Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
II a COMMUNITY DEVELOPMENT Permit #: FPS2012 -00076
Ti G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/14/2012
Parcel: 2S 101 DC04602
Jurisdiction: Tigard
Site address: 7379 SW TECH CENTER DR
Project: Spectra Contract Flooring Subdivision: TECH CENTER BUSINESS PARK Lot: 2
Project Description: Add /relocate (7) fire sprinkler heads for TI
Contractor: PATRIOT FIRE PROTECTION INC Owner: MCCORMACK PROPERTIES LP
4708 NE MINNEHAHA ST 7190 SW SANDBURG ST
VANCOUVER, WA 98661 TIGARD, OR 97223
PHONE: 360 - 699 -4403 PHONE: 503 - 624 -2090
FAX: 360 - 699 -4485
FEES
Description Date Amount Ir
Specifics: Permit Fee - COM 05/14/2012 $64.54
12% State Surcharge - Building 05/14/2012 $7.74
Type of Use: COM Plan Review - Fire Life Safety - COM 05/14/2012 $25.82
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calm Provided: Cut Sheets Required:
Total $98.10
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $1,000.00
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 • .rk is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility otification Ce -r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules •
or di ect questions to OU • calling 503.232.1987 0 1.800.332.2344.
Issued By: / p 4 Permittee Sig ature:
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 p ' r .,,,- FOR OFFICE LS E ONLY
E
I II C i t y of Tigard R Date.�B�• ecn 6'If /; •. ' N o 4
'� • Phone S 03Hall 2439 Tigard, 519 o MAY 1 1 2012 Plan xn Other Permit:
l' I ci A R D on Line: 503.639.4175 ,/a MY Date Ready�By. tom. 0 See Page 2 for
laternet: www.tigard-or.gov C d 1' OF' TiV.'), i Notified 1 letho Supplemental Information
TYPE OF WORK REQUIRED DATA: 1 - AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees° are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
j Ect.Addition/alteration/replacement ❑ Other equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling geommercial/mdushial
Valuation: S
❑ Accessory building ❑ Muhi -6mily
Number of bedrooms:
❑ Master builder ❑ Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
.lob site address: -7 371 TEC-M C eArrEE Oc I v New dwelling area square feet
City/State/ZIP: - t4-64 D, pe. T7 Z2-3 Garage/carport area: square feet
Suite/bldg./apt no.: I Project name: SpE T7 /4 6, Covered porch area: square feet
Cross street/directions to job site: f 02 t r i r Deck area square feet
Other structure area: square feet
REQUIRED DATA: C'ObIMERC'IAfrUSE CIIECKLLST
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: $ ,o®
/�6� � �� ^ e i 1,44- �c.L'�E� s -- cc- 3 1
Kie-W W.04-C---S ,' � (C..I tiG�- F eop,. e S t �-- E 1Dg building area: square feet
>jpZ (4 .-,pp 5 ( E'a✓_ New building area: square feet
❑ PROPERTY OWNER I TENANT Number of stories:
Name: Sp EC -A r Type of construction:
Address: 14-Z. f _
��Y groups: c L�'1 -CT
City/State/ZIP: Existing:
Phone: ( ) Fax ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Pp,� # 5T pe {'lt Ct j, J.C---. All contractors and subcontractors are required to be
Contact name: ��1 <--0 Ls_ L r.. ` licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 47c3 toe: / k 1 � � jurisdiction in which work is being performed. If the
/ ! l , 1Y � T g is exempt from licensing the following reasons
Y ia
City/State/ZIP: _ 6 e46 ( �]
Phone: ( j3 )ZZZ ( I Fax:: (�(0) Co ct 44G S _
E -mail: ---1C - i RE .Co—
CONTRACTOR BUILDING PERMIT FEES*
� /-�� p (Please refer to fee schedule
Business name: ( p T c 2e 71 6 ( k3c-
Address: ~ Permit fee:
State surcharge (12% of permit fee):
City/State/ZIP: FLS plan review (40 °0 of permit fee):
Phone: ( ) I Fax: ( ) (Dne :par application.)
CCB lic.: /00Z Total permit fees:
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
#0 within 180 days after it has been accepted as complete.
Print name: -� �Li 1...) 's * Fee methodology set by Tri- County Building Industry
r
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
L) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition � -10 heads: No plan review required.
A Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
\Vet ❑ Drty
Additional Standpipes
Information: Hazard Group LL& L C t
Density • 1 0
Design Area 5
K. Factor S ►(
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: I $
C.) Fire Alarm
Submittal shall Batten 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 $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): $
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 three (3) sets of plans at submittal.
Plan review fees are required at submittal.
http: / /www.tigard- or.gov/ city_ hall / departments /cd /docs /FPS-PevnitApp.doc Rev 01/25/2012
r � ATRIOT 4708 NE MINNEHAHA ST
(' } VANCO 1 R, WA 98661
T (r ,.
FIRE PROTECTION INC. F.; ••
ricer)
LETTER OF TRANSMITTAL MAY 1 1 2 012
City OF TiGA
DATE: 04/26/12 BUILDIp Brv; 1
To: City of Tigard JOB #: 32 -10608
(Building Department) RE: Spectra Flooring - Office T.I.
13125 SW Hall Blvd
Tigard, OR 97223 ATTN: Plans Review
503 - 718 -2439
WE ARE SENDING YOU x ATTACHED UNDER SEPARATE COVER VIA
THE FOLLOWING ITEMS:
x SHOP DRAWINGS PRINTS PLANS SPECIFICATIONS
COPY OF LETTER CHANGE ORDER SAMPLES OTHER •
COPIES DATE NO. DESCRIPTION
3 4126/12 4 Fire Sprinkler Permit Drawings
3 Fire Sprinkler Cut Sheets
1 04/18/12 Fire Sprinkler Permit Application 6 C 6c-K_
4 . 98. » I a)
THESE ARE TRANSMITTED AS FOLLOWS:
x FOR YOUR APPROVAL APPROVED AS SUBMITTED RESUBMIT FOR APPROVAL
FOR YOUR USE APPROVED AS NOTED SUBMIT COPIES FOR DISTRIBUTION
AS REQUESTED RETURNED FOR CORRECTIONS RETURN CORRECTED PRINTS
FOR REVIEW & COMMENT
FOR BIDS DUE
REMARKS:
Please review and return additional copies with your approvals and/or comments at your earliest convenience.
Thank you,
Jeff Collins
TACOMA, WA OFFICE jeffc@patriotfire.com Patriot Fire PrOSPOIKAN I A OFFICE
TEL (253) 926 -2290 PATRIFP099CF TEL (509) 926 -3428
FAX (253) 922 -6150 CCB: 70822 FAX (509) 926-3708