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Permit (129)
IL CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2018-00001 -F[ a R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/02/2018 Parcel: 2S101DC04500 Jurisdiction: Tigard Site address: 7555 SW TECH CENTER DR A Project: Apollo Mechanical Subdivision: TECH CENTER BUSINESS PARK Lot: 1 Project Description: Fire sprinkler permit:Adding(6)sprinkler heads to drop ceiling of clean room for TI. Affidavit submitted. Contractor: WESTERN STATES FIRE PROTECTION Owner: SUMMIT PROPERTIES INC 17500 SW 65TH AVE 4380 SW MACADAM BLVD STE 330 LAKE OSWEGO, OR 97035 PORTLAND, OR 97239 PHONE: 503-657-5155 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 01/02/2018 $145.24 12%State Surcharge-Building 01/02/2018 $17.43 Type of Use: COM Plan Review-Fire Life Safety-COM 01/02/2018 $58.10 Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 01/02/2018 $2.00 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: ORD2 Density: .2 Design Area: 1500 K Factor: 8.0 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $222.77 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $6,218.00 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: Permittee Signature: //,,A !tel`— Adt, 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. Cityo Ti and , ` - r ia .,., , Permit No.: Fifjr0l if-0000,1;III11 13125 SW Hall Blvd.,Tigazd,OR 97223 0 ' Phone: 503.718.2439 Fax: 503.598.1960 r c n Date Received: b Inspection Line: 503.639.4175 t1' '' v lc U Internet: www.tigard-or.gov FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: .1'roUc. G,t,,,,,,s Occupancy: Job Address: 7555. 5 iAl 'Fa, Type of Construction: Suite: Contractor: Lie 51e*v, 5i,,,,,, 1 re P;v A c-, Phone: j _I ?._,575.3— Number of Proposed or Altered Heads: 4 Type: r �� Hazard: Ord4 Haz 6reue 2 Density: _ 2.eV/c06.) I, J U r, Oregon Construction Contractors Board No. 104.3 7O certify the following is true and reasonably defines the scope of work for this project: on)G`,z44( g,t,f, 2 a) All work is limited to drops and armovers in a ncy. b) Positions of sprinkler heads relative to architectural features such as soffits, beams,partitions,walls, etc. complies with current adopted edition of NFPA 13. c) , - •ro.. es wo . ..- r •a ire y•rau i 1 . is . jAYkti1;t- CZ.IL) p tividtc) d) Only one sprinkler head will be installed from one drop (exception: up to two heads from one drop may be installed when each head is in a separate fire area). e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13. f) Tenant improvements in a new building shall be equipped with Quick Response heads(see 2002 NFPA 13, Section 8.3.3.1 for exceptions). g) The installation shall comply with the requirements of the current adopted edition of NPFA 13. h) Piping shall not be concealed until hangers and bracing are inspected. i) Final approval shall be subject to onsite tests and inspections. In addition, I understand the following is required: • Submit(3) copies of a sketch showing the area of work within the building's structure. • Building fire protection system permit. • A copy of this document with a copy of the sketch attached shall be available for all inspections. Signature: Z,1,, ,,iia,"./ Date: 1/2/2617_ AA\ kt..\...„, Print Name: ,)bsL I:\BuildingTonnsTireSprinklerAffidavit 071514.docx Page 1 of 1 'building Permit Application OFFICE USE ONLY City of Tualatin JAN 2 201%. / 1 ., 18880 SW Martinazzi Ave. tDate received: . /iv Permit# r 7�'iff'G tK4 Tualatin,OR 97062 i_;.1.-1-Y 0t jtri`t"af' Phone:503-691-3044 Fax:503-692-0147 www.itUto gn - oOl) n 1 Date Issued: By: Receipt: WORK,� . ,F::,, � TYPE �F'� ..s;4-, a Y� ail � : _` sf � � � ,Rf=QUKED OA' "A,"s 1,A [3 29Pf11I1_ CIW!L141tt 0 New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the ''-',1' "T- E �CA, i CONSTRUCTION r work indicated on this application. 0 1-and 2-family dwelling IN Commercial/industrial Valuation ❑Accessory building 0 Multi-family Number.of bedrooms: ❑Master builder 0 Other: Number of bathrooms: a E , OB SITE It 1e R k"I AFltt- T Cq `4 Total number of floors: Job site address: 7 ) '0_ •�r II New dwelling area: square feet City/State/ZIP: -" ark OR 'A Z Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet 7 U11 1A4 U 'T 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 �r equipment,materials,labor,overhead,and the profit for the 4 _ ' 44aiP © ` - 4 -A` „ -'6 i =i work indicated on this application. 5(ri \L � AYOse fitjt,1 t-�ry C C� -eovn roon- fe.✓ /VF/11- Valuation ti 21$ o Existing building area: square feet New building area: square feet ti1' * 1 1. R Number of stories: t Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: Business name: WESTERN STATES FIRE PROTECTION CO. ' t Please refer to fee schedule Contact name: Josh Miller FEE TYPE AMOUNT DATE Address: 17500 SW 65th Ave. PAID City/State/ZIP: Lake Oswego, Oregon 97035 PERMIT FEE Phone:( 503) 657-5155 Fax::( ) PLAN CHECK FEE (Due upon application) E-mail: joshua.miller@wsfp.us FIRE LIFE SAFETY FEE r r (Due upon application) 4 „a -'-�; 1'_ ,$, '' , 1 STATE SURCHARGE Business name: WESTERN STATES FIRE PROTECTION CO. (12%of permit fee) Address: 17500 SW 65th Ave. OTHER City/State/ZIP: Lake Oswego, Oregon 97035 TOTAL FEES L) ---) 7 Phone:( 503) 657-5155 Fax:( ) NOTES: J CCB lic.: 104570AL__ METRO or City Bus.lic.: Authorized signature: i 0.5k. This permit application expires if a permit is not obtained r� ` within 180 days after it has been accepted as complete. Print name: Josh Miller Date: ( /2 20 11 * Fee methodology set by Tri-County Building Industry Service Board City of Tualatin FOR OFFICE USE ONLY 18880 SW Martinazzi Avenue Back Page Information Tualatin,Oregon 97062-7092 For All Main: 503.691.3044 Fax: 503-692-0147 Permit Applications ,,/"' www.tualatinoregon.gov .r Permit Number: Receipt Number: Date Issued: Permit Fee Type Fee Amount Date Paid Building Permit Plan Review (65%) Fire, Life, Safety(45%) State Surcharge (12%) Plumbing Permit Plumbing Plan Review (25%) State Surcharge (12%) Mechanical Permit Mechanical Plan Review (65%) State Surcharge (12%) Erosion Control Eros. Cont. Plan Review (65%) Metro CET (.0012 or .12%) School CET TOTAL AMOUNT DUE k - - mound r.:'0a ' r c �'�op' leti� '��eS, ik �h Sewer Connection Sewer Inspection Water Connection Water Installation Storm Water Qualit Storm Water Qua ty Traffic Impact F: Park Fee Other: \, TOTAL A i OUNT DUE Special Information and Conditions Rev 10/2013 e City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information 4, � ,�'�"� 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: 1:3New system Number of sprinkler heads: Number of alarm devices: ❑ 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 ❑ 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and (3) sets of plans. (3) sets of plans. Additional description of work: �. z �{s- ate` tt .. k";--. "`" '-' `''" t ,-,..',7`,r.,?; * ` z..,. �.F Sr J ..z �,e�. r.„1 � a �rk4.";t• x} .t>: �-'<r "---to-4-t'"; x ¢,.� S e rinkler T p e J Wet 0 D Additional Stand'i.es Information: .. ❑ Yes I No Hazard Grou. i Z Densi Des': Area i-""OC) K.Factor '6,C K. • . . , • ' . - . . . $ ',e "r ay € €fie F a ` Fia r e w paqr t# as , z - •,� , �� �r fi � `' � t1 . Hood Pro Sect Valuation: $ 4F Yes � � Submittal shall Batte Calculations 0 include: Individual Component 0 Yes Cut Sheets Fire Mann Pro'ect Valuation: $ .;' , c:E R sr '^4' ', - ..g- 3. 't.:-3' p-?" i"" -:„.74 .4-451.4.40,01,3:0,--4...... t:114:4;',-..•%-t-,.„.%: 73 .A0,-; l`} t ci- s re - (I c ii f+g g � .. ks-, -rxs ; _ �` ' .-. - .ire' �F S•uare Foota:e: x Permit Fee: & � " 0 to 2,000 $198.75 4. vs.: � - _ 2,001 to 3,600 $246.45 4 ', H�" t f s' iA 3,601 to 7,200 $310.05 �'^ 7,201 and : eater $404.39 § " , , `', 5 € ''„ A, 4�04,° �` . ��'" � � N`,�r-'^ Sprinkler Project Square Footage: a sq. ft. .. .._... riii..:slotecto° e e u. Pro'ect valuation subtotal see A,B&C above : $ Permit fee based on sro'ect valuation see fee schedule : $ Permit fee based on s•uare foota•e see D above : $ State Surchar.e 12%of .ermit fee : $ FLS Plan Review 40% of.ermit fee : $ TOTAL: $ I:\Building\Permits\FPS_PermitApp_031016.doc 2