Permit (135) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2018-00156
T[GA8D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/29/2018
Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 310
Project: Fairway mortgauge Subdivision: None Lot: None
Project Description: Fire sprinkler permit:Altering(4)sprinkler heads. Affidavit submitted.
Contractor: T&L COMMUNICATIONS INC Owner: GK TRIANGLE CORPORATE PARK III L
PO BOX 87387 ATTN KBS REALTY ADVISORS
VANCOUVER,WA 98687-7387 P 0 BOX 28270
SANTA ANA, CA 92709
PHONE: 360-737-9725 PHONE: 206-292-6023
FAX: 360-737-9648
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/29/2018 $59.16
12%State Surcharge-Building 10/29/2018 $7.10
Type of Use: COM Plan Review-Fire Life Safety-COM 10/29/2018 $23.66
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 10/29/2018 $2.00
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 0
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 $91.92
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $800.00
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 1.80! - --••
Issued By: Permittee Signature:
Call 175 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 Application
Commercial ��� � ,� FOR OFFICE LSI,o��LA
t, Received w
City Of Tigard FDate/B '` " ,; , �� PermitNo.: — r , - S�
III13125 SW Hall Blvd.,Tigard,OR 97223 ( Plan Review
L Phone: 503.718.2439 Fax: 503.598.1960 VC 12 9 2018 Date/B : Other Permit: I L I 1 -.- ?
7 I c,A RI) Inspection Line: 503.639.4175 g 7 Date Ready/By: Ilini ,. See Page 2 for
Internet: www.tigard-or.gov CalTY? O i'GARD Notified/Method: Supplemental Information
• LI ✓l V I...i t J
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:13221 SW 68th Parkway New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:310 Project name:Fairway Mortgage 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.
Fire Sprinkler Tenant Improvement
Valuation: $800.00
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
t:4 APPLICANT 0 CONTACT PERSON , BUILDINGPERNirr Felts.,
Business name:T&L Communications,Inc.
e refer a,. •scehedttle)
Structural plan review fee(or deposit):
Contact name:Larry Bushaw
FLS plan review fee(if applicable):
Address:PO Box 87387
Total fees due upon application: ,i q/ 14
City/State/ZIP:Vancouver,WA 98687
Amount received:
Phone:(360)737-9725 Fax: :(360)737-9648
E-mail:office@tl-communications.com PHOTOVOLTAIC,SOLAR PAi L SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:T&L Communications,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 87387 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver,WA 98687 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(360)737-9725 Fax:(360)737-9648
State surcharge(12%of permit fee): $21.60
CCB lic.:67787 el(i 0
r" Total fee due upon application: $201.60
Authorized signature: ,0• 2This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Larry Bushaw Date:10/25/2018 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard Permit No.: f i2 jj—cvisz,
« 13125 SW Hall Blvd.,Tigard,OR 97223E - d
Phone: 503.718.2439 Fax: 503.598.19 C i\/EE) Date Received: /(E .Fj�7'
Inspection Line: 503.639.4175
Internet: www.tigard-or.gov
OCT � � 2018 By: �N /0`
FIRE SPRI N ' VIT FOR ALTERATIONS
. I ISif,
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Fairway Mortgage occupancy: Commercial
Job Address: 13221 SW 68th Parkway Tigard, OR 97223 Type of Construction: Tenant Improvement
Suite: 310
Contractor: T&L Communications, Inc. Phone: 360-737-9725
Number of Proposed or Altered Heads: 4
Type: Wet Hazard:Light Density: 10
I, Larry Bushaw Oregon Construction Contractors Board No. 67787
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers in a light-hazard occupancy.
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) The proposed work does not require hydraulic calculations.
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: itity .��4a ) Date: 10/25/2018
Print Name: Larry Bushaw
I:\Building\Forms\FireSprinklerAffidavit 071514.docx Page 1 of 1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13221 SW 68TH PKWY 310, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00156
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor