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Permit
1111 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 8 COMMUNITY DEVELOPMENT Permit#: FPS2015 00080 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/06/2015 Parcel: 1 S 135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 400 Project: Bridgewell Resources Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Relocating(5)sprinkler heads for TI. Affidavit submitted. Contractor: PACIFIC FIRE SYSTEMS LLC Owner: LINCOLN CENTER LLC 6704 RIVERIA CT BY SHORENSTEIN PROPERTIES LLC WEST LINN, OR 97068 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503-710-6646 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 05/06/2015 $61.85 12%State Surcharge-Building 05/06/2015 $7.42 Type of Use: COM Plan Review-Fire Life Safety-COM 05/06/2015 $24.74 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 05/06/2015 $0.50 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No 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 $94.51 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $867.00 Residential Square Footage: 0 Fire Alarm Valuation: $0.00 i 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. Budin2 Permit Application �,re ,coIec/ /CJ/V Sy5irrn) 1(Hz OI 11( I I til t),I 1 14 City of Tigard Received: Apirn � Permit No.: ag S l 5 0 A i 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review p Phone: 503-718-2439 Fax: 503-598-1960 tal �{ Da te/By: Related Permit: au!A/S/yy�R"Q'I I c,n It I Inspection Line: 503-639 4175 � V Date ReadyBy: tug' ® See Pagee 22 ffoor 6+u.i�Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK 40 0 6 C° REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition tUMtP Permit fees*are based on the value of the work performed. vt. r Indicate the value(romded to the nearest dollar)of all , ition/alteration/replacement ❑Othect1N taN1Sw'' equipment,materials,labor,overhead,and the profit for the CATEGORY OF CON V work indicated on this application. El 1-and 2-family dwelling t -eorfimercialIindustrial Valuation: $ El 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: 1,0 Z00 5,„„) C...,R Q7E0 GO Z../..... New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.#: kf :47 Project name: '' G .„ Pn �c� 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#: Permit fees*are based on the value of the work performed. Tax map/parcel#: Indicate the value(romded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the !� DESCRIPTION OF WORK work indicated on this application. R tE., LDC-A,i ' k41,4 Valuation: lgeggS $ Q Cen es0 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: Phone:( ) Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: 4S .1D� review refer( r deposit): Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: / City/State/ZIP: Total fees due upon application: . 4 Cj y 9-/ Phone:( ) Fes; ;( ) Amount received: E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* COiVTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: — fit tr�1 C.r [�' � -S`/t) � Submit two(2)sets of roof plan with connection details 7 and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. �,p'�© �' bZ.r 4. f,�RZ.Ar Cf 6 n ty City/State/ZIP: Lo , L--+` 0 t� 0 9 To 4,Qj Permit fee(includes plan review $180.00 and administrative fees): Phone:(t3) —1 t,0 r t kcisot_ Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lie.: k ea,c, t 4k O Total fee due upon appication: $201.60 Authorized signature: -• - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Print name: M�. �_ Date: rj,-1(r t. [ Service Board. I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-46131(11/02/COM/WEB) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additi►'ns or Alterations T I G A It l) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 5. .718.2439 • www.tigard-or.gov REQUIREMENT: OREGON REVISED STATUTE 'i RS)447.241. (1) Every project for renovation,alteratio .r modification to affected buildings and related facilities shall be made to insure that e path of travel to the altered area and the restroom, telephones and drinking fountains . - readily accessible to individuals with disabilities unless such alterations are disproportion e to the overall alterations in terms of cost and scope. (2) Alterations made to the path of a ,vel to an altered area may be deemed disproportionate to the overall alteration when th- ost exceeds twenty-five percent(25%). VALUATION: Total of all renovation,al ration or modification being done, excluding painting and ' , papering: [I] $ MULTIPLIER(25° barrier removal requirement): x .25 TOTAL BUDG FOR BARRIER REMOVAL: [2] $ ELEMENTS: In choosing .ch accessible elements to provide under this section,priority shall be given to those el ents that will provide the greatest access. Elements shall be provided in the following der: (a) Parking $ (b) An a• essible entrance: $ (c) . accessible route to the altered area: $ (d) t least one accessible restroom for each sex or a single unisex restroom: $ -) Accessible telephones: $ (f) Accessible drinking fountains:and, $ (g) When possible,additional accessible elements such as storage and alarms: $ TOTAL(shall equal line [2] of Valuation Computation): $ I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014 City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work to be done: 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: Number of alarm devices: (Et-Addition or ill heads: Affidavit required and ❑ 1-5 devices: Affidavit required and Alteration (3)copies of sketch showing area (3) copies of sketch showing area to existing of work within building structure of work within building structure system ❑ 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and (3) sets of plans. (3) sets of plans. Additional description of work: Type of System(Complete A,B,C or Das applicable): A.) Commercial Sprinkler ArWet ❑ Dry Additional Standpipes Information: Hazard Group Density / ( ;_;"c Design Area K. Factor c. L. Sprinkler Project Valuation: I $ 4 6 �l B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ 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: $ I:\Building\Permits\FPS_PermitApp_071514.doc 2 Building Permit Application Fire Protection System FOR OFFICE USE ONLY Rcce� ed City of Tigard Date/B : Permit No.. ;� • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 nate/By Other Permit: Luria: ® See Page 2 for I I C;A R i i Inspection Line: 503.639.4175 Date Ready/By: g Internet: www.tigard-or.gov Notified/Method: Supplemental Information _ TYPE OF WORK RE !RED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Pe t fees* are based on the value of the work performed. In mate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: uipment,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: New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: 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 . 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 WO' work indicated on this application. Valuation: $ 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: Phone:( ) Fax:( ) ew: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contracts and subcontractors are required to be Contact name: licensed with e Oregon Construction Contractors Board under ORS 701 d may be required to be!Lensed in the Address: jurisdiction in will• work is being performed.If the City/State/ZIP: applicant is exempt •sm licensing,the following reasons apply: Phone:( ) I Fax::( ) E-mail: CONTRACTOR BUILDING PE' IT FEES* (Please refer to fee,cchedule) Business name: Permit fee: Address: - State surcharge(12%of permit fee): City/State/ZIP: FLS plan review(40%ofpermit fee): Phone:( ) Fax:( ) (Due upon application submittal) CCB lie.: Total permit fees: Amount received: Authorized signature: This permit application expires if a permit is not obtained Print name: Date: within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. r:\Building\Permits\FPS-PermitApp_071514.doc 440-46131(11/W.COM/WEB) City of Tigard Permit No.: j'/qS /5= ii) III 13125 SW Hall Blvd.,Tigard,OR 94 s y Phone: 503.718.2439 Fax: 503.5'. t �/ t Date Received: R Inspection Line: 503.639.4175 Internet: www.tigard-or.gov By: -^ PSI A` FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: T5Z")am Z��w Occupancy: Job Address: 1-0 210 5 4.4 ( Z) Type of Construction: Suite: 'OO Contractor: �QrC� r'L Phone: 'D 3 A 11-1'—' 14'L Number of Proposed or Altered Heads: Type: Lj.4j j Hazard: LL(-1-114C— L& Density: d t 0 I, kg.,4 Oregon Construction Contractors Board No. I Q, • L 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: Date: Print Name: `CEJ Mp;'" I:\Building\Forms\FireSprinklerAffidavit 071514.docx Page 1 of 1 P n a r w r RE cEivE if MAY 62015 ii119 €6x`°;8" ::::::��•_■■■ : __��..--■�.. 1;11'Y 01 1'1VAR1) li �A i Q ig ri.rso mminummi romm o.rii■ob� ILP�Nr DIVISION 1111._,.-:r■■ _.■■..I.1,2 _. ■MMINK.I bP gl i i; ■•l■•■.Y■■■■■all la tis■►_3■=11■O+ sIt a IgA Qp iiiD..Uia il•u..UuuO iiio ii=o i i•1is�psi II 4 H g 1 g 1111■■L.••■ca.■■■•■■■■•■.■•❑■.■■••1111 ■ 1111■►3'�•■��I R €g E 1 -----'1■■■u■■■■:■■■.r7■■■■■_�■.■■P7■uu' u•i�■■\►_��--- - J■E:►1■R i■■►"•a■■LJ►a■■►_IIMC:4LJ►a 1111-.- ■•■■■ °4 11••••■■.■■\•■••••••■u•■■••••••••••• u!ua•■ •►Ca■•11 g:g � � ■■O.••■O■.:.0■oo•••ua•••■■■■■■■■■■■1111 •••■■1113■•■■•OII . 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