Permit , ..„-
ipil CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2022-00092
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/21/2022
Parcel: 1 S 126CA01100
Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 100
Project: Target Subdivision: None Lot: None
Project Description: Modifying existing fire protection system for new floor and ceiling layout,installing fire pump and jockey pump,
and equipment in riser room.
Contractor: BASIC FIRE PROTECTION INC Owner: DAYTON HUDSON CORPORATION
8135 NE MARTIN LUTHER KING BLV BY TARGET CORP T-0345
PORTLAND, OR 97211 PROPERTY TAX DEPT/TPN-0950
PO BOX 9456
MINNEAPOLIS, MN 55440
PHONE: 503-285-1855 PHONE:
FAX: 503-285-0713
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/21/2022 $459.82
12%State Surcharge-Building 06/21/2022 $55.18
Type of Use: COM Plan Review-Fire Life Safety-COM 06/21/2022 $183.93
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 06/21/2022 $4.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 06/21/2022 $50.50
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 $753.43
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $40,000.00
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 obtain a copy of the rules
Issued By: ,,,- CP: 1(),() Permittee Signature: j/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
Fire Protection System RECEIVE Received FOR OFFICE USE ONLY
City of Tigard /�
" 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:��-,�,2 - �"�� �� v[/f/ /�
g Plan Review
7�1 = Phone: 503.718.2439 Fax: 503.598.196�U� 2022 Date/By: .a.,)- �, Other Permit:
T 1 G A K D Inspection Line: 503.639.4175 �f Date Ready/ y: ) Juris: RI See Page 2 for
Internet: www.tigard-or.gov CITY OF I IUAI-tu N fled/Method GL Supplemental Information
-,, Ii1 rii?'I fopczi� if
, C
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
❑j Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling ❑j Commercial/industrial Valuation: $
ElAccessory building 0 Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9009 SW Hall Blvd New dwelling area: square feet
City/State/ZIP:Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: `U00 Project name:Target T-0345 Washington Square 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map;parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Modify existing fire protection system for new floor and ceiling layout. Valuation: $40,000.00
Install fire pump,jockey pump and required equipment in existing riser room. Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I l TENANT Number of stories:1
Name:Target Type of construction:III-B
Address:9009 SW Hall Blvd Occupancy groups:M, S-1, S-2, A-2, B
City/State/ZIP:Tigard OR 97223 Existing:
Phone:I )612.761.5722 Fax:( 1 New:
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name:Basic Fire Protection Inc. All contractors and subcontractors are required to be
Contact name:Uwe Parth licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:8135 NE MLK Jr Blvd jurisdiction in which work is being performed.If the
City/State/ZIP:Portland OR 97211 applicant is exempt from licensing,the following reasons
apply:
Phone:( )503.285.1855 Fax::( )
E-mail:Uwe@basicfire.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Basic Fire Protection Inc.
Permit fee:
Address:8135 NE MLK Jr Blvd
State surcharge(12%of permit fee):
City/State/ZIP:Portland, OR 97211 FLS plan review(40%of permit fee):
Phone:( )503.285.1855 Fax:( ) (Due upon application submittal.)
CCB lie.:48641 Total permit fees:
Authorized signature:
aloyi Amount received:
This permit application expires if a permit is not obtained
Print name:Uwe Parth Date:6/8/2022 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/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: 28 Number of alarm 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: Install new fire pump and jockey pump
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 El Yes ❑ No
Modify existing system for Hazard Group Extra
new floor and ceiling layout. Density .45,.55,.60
Design Area 2000
K. Factor 5.6,11.2,25.2
Sprinkler Project Valuation: $40,000.00
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): $40,000.00
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
RECEIVED,
FIRE
BASIC AN1022 LETTER OF TRANSMITTAL
�♦`
PROTECTION INC o1 of IGHRU
8135 NE MLK JR. BLVD.
UILDING DIVISI(? DATE 6.8.2022 '°B ° 22-3544
PORTLAND, OREGON 97211 ATTENTION
PHONE 285-1855 FAX 285-0713 Permits
REGARDING:
Target Washington Square
CITY OF TIGARD
13125 SW HALL BLVD
TIGARD, OREGON 97223
WE ARE SENDING YOU
❑✓ Shop drawings El Prints ❑ Plans El Samples ❑ Specifications
El Copy of letter ❑ Change order ❑✓ Hydraulic calculations ✓❑ Submittal Data
COPIES DATE NO. DESCRIPTION
3 06/08/22 2 Fire Sprinkler Plan
3 06/08/22 1 Fire Sprinkler Data
3 6/8/2022 4 Fire Sprinkler Hydraulic Calculations
1 6/8/2022 1 Permit Application
THESE ARE TRANSMITTED as checked below:
❑✓ For approval El Approved as submitted ❑ Resubmit copies for approval
El For your use ❑ Approved as noted El Return corrected submittal data
❑ As requested ❑ Returned for corrections El Return corrected prints of each
❑ For review and comment ❑ For Architect's/Engineer's Approval
El FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
IF YOU HAVE ANY QUESTIONS OR NEED FURTHER INFORMATION
FEEL FREE TO CALL ME AT 503-285-1855
COPY TO: FILE
Uwe Parth
SIGNED: