Permit ; ` FIRE PROTECTION SYSTEM PERMIT
IN
CITY OF TIGARD
a COMMUNITY DEVELOPMENT Permit#: FPS2013-00168
T i G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/13/2013
Parcel: 1 S134AA01900
Jurisdiction: Tigard
Site address: 10115 SW NIMBUS AVE
Project: Scholls Business Center Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: B
Project Description: Replacing(34)dry sprinkler heads for TI. Review plans in the field.
Contractor: COSCO FIRE PROTECTION INC. Owner: ROBINSON,CONSTANCE A
2501 SE COLUMBIA WAY SUITE 100 BY KILLIAN PACIFIC LLC
VANCOUVER,WA 98661 500 EAST BROADWAY, STE 110
VANCOUVER,WA 98660
PHONE: 360-816-8418 PHONE:
FAX: 360-883-6390
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/13/2013 $112.96
12%State Surcharge-Building 11/13/2013 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 11/13/2013 $45.18
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Dry
Standpipe Required: Hazard: LT
Density: .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:
I Total $171.70
I
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $3,895.00
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 • calling 503.232.1987 or 1.800.332.2344.
Issued By: 101-'' , - , Permittee Signature: /' ` /�
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. c
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 APDlicatio> I
• Fite Protection System 1=c,lt(,l t•lc i.: iisl:ONLY
NOV 1 3 2 013 Received Permit No. i
City of Tigard ,Mery : //� �;I. 'So20/3 0/6,
° 13125 SW Hall Blvd.,Tigard,OR 972 Plan Plan Review
' ■ Phone: 503.718.2439 Fax: 503.598.tiag Y OF TIGARD oateB : Other Perm_ _ ii Ii
T I G A R D Inspection Line: 503.639.4175 BUILDING DIVIStOhr Date Ready/By: ® see Page 2 for
Internet: www.tigard-or.gov Notified/Method: Mil Supplemental Information
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
0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION_ work indicated on this application.
❑ 1-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:10115 SW NIMBUS AVE. New dwelling area: square feet
City/State/ZIP:TIGARD,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:, Project name:Nimbus Center Façade Mnt. 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
• DESCRIPTION OF WORK - work indicated on this application.
Replacing 34 Dry Pendent Sprinkler heads.. Same type of heads at same location Valuation: $3,895.00
as current sprinkler heads Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER , . , ❑ TENANT ` Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
B
Phone:( ) " Fax:( ) New:
® APPLICANT ® CONTACT PERSON NOTICE
Business name:Cosco Fire Protection All contractors and subcontractors are required to be
Contact name:Ken Molinari licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:2501 SE Columbia Way Suite 100 jurisdiction in which work is being performed.If the
CitylStete/ZIP:Vancouver,WA 98661 applicant is exempt from licensing,the following reasons
apply:
Phone:(360)883.6383 Fax::(360)883.6390
E-mail:kmolinari@coscofire.com
CONTRACTOR i BUILDING PERMIT FEES*
Business name:Cosco Fire Protection (Please refer to fee schedule)
Permit fee:
Address:Same as above
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lic.:67508 Total permit fees:
� Amount received: /7�. 70
Authorized signature: �
This permit application expires if a permit is not obtained
Print name:Ken Molinari Date: 11/13/13 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building'Permits\FPS•PmnitApp.doc Rev 01/05n012 440-46131(1 vovCOM/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 El 1-10 heads: No plan review required.
El Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: _
Additional description of work:
Type of System (Complete A,B, C or D as applicable):
A.) Commercial Sprinkler
❑ Wet g' Dry
Additional Standpipes
Information: Hazard Group `T
Density a I
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations El 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): $
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 three (3) sets of plans at submittal.
Plan review fees are required at submittal.
L:\PS 7261 Nimbus Center Facade\Permit Docs\PS7261 Nimbus Center Facade FPS-Pe2mitApp.doc Rev 01/05/2012