Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
:1111111 3 COMMUNITY DEVELOPMENT Permit#: FPS2015-00101
TIGARD 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 Date Issued: 06/24/2015
Parcel: 1 S135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 305
Project: Matrix Absence Management Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Relocating(2)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 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-710-6646 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/24/2015 $61.85
12%State Surcharge-Building 06/24/2015 $7.42
Type of Use: COM Plan Review-Fire Life Safety-COM 06/24/2015 $24.74
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 06/24/2015 $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
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 1.800.3322344.
Issued By: Permittee Signature: A
Cal• 175 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.
IN
Building Permit Application
--d l i i ieial' R'rt pro I C c-1 7‘O N Sys-it/y, I t I Ii ,I I I I( I I ',I ()NI 1
City of Tigard Received DateB : / ;0j Permit No.: "' J a is— J. •
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �p
1 Phone: 503-718-2439 Fax: 503-598-1960 Date/By: Related Permit:et, i(>---C,01 7P
T I U A R D Inspection Line: 503-639-4175 `� Date Ready/13y: Jude: 61 See Page 1 for
Internet: www.tigard-or.gov Q�GG� Notified/Method: Supplemental Information
TYPE OF WOI ¶ REQUIRED DATA:1-AND 2-FAMILY DWELLING
El New construction ❑Demmoo7lit' ��GAS 0 Permit fees*are based on the value of the work performed.
.�` Q\I Indicate the value(routded to the nearest dollar)of all
❑Addition/alteration/replacement ❑lWJreO�NG equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSIICIJCTION work indicated on this application.
El 1-and 2-family dwellinge0mmercial/industrial
Valuation: $
ID Accessory building El Multi-family Number of bedrooms:
El Master builder 12 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: t0 -&-L 0 tJ cal y�Sa New dwelling area: square feet
City/State/ZIP: ---t--\(...,, fl'. Garage/carport area: square feet
Suite/bldg./apt.#: 5 Project name: M -c-g.A Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square fcct
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel 4: 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.
-�I.G U0 C.P61 It- . `, �}-l�s ?C----X- � Valuation: $ �����
��� Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer rota sc*edale)
Business name:
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Amount received: 1 ii Phone:( ) Fax: :( ) f
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: k7R U TA e,_ `Z,� Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: ( , 0 A- --?-4.) t E.? c--7— Solar Installation Specialty Code checklist.
City/State/ZIP: LAD S1- 1,1,43 j 0T- c170 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( .7) 1 to ._ ` `Z- Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: t ea Q t Ay° Total fee due upon appication: $201.60
Authorized signature: This permit application expires if a permit is not obtained..V.,
within 180 days after it has been accepted as complete.
Print name: $!c— f(\,tettt. Date: Ce—.2....A.—( * Fee methodology set by Tri-County Building Industry
Service Board
IABuilding\Permits\BUP_COM_PermitApp.doc Rev.0421/2014 440-4613T(11/02/COM/WEB)
I\
1
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
i II ■ Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order.
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) 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_PemritApp.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: 2 Number of alarm devices:
Addition or -10 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 D as applicable):
A.) Commercial Sprinkler
-Vet ❑ Dry
Additional Standpipes //I*
Information: Hazard Group L-f
Density a.
Design Area 1'5-CZ
K. Factor- •a. L-
Sprinkler Project Valuation: $
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): $
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
City of Tigard Permit No.: FPS 201 C----dot V
• 13125 SW Hall Blvd.,Tigard,OR 9720�CEIVED
Phone: 503.718.2439 Fax: 503.598. 9 Date Received: WAR LOS--
Inspection Line: 503.639.4175 �t
Internet: www.tigard-or.gov JUN 2 3 2015 By: v'Z''tfJ� val eY-
FIRE SPRIT �, ,,VIT FOR ALTERATIONS
le
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: M Occupancy: L.• 6 C_9
Job Address: \O Z?-D e--7v3 t�7 - ��\ZC� Type of Construction:
Suite: '3o
Contractor: ---0:1s Y.r`, c i?i- Phone: co'3 `1 L D - l `L
Number of Proposed or Altered Heads: Z
Type: Hazard: L-1c.Ve ' Density: v `0
I, �`� N��c c�ZL1 Oregon Construction Contractors Board No. t, c'7 \
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:
L\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1
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
10220 SW GREENBURG RD 305, TIGARD, OR,
97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2015-00101
Jeff Grove
Violation Summary:
Inspector Contractor