Permit (5) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
14 ■ COMMUNITY DEVELOPMENT Permit#: FPS2018-00049
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/07/2018
I c.A It C� g Parcel: 2S113AB00600
Jurisdiction: Tigard
Site address: 16160 SW UPPER BOONES FERRY RD
Project: Phytelligence Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: Fire sprinkler permit for TI:Relocating(38)sprinkler heads.
Contractor: JR MERIT INC Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 940 VANCOUVER WA ATTN: N PIVEN
VANCOUVER,WA 98666 15350 SE SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 360-693-7474 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/07/2018 $220.56
12%State Surcharge-Building 06/07/2018 $26.47
Type of Use: COM Plan Review-Fire Life Safety-COM 06/07/2018 $88.22
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 06/07/2018 $2.00
Occupancy Grp: B Height: 15 ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 06/07/2018 $4.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD1
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 $341.75
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $14,000.00
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: / �C^ / Permittee Signature: _7.,,,(Z4
.-. �¢_�
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. A`A
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 t FOR OFFICE USE ONLY
Received ,) II J IV ,3; F7_ .,-,,, , )
• City of Tigard 2",
q 11 I'��// Permit No.: t �/
1,1 • 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 3 C.,1t1
g Plan Review ,�,�n�}� �1,
I. Phone: 503.718.2439 Fax: 503.598.1960 Date/By: )t
Other Permit: �'4 ii-pi,�'-(-S ,f
t 1 c; R D Inspection Line: 503.639.4175 CITY
y T iUikti� Jt ! : r,%(
ate ReaB �r Juris: See Pae 2 for
Internet: www.tigard-or.govUIL®tN�° DIVISI '' ` Supplemental Information
TYPE OF WORK x 1
1tEQ1�,1I� SATAz i- � � . �DWELLING
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
11,2}Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling 4Comrercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION _ Total number of floors:
Job site address: 1 (p l (e 0 5j L.0 U 9?61C.
(Myna, ,T fa(Ljz.y fi.•n New dwelling area: square feet
City/State/ZIP: ?bcz -L D `(SIL C.'�' 2,.4 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:?N Y Ti-1-.I 4ngj Gig. 1 A.4.L Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQ-I?IRED ?ATA;cOM$ .u,AT4SK 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 O1F WORK work indicated on this application.
Valuation: $ (q 000
F.LL9GA Ir f'I ‘'egl nl/;W $ {4:14SNC-J "1411.02.5 A9 /
Gel..1S Existing building area: square feet
New building area: square feet
.
PROPERTY OWNER 0 TENANT Number of stories:
Name:per•t-1 c. RICla L.t-r-t AS S c c t NTES Type of construction:
Address: '3 Sv 5
S�0.UoA � YJ♦ OccupancyancY groups:
City/State/ZIP:? t.Alr4o biz, 91224 Existing:
-
Phone:6b1 )C14 ,74-O Fax:( ) New:
�'p IT T : .: ❑ CONTACT:PERSON NO 'K ., ,.
Business name: 3.g. iv,int,vr 0.1,c_ All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:j/kso-d ,SR/rvPSonl
under ORS 701 and may be required to be licensed in the
Address: 4995-Nis &ell.) D(L jurisdiction in which work is being performed.If the
City/State/ZIP- (Ev�L/ Gr 6G applicant is exempt from licensing,the following reasons
apply:
Phone:760 )�-q'z 1 4-.14 Fax::( )
E-mail:J AS pi").$vAll '9 SowAe,,>n e f)C.O✓"
CONTRACTOR BUILDING PER IT FEES*
.:„ (Please,referti..fre'..ichettfeik
Business name:J12, m ETL.4v` WC_
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP:
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lic.: L Z?73 f,' Total permit fees:
Authorized signature ....—, Amount received:
This permit application expires if a permit is not obtained
Print name R s,At${-ynp p a Date: r Z- l 1 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\FPS-PennitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16160 SW UPPER BOONES FERRY RD,
TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00049
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor