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Permit 11111 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2022-00005 Date Issued: 1/13/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113BA00400 Jurisdiction: Tigard Site address: 7632 SW DURHAM RD 130 Project: Bridgeport Center Subdivision: None Lot: None Project Description: Fire sprinkler permit-relocate(2)&add(1)sprinkler.AFFIDAVIT SUBMITTED. Contractor: MCKINSTRY COMPANY LLC Owner: PORTLAND SW CENTER LLC 16790 NE MASON STREET SUITE 100 BY FELTON PROPERTIES INC PORTLAND, OR 97230 ATTN: FELTON, MATT 520 SW 6TH AVE, STE 610 PORTLAND, OR 97204 PHONE: 503-331-0234 PHONE: FAX: 503-331-6907 FEES Description Date Amount Specifics: Permit Fee-COM 01/11/2022 $61.85 12%State Surcharge-Building 01/11/2022 $7.42 Type of Use: COM Plan Review-Fire Life Safety-COM 01/11/2022 $24.74 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 01/11/2022 $0.50 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Wet Standpipe Required: Hazard: Density: 0.1 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 $94.51 Valuations: Required Items and Reports(Conditions) . Sprinkler Valuation: $900.00 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 Issued By: Ha-1.19 Va-vv De.- Wege- Permittee Signature: Ow A 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 8- /2Z. Fire Protection System RECEIVED FOR OFFICE USE ONLY City of Tigard JAN 4 2022 Received" l! Z F�?2'i 73S 1111 Date/By. { Permit No. a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: tuns: cx El See Page 2 for Internet: www.tigard-or.gov Notified Meths ri � Supplemental Information e. 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 [RI Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ID I-and 2-family dwelling ®Commercial/industrial Valuation: $ 0 Accessory building 0 Multi-family • Number of bedrooms: 0 Master builder ElOther: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 7G 34 SW R) New dwelling area: square feet City/State/ZIP: -" dcz et-my Garage/carport area: square feet Suite/bldg./apt.no.: (co Project name: IZANegFve) f- (1-41, 130 Covered porch area: square feet 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 DDESCRIPTION OF WORK work indicated on this application. �fL�l �1r A.A a GW [ criockr Valuation: $ _I 900 �G A• Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: j6,A ptefet 10144,444 Type of construction: Address: C9 IS S 4t 3Z( Occupancy groups: City/State/ZIP: e t1.14 0 O2 a1,lt i Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT 0 CONTACT PERSON NOTICE Business name: MCKinst ry Co . LLC 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: P O rt land, OR 97230 applicant is exempt from licensing,the following reasons apply: Phone:( 971)-420-755 0 Fax: :( ) F—maiLAlexF@mckinstry . com CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: MCKinst ry CO . LLC Permit fee: Address: 16790 NE Mason St . Suite 100 City/State/ZIP: P o r t l and, OR 9723 0 State surcharge(12%of permit fee): FLS plan review(40%of permit fee): Phone:( 9 7 ti—4 2 0—7 5 5 0 Fax:( ) (Due upon application submittal.) CCB lic.: 172811 Total permit fees: Amount received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. /�Print name: /"` /4✓4ir Date: d//� �l/7Z / * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T( I!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: 4' Number of alarm devices: l 1. Addition or ga 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 El Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes El No Hazard Group Lth Li Density Design Area K. Factor C.G Sprinkler Project Valuation: $ Cl p0 B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component El 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_031016.doc 2 City of Tigard RECEIVED Permit No.: FR52022--©000 5 • 13125 SW Hall Blvd.,Tigard,OR 97223 ■ Phone: 503.718.2439 Fax: 503.598.1960 JAPI 4 2022 Date Received: 'l/ll ,"202Z f I G A R I7 Inspection Line: 503.639.4175 CITY OF TIGARD RD Internet: www.tigard-or.gov �.if 1 By: �j�TY Q� �� 3UILDING DIVISION FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS(1 to 10 SPRINKLER HEADS WITHOUT PLANS) OFFICE COPY Project Name: gotilt �c6'i• Curter lea Occupancy: Job Address: 7L`cZ SW 'Pm t4 t. Ia Type of Construction: Suite: (56 Contractor: y��kt, �+ (, Phone: £Z► q 7 0 7rs-U Number of Proposed or Altered Heads: Type: Hazard: ti Density: 1 I, 4It- ritti/ Oregon Construction Contractors Board No. 112$( 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. Signature: Date: 0 ( /�'�(-to 27/ Print Name: M{,€ riWLi 1 I:\Building\Forms\FireSprinklerAffidavit 071514.docx Page 1 of 1