Permit (213) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
`- COMMUNITY DEVELOPMENT Permit#: FPS2016-00198
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/14/2016
Parcel: 2S102BD01503
Jurisdiction: Tigard
Site address: 12800 SW PACIFIC HWY
Project: Storquest Self Storage Subdivision: FREWING'S ORCHARD TRACTS Lot: 1
Project Description: Fire supply line and private hydrant for new 3-story storage building.
Contractor: CAMPBELL DEVELOPMENT Owner: 12740 SW PACIFIC SP LLC
23026 N 16TH LANE SUITE 101 BY THE WILLIAM WARREN GROUP INC.
PHOENIX,AZ 85027 201 WILSHIRE BLVD STE 102
SANTA MONICA, OC 90401
PHONE: 623-434-8500 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/13/2016 $209.80
12%State Surcharge-Building 12/13/2016 $25.18
Type of Use: COM Plan Review-Fire Life Safety-COM 12/13/2016 $83.92
Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 12/13/2016 $2.00
Occupancy Grp: S-1 Height: ft 11x17)
Stories: 3
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 $320.90
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $12,590.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Y ma obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: lijeesezf"....-7Permittee Signature: {
Ca I 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applicatia ,
.
Fire Protection System ._� ,_. Y u, ,
3' i tJti tit 1( l t *si ti\l 1,
ved
City of Tigard i`()i� r(11 Date/ y. f/ p . 14 16 _ permit No.:��^j ao/(Q 2t7�9$
s 13125 SW Hall Blvd.,Tigard,OR 9722 F
Phone: 503.718.2439 Fax 503. 91 1960 . , Plan •l)atelBy: k�A �OdnrPermit: off/r.,1 -6/4
Inspection Lane: 503.634.4175See Page 2 for
t::> Date Ready:y: duels: 0 aPEd
Internet: www.tigard-or.gov i y f ; ,f NotifiedlMethod:/. Supplemental Information
;.'. .1..,?) OL.- (/Ai�e-
TYPE OF�WORI{
REQUIRED DATAr 1,111+tD 2 FAMILY DWELLING,,
®New construction 0 Demolition Permit fees*are based on the value of the work performed.
❑Addition/alteration/replacenient 0 Other:
Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
.CATEGORY OF CONSTRUCTION _ work indicated on this application.
❑1-and 2-family dwelling ®Commercial/mdustrial Valuation: 5
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other. Number of bathrooms
JOB SITE INFORMATION AND LOCATION.. Total number of floors:
Job site address:12800 SW Pacific Hwy. New dwelling area: square feet
City/State/UP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Storquest Self Storage Covered porch area: square feet
Cross street/directions to job site:SW corner of SW Pacific Hwy and SW McKenzie St. Deck area: square feet
Other structure area: square feet
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S102BD01503 Indicate the value(rounded to the nearest dollar)of all
O equipment,materials,labor,overhead,and the profit for the
� work indicated on this application.
Private fire line installation with fire hydrant Valuation: $12,590.00
Existing building area: square feet
New building area: square feet
,�" . ,,,. • :.1 ti p Number of stories:
Name:12740 SW Pacific Hwy SP,LLC Type of construction:
Address:5301 DTC Blvd. OccuFancy :
City/State/ZIP:Greenwood Village,CO 80111
Existing:
Phone:(303)759-7008 Fax:( )
d F w t� Y New•
� . ..,_I " � ce .s, ^QrC..O .0.. '''' c w ,.� x an �a �r
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Business name:Campbell Development All contractors and subcontractors are required to be
Contact name:Mace Parravano licensed with the Oregon Constniciion Contractors Board
under ORS 701 and maybe required to be licensed in the
Address:23026 N.16m Ln.,Suite 101 jurisdiction in which work is being performed.If the
City/State/ZIP:Phoenix,AZ 85027 applicant is exempt from licensing,the following reasons
apply:
Phone:(602)708-8997 Fax::(623)434-9020
E-mail:vincep@campbell-development.com
GON3
Business name:Same as applicant , �1ela#�lferrseldd ,
Address:23026 N.16"Ln.,Suite 101 Permit fig 205.39
City/State/ZIP;Phoenix,AZ 85027 - surcharge(12%ofperimit fee): 24.65
FLS plan review(40%of permit fee): 82.16
Phoria:(623)434-8500 Fax:(623)434-9020 uponapplication submittal)
CCB lie.:203714 Total permit fees: 312.20
c
Authorized signature: j�404t1 D Amount received:
(( This permit application expires if a permit Is no--t(0: —:3d
Print name Vincent M.Parravano Date:I l/22/2016 withdn 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
u\BuldingTennits\FP9-PamitApp 03I016.doc - 440-4613T(11/02/COM/WF.B)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
; es
Dcribe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
D New system Number of sprinkler heads: Number of alarm devices:
❑ Addition or 0 1-10 heads: Affidavit required and 0 1-5 devices: Affidavit required and
Alteration (3)copies of sketch showing area (3)copies of sketch showing area
to existing of work within building structure of work within building structure
system
❑ 11+heads: Plan review required and 0 6+devices: Plan review required and
(3)sets of plans. (3)sets of plans.
Additional description of work
"Type`of System(Complete,A,B,,C,Qf I)as.`applicable)e
A.) Commercial Sprinkler
Sprinkler Type 0 Wet 0 Dry
Additional Standpipes
Information: Sprinkler Supply Line "p(Yes 0 No
Hazard Group
Density
Design Area
K.Factor
Sprinkler Project Valuation: $
, Y .
) T`yje f flooa�,supplr snort ystewtg_ "" ... ., e._w t ,...
Hood Project Valuation: $
z5
C�)
410:01-i,„15124.,_ m
Submittal shall Battery Calculations 0 Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D) Residentii l Sprui ler(Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45r
3,601 to 7,200 $310.05 s yfl
7,201 and greater $404.39mmiewt_ v" .. w4
Sprinkler Project Square Footage: sq.ft.
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: $
C:\Users\cci vparravano\AppData\Local\Microsoft\Windows\Temporary Internet File\Content.Outlook\I20KDB8L\FPS_PecmitApp 031016.doc
LETTER OF TRANSMITTAL
CML LAND USE PLANNING SURVEY
P 503.843.8286 F 844.715.4743 www.pd grp.com , 1 i v! , '°
9920 SW Washington Square Rd Suite 170 '
PIONEER DESIGN GROUP, INC. Portland,Oregon 97223
NOV 2 2 7111F,
+ „ November 22, 2016 ` 320-00 ,, •''
u r� o „ Dan Nelson -17T'W.':: :,: c, .
r . Storquest Self-Storage Facility(CUP2016-00001)
M City of Tigard—Engineering Dept.
13125 SW Hall Blvd.
1
Tigard, OR 97223
WE ARE SENDING YOU VIA: ® Messenger 0 U.S. Mail 0 Overnight Courier 0 Hand Deliver
❑ Shop Drawings 0 Prints 0 Samples 0 Specifications ® Plans
❑ Copy of Application 0 Change Order 0 Calculations
".,41 - ,,, (il r.,-,,„Lit ,= 6I r_o ',:,-.:,,17..,47--.., 19=fir ,� i., ,, ��� , ,.,�, y,,i t!
1 FPS Permit Application
3 Composite Utility Plan
THESE ARE TRANSMITTED as checked below:
® For your use 0 Approved as submitted 0 Resubmit copies for approval
❑ For your approval 0 Approved as noted 0 Submit copies for distribution
❑ As requested 0 Returned for corrections 0 Return corrected prints
® For review&comment 0
❑ For BIDS DUE ,20 PRINTS RETURNED AFTER LOAN TO US
,h ! 1 , i7 'h 1PP i,-: A ',:40,7,1'
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Dan,
Per your request, please find attached the FPS permit application and drawings.
Should you have any questions or need additional information, please don't hesitate to contact me.
Thanks.
'V eQ ` ®i1 file 1 ,n Luke Lappin, P.E.
:A', i.',--Liem:
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12800 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2016-00198
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor