Permit (114) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2017-00143
T[ aAF4 D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/28/2017
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7204 SW DURHAM RD 800
Project: Millenium Building Services Subdivision: None Lot: None
Project Description: Modify existing wet-pipe sprinkler system(49 sprinkler heads)to accommodate tenant changes to walls,ceilings
and MEP systems.
Contractor: WESTERN STATES FIRE PROTECTION Owner: PACIFIC REALITY ASSOCIATES LP
17500 SW 65TH AVE ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-657-5155 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/28/2017 $285.12
12%State Surcharge-Building 09/28/2017 $34.21
Type of Use: COM Plan Review-Fire Life Safety-COM 09/28/2017 $114.05
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 09/28/2017 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 09/28/2017 $4.00
11x17)
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 $439.38
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $19,539.00
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 50 • .r 1.800.332.2344.
Issued By: j � 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
Fire Protection System REGHVED sl.OM.)
City of Tigard Date/By: /7 t Received �(/
Permit No -0.5020/7.7,67,/t3
aid
1,1 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 2 0 2017 +••
• Phone: 503.718.2439 Fax: 503.598.1960Date/By: ,;�
. plan Revdti4' �2lk. Other Permit:
I-itA it i� Inspection Line: 503.639.4175 CI V OF 1 i ljf,ND Date Ready/By: s" Juris: See Page 2 for
Internet www.tigard-or.gov k y 6 N(' pI (!C! NNotifed/Metho /7 i/ ( H Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Comerciallindustrial Valuation:
m $
❑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:7204 SW Durham Rd. #800 New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:PBC190-Millennium Bldg Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Durham Rd.and SW 7211d Ave. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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
DESCRIPTION OF WORK work indicated on this application.
Modify existing wet-pipe sprinkler system to accommodate tenant changes to Valuation: $19,539.00
walls,ceilings and MEP systems. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories: \
Name:PacTrust-Pacific Business Center Type of construction: 6.,„,.,"tt,t,,,s-i Lk,e 1 i 1—13
Address:7204 SW Durham Rd.#800 Occupancy groups: 13/5 2—
City/State/ZIP:Tigard,OR 97224
Existing: 04',u
Phone:(503) Fax:( ) New:
El APPLICANT 0 CONTACT PERSON
NOTICE
Business name:Western States Fire Protection All contractors and subcontractors are required to be
Contact name:Kevin Olson licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:17500 SW 65th Ave jurisdiction in which work is being performed,If the
City/State/ZIP:Lake Oswego,OR 97035 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)330-0162(cell) Fax::( )
E-mail:kevin.olson@wsfp.us
CONTRACTOR BUILDING PERMIT FEES*
Business name:Western States Fire Protection (Please refer to fee schedule)
Permit fee:
Address:17500 SW 65th Ave
State surcharge(12%of permit fee):
City/State/ZIP:Lake Oswego,OR 97035
FLS plan review(40%of permit fee):
Phone:(503)657-5155 office Fax:(503)657-5182 (Due upon application submittal.)
CCB lic.:104570 Total permit fees:
Authorized signature: e.......v\A7
Amount received:
This permit application expires if a permit is not obtained
Print name:Kevin Olson Date:9/19/17 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_031016.doc 440-4613T(11/02/COM/WEB)
I
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 42 Number of alarm devices: Q
® Addition or ❑ 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 or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ® Wet 0 Dry
Additional Standpipes N/A
Information: Sprinkler Supply Line 0 Yes ® No
Hazard Group Same as exist.
Density Same as exist.
Design Area N/A
K. Factor 5.6
Sprinkler Project Valuation: $ 19539
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: $
C) Fire Alarm
Submittal shall Battery Calculations 0 Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
D) Residential Sprinkler(Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq.ft.
Fire Protection Permit Fees
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\kevin.olson\Desktop\NAS Swap\LG1539 MBS TI\City of Tigard\FPS_permkAppdoc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7204 SW DURHAM RD 800, TIGARD, OR, 97224 October 23, 2017 at 10:59:28
AM
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00143
Inspection Type: Inspector:
999 Sprinkler final Mark VanDomelen
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor