Permit (216) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I ■ COMMUNITY DEVELOPMENT Permit#: FPS2018-00062
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/05/2018
T t ;ti It D9 Parcel: 2S101AB03100
Jurisdiction: Tigard
Site address: 12115 SW 70TH AVE 101
Project: Oregon Reproductive Medicine Subdivision: 2012-009 PARTITION PLAT Lot: 3
Project Description: Addition of new sprinkler heads for tenant improvement due to new wall/ceiling construction.
Contractor: RED HAWK FIRE PROTECTION Owner: TIGARD TRIANGLE PARTNERS LLC
801 VALLEY AVE NW SUITED 18187 SIERA DR
PUYALLUP, OR 97371 LAKE OSWEGO, OR 97034
PHONE: 253-840-9900 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/05/2018 $166.76
12%State Surcharge-Building 07/05/2018 $20.01
Type of Use: COM Plan Review-Fire Life Safety-COM 07/05/2018 $66.70
Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 07/05/2018 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 07/05/2018 $17.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD2
Density: 0.1 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Yes Alarm Type:
Pull Station Required: Yes Smoke Detectors Req:
Battery Calcs Provided: No Cut Sheets Required:
Total $272.97
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $8,240.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started ithin 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules a./.ted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yo ay ..t.'' a copy of the rules
or direct questions to OUNC by calling 5 .232.1987 or 1.800.332.2344. ,-��
Issued By: ��. s- _ 4smittge Signature:
/ `
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applicatio
"'�
CEIVE1)
Fire Protection System FOR OFFICE USE ONLY
City of Tigard 1 lJ N ?_01$ ed
Date/By:6 C3 t it N 1°1v p/t�''-0006 of
1114 13125 SW Hall Blvd.,Tigard,OR 97223`
® P> view
Phone: 503.718.2439 Fax: 503.598 1 DatePlanBRe �
y: ,2 _ � )
i Other Per i� ety_s/
TIC,n R D Inspection Line: 503.639.4175 Iy TIGARD Date Ready/By: i7/0r �� Sufis: El See Page 2 for
Internet: www.tigard-or.gov
BUILDING DIVISIONV�DIVISIONNoti d/Method: ! / Supplemental Information
•
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY 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
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/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:12115 SW 70TH STREET New dwelling area: square feet
City/State/ZIP:TIGARD,OR Garage/carport area: square feet
Suite/bldg./apt.no.:101 Project name:OREGON REPRODUCTIVE MED. Covered porch area: square feet
Cross street/directions to job site: 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.
ADDITION OF NEW SPRINKLER HEADS IN TENANT IMPROVEMENT Valuation: $$8,240.00
DUE TO NEW WALL/CEILING CONSTRUCTION Existing building area: 3,390 square feet
New building area: square feet
® PROPERTY OWNER ® TENANT Number of stories: 1
Name:RED ROCK MEDICAL BUILDING C Type of construction:
Address:12115 SW 70TH STREET Occupancy groups:
City/State/ZIP:TIGARD,OR 97223 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT 0 CONTACT PERSON
NOTICE
Business name:RED HAWK FIRE PROTECTION All contractors and subcontractors are required to be
Contact name:BRENT CULLINANE licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:3801 FRUIT VALLEY RD.,STE D jurisdiction in which work is being performed.If the
City/State/ZIP:VANCOUVER,WA 98660 applicant is exempt from licensing,the following reasons
apply:
Phone:(360)984-3712 Fax: :( )
E-mail:brentc@redhawkfp.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:RED HAWK FIRE PROTECTION (Please refer tofee schedule)
Permit fee:
Address:3801 FRUIT VALLEY RD.,STE D
City/State/ZIP:VANCOUVER,WA 98661 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(360)984-3712 Fax:( ) (Due upon application.)
CCB lic.:219157 Total permit fees:
Amount received:
Authorized signature: '
This permit application expires if a permit is not obtained
Print name:BRENT CULLINANE Date:6/13/18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
L\Building\Permits\FPS-PermitApp-doc Rev 01/05/2012 440-4613T(11/02/COM/WEB)
•
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1-10 heads: No plan review required.
® Alteration ® 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 44
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes
Information: Hazard Group LIGHT
Density .1
Design Area
K. Factor 5.6k
Sprinkler Project Valuation: $ 8240
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 square footage (see D above): $
State Surcharge (12% of permit fee): $
FLS Plan Review(40% of permit fee): $
TOTAL: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
V:\PROJECTS\240019-Oregon Reproductive Medicine\03-PM\08-Permit&Insp\"1'ig2rd-PermitApp.doc Rev 01/05/2012
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12115 SW 70TH AVE 101 , TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00062
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor