Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1 COMMUNITY DEVELOPMENT Permit#: FPS2019-00065
T l(;A k.1-) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/19/2019
Parcel: 1S136CD01501
Jurisdiction: Tigard
Site address: 7600 SW ATLANTA ST
Project: Tigard Self Storage Subdivision: None Lot: None
Project Description: Fire Sprinkler.Installing(1782)sprinkler heads for new fire sprinkler system,including a wet system,dry system,
and standpipe system.
Contractor: COSCO FIRE PROTECTION INC Owner: TRAILBLAZER DEVELOPMENT LLC
2501 SE COLUMBIA WAY SUITE 100 BY CPS ASSET MANAGEMENT LLC
VANCOUVER,WA 98661 333 S STATE ST STE V-144
LAKE OSWEGO, OR 97034
PHONE: 360-816-8418 PHONE:
FAX: 360-883-6390
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/19/2019 $1,568.23
12%State Surcharge-Building 06/19/2019 $188.19
Type of Use: COM Plan Review-Fire Life Safety-COM 06/19/2019 $627.29
Class of Work: NEW Type of Const: IA Info Process/Archiving-Lg$2.00(over 06/19/2019 $14.00
Occupancy Grp: S-1 Height: 50 ft 11x17)
Stories: 5 Info Process/Archiving-Sm$0.50(up to 06/19/2019 $162.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: ORD2
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 $2,560.21
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $268,854.00
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 1.8 .332.2344.
GGG
Issued 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
RECEIVED
E V rE' V FOR OFFICE USE ONLY
\`�D
City of Tigard Received `_Date/B : C.......)1.X.?. < Permit No. '-31..i-,`C _C.:` ',
}
111 '4 13125 SW Hall Blvd.,Tigard,OR 9 !Pe.y 2 9 2019 Plan Review -> ��
i Phone: 503.718.2439 Fax: 503.59:. 960 Date/B : � / i Other Permit ? ti -
[I G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: 10 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
„ _ a
tVPE OF WOO( , ' . REQUIRED DA` A:r A141b -itPAMILt b*ELLING
,Vgew construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
o Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRU ION work indicated on this application.
El1-and 2-family dwelling Commercial/industrial Valuation: $
o Accessory building 0 Multi-family Number of bedrooms:
o Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: -(p00 SW . C101N sk,. New dwelling area: square feet
City/State/ZIP: qAy OO q-k71.3 Garage/carport area: square feet
Suite/bldg./apt.no.: ..JJ Project name:--(;39„,,1 ek.q S-1pyvv�9,( Covered porch area: square feet
Cross street/directions to job site: %w 'pa �
- ov %k Deck area: square feet
k V‘ ?C64 4 L cwt 1°w) t )0 S Ovckil OA S1 w Other structure area: square feet
7ae�hnovv\-1n %\ I Tvvy1 krtgh+ on SW Pk\OIYI3� q._ REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: �I 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.
Valuation: $ 2 to$ B5'if
1v Ss;chtitovl ,of v1w -�\N S�rkvIk-te• "S\jS4.e WI, i►tcPry,
luAiA3
o‘ \Ale Sl% ewk I Ci1t�\ S j Atoi, Z �-\-ok tn4-�- ,r SIS i-c m Existing building area: I(� square feet
J J I New building area: 1 u),2Cj`L square feet
IQ PROPERTY OWNER 0 TENANT Number of stories: 5
Name: '[AIL 51.,A1,69.. '11p__EUELopMENT l I.LL Type of construction: 3 f% �7 R
Address: 333 . S.T.a�e , V-044 Occupancy groups:
City/State/ZIP: t-c a Osweyo 1 OR q Dv/ Existing: N I A
Phone:(gam) 6130 1p3' O X tt Fax:( ) New: S-1 tn,1 GvT, is
APPLICANT 0 CONTACT PERSON NOTICE
Business name: (_'p5tx, -e„ 't?ro\ee.V.`t ow, All contractors and subcontractors are required to be
Contact name: 11676- - j iv 0 M, licensed with the Oregon Construction Contractors Board
junder ORS 701 and may be required to be licensed in the
Address: 25 Q SE Co[,wa Ljfyv liVayt SK �I � /66 a jurisdiction in which work is being performed.If the
I applicant is exempt from licensing,the following reasons
City/State/ZIP: V0.vl cotv,416 (AA ott(o(,I apply:
PP Y:
Phone:(2j(00) g g 3-(03$' Fax::( )g s 3-(o3 10
E-mail:YY1 Y1 or(TI A COSC nP xre. .Co Yr►
CONTRACTOR BUILDING PERMIT FEES*
C (Please refer tofeeschedule)Business name: CVCc, rU/.F � o �Up Permit fee:
Address: 250i SE co 1-0m (44-va4y Sc'I.. fab
/ State surcharge(12%of permit fee):
City/State/ZIP: \A.-i-lCOv /Ell t 4— �'(�j(e ( , k FLS plan review(40%of permit fee):
Phone:�J(d) --be..-5-c.,48� Fax:j3(...‹)) edre,?j —('-61 ) (Due upon application submittal.)
CCB lic.: (0` 60(0- Total permit fees: 2,3(1-4.1-1,
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: M ti 02P`7 4.0,) Date: 5/2 9/za 9
* within 180 days after it has been accepted as complete.
Fee methodology setby-Tri-County Bnildinp Industry
Service Board.
I:\Budding\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
f `
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) Type of ork: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
New system Number of sprinkler heads: Z
y p � . � 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
11+ heads: Plan review required and ❑ 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
Sprinkler Type [met 12-17sry
Additional Standpipes Yes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group p etz=:lei/4.r / &i7
Density , 1 S
Design Area i' bC)
K. Factor 5.
Sprinkler Project Valuation: $ z.0 S �--
Typt I- Hood FM Suppression Syster m
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
1)4—Residential Sprinkler(Stand
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): $ 2h e �fjq �=--
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: $� -2. 90011-7-4- \ '} ��,
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