Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a COMMUNITY DEVELOPMENT Permit #: FPS2013 00009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/04/2013
Parcel: 1 S127DD01200
Jurisdiction: TIGARD
Site address: '10031 SW CASCADE AVE
Project: Orchard Supply Hardware Subdivision: CORAL COMMONS CONDO Lot: 14
Project Description: Install new dry pipe system at new exterior canopies. Add pendent sprinklers at new office
Contractor: COSCO FIRE PROTECTION INC. Owner: KRAUSZ PUENTE LLC
11800 NE 95TH ST., STE 240 BY THE KRUASZ COMPANIES INC
VANCOUVER, WA 98682 44 MONTGOMERY ST STE 3300
SAN FRANCISCO, CA 94104
PHONE: 360 - 883 -6383 PHONE:
FAX: 360 - 883 -6390
FEES
Description Date Amount
Specifics: Permit Fee - COM 01/15/2013 $317.40 .
12% State Surcharge - Building 01/15/2013 $38.09
Type of Use: COM Plan Review - Fire Life Safety - COM 01/15/2013 $126.96
Class of Work: ALT Type of Const: VB Info Process /Archiving - Sm $0.50 (up to 01/15/2013 $3.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process /Archiving - Lg $2.00 (over 02/04/2013 - $2.00
11x17)
Info Process /Archiving - Sm $0.50 (up to 02/04/2013 $20.00
Commercial Sprinkler System: 11x17)
Sprinkler Required: Yes Sprinkler Type: Dry
Standpipe Required: Hazard: ORD2
Density: .2 Design Area: 1950
K Factor: 8
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $507.45
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $22,400.00
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 Notif • er. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direc uestions to OU b Rtrtg 503.232.1987 or 1.800.332.2344.
Ise ed By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available insp ion 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 RECEIVED
Fire Protection System FOR OFFICE USE ONLY
City of Tigard JAN 15 2013 Date/By: (I I 1 3 Permit No.: FPSaW 1 3- Q()(XJq
1 11111 ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie 2
0 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: il� 1 t2Z J Other Permir.ft(AV — eV 1 57)
T 1 G n R D Inspection Line: 503.639 BUILDING DIVISIO Date Ready /By: Juris: ® See Page 2 for
Internet: www.tigard- or.gov Notified/Me Me od: ( �' � Ti o Supplemental Information
TYPE OF WORK REQUIRED DATA: I- 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.
❑ l- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10031 SW Cascade Blvd. New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Orchard Supply Hardware 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: I 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.
Install new dry pipe system at new exterior canopies. Valuation: $$22,400.00
Add pendent sprinklers at new offices. Existing building area: square feet
. New building area: 3990 square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name: Orchard Supply Hardware Type of construction:
Address: 6450 Via Del Oro Occupancy groups:
City/State/ZIP: San Jose, California 95119 Existing:
Phone: (408)281 -3500 Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Cosco Fire Protection All contractors and subcontractors are required to be
Contact name: Jeff Halstead licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 11800 NE 95' Street, Suite 240 jurisdiction in which work is being performed. If the
City/ State/ZIP: Vancouver, Washington 98682 applicant is exempt from licensing, the following reasons
apply:
Phone: (360) 816 -8418 Fax: : (360) 883 -6390
E -mail: jhalstead@coscofire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name: Cosco Fire Protection (Please refer ro fee schedule)
Permit fee: 317.40
Address: 11800 NE 95 Street, Suite 240
State surcharge (12% of permit fee): 38.09
City / State/ZIP: Vancouver, Washington 98682
FLS plan review (40% of permit fee): 129.96
Phone: (360) 816 -8418 Fax: (360) 883 -6390 (Due upon application.)
CCB lic.: 67508 11 gt)I f 15 Total permit fees: 485.45
Authorized signature:
Amount received: 485.45
This permit application expires if a permit is not obtained - ,1 Print name: Jeff Halstead Date: 12/21/12 within 180 days after it has been accepted as complete.
• Fee methodology set by Tri- County Building Industry
Service Board.
1: \ Building \ Perm its \FPS - PermitApp.doc Rev 01/05/2012 440- 4613T(II/02 /COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) El New 2.) Modification to sprinkler heads only:
® Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration ® 11+ heads: Plan review required.
El Repair
Number of sprinkler heads: 63
. Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet ® Dry
Additional Standpipes
Information: Hazard Group Ordinary G II
Density .20
Design Area 1950
K. Factor 8.0
Sprinkler Project Valuation: $ 22,400
•
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): $ 22,400
Permit fee based on project valuation (see fee schedule): $ 317.40
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $ 3809
FLS Plan Review (40% of permit fee): $ X9.96 f& ! v .7 (o
TOTAL: $ 485.45 ,7.CZi ��2 Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
I: \Engineering \00- DAYWORKS \PD 5103 Orchard Supply Hardware - Tigard \ Documatts \ PD5103 Permit Application.doe Rev 01/05/2012
1
I 1 _ GENERAL CONTRACTORS & CONSTRUCTION MANAGERS
. • S• 3330E Louise Dr Suite 300, Meridian; ID 83642
Phone (208) 362-3040 F � a { x , (2Q8) 362.3113
t F C O STFUCTttilC4 lN y wr
C. • tw•esiconstruction.00m
l OR Contractor's License 77160
LETTE OF TRANSMITTAL #0060 -71
Date: 12/11/2012 Page 1 of 1
To: WARE MALCCMB Project ORCHARD SUPPLY HARDWARE
2400 CAMINO RAMON, SUITE -390 #0741; TIGARD, OR
SAN RAMON, CA 94583 10031 SW CASCADE AVE
_ TIGARD; OR 97223
ATTN: ERIC KAUFFMAN E SI Job No: 0060-
Phone: 925- 244 -9620 Fax: 925 - 2449621 Architect Project No:
Email: ekauffman@waremalcomb.com
-.. . - . D escription ;. , : es .:S w .
., _ - .._ .. _ ._... • `= -_ . . • . - . _.: . ;Cflp le s. t a tu sr�::•,.' Rem�ii .,:•
1 For Your : .. .
210000-01 Fire Protection
Approval
Notes:
WARE Ar1ALCOMD
Lei Deszai t Ca:w a ks, Rut Emu
p t, QA[Flfq'AQ TIP
, mot=,,, s J 2; 0011 -ao Item: 'the RA3e ntT10N
D NOEXCEP'RG\t D MANE CR3 MO JS NOTED
igI FOR REbTBW ONLY D REvlsrt AND I SUIDe =T
D REJECTED 0 sinsri>rt seal WIED ITEM
RettowIs only fR »l MnfQtntaatr vatol the design eatcept Of *e prole,t mil
genial crngli.+ner the infortration given in the vol rOt I rtcwn:nto. At cci
ettown b'subject tolls' mg:dronencs of the plea end epedittattems. Cnr t: e:ter
eespattsible 1= +d.minims which gull t:0 u,i ea anal enrich :od att ' m jcS - i!:;
fabrication menses aid =brogues el urctr ict:ant: evctt•na:icti of "rs t •wk. with
Oat of another ma= tend lbo ch fa:1e:y pertorrea.•u of Si's
dal 10v /al... by —..__
t , itG MALCOMZ
5000 exeetdive pa:litcoy, mite 203. sze ramez :a 2:95.+ p 9:i :11 94120 f ?'i :•t ff an :i
nanEvr& r° AES Tt*ET(CS ONLY. PLEASE MOTE T1 LAyaur c5 l4ElNG
AEv1Se
For Your CC t Signature;
Approved As
Action Needed TRAVIS KNUTSON
Delivery Method PROJECT ENGINEER
Ship# • travisknutson@esiconstruction.com
"Experience ... Service ... Integrity'
LICENSES: AK, AR, AZ, CA, CO: CT. Hl IA, ID, IL, IN, KS, KY. LA. MA M. ME, MN, MO. Mr. ND, NE, NV, NM, Ott OK OR, PA, $C, SO, Tx UT. vr, wA, wi. wr
AK C793a AZ ROC 132139 CA MUM HI BC•23254 ID RCE,3108 N,M#88125 NV #142858 OR CGS #Tit ®0
•
RECEIVED
JAN 1 5 Z013 11800 NE 95th Street, 240
• • • •• • • : C O S C O Vancouver, Washingt 98682
•••• •• • , CITOFTIGAR D Ph (360) 883 -6383 Fax (360)883 -6390
Fire Protectior3UnDING D WA COSCOFP110NM, OR 67508
Transmittal
January 11, 2013
TO: City of Tigard RE: Orchard Supply Hardware
13125 SW Hall Blvd. 10031 SW Cascade Blvd. -
Tigard, Oregon 97223 Tigard, Oregon 97223
ATTN: Plan Review Cosco Job Number: PD5103
Enclosed are the following : _ _
Item - Number Copies
Automatic Fire Sprinkler Plan FP -1 3
Hydraulic Calculation 3
Material Submittal 3
Permit Application 1
Architect review letter 1
Permit/Plan Review Fee check #2092 in the amount of $485.45 1
REMARKS:
THESE DRAWINGS ARE THESE DRAWINGS FOR :
1 Not Approved 1 Preliminary Approval
2 Approved By, Insurance Services Office 2 As per your request
3 Approved By Kemper Insurance 3 X Your approval and /or comments
4 Approved By W.S.R.B. 4 • Fire Department approval
5 Approved by City Building Dept. 5 Architect's approval
6 Approved by City Fire Dept. 6 For your use
7 X Approved by Architect 7 Record set for your files
8 With revisions 8 X Return (1) copies of each print
9 Approved by our staff P.E. 9 P.E. Stamp
10 10
11 11
12 12
Sincerely,
Copies To : FILE Cosco Fire Protection "
Je • ' - tea fl • roj Manager
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10031 SW CASCADE AVE, TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler Final
03/25/2013 00:00
FPS2013-00009
PASS - No C of O
Tripped the system and timed sprink to remote location not required under 500 gallons. 1
minute to timeout
Violation Summary:
Inspector Contractor