Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
:1101
11. COMMUNITY DEVELOPMENT
Permit#: FPS2018 00015
Date Issued: 03/15/2018
T f G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S 15/201 0300
Jurisdiction: Tigard
Site address: 12280 SW SCHOLLS FERRY RD
Project: Firenza Pizza Subdivision: None Lot: None
Project Description: Fire sprinkler permit:Adding and altering(22)sprinkler heads for TI.
Contractor: T&L COMMUNICATIONS INC Owner: FW OR-GREENWAY TOWN CENTER LLC
PO BOX 87387 PO BOX 790830
VANCOUVER,WA 98687-7387 SAN ANTONIO, TX 78279
PHONE: 360-737-9725 PHONE:
FAX: 360-737-9648
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/15/2018 $134.48
12%State Surcharge-Building 03/15/2018 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 03/15/2018 $53.79
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 03/15/2018 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 03/15/2018 $10.00
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 $216.41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $5,500.00
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: e...... ..„... ittee-Signature: L.,), —"
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.
Ff,►:�. P rmt s-
CoiT`."iriercial FOR OFFICE LSI:OVi.\
City of Tigard AEC; I a°/By '3/? i& --- Permit No.: jt2l r S
;14 w 13125 SW Hall Blvd.,Tigard,OR 97223 Review j
■ J )7- ) Other Permit:/�Dk)I 7-0007 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: v /�,c(_i
T 1 G i:17
Inspection Line: 503.639.4175FEB 1 Date Read/B �� ♦ Duns: See Page 2 for
Internet: www.tigard-or.gov `� Notified/Method: l Ll ! .G� Supplemental Information
'`K;i ,- —*41%OfDIVISION
. tti .. � 0`J��A t jf {, em.. <. —. . ..,.='..4., -_,. ',s
❑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
Z Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
,s 5 : f ;x work indicated on this application.
CA Cly
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
S A N ,, i..i ,, Total number of floors:
Job site address:12280 SW Scholls Ferry Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Firenza Pizza Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
a,k4 l a .�DAT� $! i i Jl t ll v , `, t`. n
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
i � and
equipment,materials,labor,overhead, the profit for the
i'3,,,..- i.; ,e= ' WORK work indicated on this application.
Fire Sprinkler Tenant Improvement Valuation: $$5,500.00
Existing building area: square feet
New building area: square feet
x sr
❑ PROPERTY. R , . 1 Number of to
ries:� ,
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
�. APPLIC ,,0 CONTACTNg °. , . BUILDING � �* ,
.- - x �- , to
Business name:T&L Communications,Inc.
Structural plan review fee(or deposit):
Contact name:Larry Bushaw
FLS plan review fee(if applicable):
Address:PO Box 87387
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98687
Phone:(360)737-9725 Fax::(360)737-9648 Amount received:
EES*
E-mail:office@tl-communications.com o' PHOTOVOLTAIC BAR PANEL SYSTEM
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name:T&L Communications,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 87387 Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver,WA 98687 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(360)737-9725 Fax:(360)737-9648 State surcharge(12%of permit fee): $21.60
CCB lic.:67787 Total fee due upon application: $201.60
Authorized signature: "f2e; ,�,x,I e This permit application expires if a permit is not obtained
'�"U�} within 180 days after it has been accepted as complete.
Print name:Larry Bushaw Date:2/27/2018 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
PageCity 2 ofSTigard: FireInfProtection Permit Checklist
• - upplemental
wa.x `. S:krv �, iu:r5 _�`•'' Z z:, ;tt5 Wig.
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 7 Z Number of alarm devices:
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
I?. 11+heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
i` F s F a' v�' `t 61 E € "Y. ,i' 'a 'x A ; x-=�.-#zT k r-,� -, r .
EMIIMEMMMIIIMIMFZ Wet ❑ D
Additional Stand.i.es _4 •
Information: EZEMERMEsmom ❑ Yes ❑ No iti
Pr
Hazard Grou. L;
Densi 10
Des': Area j 0 b
K Factor
S s rinkler Pro'ect aluation:
t 4 Ea' � R .. # r E6 'a4E € fi' r{ �1t l/ t . '
€! >'� rte..{. c.�� �"4 � ,F. ` ~b �. .
ix
Hood Pro'ect Valuation: $
01`, FF
„` .�. "` � �....: '".,..,, - k`7:44 aka
Submittal shall Batte Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Pro'ect Valuation: $
s yc y s.Pr ._ S'�r 4 x a �s ai`" xr, F t%'F �ce.. s'a - '` `�
' x "�^ "� zx r�z. �'�� tom" 's. � .#q �,+
w4L-7,4'�$ ka., ._..x ,.. �- 2 §.e. ,�' _ Al �' Ps fie" f N .
S•uare Foota:e: Permit Fee: „� kfi '
0 to 2,000 198.75 4
1-4f,001 to 3,600 $$246.45 ,0 § = `
_ �� k ��
3,601 to 7,200 $310.05 � f �
� � �. r �� t ��
7,201 and eater :
> $404.39
Sprinkler Project Square Footage: sq.ft.
Pro'ect valuation subtotal see A,B&C above : $
Permit fee based on .roiect valuation see fee schedule : $
Permit fee based on s.uare foota'e see D above : $
State Surchar.e 12%of .ermit fee : $
FLS Plan Review 40% of.ermit fee : $
TOTAL: $
I:\Building\Pemuts\FPS_PemutApp_031016.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12280 SW SCHOLLS FERRY RD, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00015
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor