Permit 1 ,, CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
'�` COMM UNITY DEVELOPMENT Permit #: FPS2011 -00086
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/21/2011
Parcel: 2S 113AB00600
Jurisdiction: TIGARD
Site address: 16160 SW UPPER BOONES FERRY RD
Project: Dow Agrosciences Subdivision: PACTRUST BUSINESS CENTER Lot: 0
Project Description: Install clean agent fire suppression in server and LAN rooms.
Contractor: SUPPRESSION SYSTEMS INC Owner: PACIFIC REALTY ASSOCIATES
4417 PACIFIC HWY EAST 15350 SW SEQUOIA PKWY #300
TACOMA, WA 98424 PORTLAND, OR 97224
PHONE: 253 - 926 - 3300
PHONE: 503 - 624 -6300
FAX: 253 - 926 -3306
FEES
Description Date Amount
Specifics: Permit Fee - COM 07/06/2011 $188.28
12% State Surcharge - Building 07/06/2011 $22.59
Type of Use: COM Plan Review - Fire Life Safety - COM 07/06/2011 $75.31
Class of Work: ALT Type of Const: IIIB Info Process /Archiving - Lg Sheet (over 07/06/2011 $6.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process /Archiving - Sm Sheet (up to 07/06/2011 $11.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Dry
Standpipe Required: Hazard:
Density: 0 Design Area: 0 .
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Yes Alarm Type: Automatic
Pull Station Required: Yes Smoke Detectors Req:
Battery Gales Provided: Cut Sheets Required: Yes
Total $303.68
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $10,400.00
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 No coat` Centter Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dire questions to OUNC calling 503.232.1987 or 1.800.332.2344.
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cLi ,,,....., 4 _,
Iss ed By: /� ! I Permittee Signature: ` L
II 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 R ECE I VE mo` FOR OFFICE USE ONLY
City of T i g a r d J UL 0 5 2 011 D 7° 1 1 M Permit No.: I A 0 , Q 8
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
' - ' ` Phone: 503.639.4171 Fax: 503.598.1960 Dig : ��� Other Permit:
TIGARD
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: hms: 0 See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISIQ6`v Notified/Methoct 7 ".4 / j , Supplemental Information
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
r + 1 ., e' tti , 0� work indicated on this application.
El 1- and 2 -family dwelling mmercial/industrial Valuation: $
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
_,. - , ,. e Total number of floors:
Job site address:Ibt , aLzA i?1,0 ar,c,,.S < q t j New dwelling area: square feet
City /State/ZIP: T i 6 „,„ : „ el ., Q 2 __ Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: 00,z iN.G.Z.-O s CAC , Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
K
Subdivision: 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
v. . _... . ,r. li -Z1 - . a z # i ,, � -gy l_ work indicated on this application. O �1 �. M
1 ir vtcr a U►. c . L C G. n r- 11.A t (LET, 5t^ �t Valuation: $ ,
i n7 "Rix- v .ZV C C l o... Existing building area: square feet
New building area: square feet
PR 'f11 V i t WW 4 V M`` ,. Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
Business name: .... -- � �� �- � -. , .�, �> mss �� .,F :N � "�
�UA. PQ Z 1 IN.A O 61 •.irteN...6 All contractors and subcontractors are required to be
Contact name: Z�.� v a....€::, licensed with the Oregon Construction Contractors Board
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: Suppression Systems Inc applicant is exempt from licensing, the following reasons
Phone : ( ) .. '� � .�
^ aPP
.
E -mail: (253) 926 -3300
Business name: �r _ -;sr� '- ;Iii ,ea ` l.. , .> `,� rn,.. , ,. u.:
A UPPI eSS Systems In a Permit fee:
Address: 4417 Pacific Hwy $ State surcharge (12% of permit fee):
City / State/ZIP: Tacoma WA 98424 -2611 FLS plan review (40% of permit fee):
Phone: ( ) (253) yL6 -$( ( ) (Due upon application)
C C B lic.: 1.21 01 s Total permit fees:
i ..-,
Authorized signature: t �� \ ^ Amount received : , �08
V �.J V " _ This permit application expires if a permit is not obtained
I Print name: t.,... tW \ 2 z. u L C I Date: cn ) b i ) 1 k within 180 daps after it has been accepted as complete.
'-(\o'z=6(-12-) tA-c.
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
1.) El New 2.) Modification to sprinkler heads only:
El Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: _
Additional description of work:
i Typ otS ge i { (giti 4 te itr . ' ii 1Ca)Tje)_ M SSi �r
a-.-, -� �--- s sir "i r:-WP-,WL p:
1 ❑ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group •
Density
Design Area
K. Factor
Sprinkler Project Valuation: , $
Hood Project Valuation: $
•
Submittal shall Battery Calculations % Ye
include: Individual Component es
Cut Sheets
Fire Alarm Project Valuation: $
A'ty Rtitiit tt2 r;S i�ttk tat1E eISrSte - *g : � , r
� i � � '� ` _.:. y ;-� "� s
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 • $310.05 k
am*
7,201 and greater $404.39 z:
Sprinkler Project Square Footage: sq. ft.
).
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: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
SUPIPESSION SYSTEMS, INC.
SPECIAL HAZARD FIRE PROTECTION
4417 PACIFIC HIGHWAY EAST
giMini TACOMA, WA 98424 -2611
AINIMMIL (253) 926 -3300 FAX (253) 926 -3306
TRANSMITTAL RECORD
DATE:07 /01/11 PROJECT NAME:DOW AGRO SCIENCES JOB NO:1118
TO:CITY OF TIGARD ATTN:PERMIT COUNTER
RE:FIRE SUPPRESSION SYSTEM
WE ARE SENDING YOU:
® ATTACHED
❑ UNDER SEPARATE COVER VIA:
DE-MAIL: ❑FAX:
THE FOLLOWING ITEMS:
® SHOP DRAWINGS ❑ PRINTS ® SUBMITTALS ❑ SPECIFICATIONS
❑ COPY OF LETTER ❑ CHANGE ORDER ❑ AS- BUILTS ❑ OTHER
COPIES DATE DESCRIPTION
3 SHOP DRAWINGS
3 MATERIAL SUBMITTALS WITH CALCULATIONS
THESE ARE TRANSMITTED AS CHECKED BELOW:
FOR APPROVAL ® FOR YOUR USE
❑ COPIES FOR DISTRIBUTION ® FOR REVIEW & COMMENT
❑ APPROVED AS SUBMITTED ❑ APPROVED AS NOTED
❑ RE- SUBMIT ❑ RETURNED FOR CORRECTIONS
❑ CORRECTED PRINTS ❑ AS REQUESTED
REMARKS:
PLEASE FIND THE ATTACHED. PLEASE CALL WITH PERMIT FEES AND WE WILL MAIL A CHECK.
CONTACT ME WITH ANY
QUESTIONS.
Nina M. Reeves
Suppression Systems Inc.
4417 Pacific HWY East
Tacoma, WA 98424
Phone : ( 253)926 -3300
Fax : (253)926 -3306
E -Mail : Nina @suppression.com