Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
• COMMUNITY DEVELOPMENT Permit#: FPS2014-00042
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/17/2014
TIGARD Parcel: 1S 134 BC00300
Jurisdiction: Tigard
Site address: 12220 SW SCHOLLS FERRY RD
Project: Greenway Town Center-Whole Foods Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Modification of(202)sprinkler heads for TI in an existing 39.249 sq.ft building.
Contractor: WESTERN STATES FIRE PROTECTION Owner: FW OR-GREENWAY TOWN CENTER LLC
13896 FIR ST STE B PO BOX 790830
OREGON CITY, OR 97045 SAN ANTONIO,TX 78279
PHONE 503-657-5155 PHONE
FAX 503-657-5182
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/27/2014 $524 30
12%State Surcharge-Building 02/27/2014 $62.92
Type of Use: COM Plan Review-Fire Life Safety-COM 02/27/2014 $209.72
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 02/27/2014 $2 00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving- Sm$0.50(up to 02/27/2014 $19 00
11x17)
Commercial Sprinkler System:
Sprinkler Required Yes Sprinkler Type. Wet
Standpipe Required. No Hazard: LT
Density. Design Area 1500
K Factor. 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req.
Battery Cates Provided. Cut Sheets Required
Total $817 94
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation. $47,250.00
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: � �, -parmittee Signature:
Call 5631'30-.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
Commercial FOR OFFICE USE ONLY
City of Tigard ,` te_ 4 _ .
.�. Prn»h No.: _ .
• 13125 h n SW Hall.2 39 Tigard,OR 9 �� �9 -��� O
1 Other Permit. , r
Phone: 503.718.2439 Fax: 503.598. �Q� � sf / ,_ �
TIGARD Inspection Line: 503.639.4175 `0. 2 Date Ready Hy: ? 1ur s ® See Page 2 for
Internet: www.tigard-or.gov �(G" �r��QD NoYfiedMethod: /d7 / Supplemental Information
TYPE OF W'ORr■. - REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑ d . . rtion 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
MIMI CATEGORY OF CONSTRUCTION
work indicated on this application.
El I-and 2-family dwelling ®Commercial/industrial Valuation: S
El Accessory building El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12220 SW SCHOLLS FERRY ROAD New dwelling area: square feet
City/State/ZIP:TIGARD,OREGON 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:WHOLE FOODS MARKET T.I. 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WO' work indicated on this application.
FIRE SPRINKLER TENANT IMPROVEMENT-INSTALL NEW PENDENTS Valuation: $547,250.00
AND RELOCATE UPRIGHTS FOR NEW T.I. Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER IMIL ❑ TEIS Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( 1 Fax:( t New
® APPLICANT ® CONTACT PERSON BUILDING(PERMIT FEES*
Business name: WESTERN STATES FIRE PROTECTION CO. schedule)
Structural plan review fee(or deposit):
Contact name:DARRELL FLUIT
FLS plan review fee(if applicable):
Address: 13896 FIR STREET,SUITE B
Total fees due upon application:
City/State/ZIP:OREGON CITY,OREGON 97045
Phone:(503)657-5155 Fax::(503)657-5182 Amount received:
E-mail:darrell.fluit(a 1%sfp.us
I PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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
S180.00
and administrative fees):
Phone:(503)657-5155 Fax:(503)657-5182
State surcharge(12%of permit fee): $21.60
CCB lie.:104570 Total fee due upon application: S201.60
Authorized signature: /- „- %_ This permit application expires if a permit is not obtained
z''�`—' within 180 days after it has been accepted as complete.
Print name:DARRELL FLUIT Date:02/27/14 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(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:
El Addition ❑ 1-10 heads: No plan review required.
Alteration 11+ heads: Plan review required.
❑ Repair �`'
Number of sprinkler heads:c 0
Additional description of work:
T r a of S stem Com.lete A, B, C or D as a. .licable :
A.) Commercial Sprinkler
'Wet ❑ Dry
Additional Standpipes
Information: Hazard Group bit ft T a/c4(NI1e `1
Density Vpj N �S
Design Area 1 9/c)
1
K. Factor •G-Sprinkler Project Valuation: $ !/7 SU
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.
I:\Building\Permits\FPS_PermitApp.doc Rev 01/05/2012 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12220 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Fire Protection System
999 Sprinkler Final
PASS - No C of O
April 30, 2014 at 11:38:47 AM
FPS2014-00042
Chip Barnett
Violation Summary:
Inspector Contractor