Permit a CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a : COMMUNITY DEVELOPMENT Permit#: FPS2013-00128
Date Issued: 09/18/2013
T C GARO 13125 SW Hall Blvd,Tigard OR 97223 503.718.2439 Parcel: 1S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 340
Project: Spec Space Subdivision: ASHBROOK FARM Lot: PTS 5&
Project Description: Installing(63)sprinkler heads for suites 340.380.and future suite 325
Contractor: WESTERN STATES FIRE PROTECTION Owner: SUN LIFE ASSURANCE CO OF CANADA
13896 FIR ST STE B BY NORRIS BEGGS&SIMPSON
OREGON CITY,OR 97045 121 SW MORRISON ST#200
PORTLAND,OR 97204
PHONE 503-657-5155 PHONE.
FAX: 503-657-5182
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/18/2013 $295 88
12%State Surcharge-Building 09/18/2013 $35 51
Type of Use: COM Plan Review-Fire Life Safety-COM 09/03/2013 $118 35
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2 00(over 09/18/2013 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 5 Info Process/Archiving-Sm$0.50(up to 09/18/2013 $7.50
11x17)
Commercial Sprinkler System:
Sprinkler Required Yes Sprinkler Type. Wet
Standpipe Required' Yes Hazard: LT
Density: 10 Design Area 900
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 $459.24
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation' $21,000.00
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, or if work is suspended for more the 180 days ATTENTION: Oregon law requires you to follow the rules •:opted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1/90. You may ob : a copy of the rules
or direct questions to OUNC by calling 503 232 1987 or 1.800.33
Issued By: 0111r mittee Signature:
Call 503.639. :00 a.m.for the next available inspection dte.
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 1\1 ) Received OFFICE USE ONLY
_�1 —r ' ,v
City of Tigard 1 Date/By /.� �� ITT" Permit No. Feu)u)Pty I I_tio
• 13125 SW Hall Blvd,Tigard,OR 9 013 Plan Review
� Phone: 503 718.2439 Fax: 503 598 196 ..? �7 Date/By. Other Permit:
-r I G A K I� Inspection Line. 503.639.4175 � �pr0 Date Read(}78�y Jura El See Page 2 for
Internet: www.tigard-or.gov '�G�1�' Notified/Method. 9/7/3 Supplemental Information
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TYPE OF R•QUIRED t'TA: 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
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling CO Commercial/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:9600 SW Oak Street New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:325,340 Project name: Plaza West Suite 325,340 g
'2 0 Covered porch area: square feet
Cross street/directions to job site: OPeC �Y/�'t_ Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-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
DESCRIPTION OF WORK work indicated on this application.
Install branch lines and sprinklers in suites 325,340,&380.Connect to Valuation: $$21,070.00
existing 2i/:" Main in corridor. Existing building area: 17250 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stones: 5
Name. Norris,Beggs,&Simpson Type of construction:
Address: 121 SW Morrison Street,Suite 200 Occupancy groups:
City/State/ZIP: Portland,Oregon 97204 Existing.
Phone:(503)626-0893 Fax•(503)626-7942 New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name. Western States Fire Protection Company All contractors and subcontractors are required to be
Contact name:Steve Jones licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 13896 Fir Street,Suite B Jurisdiction in which work is being performed. If the
City/State/ZIP:Oregon City,OR 97045 applicant is exempt from licensing.the following reasons
apply:
Phone:(503)657-5155 Fax: :(503)657-5182
E-mail:steve.jones @wsfp.us
CONTRACTOR BUILDING PERMIT FEES*
(Please refer in fee schedule)
Business name:Western States Fire Protection Company
Permit fee:
Address: 13896 Fir Street,Suite B
State surcharge(12%of permit fee):
City/State/ZIP:Oregon City,OR 97045
FLS plan review(40%of permit fee): // r 3s—
Phone:(503)657-5155 Fax:(503)657-5182 - (Due upon application)
CCB lic.: 104570 Total permit fees:
Authonzed signature: Amount received:
This permit application expires if a permit is not obtained
Print name:Steve Jones Date:8/29/2013 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1\Building\Permits\FPS-PermuApp doc Res 01/05/2012 440-46t 3T(11102/COMIWEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) El New 2.) Modification to sprinkler heads only:
El Addition El 1-10 heads: No plan review required.
® Alteration ® 11+ heads: Plan review required.
El Repair
Number of sprinkler heads: 63
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
® Wet El Dry
Additional Standpipes 2
Information: Hazard Group Light
- - - Density 0.10
Design Area 900 sq. ft.
K. Factor 5.6
Sprinkler Project Valuation: '$ 21,070.00
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: • $'
C.) Fire Alarm
Submittal shall Battery Calculations El Yes
include: Individual Component - El 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): $ 21,070.00
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.
C\Users\stones\Documents\JOBS\2013\1.53611 Plaza West 325-345-380\Building Petwt Applicatton.doc Rey-01/05/2012