Permit 111 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2020-00026
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/03/2020
T I G A R D g Parcel: 2S 101 B D00200
Jurisdiction: Tigard
Site address: 8001 SW HUNZIKER RD
Project: Tigard Distribution Center Subdivision: None Lot: None
Project Description: Fire sprinkler. Installing(15)heads.
Contractor: FIRE ONE FIRE SYSTEMS INC Owner: TIGARD DISTRIBUTION CENTER LLC
PO BOX 734 4800 SW MACADAM, STE 120
OREGON CITY, OR 97045 PORTLAND, OR 97239
PHONE: 503-557-9050 PHONE:
FAX: 503-557-9268
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/03/2020 $102.20
12%State Surcharge-Building 03/03/2020 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 03/03/2020 $40.88
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 03/03/2020 $12.00
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: .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 $167.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,250.00
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 t forth ' OAR 952-001-0010 through OAR 952- -0090. You may obtain a copy of the rules
or direct questions to OUNC b calling 503.23 9 7 or 00.33 2344.
Issued By: � �Rermittee 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 -t i-l : i V l F s\`
City of Tigard 1 DDR ya Q S 10 r ,.tea
, 1111 i• 13125 SW Hall Blvd.,Tigard,OR 97223 F= v 6 2 Plan Revie `
Phone: 503.718.2439 Fax: 503 598 1960, Da e/By:AA V/ 3-3 Other Pennn:
T 1 c A R[7 Inspection Line: 503.639.4175 UI I ,..;1-. ! ?1 `}+f _ Date Ready/By: / orris ® See Page 2 for
Internet N�tvw.tigard-or.gov 7° :11 -Ff `'- `A • ed/Melhod: Suppkmentallnformation
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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
�l)Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling m Commercial/industrial Valuation: SS
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: Sod 5,4. �s,,l'zAti RT..) New dwelling area: square feet
City/State/ZIP: 71/4(aR41.a 1 tQ, 9/ 223 Garage/carportarea: square feet
Suite/bldg./apt.no.: Project name: 'c.L Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
AL12o55 rut", t jJ pa 5 i. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF ff WORK work indicated on this application.
Ir.ISTAr1.� 3E4'D-rah r fTkt-aAS 1 a i-110) Valuation: ZzSb $
Cii l L I ttl(.rl S I5 } A-C• Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ® TENANT Number of stories: I
Name: IX(441. b,r1i5JT'1 DJ (tE di— Type of construction: -rr.ff4.tt� !NI�e�v,M '
Address: N Su.. I-LPOZOoze t2L) Occupancy groups:
City/State/ZIP: t(,qPaz) , Oft.. 1722-3 Existing: 5-00,61v...
Phone:( ) Fax: ( )
New: lAtitr `yOeptQD
0 APPLICANT 0 CONTACT PERSON NOTICE
Business name: fTY rC sv t 15 r (f�l� All contractors and subcontractors are required to be
Cil�
Contact name: 4%.1. 1� / licensed with the Oregon Construction Contractors Board
¢ under ORS 701 and may be required to be licensed in the
Address: —ea l 1pye 7wati juricdirtion in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: 0QviAot,I. Ct T y I h(Z l i di s apply:
Phone:(3) 57-gs5t `�Fax::( )
E-mail: ( ;CONTRACTOR BUILDING PERMIT FEES*
Business name: 5,N1. p� MIA_ (Pleaeerejcrto fee
cheduk
f� Perm 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 tic.: 9.51 LI p Total permit fees:
Authorized signature:
Amount received:
^ This permit application expires if a permit is not obtained
Print name: ,`'I IBC c: T within 180 days after it has been accepted as complete.
"^a�� �,�2DZo • Fee methodolo
gy set by Tri-County Building Industry
Service Board.
I:\BuiIdagWerreits1PPS-Peemitapp 031016.doc 440.4613T(1 I/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:
0 New system Number of sprinkler heads: )J Number of alarm devices:
jJ Addition or 0 1-10 heads: Affidavit required and 0 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
1,4[_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 Eit Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ® Yes ❑ No
Hazard Group H-T
Density i '
Design Area /SO e.%
K Factor S, to
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler(Stand Alone System)
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
Sprinter 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%of permit fee): $
TOTAL: $
I:\Building\Peanits\FPSPermitApp_mioto.doe 2
IrL CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
Uri COMMUNITY DEVELOPMENT Permit#: FPS2020 00026
S10
T I CiAA 7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1
VrIS Parcel: 2S101 BDOD00200
Jurisdiction: Tigard
Site address: 8005 SW HUNZIKER RD
Project: Tigard Distribution Center Subdivision: None Lot: None
Project Description: Fire sprinkler. Installing(15)heads.
Contractor: FIRE ONE FIRE SYSTEMS INC Owner: TIGARD DISTRIBUTION CENTER LLC
PO BOX 734 4800 SW MACADAM, STE 120
OREGON CITY, OR 97045 PORTLAND, OR 97239
PHONE: 503-557-9050 PHONE:
FAX: 503-557-9268
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/03/2020 $102.20
12%State Surcharge-Building 03/03/2020 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 03/03/2020 $40.88
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 03/03/2020 $12.00
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: .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 $167.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,250.00
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: Permittee Signature:
:Y r Y is :; j�1"Ns
Call 50 .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.