Permit (18) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111 ' COMMUNITY DEVELOPMENT Permit#: FPS2019-00017
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/21/2019
T t r.;E R C3 g Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15115 SW SEQUOIA PKWY 150
Project: Westlake Consultants Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: Fire sprinklers. Adding(9)heads and relocating(17)heads in office and bathroom remodel.
Contractor: CROWN FIRE SYSTEMS INC Owner: PACIFIC REALTY ASSOCIATES LP
7402 SE JOHNSON CREEK BLVD ATTN: N PIVEN
PORTLAND, OR 97206 15350 SW SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 503-777-5030 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/21/2019 $112.96
12%State Surcharge-Building 02/21/2019 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 02/21/2019 $45.18
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 02/21/2019 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 02/21/2019 $4.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: ORD1
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 $177.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $3,500.00
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. 32.1987 or 1.800.332.2344.
Issued By: /�jL
/, �� Permittee Signature: � i/�7 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. G�� /�
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 fl1�.� FOR OFFICE USE ONLY
City of Tigard C e Received / . P
Ili13125 SW Hall Blvd.,Tigard,OR 97223 f ED 1 ' ��1� Plan ReDate/By: �� �� �1 ' �������
® Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Inspection Line: 503.639.4175 OF TIGARD DateBy: p�y 9" '' �! - ?30�
TIGARD p CITY ION Date Ready/By: I 7uris: 0 See Page 2 for
Internet: www.ti and-or. ov G DIMS ified/Metho • 4I
g g gtJ1LDIN � f / Supplemental Information
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TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction El 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 El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1-and 2-family dwelling ®Commercial/industrial Valuation: $ 3S ��c
❑Accessory building El Multi-family Number of bedrooms:
El Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15115 SE SEQUOIA PKWY New dwelling area: square feet
City/State/ZIP:TIGARD OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:15 0 Project name:WESTLAKE CONSULTANTS TI 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.
ADDING 9 HEADS AND RELOCATING 17 HEADS IN OFFICE AND BATHROOM Valuation: $$4,500.00
REMODEL
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:
ei APPLICANT 0 CONTACT PERSON NOTICE
Business name:CROWN FIRE SYSTEMS INC All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:WES JONES under ORS 701 and may be required to be licensed in the
Address:7402 SE JOHNSON CREEK BLVD jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP:PORTLAND OR 97206 apply:
Phone:(503)777-5030 Fax::(503)777-0659
E-mail:wes@crownfiresystems.com
CONTRACTOR BUILDING PERMTF FEES*
(Please refer to fee schedule)
Business name:CROWN FIRE SYSTEMS INC Permit fee:
Address:7402 SE JOHNSON CREEK BLVD State surcharge(12%of permit fee):
City/State/ZIP:PORTLAND OR 97206 FLS plan review(40%of permit fee):
Phone:(503)777-5030 Fax:(503)777-0659 (Due upon application submittal.)
Total permit fees:
CCB lie.:163820
7
Amount received:
Authorized signature: -J '7� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:WES JONES Date:2/7/19 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doe 440-4613T(11/02/COM/WEB)
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
15115 SW SEQUOIA PKWY 150, TIGARD,
OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00017
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor