Permit IICITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I • COMMUNITY DEVELOPMENT Permit#: FPS2015-00196
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/15/2015
Parcel: 25101 BA00101
Jurisdiction: TIGARD
Site address: 7500 SW DARTMOUTH ST 130
Project: Icon Nails&Bar Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: Add(10)sprinkler heads for new tenant
Contractor: PATRIOT FIRE PROTECTION INC Owner: WAL-MART REAL ESTATE BUSINESS TR
4708 NE MINNEHAHA ST BY PROPERTY TAX DEPT STORE 5935-00
VANCOUVER,WA 98661 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 360-699-4403 PHONE:
FAX: 360-699-4485
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/15/2015 $102.20
12%State Surcharge-Building 12/15/2015 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 12/15/2015 $40.88
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 12/15/2015 $0.50
Occupancy Grp: Height: ft 11x17)
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 $155.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,200.00
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, o • • is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility ••. ification Cente . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or• ect questions to OUNC - g 503.232.1987 or 1.800.332.2344.
Issued By: 4-0/ Permittee Sig at: )111 (1141=1"//e •�
Call 503.639.4175 by 7:00 a.m.for the next available inspe. ion date.
This permit card shall be kept in a conspicuous place on the job site u til completion of the project.
Approved plans are required on the job site at the time of each inspection.
DEC. 14. 2015 4:08PM PATRIOT FIRE VANC NO. 8257 P. 2
Building Permit Application
Fire Protection System RECEIVED F.,0.,,,,.:1 St.u\l,l
City of Tigard Received
nalat: : 41 iy� Peat.No.: /15 pro/5=00/
l M� ' ]3125 SW Ilan Blvd.,Tigard,OR 9722 C 14 2015 Plan Review
Phone: 505.718 2439 Fax: 503 598,19 Other Permit, A4 4,710 15-00/.23
r I c i n I't r Inspection Line' 503.639.4175 Dnte Ready/15y: 71 la Sec Page 2 for
Internet; wwwtI and-orgov CITY OF TIGARD hot,Fed'MCdtad• /A /S� 1
s ft Supplemental
j I, ors r t r Q1 E.0/0 -P -7-7.e-a47/
4,4 41 I. '�q 41i ,1 .�4", 4 fl1l�t{a 5;k, 1�' ?G,,l7 I,O{r ik 11 ,,�,. . y� I ((i'1�ik. ' 1�[r ( .�'' 11 vt T•u'.y1,{!L�'ii i i,ty ,i l ICI in 1t a .
! n, .( � �:� 4',._ * fl, fAl'.''''' � 1 ��Ft� nt�n�u�f�+�At'i1�1�l n d�,t 1:I���r.�llh��;
❑New construction ❑Demolition Pe • fees*are based on the value of the work perfo. ed.
Indica' c value(rounded to the nearest dollar)o . 1
❑Addition/alteration/replacement ❑Other �1 cava equipmcn atenatis,labor,overhead,and the ••tit for the
'L, r , l(No, .«i„, ?, . ki ,,-. ' f 1 4 t[CT YX.7K1,7W.,,,,L t" ,sil, '"'NAV work indicate, on this application.
❑1-and 2 family dwellingValuation: S
12 Commercial/industrial
❑Accessory building 0 Multi-family Number of bedroom'
—
0 Master builder ❑Other: Number of bathrooms: IF
11t r 11 I.liri{i L , u it1�N°ul a• srM bynR,y9. ,'r —
r!.'iilhi;i�`P It,ti;i"1 I ltl tll!t.1 5; ." 4ni�,',V, O:k 57. a�r e ,,V, a,11a #`
,. ^t ;� l+1+ � ' e Total number oft)oors•
-7 Job site address: -71-70-SW Dartmouth Street New dwelling ares quare feet
/ City/State/ZIP T Bard, P, 9722 ll Gar o
/CZ/kJ Garage/col-pc• eine' squ a feet
• Suite/bldg./apt.no.; t Project name: •••'Orator' Naj,l6 COvcrc. .orch area: square c
Cross street/directions to job site: SW 72th Ave Dc area. square feet
•her structure area; square feet
' 1
v.. d *rd io'7 p'u ,ie,.a0! ilaytl. i"..c ,iihs- e?,,^ l
Subdivision: I Lot no.; Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no
equipment,
—
materials,labor,overhead,and the profit for the
4i;','11.{, I0, ir,11i;1i'! J , +, 7p rile"iM ; a`��l n"'(r' ,;,a uri ' ;� work indicated on this application.
.:..�,rA, .s:,t�n!,It'> w•�w..�Yrnw7,�tax+t.io�•If �.l,
Add sprinklers to accommodate new tenant valuation: S 2200
Existing building area; satr,e square feet
New building arca: same square feet
,,,A�,..+ `,,,",� t r4t' r ia{ 1F1(lA"*'l.a +rA,';°r'�4.1w Ai el In '4\4'4tlr ?!.Nli"':;tVia Numbcrofstnries' 1
Name Signature Nails Type of construction' SB
Address: X600 SW Dartmouth Street Occupancy groups:
City/State/ZIP' Tigard, OR 97223 B
Existing:
Phone;(50 3 )319 3801 Fax:( ) $
b
Near.
u M+� w� o�m=
h,,l ti I .i { {5{„ 'R ',VV�yy,,4y���i�gg�,�j, it` .k t:1 t^E'`''I 4;VNii;,..rft+Y-��ti {�t pi f�A,,]]° 1 {•I 11 l �, 1 I
11•, Pri� ,.J' tt a 0,4, ••R7- --'';:rte,,Y1t ilA,-•-•..Fr,., * s�ia. n, 1 •' .,f.,''' a !O 1 i..� 1, J' Itr{lll•1�mimic"N
Patriot Fire Protection, Inc ki ul.r�2 NI . r� �� 9� i �°'
Business name. All contractors and subcontractors are required to be
Contact name: Ted Baker licensed with the Oregon Construction Contractors Board
4708 NE Minneh�rta Street under OILS 701 and maybe required to be licensed in the
Address' jurisdiction in which work is being performed.If the
City/state/ZIP. Vancouver, WA 98 661 applicant is exempt tom licensing,the following reasons
` apply:
'\1a3' Phone:(360) 699 4403 F !,(360 ) 699 4495
E-mail: ted.bakerapatriotrire.com
Y ii i i+ S 1 x .ti �11. 't 1 y1�,��{��Q. } vi,. 'FI r-t,xxff���� I'A '1 �N
k .P y .,i 1'n,I `;i\ea ri .(6, u,i� � > l;' i tTtf`(tfCl iSl�kd°tt'Uy,�illl;y`i'j,+ 16-44,;-:$,--:'N.,541�4Ct.,1.- /{1( t)�1y{yy�a+�}a,'y!e1 i �;,.
la is 1 :1 4 d 4 tli 4 �
Addinessname' same as above
� Permit fee'.
Address:
a. City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone'( ) Fax:( ) (Due upon application s•ubmutal.)
14,
CCB lic.: 70822 Total permit fees:
Authorized signature;
K
Amount received: 1/55, ge/
This permit application expires if a permit is net obtained
Print name: Ted Baker Date' 12-14-1E withi4180 days after it has been accepted as complete.
* Fee methodology set by Tri-County 13uilding Industry
Service Board.
rauildtgr rmars4FPS-Pen a.pp_071514.doe ::.0.:613T(11l0hICOM/WE4)
DEC. 14. 2015 4: 09PM PATRIOT FIRE VAMC NO. 8257 P. 3
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information =1 r'iIIrr!ri i ;: ` ::`* kt`i ' c'a: ,�F,1,',1r,;1I ;i : 1itailIt,. . Gt ' �� 1t ' TL,, uiI' L �
_ , i
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
10
❑ New system Number of sprinkler heads: Number of alarm devices:
ID Addition or M 1-10 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 requited and ❑ 6+devices: Plan review required and
(3)sets of plans- (3)sets of plans.
Additional description of work:
'‘411a1.7
ro.4 a.^1 �n�,,'.vt a ',rig,,,.w ✓r't'• t E f Y f Ohl r °
i rxla tt� ® Y��.iiRmx9. '�j'��` �t 10 D F. �?s^°' °I �iy,�r I"FLk !t ry �I i !i t ` e tori � 11� � Y I ili N 1
p �i{, '�:`�.Iv. {•,d.,��H '� •L� 1,�,,�1t:�I�,.., ������la:ltt� � �t.� � 1�:�f .i'���"�1
1.. )i 7,,{{rt�llgrl"'1x�14K�r�.''� i e- �# 11 1'{`i i tM� wrt },i;i i 1i'.: Jf .. Y YI.. §1•'� �tl nr 1 r =. r il'ilf.^fie t !•^•! p(`,rrn, y q.
�7l7t'1i ttl�it�ll•42i`!� I;ir•`E >t}i,;Y{ f ,,,,ii ' i'Y. 4.'! 1lt i,.} ` ui'l1i�+t `l i �rl ' '1 .f �I11 t,.iiyl I' }II, rfu' ills. t I Iii 1}�(.
1!j r4 ,:a "l"i .3 , t r., .iJdr `fit wl I .f �j,/,,,A' I � 1 � �i tl� �flCJ111I {
t.l r i lr' 6 M ° �,� x1t:r A r x r'lA'�'`y o Ya} �a i' !, , �`, 6r H t J iit f
.rtTiti,at 1 11fCi7;Flf$r m4 r f"An6A47 1 ix a :6 a k 1. i, �m ilar' it G 1'
❑ Wet ❑ Dry _
Additional Standpipes
Information: Hazard Group
Density
Design,.Area
K Factor
• Sprinkler Project Valuation: I $
1.yilL 44.4, e0 vi ,rciou,a� w %I � A•4;,, io, iitiiitffilI Aiflt1Viii }y
Hood Project Valuation: 1 $
' 4!!�` 5yd+f{ '^ +.5ry i "lki ,tit `{' .,o.,,, ti,_ptJ , '))yy , 1 ,"'1 t , 1;IYt41glgt1 ,,''r 1 ;1 j!! Yl�4Iji,, it r ffa,
1 �,I1�lli�l"�4,`J�v;l 01 PF�j}7•,1{'V 19� .,.WFC ,.vey.•f. 1. '• t Cit !1 T 17 7f,il) rt' t .Il• �1J 1i,` j'll �l 1 it}1 I ' ' (4
t� !,� 16 o± ,cFiot,As, ,, r�! j1, ,.off, . 1. �, � .0', :. r'f ri)(i ,,a , 1�t i'' ,1; i fffl�ft 'TTT � i�l l , tl '11 t
(k!t', ii, e ��I ._h {\Y✓,!-rw ', ASla.•.,wf �' ,,, 4•rc) yli4," ra , is 1t 11.7, A �tY lA 11 �� ��� �pl
Submittal shall Battery Calculations ❑ Ycs
include: Individual Component ❑ Ycs
Cut Sheets
Fire Alarm Project Valuations I $ _
1 : : � r� t ":',.''?''-'7‘ t r i o 1. }— EE r y�F I 1 i•
'' r 0 4 l tiMP l { 4y „ �( . F: iI I ! ,1 }I 1 71 I I
! � � E;c Sli� :;r , xlr,x aF r't�x�f •,� � , i I�;F �f F , f tt F 1
IrILMINSIIMPRIV44,44'''
� t� .° d� 1, ,�� r � lr .. '+ t 4 ,�,�,� �rlr4,fe tll , , �, Y 1t?1�����ti It� Y1 11'�f � � ' f�� I�11D CJ r }o i o }yy�, ��� �' ° +°+�� 6 n � a� � '! f '..!d,^^ l}`p l r Y1�x�4h:�,�7 t ii'r It �1{t k t�7
� ii ? tliit 2�rPt%N*F. �rii�a. %,O�A.r':�7, .R�.:r91L4F1., . '•.r 2.04. JA. {Y '�" "'� �IY rLJd`.}tuii57 `,tr, 1 S ,l ltr J x11
S.uare Foota•a Peanut Fee: t i1 t•! ,
I {
e rnYi 1
0 to 2 000 $198.75 si t!111,1411;4111111.{{9 �1i1t �� r.i'
2,001 to 3,600 $246.45 • {j�1 1 1II,
1 I il I jil E rl i i
3,601 to 7,200 $310.05 i�, h , + p y)i
7 201 and • eater $404.39 z'1�lH •ti:. t r l'''11 I ! lt��;t Id I j Nt?#L
Sprinkler Project Square Footage: sq.ft.
Ni(•' i.17 ! fr" )y1,'4/�sP" ,SIM crRi ,• t:ato t� t'•I a;',3',`a e ai��+ 1: � 11` f �.ti,,A �7�m�y' )) yy i�{�[�py H� ����{y l�ryp y
Ill. t � 1'.1rAl 119�� �Y,n K, �. ��. �-�1rliF��r''r��i��. 1'.Y?lf� l�f!]ft���tiLLVLlfit�ll�� P�{.I 11C
Project valuation subtotal(see A,B Sr C above):
Permit fee based on project valuation(see fee schedule):
Permit fee based on s.uare foota_e(see D above:
State Surcharge.(12%of permit fee): $
FLS Plan Review(40%of permit fee): $
TOTAL: S
\\pnuiotar':local\dfs\VAN Proide8\md.baket\Downloads\F'S PermicApp.doc 2
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
7500 SW DARTMOUTH ST 130, TIGARD, OR,
97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2015-00196
Chip Barnett
Violation Summary:
Inspector Contractor