Permit •
,` ' ` CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1_;
COMMUNITY DEVELOPMENT Permit#: FPS2013 00139
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2013
Parcel: 2S 112 DA01400
Jurisdiction: TIGARD
Site address: 15350 SW SEQUOIA PKWY 220
Project: Tetra Tech Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Add or relocate(13)sprinkler heads for TI
Contractor: WESTERN STATES FIRE PROTECTION Owner: PACIFIC REALTY ASSOCIATES
13896 FIR ST STE B ATTN: N PIVEN
OREGON CITY, OR 97045 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-657-5155 PHONE: 503-624-6300
FAX: 503-657-5182
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/07/2013 $102.20
12%State Surcharge-Building 10/07/2013 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 10/07/2013 $40.88
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 10/07/2013 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 10/07/2013 $1.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: 0.1 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 $158.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,711.00
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:
/1:65°1-2{s� ,�/n Permittee 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 RECEIVED
I
Commercial FOR OFFICE USE ONLY
City of Tigard 0C 2013 Date/B d 70 7 /3 fig/ Permit No: '.5`o20Lg-60739
11111 li 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 CITY OFTIGARD ifflir OtherPermi4u/,90/' -el po?3,
TI G A It D Inspection Line: 503.639.4175 BUILDING DNISIO II,ate Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 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
® Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION - - work indicated on this application.
Valuation: $
El I-and 2-family dwelling E Commercial/industrial
ID Accessory building El Multi-family Number of bedrooms:
El Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15350 SW SEQUOIA PARKWAY New dwelling area: square feet
ity/State/ZIP: PORTLAND,OREGON 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:220 Project name:TETRA TECH 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
. DESCRIPTION OF WORK work indicated on this application.
FIRE SPRINKLER TENANT IMPROVEMENT-ADD/RELOCATE PENDENTS Valuation: $$2,711.00
C/3) —570X(Ai/CLE-72- ,e/F-A51 .S Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT - Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
10 APPLICANT; • ®. CONTACT PERSON BUILDING PERMIT FEES* -
- (Please refer in fee schedule) -
Business name:WESTERN STATES FIRE PROTECTION CO.
Structural plan review fee(or deposit):
Contact name: DARRELL FLUIT
FLS plan review fee(if applicable):
Address: 13896 FIR STREET,SUITE B
City/State/ZIP:OREGON CITY,OREGON 97045 Total fees due upon application:
Phone:(503)657-5155 Fax::(503)657-5182 Amount received:
E-mail:darrcll.fluit @wsfp.us PHOTOVOLTAIC SOLAR PANEL-SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:WESTERN STATES FIRE PROTECTION CO. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 13896 FIR STREET,SUITE B Solar Installation Specialty Code checklist.
City/State/ZIP:OREGON CITY,OREGON 97045 Permit fee(includes plan review and administrative fees): $180.00
Phone:(503)657-5155 Fax:(503)657-5182 State surcharge(12%of permit fee): $21.60
CCB lic.: 104570
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:DARRELL FLUIT Date: 10/04/13 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46I3T(I I/02/COM/WEB)
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.
Er Alteration 11+ heads: Plan review required.
❑ Repair 2
Number of sprinkler heads: / 3
Additional description of work: AloP M
47E /3 SAE.
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Wet ❑ Dry
Additional Standpipes
Information: Hazard Group Li 6/f I
Density ®• /
Design Area / SDD
K. Factor 5. (p
Sprinkler Project Valuation: $), 7/ /
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): $ ,, 7 / I
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.
I:\Building\Permits\FPS-PerrnitApp.doc Rev 01/05/2012 2
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15350 SW SEQUOIA PKWY 220, TIGARD, OR,
97224
Commercial - Fire Protection System
999 Sprinkler Final
2013-12-11 (null)
FPS2013-00139
PASS - No C of O
Violation Summary:
Inspector Contractor