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Permit (158) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT , ! COMMUNITY DEVELOPMENT Permit#: FPS2018-00136 f C ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2019 T' Parcel: 1 S 136DA02400 Jurisdiction: Tigard Site address: 11123 SW 68TH PKWY Project: RPC Tigard Storage Subdivision: WAY LEE Lot: 1 Project Description: Fire sprinkler system for a new 122,076 sq.ft. 3-story with basement temperature controlled self storage building. Contractor: BLACKSTONE FIRE PROTECTION LLC Owner: RPC TIGARD 68 LLC 612 NE SQUIRE RD 2101 CEDAR SPRINGS RD STE 1600 WASHOUGAL,WA 98671 DALLAS,TX 75201 PHONE: 503-708-7437 PHONE: FAX: 360-838-0162 FEES Description Date Amount Specifics: Permit Fee-COM 05/15/2019 $876.77 12%State Surcharge-Building 05/15/2019 $105.21 Type of Use: COM Plan Review-Fire Life Safety-COM 05/15/2019 $350.71 Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 05/15/2019 $10.00 Occupancy Grp: S-1 Height: 50 ft 11x17) Stories: 4 Info Process/Archiving-Sm$0.50(up to 05/15/2019 $27.50 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Yes Hazard: ORD2 Density: 0.2 Design Area: 0.2 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 $1,370.19 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $115,000.00 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:By: Permittee Signature: ` 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 RECRVED FOR OFFICE USE ONLY CityTi Received of Tigard SEP 2 "� 2Q1 DateBy: ' A iT ! €t" (4-v 'v13 c- hone14 .. 13125 SW Hall Blvd.,'Tigard,OR 503.598.196097223 e Plan Review 1 X- p t � t / i )O1 a&o , ' Phone: 503.718.2439 Fax: Date/By: Q^ Y �' /Jt T 1 G A RD Inspection Line: 8503.639.4175 CITY OF TI GAR D Date Ready/By: /� / A Jura: H See Page 2 for Internet: www.tt and-or. ov BUILDING DIVISION fled/Meths l/ Supplemental Information L7 41 li14/.. TYPE OF WORK 'e� it fees*arc based on the value of the work performed. / Indicate the value(rounded to the nearest dollar)of all IVNew construction ❑Demolition equipment,materials,labor,overhead,and the profit for the ❑Addition/alteration/replacement ' ) CIOther: work indicated on this application. CATEGORY OF CONS'>;RUCTION Valuation: $ 11 ❑ I-and 2-family dwellingCommercial/industrial Number of bedrooms: ❑Multi-family building Number of bathrooms: ❑Master builder ❑Other: Total number of floors: 4 JOB SITE INFORMATION AND LOCATION New dwelling area: square feet Job site address: N.',,\-V)j Sid & 'Koz o Garage/carport area: square feet City/State/ZIP: o{ �v�e._`CS t, C\-7 223 Covered porch area: square feet Suite/bldg./apt.no.: Project nameTV: - Deck arca: square feet Cross street/directions to job site: A C /‹) T;4,-,',/id tS '{ _z---_ Other structure area: square feet REQUIRED DATA:COMMERCIAL=USECHECKLIST Permit fees*are based on the value of the work performed. Subdivision: Lot no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the Tax map/parcel no.: work indicated on this application. DESCRIPTION OF WORK Valuation: S M I OC)O \Y\Sjf O, ;LyA C intNtsi c`NCe 55 Vic'04,l ( Existing building area: square feet ski S-1•evn New building area: iGt,O square feet Number of stories: LA ❑ PROPERTY OWNER ❑ TENANT Type of construction: Name: Occupancy groups: Address: Existing: City/State/ZIP: New: Phone:( ) Fax:( ) NOTICE ❑ APPLICANT ❑ CONTACT PERSON All contractors and subcontractors are required to be Business name: 0_60,i C1.. L c---',re "?(Ovec}-may\ licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Contact name: 0�v c v' .vv (XVIA.- jurisdiction in which work is being performed.If the Address: applicant is exempt from licensing,the following reasons apply: City/State/ZIP: Phone:( ) Fax::( ) E-mail: �ati•‘ i A,hc.\\‘..0,4.k.QrcisAt c -(OVA BUILDING PERMIT FEES* CONTRACTOR (Please refer to fee schedule) Business name: q\-tCk�"b�e_ \,CL ?(t °ei'1(911 Permit fee: Address: oz.( c i cee k t,LYxtk NA/V State surcharge(12%of permit fee): FLS plan review(40%of permit fee): City/State/ZIP: \NCA,‘ ew, 0 --t 6126-7 t (Due upon application sulunittal.) Phone:(054 p) °Z\(: « q, Fax:( ) Total permit fees: 1 CCB lie.: \(,\9 4li(© Amount received: Authorized signature: S L This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ) V\y CCU)._ Date: Cid 15-`g, * Fee methodology set by Tri-County Building Industry Service Board. REQV1REJJTDATA:T ANIT2YAMILYI7WP,LLIPiG I:Building'Permits ITS-PemritApp_031016.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: rJ New system Number of sprinkler heads: \� Number of alarm devices: ❑ Addition or El 1-10 heads: Affidavit required and El 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 anti (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 Sprinkler'Type Ev Wet ❑ Dry Additional Standpipes 'L Information: Sprinkler Supply Line ❑ Yes ❑ No hazard Group C''`4.„,1Y\Ck^c� ttz2„4-6._ \\ Density 2� Design Area K. Factor 7„(4) Sprinkler Project Valuation: $ B.) Type I Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 S198.75 2,001 to 3,600 $246.45 3,601 to 7,200 S310.05 7,201 and greater S404.39 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 I) above): $ State Surcharge (12%of permit fee): $ FLS Plan Review (40% of permit fee): $ TOTAL: $ C:\Users\lobnathan Chill\Downloads\FPS_PermitApp.doc 2