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Permit (144) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT .71 COMMUNITY DEVELOPMENT Permit#: FPS2016-00202 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 11/30/2016 TI[. r11F1) 9 Parcel: 2S112DA01300 Jurisdiction: Tigard Site address: 6640 SW REDWOOD LN 300 Project: Portland Clinic Subdivision: 1996-048 PARTITION PLAT Lot: 1 Project Description: Adding and relocating(9)sprinkler heads for TI. Affidavit received. Contractor: WESTERN STATES FIRE PROTECTION Owner: PACIFIC REALTY ASSOCIATES 13896 FIR ST STE B ATTN: N PIVEN OREGON CITY, OR 97045 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-657-5155 PHONE: 503-624-6300 FAX: 503-657-5182 FEES Description Date Amount Specifics: Permit Fee-COM 11/30/2016 $156.00 12%State Surcharge-Building 11/30/2016 $18.72 Type of Use: COM Plan Review-Fire Life Safety-COM 11/30/2016 $62.40 Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 11/30/2016 $2.00 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: No Sprinkler Type: Wet Standpipe Required: No Hazard: LT Density: .10 Design Area: 0 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Yes Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $239.12 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $8,000.00 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 dire estions to NC by calling 503.232.1987 or 1.800.332.2344. Iss ed By: Permittee Signature: 7054 i dcf,„ 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. OFFICE USE ONLY Building Permit Application t-- -- --IT , City of Tualatin 0 !..14 0 E g - jri ,.. xti,:),,,,,. ,1 :, %. -- Date received: /7/36//44 877—Permit# OqS;)(,)/6-069C17/- 18880 SW Martinazzi Ave. 0, %11%. Tualatin,OR 97062 L3,../y0A'(:)14,—Ct)3...AA mil' / fi ,,,ni Date Issued: By: Receipt: Phone:503-691-3044 Fax:503-692-0147 www.tualatin61:04.4mrg 4.1)vu I_U II TYPE OF t4114/OF 115(3ARD : ,5 REQUIRED DATA:.1r AND 2-FAMILY DWELLING D New construction Iii P PO)f)riliqDV:S l(TA Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all IN Addition/alteration/replacement D Other: equipment,materials,labor,overhead,and the profit for the CATEGORY CONSTRUCTION ,.. . - it' ,,. 4" .'", work indicated on this application. _ 2:: ' A .:4.' % '...; ':' Valuation D 1-and 2-family dwelling El Commercial/industrial Number,of bedrooms: 0 Accessory building 0 Multi-family 0 Master builder 0 Other: Number of bathrooms: JOB SITE: It --, /10N AND'zkocATION '457 .5 5f„,55 ,' ,..,1 Total number of floors: „.=', ' ' x," = , = ' t - 1,--,c,,,,... .: -;'':.1 Job site address: 6440 5,„) Red,A,„,,,a L , New dwelling area: square feet City/State/ZIP: TVAled4rit OR C17 221-1 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: )90,-/-1441 6....1,1, \ - Covered porch area: square feet .L Cross street/directions to job site: 3,DI Pk., 11 Deck area: square feet Other structure area: square feet REQUIRED DAfk':eoiiii itiaik'.:::-,cA.i6kusi , ,r,.• ,--, Subdivision: 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 DESCRIPTION OF WORK '55'5'5 5 5. .' '. work indicated on this application. A4t6t/ fAkc , 1)-1":'(\11,(-tA'S tv4 out,earhiedtvitt ---( Valuation $ az, , o,vin,„1,,A p.c.,- A)F Pt l 13_ Existing building area: square feet New building area: square feet 1 PROPERTY OWNER 9 TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ripoucf-f' 1,..,;- , 7;,..t.,! ..t. 1,,,,,c;,: "r*Prrf:fiitifiiiciii! ,.f. ., -,,,,7-,:w„. -,- ,-.77.:',.., -71-74,:n •:, ' -,...',,,V• ''",, -i- 11, 1, ''' 4'''.": '74 :t.: k IPEES* 4 '- Business name: WESTERN STATES FIRE PROTECTION CO. Please refer to fee schedule Contact name: a-cts /11,-114".....-- 11 I FEE TYPE AMOUNT DATE Address: 13896 Fir Street, Suite B PAID PERMIT FEE City/State/ZIP: Oregon City, Oregon 97045 PLAN CHECK FEE Phone:( 503) 953-4744 Fax: :( ) (Due upon application) E-mail: joshua.miller@wsfp.us FIRE LIFE SAFETY FEE (Due upon application) CONTRACTR. / / ,>:,, .,- , = . STATE SURCHARGE Business name: WESTERN STATES FIRE PROTECTION CO. (12%of permit fee) i OTHER Address: 13896 Fir Street, Suite B TOTAL FEES City/State/ZIP: Oregon City, Oregon 97045 Phone:( 503) 953-4744 Fax:( ) NOTES: CCB lie.: 104570 METRO or City Bus.lie.: Authorized signature: -754 ittakt4.... This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Josh Miller Date: I V 3071 6 * Fee methodology set by Tri-County Building Industry Service Board FOR OFFICE USE ONLY City of Tualatin 18880 SW Martinazzi Avenue Back Page Information Tualatin,Oregon 97062-7092 For All Main: 503.691.3044 Fax: 503-692-0147 Permit Applications www.tualatinoregon.gov Permit Number: Receipt Number: Date Issued: i e 'mit Fee TFee AmotT DaterItm, Building Permit Plan Review (65%) Fire, Life, Safety(45%) State Surcharge (12%) Plumbing Permit Plumbing Plan Review (25%) State Surcharge (12%) Mechanical Permit Mechanical Plan Review (65%) State Surcharge (12%) Erosion Control Eros. Cont. Plan Review (65%) Metro CET (.0012 or .12%) School CET TOTAL AMOUNT DUE ., a ment)[+ s 7 _fes s" gale? s. ..�'z t . Sewer Connection Sewer Inspection Water Connection Water Installation Storm Water Quality Storm Water Quantity Traffic Impact Fee Park Fee Other: TOTAL AMOUNT DUE Special Information and Conditions Rev 10/2013 ro" 8ITYOSWMart ATIN Avenue oveci n FIRE SPRINKLER AFFIDAVIT 88oFOR ALTERATIONS OR Tualatin,OR 97062 TENANT IMPROVEMENTS (503)692-200o NOV 3 0 2016 (1 TO 10 SPRINKLER HEADS WITHOUT PLANS) fl (503)692-0147(FAX) " , r ' .4 Rtitu ,, x � Building Permit No. >=l'S. jit. 00 (Please print the information clearly.) Project Name: Pork 6,111„;,_ — 3,11 Roc).— T1 Project Address: bego 3k) Ret"r L.a.1 Tv0kmy Or 972711 Contractor Name: Western States Fire Protection Contractor Address: 13896 Fir Street, Suite B, Oregon City, OR 97045 Contractor Phone Number(s): 503-657-5182 Occupancy: q Type of Construction: Number of Proposed or Altered Heads: Type: WET Hazard: LIGHT Density: 10 I, Josh Miller Oregon Construction Contractors Board No. 104570 certify that 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 the current 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 1999 NFPA 13, Section 5-3.1.5.1 for exceptions). g) The installation shall comply with the requirements of the current adopted edition of NFPA 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: • A sketch attached to this document showing the area of work within the building's structure, and • A copy of this document shall be available for all inspections. Signature: 7Date: I 1/36/11, M:\Word\Bldg Forms\Fire Flow-Affidavit Revised: 06/2008 FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T 16 A 1?11 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: pfcI1 Re✓1'Ia wDAT 441VORI DEPT: BUILDING DIVISION FEB 1 4 ?ell FROM: Joh �1 t t ix `8lla 1,. COMPANY: Ochh PHONE: 5n 3 qs3 j-pi 9 By:, RE: 4C1-10 6(k) keelLuoce,tLan,P Fp 5f Ol g r 00202 (Si tee Address) (Permit Number) it19© of n0 (i1 l n�G (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING IT . Copies: Description: ,ies: Description: Additional s- s) of plans. 3 Revisions: A,,, Cross se 'on(s) and detai s. Wall bracing . • . or lateral analysis. F ., oof framing. Base and retaining walls. -am c. ulations. gineer's ca • : 'ons. Other(explai : REMARKS: - -Tke,rx. IAA 5 a S p yap h e i,ivr ek) OUB i i S pi,5j er_+, 5 t x : FOR OFFICE liSE ONLY Routed to Permit Technician: G ate: 'G 2 t.' Initials. Fees Due: ❑ Yes 1 o ee Description: Amount ue: Special Instructions: Reprint Permit (per PE): - des ' ❑ No [' Done Applicant Notified: yr S Date: /l/h7 Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6640 SW REDWOOD LN 300, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Fire Protection System FPS2016-00202 Inspection Type: Inspector: 999 Sprinkler final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor