Permit (154) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
II 4 COMMUNITY DEVELOPMENT Permit#: FPS2019-00020
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/05/2019
7 t i.;k IF Cr 9 Parcel: 2S101 BB01500
Jurisdiction: Tigard
Site address: 12250 SW GARDEN PL
Project: Language Solutions Subdivision: CROW PARK 217 Lot: 3
Project Description: Fire alarm. Installing clean agent system(12 devices)in 16x10 IT room.
Contractor: COSCO FIRE PROTECTION INC Owner: ICON OWNER POOL 1 WEST LLC
2501 SE COLUMBIA WAY SUITE 100 BY RYAN
VANCOUVER,WA 98661 PO BOX 460169
HOUSTON,TX 77056
PHONE: 360-816-8418 PHONE:
FAX: 360-883-6390
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/05/2019 $295.88
12%State Surcharge-Building 03/05/2019 $35.51
Type of Use: COM Plan Review-Fire Life Safety-COM 03/05/2019 $118.35
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 03/05/2019 $8.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 03/05/2019 $12.50
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: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $470.24
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00 1 Clean agent system
Residential Square Footage: 0
Fire Alarm Valuation: $21,000.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, Sta e of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expir if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law require you to follow t rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9 001- 090. You ay o tain a copy of the rules
or direct questions to OUNC by calling 503.2 . 987 or 1.8 0.332.2344.
1
Issued By: ^ ermittee Signature•�/
v
,; .,
_..,..4/1
N.
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. 111
Approved plans are required on the job site at the time of each inspection.
BBuil',ding Permit Application
.Fire Protection System
CI of Tigard E'V) Received ,i P e ��/�/�� -
City !! ■ '� DateBy:0Z 2 / -)/ 7 --6i/ O•
N.,, , 1h1ne S50 Hall Blvd.,Tigard OR 9. ®' ®�9 Pian Review v�" �.7- • —I--
Date/13y:
-;_ r(�K J/���D�/
Phone: 503.718.2439 Fax: 503.598.1960 p Date;By: %"`l(
Inspection Line: 503.639.4175 FEB Dare Ready,By: ,G /77
ry : ' B See Page forTSC AltD specrL Internet: www.tigard-or.govARN 'fled tlwd / ' SupptementalInformation
D
.,.',VT\I' DF VISION ,
❑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
S Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the
t ,•� � `t work indicated on this application.
valuation:
❑1-and 2-family dwelling ta(Commerciai/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder ❑Other. Number of bathrooms:
r,Ii/�ii�iyi},i ,
j a Total number of floors:
Job site address: t 2 2c J 51,j 6..AeQ ,Y c A-e, New dwelling area: square feet
City/State/ZIP: ""TiCa. A Q p 1 Q e ci-7 2-Z-5 Garage/carport area: square feet
Suite/bldg./apt �no.: Project nameLQ,L)11'1. 1J Adp SockgicA,Sugered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
1
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
SSRI NOF WORK 1 3' g work indicated on this application.
i t) 7A L[, C L JA AGE 47 SY s7{.I'�/ Valuation: S L i tyo 0
kJ
p y Kt...,7 r Existing building area: 2(7ft).1) square feet
1 New building area: (4 square feet
Iitilraig$130010ot WE Ate
Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New: 1
0APP ICAN1 CO1 AC " @ SON
Business name: Or% L.-Co 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 lithe
City/State/I.IP:. applicant is exempt from licensing,the following reasons
aPPly
Phone:( ) Fax::( )
E-mail:
C0.4*i OR B DING PERS 4
Business name: ( S CIe7 Fe 2& ' :5-r(Cit ✓ i � ft , visa
�_L;
Address: Z To �a 4/141(7.1 A_ �/m' c)-1.7(___ 1o0 Permittee
City/StateIZIP: V AAJ C3 J V 1j 2 � FLS�-_ 9 b 6 6.
State plan review surcharge(10°r'of permit fee):
(40%of permit fee):
Phone: ? ))619 c.,' (•7 , Fax:(3&)) 8•93- 63/ Q (Due upon application submittal.)
CCB lie.: 67 p 8 Total permit fees:
Authorized signature Amount received: t
This permit application expires if a permit is not obtained
Print name: Date:
2'Lo J ict within 180 days after it has been accepted as complete.
pur * Fee methodology set by Tri-County Building Industry
/J, (!„{r A'-� Service Board.
1:\Building\Permit4''FP-PermitApp_03101oc 440-4613T(11/02/COM/WEB)
4
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
..e -*6** dt n
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 w 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:
Sprinkler Type 0 Wet 0 Dry
Additional Standpipes
Information: Sprinkler Supply Line 0 Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
.
vatomegmmaammtwNva
Hood Project Valuation: $
x s4 ll A 2W` c t� �<'- 3 x x -a° RIE. ��
osuisgamomftmottrwwwwwg
�e � h n s
faay% /� ". l
t
Submittal shall Battery Calculations i ] Y es
include: Individual Component Yes
Cut Sheets
Fire Alarm Project Valuation: $
minizaiiVasizaltaMTVMMOSSERnmetaigiteginntiWitintammenommommatoswionsgwoogg
I.) Iden lI j kler- � . 61WS*em)
{
Square Footage: Permit Fee: 3 t
0 to 2,000 $198.75
2,001 to 3,600 $246.45 t ��� r
� ��
3,601 to 7,200 "
$310:0 � � � �I ,��,��
7,201 and
v \ '�y
MOS
and greater $404.39 ,titz : ,�, _
Sprinkler Project Square Footage: sq.ft.
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: $
http;i/cins4.revize.com/revize/tigard/document center,./Building/FPS PennitApp.doc2
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12250 SW GARDEN PL, TIGARD, OR, 97223 June 6, 2019 at 8:18:22 AM
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00020
Inspection Type: Inspector:
998 Alarm Final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor