Permit (18) CITY OF TIGARD IN FIRE PROTECTION SYSTEM PERMIT
I COMMUNITY DEVELOPMENT Permit#: FPS2019-00047
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/18/2019
T f�;;ti R f7 g Parcel: 2S112DC00100
Jurisdiction: Tigard
Site address: 15605 SW 72ND AVE
Project: Consumer Cellular Subdivision:HERN PACIFIC TIGARD INDUSTRIAL Lot: 1-2
Project Description: Fire sprinklers. Adding and relocating(21)sprinklers to accommodate TI.
Contractor: PATRIOT FIRE PROTECTION INC Owner: PACIFIC REALTY ASSOCIATES
4708 NE MINNEHAHA ST ATTN: N PIVEN
VANCOUVER,WA 98661 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 360-699-4403 PHONE: 503-624-6300
FAX: 360-699-4485
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/18/2019 $112.96
12%State Surcharge-Building 04/18/2019 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 04/18/2019 $45.18
Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 04/18/2019 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 04/18/2019 $6.00
11x17)
Misc Administration Fee 04/18/2019 $5.00
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 $184.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $3,150.00
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.
A1
Issued By: / Permittee Signature: c '
rr aff/(W)rj4
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 _ . i 9 D FOR OFFICE t Si ()NIA
CI of TigardR 3 2.201 D e/Bea Pe ,-;,(25,kcy 7
13125 SW Hall Blvd.,Tigard,OR 97233 t ph Revie � ��
41,1
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
Inspection Line: 503.639.4175 Cit >' (��: 1'( Date Ready/By: 1 rws: ®Sce Page 2 for
Internet: www.tigazd-or.govZ i` y : li'. !' j� tified/Method: �� Supplemental Information
i 1,11111
TYPE OF WORK Q I' ' I DATA:I-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Pe • fees*are based on the value of the work perfo p ed.
Indicat- e value(rounded to the nearest dollar)o ai 1
®Addition/alteration/replacement 0 Other: equipmen i aterials,labor,overhead,and the s 4 fit for the
CATEGORY OF CONSTRUCTION work indicate. on this application.
❑ 1-and 2-family dwelling [n Commercial/industrialValuation: $
•
❑Accessory building 0 Multi-family Number of bedroom
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15605 SW 72nd Ave New dwelling are. quare feet
City/State/ZIP: Tigard, OR 97224 Garage/carpo' area: squ..e feet
Suite/bldg./apt.no.: Project name:Consumer Cellular Covere• •.rch area: square -
Cross street/directions to job site: SW 72nd Ave and SW Kable Ln De area: square feet
0 her 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.
Add and relocate (21) sprinklers to accommodate Valuation: $ 3,150
a new tenant improvement. Existing building area: 69,737 square feet
New building area: 69,73 7 square feet
❑"PROPERTY-0"I ®`TENANT"` Number of stories: 1
Name: Pacifit Realty Associates L.P. Type of construction: 3-B
Address: 15350 SW Sequoia Pkwy #300 Occupancy groups:
City/State/ZIP_ Portland, OR 97224
Existing: B/S-2
Phone:(503) 624 3600 Fax:( ) New: B/3-2
_ APPLICANT____ 0 CONTACT PERSON ItI@TIL _.
Business name: Patriot vFire Protection, Inc All contractors and subcontractors are required to be
Contact name: Joseph Plattner licensed with the Oregon Construction Contractors Board
47 08 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: joseph.plattner@patriotfire.com
CONTRACTOR BUILDING PERMIT FEES*
(['lease rej'ertafeesckethtle
Business name: same as above
Permit fee:
Address:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal.)
CCB lic.: 7 0 8 2 2 Total permit fees:
Authorized signature: I.,j Amount received:
This permit application expires if a permit is not obtained
Print name: Joseph Plattner Date: 4-2-19 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pemtits\FPS-PemiltApp_071514.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 21 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
J 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:
Type of System(Complete A,B,C or D as applicable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes no
Information: Hazard Group light
Density .10/.20
Design Area N/A
K.Factor 5.6
Sprinkler Project Valuation: $ 3.150
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations 0 Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
]l.) Residential Slyly'
kh r(�tarul l�l€�ne 9yst u)
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%ofpermit fee): $
TOTAL: $
\\patriotfire.local\dfs\VAN Profiles\ted.baker\Downloads\FPS_PermitApp.doc 2
APR - 3 2019
C
ryry
DI4 ON
TRANSMITTAL
DATE: 4-2-19
To: City of Tigard Building Dept.
13125 SW Hall Blvd
Tigard, OR 97223
Att: Plans examiner
From: Joseph Plattner
re: Consumer Cellular fire sprinkler submittal
Job Number: 32-14808
Enclosed you will find (3) FP1 sprinkler plan, (3) sprinkler data sheets, and (1)
permit application.
Please feel free to call with any question.
Thank you,
Joseph Plattner
OR CCB 70822
WA PATRIFP099CF
FIRE PROTECTION RM. D 360 816 8724 I C 360 409 3860 I JOSEPH.PLATTNER(c1�PATRIOTFIRE.COM
4708 NE MINNEHAHA STREET I VANCOUVER,WA 98661 I P 360 699 4403 I F 360.699.4485