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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 1114 COMMUNITY DEVELOPMENT Permit#: FPS2014-00125 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/24/2014 Parcel: 2S 102CC00500 Jurisdiction: Tigard Site address: 13600 SW PACIFIC HWY Project: Dotty's Subdivision: FREWING'S ORCHARD TRACTS Lot: 15 Project Description: Fire sprinkler modification: relocate(3)sprinkler heads and add(1)sprinkler head. Contractor: PARKER FIRE PROTECTION INC Owner: ROIC OREGON LLC 30205 SE KELSO RD 8905 TOWNE CENTRE DR, STE 108 BORING, OR 97009 SAN DIEGO,CA 92122 PHONE: 503-663-6278 PHONE: FAX: 503-663-7297 FEES Description Date Amount Specifics: Permit Fee-COM 07/24/2014 $77.99 12%State Surcharge-Building 07/24/2014 $9.36 Type of Use: COM Plan Review-Fire Life Safety-COM 07/24/2014 $31.20 Class of Work: ALT Type of Const: Occupancy Grp: Height: ft Stories: Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Standpipe Required: Hazard: Density 0 Design Area: 0 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $118.55 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,500.00 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 • ' ••. is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utili otification Cent- . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain py of the rules or•irect questions to OUNC • mg .0 32.1987 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 Fire Protection System I'+� . FOR OFFICE USE ONLY Ll City of Tigard Received JUL 2 4 201 widny < 1 Permit No.. ' ,g�/! I 11/1— 13125 SW Ball Blvd.,Tigard,OR 97223 _ ' Phone: 503.718 2439 Fax: 503.598 ly flan ft evteVi Inspection Line: 503.639.4175 ( Uatr fly: Other Pei /l roe !Y! TIGARD ��CI(„IW� Date Ready/Dv lures d(J!'7 v7, Internet www ugard-or.gov � Dotd-icd-MeDLud el Page 2 for � r P V r�rr _ _, Supplemental Information IYYI,' err RFQUIDED DA I'A I AND•2 FAMILY DWELLING ❑Net+construction — — [J Demolition Permit fees'arc based on the value of the work - rk performed. — ®Addition/aheration/replacement "- Indicate the value(rounded to the nearest dollar)of all ` ❑Other equipment,materials,labor,overhead,and the profit for the "- CATEGORY E;GORY OF'CONSTRUC'TION ' TM y" .)� ' work indicated on this application ❑ I and 2-Family dwelling ®Commercial industrial Valuation: S -- ❑Accessory building 0 Multi-family Number of bedrooms: - 0 Master builder 0 ______- — Other Number of bathrooms: JOB,SITE INFORitjA i ION AND.LOCATION - ,- 7- , - - ' Total number of(loors: Job site address: )3,600 $to enCllyl C rik.„..r C/k.„.. New dwelling arcs: square feet City/State/%1P:Tigard,Oregon 97223 Garage/carport area: square feet Suilelbldg./apt.no.: I Project name: Qc$T r IS ~� Y 7.•_�� Covered porch area: square feet Cross street/directions to job site: -' '-"- ---- ._- - Deck area: square feet — — r — feet Other structure area: square _ , ,. —_—_ fir la ^ ' a j ra fd > r ' ,..,7n"'16'. ,+` Subdivision: cue)a w. Lot nn• Permit fees.are based on the value of the work performed Tic map/parcel no.: Indicate the value(rounded to the nearest dollar)of all -- _^ =-- --- equipment,materials,labor,overhead,and the profit for the DES(RIPTION;OF•WORK f' work indicated on this application. Valuation: SSI,500.00 ./reL.CG/QZ� Existing building area: square feet .x/s �yieiti/�Ges --- _ 1 New building area: square feet q ❑ PROPERTY OWNER 0 TENANT- Number of stories: —~ Name: —•------1 F— - -------------- Type of construction: Address: _ Occupancy groups: City/Stater/II': -- - _ -_____ ~ -_.'- --- —____---.— Existing: x_ —_ Phone.( I Fax ( ) New- r ® ArrrlCaN7 ❑ CONTACT r zsor --- _ 13u51111.SS name. Parker Fire Protection Inc -- — __ All contractors and subcontractors.t e required to he Contact name:Robert Parker -I licensed with the Oregon Construction Contractors Board '-`"""-"""°" — under ORS 701 and may be required to he licensed in the Address:30205 SE Kelso Road jurisdiction in which work is being performed. If the City/State/ill':Boring,Oregon 97009 applicant is exempt from licensing,the following reasons Phone:(503)663-6278 apply: ( I Fax: (.503)663-7297 -- li-mail:pk.firc;msomcasl.nct __--_ CON'TRA61'OR �( opt t _§W`(ri•'{1 '!kt a h 1 b„ Business name:Parker Fire Protection Inc. apy,,,; ,_, Address:30205 SF.Kelso Road Permit fee: ---------------- ------ City/State/ZIP:Boring,Oregon 97009 - - State surcharge(12%of permit fee): Phone:(503)663-6278 — , FLS plan review(40%of permit fee): Fax:(503)663-7297 J (Due upon application) CCII tic.: 124300 --_..._.___ Total permit fees: - AulhorixetJ signature: -, :e°6411 1/f2jr -- — -� -- — Amount received: �I/,r, 55— This permit application expires if a permit is not obtained Print name:Robert Parker Date: 7-~241,_/ within 180 days after it has been accepted as complete. Fee methodology set by Tri-County Building Industry {'LuddingTrrmua`FPti-Pcnniu\pp dot RevUIOSt201?. Service Board. 440-761)7(!1'02120k1AVli13) A City of Tigard: Fire Protection Permit Checklist Page 2.Supplemental Information one 1.) New 2.) Ntodific.icicm to sprinkler heads only:: ID Addition E] 1-10 heads: No plan review required. El oAlteration 0 1 I+ heads: Plan review required. Repair Number of sprinkler heads: _ Additional description of work- Rei„ti4.-rt e p.,S'77 et.:- .1";es‹••44-4Ce hc .k)› 41 / Ne-t.4) t _ ol...$2221(222111plete...142iCcit:22.as a b A.) Commercial Sprinkler 4,4444, Wet 0 Dry Additional Stand i es Information: Hazard Group 1)ensiry Desi: Area K. Factor Sprinkler Project Valuation: $ 1,500.00 .B.) Type,I- Hood Fire Sutipression System lood t \'altiatton. %•1 C.) Fire Alarm ' ' , - ), t Submittal shall Batte Calculations Yes include: Individual Component El Yes Cut Shtick Fire Maim Project Valuation: $ ' 104 D.)=11,eideiltiA" /) (Stand Alone System) --- . , S.uare Footale: Perinit I.ee: Oro 2,000 $198.75 2,001 to 3,600 $246.45 '.■ 3,601 to 7,200 $310.05 7,201 andEcater $404.39 Sprinkler Project Square Footage: , sq. ft. . :i4,5t,i,:,aigkgf&.,tection Permit Fees . „st.f,,A47,1; Project valuation subtotal /sec .\, B & C above : 1 $ 1,500 Permit fee based on .ro.ect valuation 'see fee schedule : $ Permit fee based on square footage (sec 1)above): $ State Surcharge(12%of crmit fee : $ ri.s plan Review 40%of )emit ice : $ TOTAL: $ Plan review requires a completed application and three (3) sets of plans at submittal. Plan review fees arc required at submittal. \ pARKER_I\JA rvilmr 1.1)s_p„rmitApi,Lk, Itv tii/(5i2t12 City of Tigard Permit No.: PS, •1 -61049C III 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 Date Received: 7 2f Inspection Line: 503.639.4175 Internet: www.tigard-or.gov By: FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: I)p�`ts 7:1, Occupancy: /VAT P/421/0-6 Job Address: / 3 L OC) S W PAC IT/C }t t,c)c�. Type of Construction: 1% — Suite: ee-Otte-C-t-16 Contractor: 4Q,l /<el2 -I K'€ n> Phone: S-03-6 63 -CZ.?8 Number of Proposed or Altered Heads: 4 • Type: R?Ld,:ib L . Hazard: L-L9tt Density: f. I I, ROO e'er A Oregon Construction Contractors Board No. ) ZLL,3 6(:), certify the following is true and reasonably defines the scope of work for this project: a) All work is limited to drops and armovers in a light-hazard occupancy. b) Positions of sprinkler heads relative to architectural features such as soffits, beams, partitions, walls, etc. complies with current adopted edition of NFPA 13. c) The proposed work does not require hydraulic calculations. d) Only one sprinkler head will be installed from one drop (exception: up to two heads from one drop may be installed when each head is in a separate fire area). e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13. f) Tenant improvements in a new building shall be equipped with Quick Response heads(see 2002 NFPA 13, Section 8.3.3.1 for exceptions). g) The installation shall comply with the requirements of the current adopted edition of NPFA 13. h) Piping shall not be concealed until hangers and bracing are inspected. i) Final approval shall be subject to onsite tests and inspections. In addition, I understand the following is required: • Submit(3)copies of a sketch showing the area of work within the building's structure. • Building fire protection system permit. • A copy of this document with a copy of the sketch attached shall be available for all inspections. Signature: O -o Date: 7 Z y A Print Name: e Le79 fe }e 1:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1 rl `� LCD c_, Z .B... ID ���REFLECTED CEILING PLAN LEGEND REFLECTED CE L NG P.:.,GENERAL NOTES C1 • PM LOG.GLOO„O.,.r..T... .. �NON INO IN.0.0.1....NOA.LN4.. , N.mw ...,�. o ........ ."`"m"a`x. .10»..v,.-1 :o. e e 1. 11,00.'.....o..F.... p - ■���- 1Fr - 8A MILER """.> i��. ...•.W;K APCHITEICTURE PG L.L.017 L 0.1.0.10 AM. •10.O...N.,..a. •�O.0O..1G• 11.L¢.')[wK.w�[p1..1.e—re ��� l�a..t Y.P.C.•I4MT.i t»rtO V.D. �.e.y/ieK••.•.G[,M rr�•T� _ K»c.Y/.. MN..1.•DGpr.. ..YD N.....-0.00,104. r�A�' Q P/. Ek 3.133 WIWI FN.w.T SIM SO2 ..N......u ,.,p�.:.y.r'...1u © LAKE 003131.0/1.1011 .TO]6 'sr...sec,nom'-4w0 C.ra. . �fA.TSTOFTNfi NOTE. ;�� T _ .anon•,.,vi ren• 103.]. - tame won.v A assess...0110 rI.n404M P.T.AMY IPP.0 NIP n..4 DOW...r.'r.1.p ® SOa MOWN ..D•.lo"n 43 NWT.,TK.RI-.TO,•.p M•Il'2OT I��,��. . OOr.twn. AP.1111.0///lll ., i Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13600 SW PACIFIC HWY, TIGARD, OR, 97223 Commercial - Fire Protection System 999 Sprinkler final PASS - No C of O FPS2014-00125 Jeff Grove Violation Summary: Inspector Contractor