Permit (79) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
IL �` Permit fl: FPS2017-00139
' COMMUNITY DEVELOPMENT
Date Issued: 09/21/2017
Tr GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S1016D00200
Jurisdiction: Tigard
Site address: 8001 SW HUNZIKER RD
Project: Tigard Distribution Center Subdivision: None Lot: None
Project Description: Fire alarm permit:Separating fire alarm sprinkler monitoring from security/fire combination panel and installing
stand alone fire alarm panel with radio communicator.
Contractor: WESTERN STATES FIRE PROTECTION Owner: TIGARD DISTRIBUTION CENTER LLC
17500 SW 85TH AVE 4800 SW MACADAM, STE 120
LAKE OSWEGO, OR 97035 PORTLAND, OR 97239
PHONE: 503-657-5155 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/13/2017 $112.96
12%State Surcharge-Building 09/13/2017 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 09/13/2017 $45.18
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 09/13/2017 $2.00
Occupancy Grp: S-1 Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 09/13/2017 $9.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Yes Alarm Type: Automatic
Pull Station Required: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: No Cut Sheets Required: Yes
Total $182.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $3,995.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of 44R. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if .1k is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to foil the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. .0 may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
4.Issued By: Permittee Signature ----
�a,.
tIIIIIIIP
Call 503.639.4175 by 7:00 a.m.for the next available in • tion .f te. ,' 1
This permit card shall be kept in a conspicuous place on the job site until completio of th- project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
14( eceived City of Tigard � 'aate/B I �3 87 PermitNo.:y'� rye 17 —o�11{39
q 13125 SW Hall Blvd.,Tigard,OR 97223 �° Plan Review`" 7 s'�'
21111 r" Phone: 503.718.2439 Fax: 503.598.1960 Date/By: y' 1 ) £((4 (( Other Permit:if '?Ui 7
TI G A RD Inspection Line: 503.639.4175 `. ,2[117 Date Read i l tuns: F® See Page 2 for
Internet: www.tigard-or.gov ,•:•) Notified/Method: /•, f(•/. ' I SupplementalInformation
rix, atlii goal 1 015 , � i 4 iiia'
t .�,�m'eeedl; % .r„1 1 D A ID C 1 1 Yr7`
❑New construction ❑ ,r,. t, Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
:fi -� %° �a a a- Qi. ( i i' '`-t„moi
;6 y r t e . ' 1 e tap Total number of floors:
Job site address:8001 S.W.Hunziker Street New dwelling area: square feet
City/State/ZIP:97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Tigard Distribution Covered porch area: square feet
Cross street/directions to job site:SW Wall 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.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
eg l> ! o 4b144, }` work indicated on this application.
separate fire alarm sprinkler monitoring from Security/fire combo panel and Valuation: $$3,995.00
install stand alone fire alarm panel with radio communicator Existing building area: square feet
New building area: square feet
11114001: s` % .i i
Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: B,S
Phone:( ) Fax:( ) New:
`a-''- iian =r'C201, ._
'n”4i4 �` �= _ .z =m C` r ;gyp.. f.�@�”e ° 1 :�a PI "Q ' :3
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Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax::( )
E-mail:
a ` O a
„a e,.,' T.P...a,.s.Grp 4 F`�j *�`?��,� hF�>.. + �� -
Business name:Western States Fire Protection ,�i it it )L- /;i
��� ✓�1 �(ti'/itie)/ Permit fee:
Address:17500 SW 65th Ave
City/State/ZIP:Lake Oswego,OR 97035 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(503)407-0279 Fax:( ) (Due upon application submittal.) -
CCB lic.:104570 Total permit fees:
41„...ta-f—Lif
1Authorized signature: Amount received: '� ' �L
This permit application expires if a permit is not obtained
Print name:William T Stewart Date:9-13-17 within 180 days after it has been accepted as complete.
* Fee methodology set b Tri-County BuildingIndustr
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(I 1/02/COM/WEB) '.�, (�l1 /�3 r:2:76C7,7
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• City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
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1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: Number of alarm devices: 2
® Addition or ❑ 1-10 heads: Affidavit required and ® 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 ® 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
„ { ' „
w 90 4 0 Y "� .'i. :7--6 C.... -� r ,tt r— as -.we , a ▪,n
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Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
!,+.,� Sprinkler Project Valuation: $
:,x. dt 4 ib '''! 1 B ._ �® B,r_ ,.{ 4 ,tet �Pk n i i'N �t�.,��{ v�� `"y+s ya" .' '�` '`j"'2 j `°q'" _ -.`u
,g, Hood Project Valuation: $
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Submittal shall Battery Calculations ® Yes
include: Individual Component ® Yes
Cut Sheets
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Square Footage: Permlt Fee:
0 to 2,000 $198.75 `
2,001 to 3,600 $246.45INtr ▪ �
3,601 to 7,200 $310.05 � � a
txta
7,201 and greater $404.39 g; .''" -
nP
Sprinkler Project Square Footage: sq. ft.
r i�, s - ,-ttik is til�� "_�,- —
Project valuation subtotal (see A,B& C above): $ 3995.0▪0
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\William.Stewart\Dropbox\WSFP AnD Team Folder\Projects\LL1085 Tigardyistribution Center 8001\Permits\FPS_PermitApp.doc