Permit (67) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
• COMMUNITY DEVELOPMENT Permit#: FPS2018-00120
T i C A I'.1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/05/2018
Parcel: 1 S136AD06504
Jurisdiction: Tigard
Site address: 11462 SW PACIFIC HWY
Project: Discount Tire Subdivision: WAY LEE Lot: 3
Project Description: Fire sprinkler:Adding(22)fire sprinkler heads for new metal tire racking platform.
Contractor: EMERALD FIRE Owner: HALLE PROPERTIES LLC
11021 CRAMER RD KPN ATTN: DEPT 1100
GIG HARBOR,WA 98329 20225 N SCOTTSDALE RD
SCOTTSDALE,AZ 85255
PHONE: 253-857-2056 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/03/2018 $123.72
12%State Surcharge-Building 10/03/2018 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 10/03/2018 $49.49
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/03/2018 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 10/03/2018 $5.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: ORD2
Density: .30 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 $197.56
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $5,000.00
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 9 Pp ty 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: / Permittee Signatur•:
r,/✓�
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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 Application"
Fire Protection System l olz�oI FI( 1,t o�1,1
City of Tigard DateBeY'd (/ (t Permit Nof '� f?( " }
13125 SW Hall Blvd.,Tigard,OR 97223 . Plan Review
B
Phone: 503.718.2439 Fax: 503.598.1960 Date : Other Pe
T t c A h U Inspection Line: 503.639.4175 Date Ready/By:
a Juris: 'Se"e 1 age y
f fore f +
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:I-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
®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 IN Commercial/industrial Valuation: $
❑Accessory building CI Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB
SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11462 SW Pacific Hwy. New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Discount Tire 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 a metal tire racking plat form and additional fire sprinklers Valuation: $ 5,000.00
Existing building area: 8,598 square feet
New building area: 9,382 square feet
® PROPERTY OWNER TENANT Number of stories: 1
Name: Halle Properties,L.L.C. Type of construction: 5-B
Address: 20225 N.Scottsdale Rd. Occupancy groups:
City/State/ZIP: Scottsdale,AZ 85255 Existing: M/S-1
Phone:(480 )606-6000 Fax:( ) New: M/S-1
3
APPLICANT Yt CONTACT PERSON 1►IOTICE
Business name: Ei Design Inc. All contractors and subcontractors are required to be
Contact name: Steve Appel licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1260 Corona Pointe Ct.,Suite 301 jurisdiction in which work is being performed.If the
City/State/ZIP:Corona,CA 92879 applicant is exempt from licensing,the following reasons
apply:
Phone:( 951 ) 363-4467 Fax: :(
E-mail: sappel@eidesigninc.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Contractor to be determined in aw2AW (Please rPermito fee rfee:
{n� Permit fee:
Address: k 6Z 1 L tGiM
City/State/ZIP: �.�
1CCy , C State surcharge(12%of permit fee):
J t C ( FLS plan review(40%of permit fee):
Phone:(2s^3) a" „ 20 j Fax:(253) j�c) 2.-1 (Due upon application submittal.)
CCB lic.: / 1j„ ! (e/ /(v Total permit fees:
! v"' '[ Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: Steve Appel Date: 09/04/18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
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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:
0 New system Number of sprinkler heads: 22 Number of alarm devices:
® Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
Alteration (3) conies.of sketch showing area (3) copies of sketch showing area
to existing of work wthin building structure of work within building structure
system
121 11+ heads: Plan review required and 0 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
rig. . ,� Rs[ ffi �, ,0 4 M A l'" s €� — ° - ��
ra
: r Y 'l spry y € 4'.'1,
z,,,..___----,----,' €...� ,,.._ - �': s �.€- �'.�t,, '--..--,-,.,,k_. ...�€�'m�.Eu€€ '`141'''''''''4'''
�a�"� � �z�? .�:� �.x #r. ��L.t _...T, � .� l�—�i�"
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes No
Information: Sprinkler Supply Line ® Yes ❑ No
Hazard Group xisting High Pile Tire Storage & 0H2
Density .30 GPM/SF plus 6 in racks at 30 GPM
Design Area 2,5 0 0 SF
K.Factor 8.0 k (overhead) & 5.6_k (in-rack)
Sprinkler Project Valuation: I $ 5,000
Hood Project Valuation.. $
a —P a €€ —' a € Ir— 44
g E �' c ',` C € f € G` ': _4;:1,4,,,,, i. - € A� P, € gyp€ € €
ai i _..... ( �[Ln I ..1 A �;3a} ...o.E . ,xe ...,::.. it€d v. .n€e, -,. d:�'�i IA
Submittal shall Battery Calculations 0 Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
1 ) s pr'u k1 c�r ,
Square Footage: Permit Fee: ,; i�€
Oto 2,000 $198.75 " 1
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05 ;� €€ € `[
7,201 and greater $404.39 ;' ,. � ,_€ ��
Sprinkler Project Square Footage: l sq.ft.
Project valuation subtotal(see A,B&C move): $
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: $
I:\Building\Permits\FPS_PermitApp_031016.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11462 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00120
Inspection Type: Inspector:
999 Sprinkler final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor