Permit (88) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
'' COMMUNITY DEVELOPMENT Permit#: FPS2019-00105
Date Issued: 08/29/2019
T 16 Alt.ID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 136DD05300
Jurisdiction: Tigard
Site address: 11850 SW 67TH AVE, STE#100
Project: The Partners Group Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: Fire sprinkler permit:Adding and altering a total of 250 sprinklers for TI.
Contractor: BASIC FIRE PROTECTION INC Owner: PNWP LLC#2
8135 NE MARTIN LUTHER KING BLV PNWP LLC
PORTLAND, OR 97211 6600 SW 105TH AVE#175
BEAVERTON, OR 97008
PHONE: 503-285-1855 PHONE:
FAX: 503-285-0713
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/29/2019 $545.80
12%State Surcharge-Building 08/29/2019 $65.50
Type of Use: COM Plan Review-Fire Life Safety-COM 08/29/2019 $218.32
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 08/29/2019 $6.00
Occupancy Grp: B Height: ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 08/29/2019 $10.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: LT
Density: 0.10 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 $845.62
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $50,100.00
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 51 .232.1987 or 1.86'.332.2344.
Issued By: 1� �t Permittee Signature: 16'
Ii�-
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 rolz orrlcl� t si.o�l.l
Cl of Tigard
Received _ _
`J g "t 1""i I,, Date/BY: I t� ! —_ Permit No.: , i, L
INIiii 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review � � i L?��
e Phone: 503.718.2439 Fax: 503.598.1960 ( Date/By: Other Permit:
T I G A R t7 Inspection Line: 503.639.4175 b c 1;4 Date Ready/By: �� /�� i ur s:
" 2 y: [/[/ /, See Page 2 for
Internet: www.tigard-or.gov N t ed/Method / ,, 1- Supplemental Information
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❑New construction 0 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
``, '.. work indicated on this application.
CATEGORY OF STRUCTION
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AIS LOCATION
Total number of floors:
Job site address:11850 SW 67'Ave New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:The Partners Group Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: RCIAI-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
Iri:°t ON O1(*ORK work indicated on this application.
Partial Ll remodel:modify sprinklers for new floor and ceiling plan Valuation: $$50,100.00
L2:modify existing sprinklers for new floor and ceiling plan Existing building area: square feet
New building area: square feet
a PR[ EHTY OWNER _ e4 TENANT Number of stories: 2
Name:The Partners Group Type of construction: Steel
Address:11850 SW 67"Ave Occupancy groups:
City/State/ZIP:Tigard OR 97223 Existing: Light Hazard
Phone:( ) Fax:( ) New: Light Hazard
® APPLICANT=;. .. ,:,;r, ❑ CONTACT PERSON NOTICE
TICE w , _
t
Business name:Basic Fire Protection Inc. All contractors and subcontractors are required to be
Contact name:Uwe Parth licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:8135 NE MLK Jr Blvd jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,OR 97211 applicant is exempt from licensing,the following reasons
apply:
Phone: 503 285-1855 Fax::(_501285-0713 _ ...
E-mail:Uwe@basicfire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Basic Fire Protection Inc. (<Yiaserto fee schedule)
Permit fee:
Address:8135 NE MLK Jr.Blvd
State surcharge(12%of permit fee):
City/State/ZIP:Portland,OR 97211
FLS plan review(40%of permit fee):
Phone:(503)285-1855 Fax:( ) (Due upon application submittal.)
CCB lic.:48641 Total permit fees:
Authorized signature:
Amount received:
This permit application expires if a permit is not obtained
Print name:Uwe Parth Date:8/21/19 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)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work tc J, �done: ..,
y,+
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
ElNew system Number of sprinkler heads: 250 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 El 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type of y ter %tnplete A B or I applicable)
Commerc Sprder r
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line LYes ❑ No
Hazard Groupght
Density .10
Design Area
K. Factor 5.6
Sprinkler Project Valuation: $ 50,100.00
B.) Type I Hood*e Suppr oa System
Hood Project Valuation: $
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
1a.
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 &Cc 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% of permit fee): $
TOTAL: $
2
C:\Users\uwe\DWG\19-3225 TPG\Submittals\AHJ\FPS_PermitApp.doc
BASIC LETTER OF TRANSMITTAL
GAO FIRE
IP PROTECTION I Ca. .,
8135 NE MLK JR. BLVD. DATE 8/21/19 Xe
N0. 19-3225
PORTLAND, OREGON 97211 , ATTENTION
PHONE 285-1855 FAX 285-071 ' Permits
.:r5 REGARDING:
The Partners Group
CITY OF TIGARD
13125 SW HALL BLVD
TIGARD, OREGON 97223
WE ARE SENDING YOU
❑✓ Shop drawings ❑ Prints 0 Plans ❑ Samples ❑ Specifications
❑ Copy of letter 0 Change order 0 Hydraulic calculations ❑✓ Submittal Data
COPIES DATE NO. DESCRIPTION
3 08/21/19 2 of 2 Fire Sprinkler Plan
3 08/21/19 Fire Sprinkler Data
1 8/21/19 Permit Application
THESE ARE TRANSMITTED as checked below:
❑✓ For approval 0 Approved as submitted ❑ Resubmit copies for approval
O For your use ❑ Approved as noted ❑ Return corrected submittal data
O As requested 0 Returned for corrections 0 Return corrected prints of each
O For review and comment 0 For Architect's/Engineer's Approval
❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
IF YOU HAVE ANY QUESTIONS OR NEED FURTHER INFORMATION
FEEL FREE TO CALL ME AT 503-285-1855
COPY TO: FILE
Uwe Parth
SIGNED: