Permit (208) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
111
COMMUNITY DEVELOPMENT Permit#: FPS2016-00194
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/19/2016
Parcel: 2S112DD01600
Jurisdiction: Tigard
Site address: 15575 SW SEQUOIA PKWY 130
Project: BFit Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: Fire sprinkler-Modification of(99)heads for TI
Contractor: HYDRO TECH FIRE PROTECTION INC Owner: PACIFIC REALTY ASSOCIATES
15218 NE CAPLES RD ATTN: N PIVEN
BRUSH PRAIRIE,WA 98606 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 360-256-2816 PHONE:
FAX: 360-256-2817
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/16/2016 $285.12
12%State Surcharge-Building 12/16/2016 $34.21
Type of Use: COM Plan Review-Fire Life Safety-COM 11/17/2016 $114.05
Class of Work: ALT Type of Const: IIB Misc Administration Fee 12/16/2016 $5.00
Occupancy Grp: A-2 Height: ft
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $438.38
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $19,300.00
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: "42' 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.
BpiPdin2 Permit Application
Fire Protection System FOR OFFICE USE ONLY
City of Tigard Received / 149 fn5�/''-OO /9
Date/B /7 Permit No.: /' "r
13125 SW Hall Blvd.,Tigard,OR 97223 ,,-- { Plan Review
Phone: 503.718.2439 Fax: 503.598.1911'F �:EAT Date/By: `IF _ Other Permit:Atl 099.6/6 490 0,6 c/
T I G A R D Inspection Line: 503.639.4175 .4 Date Ready:y: Juris: ® See Page 2 for
Internet: www.tigard-or.gov (�q Notified/Method: � //� ' (11 �' Supplemental Information
irt1
oa, - `Y /0,lg. ..,. _.,...
❑New construction ❑amyl € 'GAIL Permit fees*are based on the value of the work performed.
11 Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement !J IN 1N equipment,materials,labor,overhead,and the profit for the
0
work indicated on this application.
i, / c„m,
•
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other Number of bathrooms:
Total number of floors:
Job site address:15575 S.W.Sequoia Parkway New dwelling area: square feet
Ci /Stat- IP:Tigard,OR 97224 Garage/carport area: square feet
0 °te/bldg./apt.no.: / 5 V ( Project name:B Fit Tenant Improvement Covered porch area: square feet
Cross street/directions to job site:S.W.Sequoia Parkway Deck area: square feet
&S.W.Upper Boones Ferry Road Other structure area: square feet
Subdivision:Pacific Corporate Center Lot no.:PT 4 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S112DD01600 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for r11the
'" I g I° IO # K work indicated on this application.
Add/Relocate Fire Sprinkler Heads Based on New Tenant Improvement Walls/Ceilings Valuation: $$19,300.00
All Work Per NFPA 13&All Applicable Codes. Existing building area: 32855 square feet
New building area: 0 square feet
Number of stories: 1
Name: Type of construction: III-B
Address: Occupancy groups:
City/State/ZIP: Existing: A-3 and B
Phone:( ) Fax:( ) New: n/a
Business name:Hydro Tech Fire Protecfion,Inc. All contractors and subcontractors are required to be
Contact name:Keri Hamilton licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:15218 N.E.Caples Road jurisdiction in which work is being performed.If the
City/State/ZIP:Brush Prairie,WA 98606 applicant is exempt from licensing,the following reasons
apply:
Phone:(360)256-2816 Fax::(360)256-2817
E-mail:keri@hydrotechfire.com
Business name:Hydro Tech Fire Protection,Inc.
Permit fee:
Address:15218 N.E.Caples Road
City/State/ZIP:Brush Prairie,WA 98606 State surcharge(12%ofpermit fee):
FLS plan review(40%of permit fee):
Phone:(360)256-2816 Fax:(360)256-2817 (Due upon application submittal.)
CCB lic.:104778 Total permit fees:
Amount received: 114.05
Authorized signature: y -��
/ This.�. This permit application expires if a permit is not obtained
Print name: We , .I�„ Date: //—/t--/6 * within 180 days after it has been accepted as complete.
1 'v Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\PermitsFPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2o_ Supplemental Information
%De ... _� or . ifid�bh'1� / j': r.'` ... .. %/,.� M // ' c .,,s / v`'` ,. ,i,',‘''':
•.,�i,r e�,%/
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
El New system Number of sprinkler heads: 99 Number of alarm devices:
® Addition or [=I1 10 heads: Affidavit required and El1 5 devices: Afavit reuid d
Alteration (3) copies of sketch showing area (3) copies of sketfidch showqingrearea
an
to existing of work within building structure of work within building structure
system
® 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work: Add/Relocate Fire Sprinkler Heads Based on New Tenant Improvement
Walls/Ceilings. ////,, 17/f4,/;t:,,f ,,,,,,,AK,4 -4% NCO,V;SI
All Work Per NFPA 13&All Applicable Codes.
/ 1 A /'t C(7f#Y,t.t �.�"" a .3/% / %/� a.,ter -gc o i- ry �.
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K Factor
Sprinkler Project Valuation: $ 19,300.00
1:1",) ,',/ �//i.�•:.. ,. F�, , „ Vis.+�� ...., >i� v� "%i, .... „/,/ir e t.,.,,:� %� �/.:.'io, ,; e.s :✓,,/i/,,, g,
Hood Project Valuation: $
'Alf/� -.; /% � /� ��j�� �ice,,. i A� �' t `, %,',.•� /�i ��: w ��z /% ,' ��
liAiPiiiiirilit Nit:0--#,IM :1
-,� .Y� /. 'i.: iI'. /.r% .. .. /, ,- ;s:? --'i .� %/// ,74:,,�H///',;a�ji;P ,,,y�_ . i, /,.:
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
®� �i y iY i/ ''�;% %y ,i ' of
i" ,. 'ii/ 0'e r /
.NI 1 Ab ke, ,t er • t ,e ® ^! � � s : �, k ii/� i
■ Square Footage: Permit Fee: ',� '''///� ' 5.
0 to 2 000 $198.75 'ii '
_ 2,001 to 3,600 $246.45 ,o �f �� r:.,, /0. %y//Y /�\//
_ 3,601 to 7,200 $310.05 `` �' �� ,
7,201 and greater $404.39 ,rtow, ' ' '
Sprinkler Project Square Footage: sq. ft.
; ~` a m: rm �. %%F:F 4 �. orf
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: $
\\GODZILLA\Drawings\Keri\2016\Tenant Improvements\B-Fit Tigard\documents\21-09-16_submittal\FPS_PermitApp.doc
L
HYDRO TECH PROTECTION R�TECTIDN INC,
P.O. BOX 40
�1 ' LETTER OF TRANSMITTAL
BRUSH PRAIRIE, WA 98606 <<11J
OFFICE (360) 256-2816
FAX (360) 256-2817
DATE 1 1—1 4-201 6 JOB NO.
ATTENTION: permit specialist
REGARDING:
City of Tigard
B Fit Tigard
13125 S.W. Hall Blvd Tenant Improvement
Tigard, OR 97223 15575 S.W. Sequoia Parkway
Tigard, OR 97224
2ih
(j' i r 15 i'4"
WE ARE SENDING YOU
COPIES DESCRIPTION
4 Fire Sprinkler System Tenant Improvement Plan
4 Submittals: Materials
1 Fire Sprinkler Permit Application
1 Check for Fire Sprinkler System Permit Review Fee = $114.05
THESE ARE TRANSMITTED as checked below:
XFor approval
REMARKS
COPY TO: File Thank you,
SIGNED: Keri Hamilton
-I