Permit (70) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
ill .
.. . COMMUNITY DEVELOPMENT
Permit#: FPS2018-00050
T f GAft D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2018
Parcel: 2S 101 DA00104
Jurisdiction: Tigard
Site address: 13333 SW 68TH PKWY, STE#220
Project: Total Quality Logistics Subdivision: VARNS ACRES Lot: 9
Project Description: Fire alarm permit:Relocating(1)horn strobe for conference room. Affidavit submitted.
Contractor: PRIME ELECTRICAL SERVICES LLC Owner: TRIANGLE POINTE TWO LLC
3312 SE BELLA VISTA PL 901 NE GLISAN ST, STE 100
VANCOUVER,WA 98683 PORTLAND, OR 97232
PHONE: 503-318-5170 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/15/2018 $69.92
12%State Surcharge-Building 05/15/2018 $8.39
Type of Use: COM Plan Review-Fire Life Safety-COM 05/15/2018 $27.97
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 05/15/2018
$0.50Occupancy Grp: Height: ft 11x17)
Stories: Hourly Building Rate 05/15/2018 $180.00
Hourly Building 12%State Surcharge 05/15/2018 $21.60
Commercial Sprinkler System:
Sprinkler Required: No Sprinkler Type:
Standpipe Required: No Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Yes Alarm Type: Automatic
Pull Station Required: No Smoke Detectors Req: No
Battery Calcs Provided: No Cut Sheets Required: No
Total $308.38
Valuations:
Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,200.00
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 t - ules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yo, * ay obtain a copy of the rules
or direct questions to OUNC by calli'''ng 5����03.2''' 23�,6137- rt869,332.2344.
„..... ....„.2
Issued By: Permittee Signature:
' -
Call 503.639.4175 by 7:00 a.m.for the next available inspect',,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,
fr ire Protection System , 4,- I itEt ‘, of/, � FOR OFFICE USE ONLY
City of Tigard Received
IN Date/B : 1i/ Permit No.: f - —
° 13125 SW Hall Blvd.,Tigard,OR 97223 M'4V f /�1!? Plan Review
•
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit: t
Date/13 t��i � Irn .- i �,
Inspection Line: 503.639.4175 1('+l(Tv�, ;P fIGARD — t
././c;,\F D +l.A { A Ij,Ir Date Ready/By: Juris: r. See Page 2 for
Internet: www.tigard-or.gov Notified/Method. Supplemental Information
�/ / / ,'''?,1%,;i ii ,
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❑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
''S”,�//OO � ":', / "' ; ',',t W .."q
�� �����������% � % ��%/%��� ������ work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
,7„,7,7
/,,, ,„777„,„„7„„„„
7 i0o/iiiioa-77, o//„i%ii////ii/ i/i%iiiao/�/OD//-,.%; ii/%/ //
j����j�j��� /i/i ioiooG � � ���jj/ Total number of floors:
Job site address:13333 SW 68th Pkwy. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:STE 220 I Project name:Total Quality Logistics Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: I 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 1
/ %//////ii//i 14'4,,', '4., ///i/// , ' equipment,materials,labor,overhead,and the profit for the
QQ:i // )� �' ii // i,//ir/,/io //„�O%;%ii/ili//!%///
��'�///���������j��/��/ �� //�/� ���j������ work indicated on this application.
Fire Alarm notification coverage for new conference room Valuation: $$1,200.00
Existing building area: square feet
New building area: square feet
Name:Total Quality Logistics
Type of construction: office space
Address:
Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
Business name:Prime Electrical Services LLC
All contractors and subcontractors are required to be
Contact name:Oleg Primachenko licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:PO Box 872395 jurisdiction in which work is being performed.If the
City/State/ZIP:Vancouver,WA 98687 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)318-5170 I Fax::(360)869-9989
E-mail:oleg.p@primeelectricalco.com
/�/% ��%'%%%/�i/Oj�ia�ji/oii��i//%a%' ���/moi%�% /%"/i% �/ ��O/i /
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Business name:SAME AS ABOVE
/ jj%!
Address:PO Box 872395 Permit fee: 69.92
City/State/ZIP:Vancouver,WA 98687 State surcharge(12%of permit fee): 8.39
FLS plan review(40%of permit fee):
Phone:(503)318-5170 Fax:(360)869-9989 (Due upon application.) 27.97
CCB lic.:217825 7 Total permit fees:
sAuthorized signature: Amount received: I 10C ')g
��` This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Oleg PrimacXenko Date:5/15/18
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB) 4d i./&l
c_,. .j—t-i-lJ(
- 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:
- vf�^ ✓�,v.r 38. F,•.. Ari FtF,• Vis._�-:
New system Number of sprinlder heads: Number of alarm devices:
0 Addition or El 1-10 heads: Affidavit required and rifl.,Kr.---levices: Affidavit required and
Alteration (3) copies of sketch showing area (3)
copies ,
to existing of work within building structure of work within building structure
system
■ Plan review required and
■ Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
ig.1.y m� � y v,
'�A c 6 i 6 N� C e t SEs'` ,° • . .;1. a .z' "j 'pr`s = "*
Itrffft-
1,1,_ dim
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
Hood Project Valuation: $
0,7.�
.. ,�.�"ax,n=a,�rtc �e?�x`,s e;tt.�.,�..% _. _ .. ,�,,.,�..,����, .��� '�� _�.., �3, ",se� '' �,� � �� •r �s"u 4 ��`�-��a`:
Submittal shall Battery Calculations ❑ Yes
include: Individual Component D Yes
Cut Sheets
Fire Alarm Project Valuation: $
P'
Square Footage: Permit Fee:
0 to 2,000 $198.
7ar
2,001 to 3,600 $246.45
3,601 to 7,200
$310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: 1 sq.ft.
Fire, 'toted o j"e t Fces
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: $
l:\Building\Pemuts\FPS PemutApp_031016.doc 2
City of Tigard RECEIvEp .13125 t f/"✓ ' f
)+��
SW Hall Blvd.,Tigard,OR 97223
1 fir
Phone: 503.718.2439 Fax: 503.598.1960UPI
X 1 5 2018 Date Received: 57irk k 3-,
Inspection Line: 503.639.4175
I I C3 A K D Internet: www.tigard-or.gov
CITY OF TII ARIYY: ezvieAd iety ''¢"
FIRE ALARM S 'I�CHNIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(MAXIMUM OF 5 DEVICES WITHOUT PLANS)
Project Name: /,�cI . ( 67CZj,-1 (e,1 ;c 1,°cS Occupancy: c 2 ,'c� SOtS e
Job Address: 1 3 3 3 3 S .v G g Pk�- Suite: 2 Z
Contractor: Pro -: e. C Ce c fir;'cq L. S e,� r Phone: Sc),..) i� SA/ 70
Valuation of work: $ / 2.
Type of System: (check one) ❑Required ONon-required
(check one) PlAutomatic OManual OBoth
Total number of devices added or moved under this permit process is 5 total per tenant space.
Number of Proposed Smoke/Heat Detectors: To be Added(max 5) /To be Relocated(max 5)
Number of Proposed Manual Alarm Stations: To be Added(max 5) /To be Relocated(max 5)
Number of Proposed Notification Appliances: To be Added(max 5) /To be Relocated(max 5)
I, (91e-1 R• c�c e 4 4-, Oregon Construction Contractors Board No. 2/7
certify thollowing is true and defines the scope of work for this project: 2 S
a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction.
b) All notification appliances are located in accordance with the current state-adopted NFPA-72.
c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having
jurisdiction.
d) Exposed wiring will not be covered until inspected.
e) Final approval shall be subject to on-site tests and inspections.
f) Voltage drop is adequate to operate all appliances.
g) Battery supplies are capable of supporting the system modifications.
h) Compatibility of appliances and devices are in accordance with the FACP manufacturer's specifications.
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.
• Electrical permit.
• A copy of this docu t with a copy of the sketch attached shall be available for all inspections.
Signature: / -
,' /} Date: 5'A 4 3
Print Name: Q e,j f ,',,,,a d efry
I:\Building\Forms\FireAlarmAffidavit 071514.docx
Page 1 of 1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13333 SW 68TH PKWY STE 220, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00050
Inspection Type: Inspector:
998 Alarm Final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor