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Permit
q CITY OF TIGARDIli FIRE PROTECTION SYSTEM PERMIT s COMMUNITY DEVELOPMENT Permit#: FPS2021-00110 • Date Issued: 9/22/2021 T I G,.R.r 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DD01400 Jurisdiction: Tigard ',, Site address: 15686 SW SEQUOIA PKWY • Project: Courtyard Marriott Pool Conversion Subdivision: PACIFIC CORPORATE CENTER Lot: 5 Project Description: Add(5)alarms to pool room conversion Contractor: GB MANCHESTER INC Owner: PACIFIC REALTY ASSOCIATES LP 6000 NE 88TH ST PO BOX 58990 VANCOUVER,WA 98665 SEATTLE,WA 98138 PHONE: 360-816-0484 PHONE: FAX: 360-816-0482 FEES Description Date Amount Specifics: Permit Fee-COM 09/16/2021 $102.20 12%State Surcharge-Building 09/16/2021 $12.26 Type of Use: COM Plan Review-Fire Life Safety-COM 09/16/2021 $40.88 Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 09/16/2021 $2.00 Occupancy Grp: Height: ft 11x17) Stories: • • • 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: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $157.34 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $2,965.00 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 Issued By: Fio{.Lj Va ,Pe,Wege Permittee Signature: Ow A h1 -LO'^' 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 ApplicatiO4ECEI"ED c� I � Fire Protection System ' n V L•� City of Tigard SEP d 4 2 J ; Received ,r t Permit No:r'PS'10Z 'oo� I O 13125 SW Hall Blvd.,Tigard,OR 97223 Dare Re T1/ T LU l J • $ar Plan Review Other Pern& Phone: 503.718.2439 Fax: so3s9s.t9ff(OF TIGARD Date/By: Inspection Line: 503.639.4175 Date Ready/By: 4\\(plj 1IJ Sur ® See Page 2 for Internet: www.tigard-or.gov 3UILDING DIVISION Notified/Method:ra.w ,eta 4ytr, 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. ❑ 1-and 2-family dwelling ElCommercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 15686 SW Sequoia Pkwy New dwelling area: square feet City/State/ZIP: TIGARD OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: N/A Project name: (ARM I YAKU MAKKIU I I Covered porch area: square feet POOL CONVERSION Cross street/directions to job site: 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. Add fire alarm notification for Pool Room conversion Valuation: $ 2,965.00 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: APPLICANT ® CONTACT PERSON NOTICE Business name: GB MANCHESTER INC All contractors and subcontractors are required to be Contact name: NATHAN BUTZ licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 6000 NE 88TH ST, SUITE B103 jurisdiction in which work is being performed.If the City/State/ZIP: VANCOUVER WA,98665 applicant is exempt from licensing,the following reasons apply: Phone:(360 ) 816-0484 Fax: :(360 )816-0482 E-mail: NATHAN.B@GBMANCHESTER.COM CONTRACTOR BUILDING PERMIT FEES* Business name: GB MANCHESTER INC (Please refer to fee schedule) Permit fee: Address: 6000 NE 88TH ST, SUITE B103 City/State/ZIP: VANCOUVER WA, 98665 State surcharge(12%of permit fee): FLS plan review(40%of permit fee): Phone:(360 )816-0484 Fax:( 360 ) 816-0482 (Due upon application submittal.) CCB tic.: 202097 Total permit fees: Amount received: Authorized signature: This permit application expires if a permit is not obtained Print name: NATH B TZ Date: 09/13/2021 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. r,\BuildinglPermits4FPS-PermitApp_03 1016.doc 440-4613T(t V02/COMM'EB) 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: Number of alarm devices: 5 new 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 ❑ 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 ❑ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ 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: $ 2,965.00 • 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%ofpermit fee): $ TOTAL: $ I:\Building\Permits\FPS_PermitApp_031016.doc 2 RECEIVED City of Tigard n_ PermitNo.: ZoZi-00\ 6 -111 • 13125 SW Hall Blvd.,Tigard,OR 97223 SEP i. !~ Phone: 503.718.2439 Fax: 503.598.1960 _ Date Received: g �4‘Li Inspection Line: 503-639.4175 CITY OF T IGARLL Internet: www.tigard-or.gov o b BUILDING DIVISION By: �l , 1�4f FIRE ALARM SYSTEM AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS OFFICE COPY (MAXIMUM OF 5 DEVICES WITHOUT PLANS) Project Name: COURTYARD MARRIOTT POOL CONVERSION Occupancy: R-1 Job Address: 15686 SW Sequoia Pkwy, Tigard 97224 Suite: n/a Contractor: GB Manchester Inc Phone: 360-816-0484 Valuation of work: $2,965.00 Type of System: (check one) ['Required ❑Non-required (check one) ❑Automatic ['Manual ['Both Total number of devices added or moved under this permit process is 5 total per tenant space. Number of Proposed Smoke/Heat Detectors: To be Added(max 5) 0 /To be Relocated(max 5) 0 Number of Proposed Manual Alarm Stations: To be Added cmax 5> 0 /To be Relocated(max 5) 0 Number of Proposed Notification Appliances: To be Added(max 5) 5 /To be Relocated(max 5) 0 NATHAN BUTZ Oregon Construction Contractors Board No. 202097 certify the following is true and defines the scope of work for this project: a) All work complies with the current state-adopted NFPA-72 and the authority having jurisdiction. b) All notification appliances are located in accordance with the current state-adopted NFPA-72. c) Smoke/Heat detector spacing complies with current state-adopted NFPA-72 and the authority having jurisdiction. d) Exposed wiring will not be covered until inspected. e) Final approval shall be subject to on-site tests and inspections. f) Voltage drop is adequate to operate all appliances. g) Battery supplies are capable of supporting the system modifications. h) Compatibility of appliances and devices are in accordance with the FACP manufacturer's specifications. 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. • Electrical permit. • A copy of this d'oc nt with a co y..of-the sketch attached shall be available for all inspections. Signature: Date: 9/13/2021 Print Name: IATHAN BUTZ I:\Building\Forms\FireAlarmAffidavit_071514.docx Page I of I Tina Escalera From: Nathan Butz <nathan.b@gbmanchester.com> Sent: Tuesday, September 14, 2021 1:27 PM To: #Building Permit Technicians Subject: Courtyard Marriott - Pool Conversion -fire alarm Attachments: FireAlarmAffidavit signed.pdf; MARRIOTT CONVERSION.pdf Categories: Tina Warning!This message was sent from outside your organization and we are unable to verify the sender. Hello Tigard permits, I dropped off a fire alarm permit affidavit application today and wanted to let you know that the electrical permit associated with this work has been issued to Prairie Electric, Permit#: ELC2021-00376. They will be the installers, we are the design and testing company. Let me know if you have any questions. Thanks! Nathan Butz,SET Cell (360)772-2244 nathan.bPgbmanchester.com GB Manchester, Inc. 6000 NE 88th Street,Suite B103 Vancouver,WA 98665 MAIN:360-816-0484,ext 152 DIRECT:360-816-7864 FAX:360-816-0482