Permit (259) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
2 COMMUNITY DEVELOPMENT Permit#: FPS2016 00204
T t GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/03/2017
Parcel: 2S101AB03100
Jurisdiction: Tigard
Site address: 12115 SW 70TH AVE
Project: Red Rock Center Subdivision: 2012-009 PARTITION PLAT Lot: 3
Project Description: Building C-Fire sprinklers,(232)new heads.
Contractor: EXPRESS FIRE SYSTEMS INC Owner: TIGARD TRIANGLE PARTNERS LLC
1913 41ST STREET 18187 SIERA DR
WASHOUGAL,WA 98671 LAKE OSWEGO, OR 97034
PHONE: 360-953-8432 PHONE:
FAX: 360-953-8394
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/29/2016 $467.88
12%State Surcharge-Building 12/29/2016 $56.15
Type of Use: COM Plan Review-Fire Life Safety-COM 12/29/2016 $187.15
Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 12/29/2016 $6.00
Occupancy Grp: B Height: ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 12/29/2016 $17.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 972
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 $734.68
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $40,635.00
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 Code and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started i. in 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires yo to follow the rule adopt by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00 -1190. You may aini copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. i
Issued By: / ����� Permittee Signature: / / _
Ca 1503.639.4175 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 prof•ct.
Approved plans are required on the job site at the time of each inspection.
I
-i uiMing Permit Application
Fire Protection System FOR OFFICE USE ONLY
City of Tigard 4 Received {,
i"` t, Date/By: / /& �I/ Permit No.: /05c9.0/6,��dCf
.1111
" 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Re yewf
Phone: 503.718.2439 Fax: 503.598.1960 Date By: �.1' ` Other Permit:A,,/)cello-6c,„/70
TIGARD Inspection Line: 503.639.4175 i 4 , ) 2016 Date Re-1 / Juris: Ef See Page 2 for
Internet: www.tigard-or.gov Notifies ethod: /) )I t(0 y_ Supplemental Information
` .tr•c1 i ' flaile,, TYPE OF • npt �4 ( REQUIRED
D.bA7A 1-AND 2-FAMILYDwELLIriIG"
®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.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
014'SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12115 SW 70th Ave New dwelling area: square feet
City/State/ZIP:Tigard/OR/97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Red Rock Center-Bldg C Covered porch area: square feet
Cross street/directions 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.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION QF WORI{ r, ,. work indicated on this application.
Install a new wet automatic fire sprinkler system. Valuation: $$40,635.00
Existing building area: square feet
New building area: 20461 square feet
EI17 OWNER
P"ROI' CTEYANI' f Number of stories: 2
Name:DF Development,LLC Type of construction: VB
Address:908 Deborah Road Occupancy groups:
City/State/ZIP:Newberg/OR/97312
Existing:
Phone:( ) Fax ( )
New: Light Hazard
E A1PLLCANT ❑ CO NTACTPERSON : „ /
";:..NOTICE. :>
Business name:Express Fire Systems All contractors and subcontractors are required to be
Contact name:Pattie Wenholz licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:670 S.28th Street jurisdiction in which work is being performed.If the
City/State/ZIP:Washougal/WA/98671 applicant is exempt from licensing,the following reasons
apply:
Phone:(360)953-8432 Fax::(360)953-8394
E-mail:pattie@expressfiresystems.com
, CONTRACTOR,
.,,,, i, BUILDWG,PERMIT-FEES*
Business name:Express Fire Systems (Please refer tofeexchetlsle) ._
Address:670 S.28th Street Permit fee:
City/State/ZIP:Washougal/WA/98671 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(360)953-8432 Fax:(360)953-8394 (Due upon application submittal.)
CCB lic.:193272 Total permit fees:
Authorized signature: 471*--' Amount received:
This permit application expires if a permit is not obtained
Print name:Pattie Wenholz Date:11-21-16 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_03I016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
® New system Number of sprinkler heads: 232 Number of alarm devices:
1 5 devices: Affidavit required and
❑ Addition or ❑ 1-10 heads: Affidavit required and ❑ (3) copies of sketch showing area
Alteration (3) copies of sketch showing area of work within buildingstructure
to existing of work within building structure
system 6+ devices: Plan review required and
® 11+ heads: Plan review required and ❑
(3) sets of plans. (3) sets of plans.
Additional description of work:
jCc nl le>ke '` C ar D as applic bl. ,
`' ` a ofS�k'111 p
. ,. ''' 4 ' '.1 Sprier , * y. ry ,„
r,
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ® Yes ❑ No
Hazard Group Light
Density 0.1 Gpm/SgFt
Design Area QR 972
K. Factor 5.6K
Sprinkler Project Valuation: 1 $ 40,635.00
B.) Type I Hood FiretSiippressiofl System .
Hood Project Valuation: I $
C
Fire Alasnf
Submittal shall Battery Calculations Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: I $
`
�.'0 Y �'
Alone Systexn° .
D) tesidntialSpr'nller(Stand
Square Footage: Permit Fee:
0 to 2,000 $198.75
e f 7
$246.45
2,001 to 3,600
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: J sq. ft.
.,s FirI'tate�ef'Permit Fes„. ., r. ;
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: $
S:\Design\_Express Jobs\S16-111 Red Rock Center Building C\FPS_PermitApp Red2Rock Center Bldg C.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12115 SW 70TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2016-00204
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor