Permit (33) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1. COMMUNITY DEVELOPMENT Permit#: FPS2016-00098
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/06/2016
Parcel: 2S 101 AA03800
Jurisdiction: Tigard
Site address: 12447 SW 69TH AVE
Project: Consumer Cellular-Builidng C Subdivision: WEST PORTLAND HEIGHTS Lot: B
Project Description: Adding, removing, and relocating sprinkler heads for TI.
Contractor: VIKING AUTOMATIC SPRINKLER CO Owner: SDC TIGARD CORPORATE CENTER INC
3245 NW FRONT AVE ATTN:ANDREW HARPER
PORTLAND, OR 97210 101 CALIFORNIA ST, 26TH FLOOR
SAN FRANCISCO, CA 94111
PHONE: 503-227-1171 PHONE:
FAX: 503-227-1552
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/06/2016 $177.52
12%State Surcharge-Building 06/06/2016 $21.30
Type of Use: COM Plan Review-Fire Life Safety-COM 06/06/2016 $71.01
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 06/06/2016 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 06/06/2016 $2.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 1500
K Factor: 8.0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $276.33
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $9,400.00
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 Notif enter. 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 0 C by -fling 503.232.1987 or 1.800.332.2344.
Iss ed By: / Permittee Signature: ..
(C(c)Th
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 �������� rtlli c1FFlc,� ISI: 0\1.1
City of Tigard
Received
Date/By: 11 /6,
/77—
Permit No.: �1�•��/��owl?
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re !�f J L (,,4tf t
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: '' . Other Permit: '
Inspection Line: 503.639.4175 MAY 11 2016 y 0et� _form
I-It�:�l:l)
p Date Reay : k m see Page 2 for
Internet: www.tigard-or.gov Notified/Method: , /� d'� Supplemental Information
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CITY O r1� AR0 t / _
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constructionew • ■ DemolitionPermit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 ■ • equipment,materials,labor,overhead,and the profit for the
'' s ': tsty :,'"::11: (;:-,+ ° work indicated on this application.
Valuation: $
0 1-and 2-family dwelling 0 Commercial/industrial
■ Accessory ■ Number of bedrooms:
buildingNumber of bathrooms:
0 Master builder 0 Other:
1.` (.'f' , mut. t 4.4 ""E�.�.• _ Total number of floors:
Job site address: /A'/l f7 SiA--) Zel New dwelling area: square feet
City/State/ZIP:TIGARD,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:4$,C Project name:CONSUMER CELLULAR TI Covered porch area: square feet
Cross street/directions to job site:SW 69TH AVE&SW ELMHURST ST Deck area: square feet
Other structure area: square feet
' BATA#CO—.11t1114141 lt 4
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
work indicated on this application.
°� DFSC#t1PfION#iF'4VQ�C PP
TENANT IMPROVEMENT TO INCLUDE ADDING,REMOVING,AND Valuation: $$9,400.00
RELOCATING SPRINKLER HEADS TO MEET ADEQUATE COVERAGE SET Existing building area: 79120 square feet
FORTH BY NFPA 13 New building area: N/A square feet
.. . `, -,.a,: PR ! TY OW -,- ,. . I-./.4– ,-.> =.-,AriPPUiPiT . ` 5s. ., Number of stories: 2
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: LH
Phone:( ) Fax:( ) New: LH
APPW.CANT 0 CONTACT PERSON NMC
Business name:VIKING FIRE PROTECTION All contractors and subcontractors are required to be
Contact name:MEGAN GIBBONS —licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:3245 NW FRONT AVE jurisdiction in which work is being performed.If the
City/State/ZIP:PORTLAND,OR 97210 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)227-1171 Fax::(503)227-1152
E-mail:megan.gibbons@vikingsprinkler.net
CONTRACTOR BUILDING PERMIT FEES*
Business name:VIKING FIRE PROTECTION (Please rele►tofee schedule)
Permit fee:
Address:3245 NW FRONT AVE
City/State/ZIP:PORTLAND,OR 97210 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)227-1171 Fax:(503)227-1152 (Due upon application submittal.)
CCB lic.:64837 Total permit fees:
Amount received:
Authorized signature:
ieThis permit application expires if a permit is not obtained
Print name:MEGAN S Date:5/11/16 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I`,.Building,,Permits\FPS-PermitApp_031016.doc 440-4613T(I I i02iCOM'WEB)
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
12447 SW 69TH AVE, TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2016-00098
Chip Barnett
Violation Summary:
Inspector Contractor