Permit (68) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
111 COMMUNITY DEVELOPMENT Permit#: FPS2017-00097
13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 06/27/2017
f ' RD 9 Parcel: 1 S 135 DA03500
Jurisdiction: Tigard
Site address: 11481 SW HALL BLVD 104
Project: AKA Consulting Subdivision: METZGER ACRE TRACTS Lot: 19
Project Description: Fire sprinklers-Relocating(7)heads for TI
Contractor: METRO SAFETY& FIRE INC Owner: BECKAL LLC
PO BOX 33650 7100 SW GABLE PKWY
PORTLAND, OR 97292 PORTLAND, OR 97225
PHONE: 503-231-2999 PHONE:
FAX: 503-256-4691
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/27/2017 $112.96
12%State Surcharge-Building 06/27/2017 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 06/27/2017 $45.18
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 06/27/2017 $2.50
Occupancy Grp: B Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard: LT
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Gales Provided: Cut Sheets Required:
Total $174.20
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
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 dir- .uestions . •UNC .y calling 503.232.1987 or 1.800.332.2344.
sued By: / 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
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard Date/Received /_ /yf t 0, ' Permit No.: 15�i 7-660 q
1114 11 ,
13125 SW Hall Blvd.,Tigard,OR 9729}2 1 R, py Plan Review
Phone: 503.718.2439 Fax: 503.598. s, ( Date/B : Other Permit:�t((, i•fbe)(eft
T I GARD Inspection Line: 503.639.4175 Date Ready/By: Juris: Ei See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
ii i i a l l
x t D DA'1 i 2* b LL
®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
\ ` i ,'// work indicated on this application.
�' i1t d '- ,i I'..:NT
/: : - ,�- - �.....r . - . :�, iii. x\
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
* Ifl S INFORA:11� Y AND ilATI(} ' '' Total number of floors:
Job site address:11481 SW Hall Blvd. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 614.11' 0013s u LTJ t Garage/carport area: square feet
Suite/bldg./apt.no.: /by Project name:Ha r Covered porch area: square feet
Cross street/directions to job site:217 Deck area: square feet
Other structure area: square feet
Hih
Rli/ri f DATk r R rE f Si
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
; ETIO • W i " work indicated on this application.
We will be relocating 7 sprinkler heads in the 1st floor tenant inprovement to Valuation: $$3,250.00
Existing building area: 1600 square feet
obtain proper coverage.
New building area: 1600 square feet
Number of stories: 2
'4 • ❑ PROPERTY OW LR 21 TEA>11 - / .
Name:Hall Park Office Center Type of construction: Remodel
Address: 11481 SW Hall blvd. Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:( ) Fax:( ) New:
►Zf PLICAII / 'PACT \`` UI LDINT 'P MIT S*
-- , i ,,,;mo q, ;a! .... v- ,-a:. • .�..\•, .., •,-,,;-,,i,-' r✓ ,,. he ,12 vi i/ :
Business name:Metro Safety and Fire Structural plan review fee(or deposit):
Contact name:Derek Langel FLS plan review fee(if applicable):
Address: 14324 SE Stark ST. Total fees due upon application:
City/State/ZIP:Portland,OR 97233
Amount received `7V 4,1-0
Phone:(503)231-2999 Fax: :( ) .wr �IC Y�/ W
�11O § i A• STEM
E-mail:Derek@metrosafetyandfire com
Commerci and residential prescriptive installation of
\\ k i TOR , G/ / / roof-top mounPhotovoltaic Solar Panel System.
`/' � '• ` ''' A'' " '
Submit two(2)set 4f roof plan with connectio l s
Business name:Metro Safety and fire and fire department acc along with 10 Oregon
Address:14234 SE Stark ST. Solar Installation Specialty ecklist.
Permit fee(include an revt
City/State/ZIP:Portland,OR 97233 and a mistrative fees): $180.00
Phone:(503)231-2999 Fax:( ) State surch e(12%of permit fee): 1.60
CCB lic.: (p 365 5/ Total fee due upon application: $201.60
- // This permit application expires if a permit is not obtained
Authorized signature: /!/ within 180 days after it has been accepted as complete.
4 * Fee methodology set by Tri-County Building Industry
Print name:Derek Langel Date:06/23/2017 Service Board.
I:\Building\Pennits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard Permit No.: , 7'° çEIVEP ?�/74e '7
13125 SWHall Blvd.,Ti . �����
111 Phone: 503.718.2439 Fax: 503.598.1960 Date Received:
Inspection Line: 503.639.4175 i o N 2 7 2017
TIGARD Internet: www.tigard-or.gov 't By:
FIRE �F'r1GA11)
siggIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Hall Park Office Center Occupancy: Office space
Job Address: 11481 SW Hall Blvd Tigard, Or 97233 Type of Construction: remodel
Suite: l Df
Contractor: Metro Safety and Fire Phone: (503) 231-2999
Number of Proposed or Altered Heads: 7
Type: Office Hazard: light Density:
I Derek Langel Oregon Construction Contractors Board No. 63651
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and annoyers in a light-hazard occupancy.
b) Positions of sprinkler heads relative to architectural features such as soffits,beams,partitions, walls, etc.
complies with current adopted edition of NFPA 13.
c) The proposed work does not require hydraulic calculations.
d) Only one sprinkler head will be installed from one drop (exception: up to two heads from one drop may be
installed when each head is in a separate fire area).
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
f) Tenant improvements in a new building shall be equipped with Quick Response heads (see 2002 NFPA 13,
Section 8.3.3.1 for exceptions).
g) The installation shall comply with the requirements of the current adopted edition of NPFA 13.
h) Piping shall not be concealed until hangers and bracing are inspected.
i) Final approval shall be subject to onsite tests and inspections.
In addition,I understand the following is required:
• Submit(3) copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• A copy of this document with a copy of the sketch attached shall be available for all inspections.
Signature: 7.), - ( Date: 06/23/2017
Print Name: C---)67(( k Let C L(
I:\Building\Fonns\FireSprinklerAffidavit 071514.docx Page 1 of 1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11481 SW HALL BLVD 104, TIGARD, OR, 97223 June 29, 2017 at 10:15:33 AM
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00097
Inspection Type: Inspector:
999 Sprinkler final Chip Barnett
Result:
PASS - NoCofO
Comments:
Called contact number (no answer, left message)
On site at 10:00am
No access
Violation Summary:
Inspector Contractor