Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
III COMMUNITY DEVELOPMENT Permit#: FPS2020-00129
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/21/2020
T I[ :�I,I.) 9 Parcel: 1 S135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 212
Project: VSP-Suite 212 4L Subdivision: 1991-055 PARTITION PLAT Lot: 1
Project Description: Plug 3 sprinkler heads for new layout
Contractor: MCKINSTRY COMPANY LLC Owner: LINCOLN CENTER LLC
16790 NE MASON STREET SUITE 100 BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97230 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-331-0234 PHONE:
FAX: 503-331-6907
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/21/2020 $53.78
12%State Surcharge-Building 12/21/2020 $6.45
Type of Use: COM Plan Review-Fire Life Safety-COM 12/21/2020 $21.51
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Sm$0.50(up to 12/21/2020 $0.50
Occupancy Grp: B Height: ft 11x17)
Stories: 3
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: 1 Design Area: 0
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 $82.24
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $600.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �^ r�/� l
Issued By: uranue lAoe� Permittee Signature: C J' ` A`� ,�IC Q1\Vh
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. ` 1
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application RECEIVED _ -$_ 121l(0
Fire Protection System FOR OFFICE USE ONLY
City of Tigard DEC 16 2020 Received
Date/
Er
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Reey:view pe m t No.:WSZOZtt—oe1.2.q
Phone: 503.718.2439 Fax: 503.598.1960L i i OF TIGARD DateBy: Other Permit:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION DateReadyBy: t^° /.�s I ® See Page 2for
Internet: www.tigazd-oi.gov Notified/Method: 11(.�. Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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
CATEGORY OF CONSTRUCTION work indicated on this application.
Ell-and 2-family dwelling ElCommercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION
Total number of floors:
Job site address: 10250 SW Greenburg Rd. New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: 212 Project name: V S P — Suite 212 4L Covered porch area: square feet
Cross street/directions to job site: 4 Lincoln Center Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Plug (3) sprinkler heads for new layout Valuation: $ 600 . 00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 3
Name: Shorenstein Properties Type of construction:Z2'$
Address: 10220 SW Greenburg Rd. Occupancy groups: S3
City/State/ZIP: Tigard, OR 97223 Existing:
Phone:( ) Fax:( )
New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: McKinst ry Co . All contractors and subcontractors are required to be
Contact name: Alex Forker licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 16790 NE Mason St . Suite 100 jurisdiction in which work is being performed.If the
City/State/ZIP: Portland, OR 97230 applicant is exempt from licensing,the following reasons
apply:
Phone:( 9 71) 4 2 0—7 5 5 0 Fax: :( )
E-mail: alexf@mckinstry.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name: McKinstry CO.
Permit fee:
Address: 16790 NE Mason St . Suite 100
State surcharge(12%of permit fee):
City/State/ZIP: Portland, OR 97230 FLS plan review(40%of permit fee):
Phone:(9 7 1) 4 2 0—7 5 5 0 Fax:( ) (Due upon application submittal.)
CCB lic.: 172811 Total permit fees:
Authorized signature: . Amount received:
This permit application expires if a permit is not obtained
Print name: Alex Forker Date: 12/16/2 0 2 0 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1,'Building'\Permils\FPS-PermitApp_031016.doc 440-4613TO 1/02/COM/WEB)
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: 3 Number of alarm devices:
❑ Addition or ❑x 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:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type Pendant ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group Light
Density
Design Area
K. Factor 5 . 6
Sprinkler Project Valuation: $ 600 . 00
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm "
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ 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: $
I:\Building\Permits\FPS_PermitApp_031o16.doc 2
City of Tigard ECEIVED Permit No.:
• 13125 SW Hall Blvd F'9S UW-ob\Zq
III .,Tigard,OR 972
I Phone: 503.718.2439 Fax: 503.598.1960 Date Received: V..k\kg1 -7.4)Z0
Inspection Line: 503.639.4175 DEC 16 2020
1 1 t-i11`l). Internet: www.tigard-or.gov By: t 0C kdOtle/
CITY OF TIGARD
FIRE SPRINliataRKOMAIVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(I to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: VSP - Suite 212 4L Occupancy:
Job Address: 10250 SW Greenburg Rd. Type of Construction:
Suite: 212
Contractor: McKinstry Phone: 971-420-7550
Number of Proposed or Altered Heads: 3
Type: Hazard: Light Density: 1
1 McKinstry Oregon Construction Contractors Board No. 172811
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers 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.
Alex Forker tally signed by Alex Forker 12/16/2020
Signature: tall signed
Date:
Print Name: Alex Forker
I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1
SPF/PINVIL' DUCTILE IRON THREADED FITTINGS (Z4^N!
FIG. 3388 RECEIVED
Cored Plug DEC 16 2020
CTY OF
t
BUILDINGTIGARDON
DIVISI
c4� us
A USIED APPROVED
For Listings/Approval Details and Limitations,
visit ourwebs0e at mew.envilintl.com or
contact an Anvil Sales Representative.
FIGURE 3388 - CORED PLUG MATERIAL SPECIFICATIONS
Nominal Size Maximum Dimension A Approx.Wt.Each Dimensions: ASME B16.14
Working PressureA
In.(mm) P9(kPo) In.lmm) lbs.lk`s) Material: ASTM A536 Grade 65-45-12
h" 500 0.94 0.10 Finish: Black
15 3450 23-87 0.05
3 500 1.07 0.17 Threads: NPT per ASME B1.20.1
20 3950 27.17 0.08 Agency Approvals: All ductile iron threaded fittings are
1 500 11 0.28
25 3450 31.75 0.13
UL/ULC Listed and FM Approved.
1 Y/ 500 1.36 0.44
32 3450 34.54 0.20 •Pressure-Temperature Ratings in accordance with ASME B16.3 Class 150
1 th 500 1.45 0.62 NOTICE:Ductile iron fittings have higher tensile strength than that of steel pipe.
90 3450 36.83 0.28 Therefore,over tightening can cause damage to pipe threads which may cause
2 500 1.56 0.91 leakage.Ductile iron fittings should be lightened approximately three turns beyond '
50 3450 39.62 0.47 hand tight,but no more than Four turns.
♦-Working Pressure Ratings are for reference only and based on Sch.40 pipe.For the
latest UL/ULC,and FM pressure ratings versus pipe schedule,please visit anvilind.com or
contact your local Anvil Representative.
*Part supplied as Solid Plug.
PROJECT INFORMATION APPROVAL STAMP
Project: ❑Approved
Address: _ ❑Approved as noted
Contractor: ['Not approved
Engineer: Remarks:
Submittal Date:
Notes 1:
Notes 2:
SPFIDI-5.16