Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I COMMUNITY DEVELOPMENT Permit#: FPS2014-00074
TIGAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2014
Parcel: 1 S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 300
Project: Aerotek Subdivision::CONDO,THE SUPPLEMENTAL PLAT Lot: 25-4
Project Description: Fire sprinkler modification of(5)heads.
Contractor: T& L COMMUNICATIONS INC Owner: WISCO REAL ESTATE EQUITY FUND I
PO BOX 87387 1501 SW TAYLOR ST STE 100
VANCOUVER,WA 98687-7387 PORTLAND, OR 97205
PHONE: 360-737-9725 PHONE:
FAX: 360-737-9648
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/24/2014 $64.54
12%State Surcharge-Building 04/24/2014 $7.74
Type of Use: COM Plan Review-Fire Life Safety-COM 04/24/2014 $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 Calcs 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, or ' • k is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility • ification Ce -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 90. You may obtain a copy of the rules
or dir ct questions to OU by .. ing 503.232.1987 or 1.800.332.2344.
i
Is-uedBy: f / ( 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.
1.
BuildinE Permit ApplicatCEIVED
Fire Protection System ��L FOR OFFICE USE ONLI
Received q /
111 11 City of Tigard q2P 2 4 2014
Date/By: V Ay /y PermitNo.:�p t —Q�
13125 SW Hall Blvd.,Tigard,OR 91/\2P21 Plan Review /l�/,/� �
Phone: 503.718.2439 Fax: 50 Date/By: Other Permit /' `/
T I t :�R l) Inspection Line: 503.639.4175 E TIGARD Date Ready/By: Ririe: H See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
dwelling Valuation: $
❑ 1-and 2-famil y g ®Commercial/industrial
❑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:9020 SW Washington Square New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:300 Project n :Aerotek Covered porch area square feet
Cross street/diredions 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 WORK work indicated on this application.
Fire Sprinkler Tenant Improvement Valuation: $1,000.00
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:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name:T&L Communications,Inc. All contractors and subcontractors are required to be
Contact name:Larry Bushaw licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:PO Box 87387 jurisdiction in which work is being performed.If the
City/State/ZIP:Vancouver,WA 98687 applicant is exempt from licensing,the following reasons
apply:
Phone:(360)737-9725 Fax::(360-)737-9648
E-mail:office @tl-communications.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:T&L Communications,Inc. (Please refer to fee schedule)
Permit fee: 41/6-(/Address:PO Box 87387 I
State surcharge(12%of permit fee): 7,7 LI/
City/State/ZIP:Vancouver,WA 98687
FLS plan review(40%ofpermit fee):
Phone:(360)737-9725 Fax:(360)737-9648 (Due upon application.) gS•33''
CCB lic.:67787 Total permit fees: 9g•/°
Authorized signature:
� � Amount received:
This permit application expires if a permit is not obtained
Print name:Larry Bushaw Date: Li p.,f within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 440-4613T(11/02/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.
❑ 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
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ 1,000.00
B.) Type I - Hood Fire Suppression System
Flood 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/departments/cd/dots/FPS-PermitApp.doc Rev 01/25/2012
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
9020 SW WASHINGTON SQUARE RD 300,
TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler Final
PASS - No C of O
May 29, 2014 at 12:30:51 PM
FPS2014-00074
Chip Barnett
Violation Summary:
Inspector Contractor