Permit (177) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
■ COMMUNITY DEVELOPMENT Permit#: FPS2018-00070
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/27/2018
T r C .1,,.I:.C� 9 Parcel: 1 S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST, STE#200
Project: Cascade Management Subdivision: ASHBROOK FARM Lot: 5
Project Description: Add and relocate fire sprinklers for tenant improvement.
Contractor: PATRIOT FIRE PROTECTION INC Owner: PLAZA WEST OWNER LLC
4708 NE MINNEHAHA ST BY CHIEF FINANCIAL OFFICER
VANCOUVER,WA 98661 680 FIFTH AVE 20TH FL
NEW YORK, NY 10019
PHONE: 360-699-4403 PHONE:
FAX: 360-699-4485
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/12/2018 $295.88
12%State Surcharge-Building 07/12/2018 $35.51
Type of Use: COM Plan Review-Fire Life Safety-COM 07/12/2018 $118.35
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 07/12/2018 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 07/12/2018 $2.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: 0.1 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 $455.74
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $21,000.00
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: ".411 - itNvl Permittee Signature: Cl(/ 7oko,..,...75, ___
Call 503.639.4175 by 7:00 a.m for the next avilabla 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 . FOR OFFI(•1: I SI ONE) /y
City of Tigard Dat lved , �� � i Permit C' 7 A
,,.-- w 13125 S W Hall Blvd.,Tigard,OR 97223 �� @ By
g 'V 0 ]O i 8 Plan Revie
r- Date/By: g Other Pe 9 9
Phone: 503.718.2439 Fax: 503.598.1960)U, o'Z. _Jt/f�f�/rr/ l
1.1 G A R fl Inspection bine: 503.639.4175 y �y Date Ready/By: / �j(� loris: gi See Page 2 for
Internet: www.tigard-or.gov CITY OF 9 IGA N. 'ted Method: / /(1 "— Supplemental Information
3 '� OF I [[[� 1 ,'D T1� Alm MILY t.
�.. ❑Demolition ,.. tea. . �..
0 New construction Pe . fees*are based on the value of the work perfo. ed.
Indicat- e value(rounded to the nearest dollar)o si l
(g Addition/alteration/replacement 0 Other: equipmen, t aterials,labor,overhead,and the +fit for the
t`" '' work indicate, on this application.
Valuation: $
❑ 1-and 2-family dwelling U Commercial/industrial
❑Accessory building 0 Multi-family Number of bedroom
❑Master builder 0 Other: Number of bathrooms:
t, ,a Total number of floors:
Job site address: 9600 SW Oak Street New dwelling are. quare feet
City/State/ZIP: Tigard, OR 97223 _
Garage/carpo- area: squ..efeet
Suite/bldg./apt.no.: 200 Project name:Cascade Management T.I. Cover• .orch area: square
Cross street/directions to job site: SW 95th Ave De area: square feet
S er structure area: square feet
a 's tt o IATA:COMMERCIAL-USE RiECO)
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Fax map/parcel no.: - Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
w..,. r.,s .. ;t. , 'SIO '.O ' W� work indicated on this application.
Add and relocate sprinklers for tenant improvement. Valuation: $ 21, 000
Existing building area: same square feet
New building area: same square feet
PROPERTi Y ,. r y .� F� s � y Number of stories: 3
• l
Name: Prime Pa rvpe of construction: 2B
Address: 9600 SW Oak Street, suite 380 Occupancy groups:
City/State/ZIP: Tigard, OR 97223 Existing: B
503 499 0073
Phone:( ) Fax ( ) B
New:
" FON RSO$ .
Patriot Fire Protection, no . y. ... . , ..,- ,
Business name:
All contractors and subcontractors are required to be
Contact name: Ted Baker licensed with the Oregon Construction Contractors Board
4708 NE Minnehaha Street under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: Vancouver, WA 98661 applicant is exempt from licensing,the following reasons
apply:
Phone:(360) 699 4403 Fax::(360 ) 699 4485
E-mail: ted.baker@patriotfire.com
CONTRA( I An z .,. �I l PESFE
-..4,..4.:m.,,,,,'4%4--,:y.' 4 � RM
ff rtof
Business name: same as above
Permit fee:
Address:
City/State/ZIP: State surcharge(12%of permit fee):
FES plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal.)
CCB lie.: 70822 Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: Ted BakerDate: 6-4 18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Budding\Permits\FPS-PermitApp_071514.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
7:11.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 4 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:
., t g� • „t om :+ gi �
M
L) Colt
N F sf
® \Vet ❑ Dry
Additional Standpipes no
Information: Hazard Group light
Density .10(existing)
Design Area N/A
K. Factor 5.6
Sprinkler Project Valuation: I $ 21,000
Hood Project Valuation: i
Submittal shall Battery Calculations 0
Yes
include: Individual Component ElYes
Cut Sheets
Fire Alarm Project Valuation: $
•
Square Footage: Permit Fee: k
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.
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: $
\\patriotfire.local\dfs\VAN Profiles\ted.baker\Downloads\FPS_PermitApp.doc 2