Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I COMMUNITY DEVELOPMENT Permit#: FPS2017-00192
Date Issued: 12/28/2017
-FEC[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 112AA01000
Jurisdiction: Tigard
Site address: 14100 SW 72ND AVE 100
Project: Logan Labs Subdivision: 1992-007 PARTITION PLAT Lot: 2
Project Description: Fire sprinkler permit:Adding and altering(13)sprinkler heads for TI.
Contractor: WESTERN STATES FIRE PROTECTION Owner: WILLIAMS CONTROLS INDUSTRIES INC
17500 SW 65TH AVE 14100 SW 72ND AVE
LAKE OSWEGO, OR 97035 TIGARD, OR 97224
PHONE: 503-657-5155 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/14/2017 $166.76
12%State Surcharge-Building 12/14/2017 $20.01
Type of Use: COM Plan Review-Fire Life Safety-COM 12/14/2017 $66.70
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Sm$0.50(up to 12/14/2017 $9.50
Occupancy Grp: Height: ft 11x17)
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .1 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 $262.97
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $8,965.00
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: � .t�-.� Permittee Signature: C::!
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
City of Tigard , Received
Permit No.: r.._',„1-0261
�, c ° DateBy: �� Y2_ 1JTJ
a 13125 SW Hall Blvd.,Tigard,OR t,\ 4F Plan Review
8Other Permit: 1
Phone: 503.718.2439 Fax: 503. 9 DateBy:
TI G A R D Inspection Line: 503.639.4175 1 Date ReadyBy: f ] 1 Juris: See Page for
Internet: www.tigard-or.gov OLS' '. .. Notified/Method. l 141 7 Supplemental
Information
a Irk T tel.R 44 V
❑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
t t. 1-Qf' work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
ElAccessory building ElMulti-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
t t a ► r Total number of floors:
Job site address:14100 SW 72"d Ave,Suite 100 New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Logan Laboratories TI Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
t _ t work indicated on this application.
Tenant Improvement Valuation: $8,965
Existing building area: square feet
New building area: 874 square feet
> _ � Number of stories: 1
Name:Geoffrey Logan Type of construction: III
Address:14100 SW 72"d Ave Suite 100 Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing: Light
Phone:(503)709-4687 Fax:( ) New: Light
Business name:Western States Fire Protection All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:Michael Stadelman 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
applicant is exempt from licensing,the following reasons
City/State/ZIP:Lake Oswego,OR 97035 apply:
Phone:(503)505-8966 Fax::( )
E-mail:michael.stadelman@wsfp.us
11E t;
Business name:Western States Fire Protection Permit fee:
Address:17500 SW 65th Ave State surcharge(12%of permit fee):
City/State/ZIP:Lake Oswego,OR 97035 FLS plan review(40%of permit fee):
Phone:(503)5058966 Fax:( ) (Due upon application submittal.)
Total permit fees:
CCB lic.:104570
' Amount received:
Authorized signature:/��`'� ` )1I jek...7.
This
permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Michael Stadelman Date:12-1-17 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits'FPS-PermitApp_031016.doc 440-4613T(i 1/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 13 Number of alarm devices:
® Addition or ❑ 1-10 heads:0 Affidavit required and ❑ 1-5 devices: Affidavit required and
Alteration (13-)1
3) copies f sketch showing area (3) copies of sketch showing area
to existing of work within building structure of work within building structure
system
® 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
. p- - 'uf-a„.., —4. -
Additional description of work:
-,,;,..:-
S.rinkler Tpe ® Wet ❑ D
Additional Stand si.es
Information: . .. ❑ Yes ® No
Hazard Grou. Li.ht
Densi 0.1
Desi. Area Room
K. Factor 5.6
S. • , - .j- .t'. ,. $
fa
a � � a
-fi ,» aa. .
Hood •Pro'ect Valuation: $
, ..„ , ' 4*-4.-077 440
' :;: :a � a ¥ '
Submittal shall Batte Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Pro'ect Valuation: $
..x.wt•--fc: -4..-ok,,,.,:c"'•^1 44' ' * ,g'
° ! ,e ' @ s t [ ''''„4.'� tee:r a, t 5 q- p'
'
_ S.uare Foota.e: Permit Fee: a43 ': �. � a
O to 2 000
$198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05 � ' -�
7,201 and treater $404.39
Sprinkler Project Square Footage: sq. ft.
",'; :> •r ,"_' :....._. . " s' t ' ' u tart s ., t
Pro'ect valuation subtotal see A,B &C above : $
Permit fee based on .ro'ect valuation see fee schedule : $
Permit fee based one s.uare foota:e see D above : $
State Surchar.e 12% of .ermit fee : $
FLS Plan Review 40% of•
ermit fee : $
TOTAL: $
H:\Archive\Service\Good Neighbor TI LG1191\Good Neighbor_PermitApp.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14100 SW 72ND AVE 100, TIGARD, OR, 97224 January 22, 2018 at
10:16:40 AM
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00192
Inspection Type: Inspector:
999 Sprinkler final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor