Permit •
IN CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I s .•`.. COMMUNITY DEVELOPMENT Permit #: FPS2013 00058
• Date Issued: 05/09/2013
TIGARD , 13125 SW Hall Blvd , Tigard OR 97223 503 718.2439
Parcel: 2S112DB00300
'• Jurisdiction: Tigard
Site address: 7257 SW KABLE LN 100
Project: Trane Subdivision: HERN PACIFIC TIGARD INDUSTRIAL Lot: 5
Project Description: Add (2) fire sprinkler heads and relocate (3) heads for TI
Contractor: FIRESTOP CO Owner: PACIFIC REALTY ASSOCIATES
3203 NE 65TH ST #2 ATTN N PIVEN
VANCOUVER, WA 98663 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 360- 718 -8604 PHONE
FAX: 360 - 718 -8603
FEES
Description Date Amount
Specifics: Permit Fee - COM 05/09/2013 $102 20
• 12% State Surcharge - Building 05/09/2013 $12.26
Type of Use: COM Plan Review - Fire Life Safety - COM 05/09/2013 $40 88
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 Calcs Provided. Cut Sheets Required:
Total $155 34
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation $2,050 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 N• " a ion .- ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090 You may obtain a copy of the rules
or dir: t questions to O C by : i g 503 232.1987 or 1.800 332.2344
Issu -dBy: `6 —/ PermitteeSignature: / o <_ / ^ - _
Call 503.639.4175 by 7:00 a.m. for the next available ins pection 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 Applicatio
Fire Protection System EC IV� FOR OFFICE FSE o�LY
°� Received
City of Tigard MAY Date/By. 5 b' // 3 11, • Permu No . f 0 l5�O Q
13125 SW Hall Blvd., Tigard, OR 97223 U 9 2013 Plan Review a ` ^ /� 2
. Phone: 503 718.2439 Fax: 503.598.1960 Date/By. Other Permit / ePavl3 dt7e, 9
T I G A R D Inspection Line: 503.639 CI OF TIG A ® Date Ready/By: Juns ® See Page 2 for
Internet: www.ttgard- or.gov p� II � D �� Aft Notified/Method Supplemental Information
BUILDING
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
g 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 XCommercial/industrial
Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7a S 7 5 tN IS/k ,LE Wm\JE It 1 Oo New dwelling area: square feet
City /State /ZIP: P o R`r L,,k N 6 i O R-. G1 ? ZZ 4- Garage /carport area: square feet
Suite/1 -'aptil I Q`D Project nance: l '-'' t € 'row E co , Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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
n DESCRIPTION OF WORK � work indicated on this application.
AP /`Pr 2 NE vu I" RI EN6ENTt r oc, r1tT Valuation: $ 2 /050,
Tb AC
� c O y �- E _ 1 \ Ai r �- I M P . Existing building area: . 24 1 i 1 C square feet
� v N ew building area: square feet
L,i' PROPERTY OWNER ❑ TENANT Number of stories: i
Name: f° 1C, r) L ( . E A , I ' , T Y A ) 1.--P Type of construction: I t _13,
Address: 1 3 c c) 5 i/) S E Q U6 I A Nov Y - 4f 30 0 Occupancy groups:
City /State /ZIP: P a K L f . n) b O ii,. 9 7 2_7_ 4 Existing: g 4' s-
Phone: ( Sd 3) 6, 2 ...4 - (n 36 o / Fax: ( 503 ) 6 /-g- 7 7 S 5 New:
[APPLICANT ❑ CONTACT PERSON NOTICE
Business name: F P,E S j0 } CO ,) L(�C.. All contractors and subcontractors are required to be
Contact name: $O B Csr�E EN licensed with the Oregon Construction Contractors Board
_ f under ORS 701 and may be required to be licensed in the
Address: 320 3 N , (D 5 7:12 T. S P 2 jurisdiction in which work is being performed. If the
City/State /ZIP: V AN Cp v U e Pi W A. 18 66 applicant is exempt from licensing, the following reasons
l apply:
Phone: ( 3I, 0) 7 8 - S6O d Fax: c360 ) '1 18 - 4 60 3
E-mail: VQ b r 6 v2tvvd fI'Yestc co, Co A"
r CONTRACTOR BUILDING PERMIT FEES*
Business name: A M 5 D o V (Please refer to fee schedule)
Permit fee:
Address:
City /State /ZIP: State surcharge (12 %ofpermit fee):
FLS plan review (40% of permit fee):
°hone: ( ) t Fax: ( ) (Due upon application.)
.;CB lie.: 1 $ 3 2") 9 Total permit fees: '/
Authorized signature: x _iii,,,,, Amount received: s 6 • 3e �rJ This permit application expires if a permit is n ot obtained
Print name: 'Rd E, Egli- p ` 6. (LEEp Date: c/ g/ 3 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri -County Building Industry
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition 1 -10 heads: No plan review required.
Eg Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 5
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
[ Wet ❑ Dry
Additional Standpipes
Information: Hazard Group NIA
Density
Design Area �r
K. Factor 5.0
Sprinkler Project Valuation: $ io 50
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery 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/ dcpartments /cd /docs /IPS- PerrnitApp.doc Rev 01,25 /2012