "�/y�
Inspection Line: 503.639.4175 ! `�"ge ,���
T I(;.�R I> p ��'('�'�l" t .,:..,;AFID Date Ready/By: auris: H See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISK)Notitied/Method:ff 47 Supplemental Information
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
�� Addition/alteration/ lacement Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement ®Other:Fire Sprink equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
1:31-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ID Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7204 SW Durham Rd. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:#300 Project name:Kelley Imaging Systems Covered porch area: square feet
Cross street/directions to job site:SW Durham Rd.and SW 72°d Ave. 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.
Modify existing wet-pipe sprinkler system to accommodate tenant changes to Valuation: $$15,719.00
walls,ceilings,and MEP systems. /!1/ S,flkkIT/ Ifsoff Existing building area: 15734 square feet
New building area: Same square feet
:4 PROPERTY OWNER 0 TENANT Number of stories: 1
Name:PacTrust-Pacific Business Center Type of construction: III-B
Address:7204 SW Durham Rd.#800 Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing: B
Phone:(503)624-6300 Fax:( ) New: B,S2
® APPLICANT 0 CONTACT PERSON
NOTICE
Business name:Western States Fire Protection All contractors and subcontractors are required to be
Contact name:Kevin Olson licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:17500 SW 65th Ave jurisdiction in which work is being performed.If the
City/State/ZIP:Lake Oswego,OR 97035 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)330-0162(cell) Fax::( )
E-mail:kevin.olson@wsfp.us
CONTRACTOR BUILDING PERMIT FEES*
Business name:Western States Fire Protection (Please refer to fee sckedu/e)
Address: 17500 SW 65th Ave — Permit fee:
City/State/ZIP:Lake Oswego,OR 97035 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)657-5155 office Fax:( ) (Due upon application submittal.)
CCB lic.:104570 Total permit fees:
Authorized signature: (4 !5.-- ,--\y,� Amount received:
"" This permit application expires if a permit Is not obtained
within 180 days after it has been accepted as complete.
Print name:Kevin Olson Date:11/9/2017
* Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits\FPS•PamitApp_031016.dce 440-46I3T(11/02/COM/WEB)
"City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe work to be done: =MO
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 45 Number of alarm devices: 0
►� 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
►.1 11+ heads: Plan review required and 0 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
Sprinkler Type ►1 Wet 0 Dry
Additional Standpipes N/A
Information: Sprinkler Supply Line 0 Yes ® No
Hazard Group Match exist.
Density Match exist.
Design Area N/A
K. Factor 5.6
Sprinkler Project Valuation: $ 15719
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 s•uare foota'e see D above : $
State Surcharge (12%of permit fee): $
FLS Plan Review(40% of permit fee): $
TOTAL: $
C:\Users\kevin.olson\Desktop\NAS Swan\LG1710 Kelley Imaging Systems\City of Tigard\FPS_PermitArp.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7204 SW DURHAM RD 300, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00174
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor