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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2022-00099 TIC;,A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/18/2022 Parcel: 2S 115BA00100 Jurisdiction: Tigard Site address: 16200 SW PACIFIC HWY M Project: Trader Joe's Subdivision: None Lot: None Project Description: Fire sprinkler permit:Adding pendent sprinklers for a new Trader Joe's. Contractor: VANPORT MECHANICAL&FIRE SPRINKLERS Owner: TECOLOTE RESOURCES INC 6101 NE 127TH AVE STE 200 KELLY'S LEGACY LLC ET AL VANCOUVER,WA 98682 BY HESLIN HOLDINGS INC 23421 SOUTH POINTE DR STE 270 LAGUNA HILLS, CA 92653 PHONE: 360-892-8280 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 07/08/2022 $626.50 12%State Surcharge-Building 07/08/2022 $75.18 Type of Use: COM Plan Review-Fire Life Safety-COM 07/08/2022 $250.60 Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 07/08/2022 $2.00 Occupancy Grp: M Height: 25 ft 11x17) Stories: 1 Info Process/Archiving-Sm$0.50(up to 07/08/2022 $6.00 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: LT Density: 0.1 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 $960.28 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $66,000.00 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 o 'n py of the rules //JJ Issued By: /(/A��� „ Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspect' n date. This permit card shall be kept in a conspicuous place on the job site unt' ompletion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Fire Protection System FOR OFFICE USE ONLY City of Tigard D Received g 1 E C E I V Date/By: 6 2,7 �+77 Permit No.: / / 5 7eq 19,. ary/ IN 4 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review WL/Y` (!w% Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1.3 ...,2„,2 Other Permit: 0. 1g.—e`115A T i( A F p Inspection Line: 503.639.4175 Da,Ready/By: Juris: See Page 2 for Internet: www.tigard-or.gov 2UZZ otified/ thod: 12 Q Supplemental Information TYPE OF WQ1�,>�c,I REQUIRED DATA:11-AND 2-FAMILY DWELLING LDING DI\ftSION° El 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 4ddition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the �! CATEGORY OF CONSTRUCTION work indicated on this application. El1-and 2-family dwelling Commercial/industrial Valuation: $ ❑Accessory building El Multi-familyNumber of bedrooms: ❑Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1,6)200 ytd rAc)i-,C_ \*w ( New dwelling area: square feet City/State/ZIP: p 6,A.>Z,p , i OV 1'ZZ. - Garage/carport area: square feet Suite/bldg./apt.no.: - Project name:�' Av - Jo ES! Covered porch area: square feet Cross street/directionsto job site: Deck area: square feet st w io 1 FI Y I Mt Am? 5 w 7L)iz•oskrvI fz-DA)" Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: /� l Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: 'L,�j `S I�jTz�O O Z 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. P't 917 P 34 QE -4 T 5P1z1 t1K 5 F 1ZDnn • -x.-ri. Valuation: $ (go 006 OYw 1 5. m F4e) N - - Existing building area:(1,-r�5 square feet IN Pr t-1-5 AA'L7 G E7 L-✓1, 45 New building area: square feet 0 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: X. ! Al E�1+ . F i -- 1 I h(C, All contractors and subcontractors are required to be Contact name: J/��E� Alicensed with the Oregon Construction Contractors Board Address:ac under ORS 701 and may be required to be licensed in the 0 1 1.J E l'Z„"j 'ZL AvE #'Z„8b jurisdiction in which work is being performed.If the City/State/ZIP: v pr N co V ve - WPk $Z applicant is exempt from licensing,the following reasons I apply: Phone:(3tp 0 —Z,5(..,—9 ii3 S Fax::( ) E-mail: .J AwjE,fL-@ YR J•!litter NI EG}4 - C O n.) CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: vpNpo�TEGH F 1 / /ucr Permit fee: i Address: W J t l N E )'L'Y'3• Ay a $t Z,47)D State surcharge(12%of permit fee): City/State/ZIP: VAN CO 'E W \2)b 15 Z FLS plan review(40%of permit fee): Phone:(?' O-77. b- C)83 6 Fax:( ) (Due upon application submittal.) CCB lie.: 2_0 Z Total permit fees: Authorized signature: Amount received: This permit application expires if a permit is not obtained Print name: _ 1 t�� Date: 1 4 J ZZ within 180 days after it has been accepted as complete. ` * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\FPS-Permi*App_031016.doc 440-4613T(1 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: Number of alarm devices: 71 Addition or El 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 X 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 X. Wet 3SC Dry Additional Standpipes N/A Information: Sprinkler Supply Line 0 Yes No Hazard Group DILL, f}AZ, 49»P, 'It Density ,20 Design Area j 5'O K. Factor C , (0K, Sprinkler Project Valuation: $ (I)toi 000—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