Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
"1 s COMMUNITY DEVELOPMENT Permit#: FPS2015-00034
T[4:ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/11/2015
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1100
Project: Spec Space Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire sprinkler alteration for TI: plug(2)and relocate(1)sprinkler head.
Contractor: MCKINSTRY COMPANY LLC Owner: LINCOLN CENTER LLC
16790 NE MASON ST., STE. 100 BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97230 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-331-0234 PHONE:
FAX: 503-331-6907
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/11/2015 $64.54
12%State Surcharge-Building 03/11/2015 $7.74
Type of Use: COM Plan Review-Fire Life Safety-COM 03/11/2015 $25.82
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 03/11/2015 $0.50
Occupancy Grp: Height: ft 11x17)
Stories: Misc Administration Fee 03/11/2015 $0.50
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: .10 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 $99.10
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,000.00
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
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: (p Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspectio -. e.
This permit card shall be kept in a conspicuous place on the job site until completion of the pr.ject.
Approved plans are required on the job site at the time of each inspection.
FROM :MCKINSTRY FAX NO. :5033316906 Mar. 05 2015 02:22PM P2
Bu-tldinz Permit A lie i , FINED
Fire Protection System 5 2015j°S�o/-S UO3y
lteceivcd PermitNO.
City of Tigard MAR Pt►le/By:. l0 / •
• 13125 SW Hall Blvd„Tigard,OR 97223 u Plan itnvicw Other Permit:
' Phone: 503.718,2439 Fax: 5'1.1 x1 tGARD Date/By: ►oil. gee l'aRe 2 for
Inspection Lino: 503.639.4175E Data Ready/By: supplemental Information
p BUILD DIVISION , No+tr.vmethod
Internet: www tigard•or. ING
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^ equipment,materials,labor,overhead,and the profit for the
®
Addition/alteration/replacement rntton/rcplat emcnt ❑Other
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❑1-and 2-family dwelling ®Commercial/iudtu+tnal
- Number of bedrooms:
❑Accessory building 0 Multi-family Number of bathrooms:
❑Master builder 0 Other
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FROM :MCKINSTRY FAX NO :5033316906 Mar. 05 2015 02:23PM P3
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
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1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 1
Number of alarm devices:
1-5 devices: Affidavit required and
❑ Addition or El 1-10 heads: Affidavit required and ❑ copies of sketch showing area
Alteration (3)copies of sketch showing arca (3)co P
to existing
of work within building strtitcture of work within building structure
systctn 6+ devices: Plan review required and
❑ '1'1+heads: Plan review required and ❑(
(3)sets of plans. (3) sets of plans.
V
Additional description of work:
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Additional 5tandj ipe ..
Information: Hazard Group Li ht
Density .10 .
Dcsi ', Area 1500 -
K. ( actor i 5.6
Project Valuation: $
1.000
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Hood Project Valuation: $c� (j
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Submittal shall Battery Calculations ❑ Ycs
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: 1,$
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Permit Fee: { I r N,{ 1 , '44,4000/V,.r p i, ,
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''1!:$(.''� . '{ u { , {,� 1 �I1,Ip r°}r4 hi{i{.n�, � �>'� �r'1 ,1y�3
001 to 3600 $24645 i r 1 1,,r {77 71 1i„dr', 1{i1'+{�{, r� I{1 a 4iSih,l,iE7 r I7 �1, .
3 .. 7: r , H,; ,7',o,i,'µJ•,n4 77 r �4"� xi r7 i"' i1
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3,601 to 7,200 $310.05 'i 'NIP, i,j.V0,,N,k� zl • 1;is1., {� illtib �r{6{1 4, ,,
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Sprinkler Project Square Footage: sq. ft.
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Project valuation subtotal (sec A,B&C above : $ - - .
Permit fec 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 : $
m TUTAL.: $ •
W:\Po9cerAN-K\ltussrll C c ntttvction\10(7:"4 Vti1'Ste,1100 t.n eoln"1'owei\i)Ul Con action\PeTrniUU\FPS-Permit App doc
FROM :MCKINSTRY FAX NO. :5033316906 Mar. 05 2015 03:41PM P3
RECEIVED
is
City of Tigard
lrsnrd,oli 97223 MAR 0 5 2015 PennitNo.: �/�So�O/.� 00039
Phone: 503.718.2439 Fax: 503.598.1960 r'd Date Received: �s /3".
�j _
Inspection[ne: 503.639,4175 t
CITY UIe [IVPIIt� I.
Internet: www.tignrd-or.gov By: I/ I
BUILDING DIVISION
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: V S P �
}-c. I10Q Occupancy:
Job Address: LO7.sO SL") C-). et.,11-tirAir, tt . Type of Construction:
Suite: i MO
Contractor: M C.rA nS- Phone: 5o ` 3 a r ch 3 Li
Number of Proposed or Altered Heads:
Type: ■/`l-e f Hazard: LA-31A Density: • (0
1, Pp/Iptil i ti ) 1 11., c-C-A-- Oregon Construction Contractors Board No. 11--2,t211
certify the folloiving 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.
h) Positions of sprinkler heads relative to architectural features such as soffits,beams,partitions,walls,etc.
complies with current adopted edition ofNFPA 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 I3.
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: 4 v 4 41 1� Date: 5) s ) /5. .
Print Name: A1 ;1 _ 14.41_2,C."0—C
:1Bui1ding\Forms\FlreSprioklcrAtfidavit 0715I4,doex Page 1 of on