Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
•.' COMMUNITY DEVELOPMENT Permit #: FPS2011 -00008
•
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/27/2011
Parcel: 1S126CA01100
Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 100
Project: Target Subdivision: Lot: 0
Project Description: Fire sprinkler modification for TI
Contractor: COSCO FIRE PROTECTION INC. Owner: DAYTON HUDSON CORPORATION
11800 NE 95TH ST., STE 240 BY TARGET CORP T -0345
VANCOUVER, WA 98682 PROPERTY TAX DEPT/TPN -0950
PO BOX 9456
MINNEAPOLIS, MN 55440
PHONE: 360- 883 -6383 PHONE: 612- 761 -1588
FAX: 360 - 883 -6390
FEES
Description Date Amount
Specifics: Permit Fee - COM 01/27/2011 $199.04
12% State Surcharge - Building 01/27/2011 $23.88
Type of Use: COM Plan Review - Fire Life Safety - COM 01/20/2011 $79.62
Class of Work: ALT Type of Const: IIB Info Process /Archiving - Lg Sheet (over 01/27/2011 $2.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process /Archiving - Sm Sheet (up to 01/27/2011 $4.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: 0 Design Area: 0
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Req:
Required: Smoke Detectors Re
q q
Battery Calcs Provided: Cut Sheets Required:
Total $308.54
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $11,384.00
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.
Issued By: Permittee Signature:
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 ° (
_ _ - ,. - ' J ' •
Fire Protection System RECEIVED FOR OFFICE USE ONLY
City of Tigard JAN 0 Received �+
N. `.1 g 2011 Date /B yam
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review I/'
Phone: 503.639.4171 Fax: 503.598.19 Date /By: 1( Other Pertuit: 1, - Mom -e29/ 70
Inspection Line: 503.639.4175 '1 OF TIGAR Date Read :y: Juris: ® See Page 2 for
TIGARD g g BU ILDING DIVISION 1 T. �e Supplemental Internet: www.ti and -oi. ov Notified /M ethod: Su lemental lnformation
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.
❑ I- and 2- family dwelling ® Commercial /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: 9009 SW Hall Blvd New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Target Store #0345 Covered porch area: square feet
Cross street/directions to job site: SW Hall Blvd. and SW Eilander Ln 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.
Add new and relocate existing fire sprinkler heads for store renovation. Valuation: $$11,384.00
Existing building area: i-na. ttb5 square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: I
Name: Target Type of construction: Ill -N
Address: 1000 Nicollet Mall Occupancy groups:
City /State /ZIP: Minneapolis, MN 55403 Existing: M
Phone: (612. ) 304- 6073 Fax: ( ) New:
® APPLICANT ® CONTACT PERSON NOTICE
Business name: Cosco Fire Protection • All contractors and subcontractors are required to be
Contact name: Dan Furno licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 11800 N.E. 95 Ave. Suite 240 jurisdiction in which work is being performed. If the
City/State/ZIP: Vancouver, WA 98682 applicant is exempt from licensing, the following reasons
apply:
Phone: (360) 883 -6383 Fax: : (360) 883 -6390
E -mail: dfurno @coscofire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name: Cosco Fire Protection (Please refeaofee'schedute)
Permit fee:
Address: 11800 N.E. 95 Ave. Suite 240
State surcharge (12% of permit fee):
City /State /ZIP: Vancouver, WA 98682 0
FLS plan review (40% of permit fee):
Phone: (360) 883 -6383 Fax: (360) 883 -6390 (Due upon application.)
CCB lic.: 67508 /�� Total permit fees:
Q / !/ Amount received: 15(72,47;4 Authorized signature: This permit application expires if a permit is not obtained
Print name: Dan Furno Date: 1/19/11 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri - County 'fdi g Industry h ---'
Service Board. v� 1
I:\ Building \Permits \FPS- PermitApp.doc 10 /01 /09 440- 4613TQ I /02 /COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only
❑ Addition ❑ 1 -10 heads: No plan review required.
® Alteration ® 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 48
Additional description of work
Type of. System (Complete A, B, C orD as applicable):
A.) Commercial Sp rinkler
® Wet ❑ Dry
Additional Standpipes NA
Information: Hazard Group Ordinary II
Density .2
Design Area NA
K. Factor 5.6
Sprinkler Project Valuation: $ 11,384.00
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $ NA
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ NA
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: NA sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A, B & C above): $ 11,384.00
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: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
I: \Engineering \00 - SERVICE \PS 7109 Target # 0345 - Washington Square \City of Tigart2 permit application.doc 10/01/09