Permit q CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1 I COMMUNITY DEVELOPMENT Permit#: FPS2014-00079
T t G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/21/2014
Parcel: 25101 DD00701
Jurisdiction: Tigard
Site address: 6960 SW SANDBURG ST
Project: Tigard Tualatin School District Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: Installing a clean agent suppression system in server room.
Contractor: SIMPLEXGRINNELL LP Owner: TIGARD-TUALATIN SCHOOL
6305 SW ROSEWOOD ST. DISTRICT 23J
LAKE OSWEGO,OR 97035 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-683-9000 PHONE:
FAX: 503-675-6521
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/21/2014 $540.42
12%State Surcharge-Building 05/21/2014 $64.85
Type of Use: COM Plan Review-Fire Life Safety-COM 05/21/2014 $216.17
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/21/2014 $22.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 05/21/2014 $27.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes 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 $870.94
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $50,000.00
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 adopted by the Oregon
Utility Not -- . .-nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire questions to Ob C by .11in. 503.232.1987 or 1.800.332.2344.
Issu d By: 4 ._ / i/� .i1 I✓ Tj 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
Fire Protection System FOR OFFICE USE ONLY
City of Tigard � � DateBea F`®Sim["1/I Permit No.: _+ .. y+ •'
13125 SW Hall Blvd.,Tigard, t•i' Plan Revs ■
Phone: 503.718.2439 Fax: 50 '•�'~'60 ,� Date/By: �'� g • OtherPerm;t
1 1 .\1:1, Inspection Line: 503.639.4175 0�.� Date Ready/By: y/// ;. ' I�t El See Page 2 for
Internet: www.tigard-or.gov Q`' Q� Notified/Method. CC % V Supplemental Information
11 �.
TYPE OF REQUIRED DATA:1-AND 2-FAMIL DWELLING
❑New construction �o Permit fees*are based on the value of the work performed.
Indicate����--**�' 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.
❑1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms: 0
❑Master builder ❑Other: Number of bathrooms: 0
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:6960 SW Sandburg Street New dwelling area: square feet
City/State/ZIP:Tigard,OR.97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Tigard-Tualatin Schood Di Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USR�KLIST.
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.
Install clean agent(Novec 1230) suppression sysytem in server room.In Valuation: $$50,000.00
addition a VESDA system will be installed and control of a pre-action sprinkler Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ® TENANT Number of stories:
Name:Tiguard-Tualatin School District Admin Building Type of construction:
Address:6900 SW Sandburg Street Occupancy groups:
City/State/ZIP:Tigard,OR.97223 Existing:
Phone:(971-)563-1605 Fax:( ) New:
® APPLICANT , .CONTACT PERSON NOTICE
Business name:SimplexGrinnell All contractors and subcontractors are required to be
Contact name:Adam Hansen licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:6305 SW Rosewood St Suite,A jurisdiction in which work is being performed.If the
City/State/ZIP:Lake Oswego,OR 97035 applicant is exempt from licensing,the following reasons
apply:
Phone:(503-)396-9141 Fax::( )
E-mail:Adhansen @simpexgrinnell.com
CONTRACTOR BUILDLNG PERMIT FEES*
Business name:SimplexGrinnell (Please refer((die schedule)
Permit fee:
Address:6305 SW Rosewood St Suite,A
City/State/ZIP:Tigard,OR.97223 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)683-9000 Fax:( ) (Due upon application.)
CCB lie.:149921 Total permit fees:
Authorized signature:
OL_ - Amount received:
This permit application expires if a permit is not obtained
Print name:Adam Hansen Date:4-30-14 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:�Buildi°gVPertnits�FPS-PermitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/wE6)
1
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
6960 SW SANDBURG ST, TIGARD, OR, 97223
Commercial - Fire Protection System
998 Alarm Final
PASS - No C of O
FPS2014-00079
Chip Barnett
Violation Summary:
Inspector Contractor
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
6960 SW SANDBURG ST, TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
June 30, 2014 at 9:29:31 AM
FPS2014-00079
Chip Barnett
Violation Summary:
Inspector Contractor