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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT in! COMMUNITY DEVELOPMENT Permit#: FPS2017-00132 T k-c ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/18/2017 Parcel: 2S 101 BA00300 Jurisdiction: Tigard Site address: 7350 SW DARTMOUTH ST Project: Triangle Medical Office Subdivision: None Lot: None Project Description: Fire supply line Contractor: LEASE CRUTCHER LEWIS Owner: BASE CAMP I LLC 550 SW 12TH AVENUE 1399 FRANKLIN BLVD PORTLAND, OR 97205 EUGENE, OR 97403 PHONE: 503-223-0500 PHONE: 503-880-5623 FAX: 503-223-2874 FEES Description Date Amount Specifics: Permit Fee-COM 09/18/2017 $561.94 12%State Surcharge-Building 09/18/2017 $67.43 Type of Use: COM Plan Review-Fire Life Safety-COM 09/18/2017 $224.78 Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 09/18/2017 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: 1 Commercial Sprinkler System: Sprinkler Required: Yes 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 Cafes Provided: Cut Sheets Required: Total $856.15 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $54,000.00 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 50 232.1987 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. 00Iluildin Permit A lication Fire Protection System G 'El VES FOR OFFICE USE ONLY .� City of Tigard p+, 2 Received �/ a , 13125 SW Hall Blvd,Tiga d,OR 97223 2 Datc/BY: O a� /7 I Permit No.: li0 �/7�O/3� Phone: 503.718.2439 Fax: 50 . Plan Revie /� Date/By: Other Permit: T t c' R D Inspection Line: 503.639.417' f riltF TIr't C e e f r...,:f:6,63 Internet: wtvw.tigard-or.gov UILDING r1V�S .y Date Ready loris: I &t elemental is r�i Notified/Method: �� ? Supplemental Information TYPE OF WORK rr.. ®New construction REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 0 I-and 2-family dwelling Valuation: $ ®Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION. AND LOCATION Total number of floors: Job site address:Undeveloped-let- 7.3 50 `arm i-3/1'� D(.(714 �•J New dwelling area: square feet City/State/ZIP:Tigard/Oregon/97223 Garage/carport area: square feet Suite/bldg./apt.no.:- Project name:72nd MOB Cross street/directions to job site:SW of the intersection of SW 72nd Avenue Covered porch area: square feet and SW Dartmouth Street Deck area: square feet Other structure area: square feet Subdivision:- REQUIRED DATA:COMMERCIAL-USE CHECKLIST I Lot no.:- Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S101BA✓300 Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Construction of 36,000 sf medical office buildin!a t t . . . = ' _ ynch style Valuation: $54,000 catch basins,stormwate _ on,water quality treatment,sanitary / it �"- Existing building area: 0 square feet connect; . ..mestic water connection,and fire water connection. 1J g/ Newq building area: 36000 square feet ® PROPERTY OWNER 0 TENANT Name:Base Camp 1,LLC Number of stories: 1 Address:4550 Kruse Way,Ste.125 Type of construction: City/State/ZIP:Lake Oswego/Oregon/97035 Occupancy groups: Phone:(503)880-5623 Existing: Fax:( ) ® APPLICANT _ New: 0 CONTACT PERSON Business name:Base Camp 1,LLC NOTICE Contact name:Brian Bennett All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Address:4550 Kruse Way,Ste.125 under ORS 701 and maybe required to be licensed in the jurisdiction in which work is being performed.If the applicant is exempt from licensing,the following reasons City/State/ZIP:Lake Oswego/Oregon/97035 Phone:(503)880-5623 apply: I Fax::( ) E-mail:Bennettdevelopment@gmail.com CONTRACTOR Business name:Lease Crutcher Lewis BUILDING PERMIT FEES* (Please refer to fee schedule Address:550 SW 12th Avenue Permit fee: City/State/ZIP:Portland,Oregon 97205 State surcharge(12%of permit fee): Phone:(503)233-0500 I Fax:(503)223-2874 FLS plan review(40%of permit fee): CCB lic.:92919 (Due upon application submittal) Total permit fees: Authorized signature: Amount received: di,I Print name: �C�d I' n Z / This permit application expires if a permit is not obtained / I Date: 17 O .Z�1 q. I within 180 days after it has been accepted as complete. f11 * Fee methodology set by Tri-County Building Industry r:\Building\PermitaPS-PennitApp 031016.doc Service Board. 440-4613T(11/07JCOMRVEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Des nbe wo c to be dome. 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: 0 Addition or ❑ 1-10 heads: Affidavit required and 0 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 D 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and (3)sets of plans. (3) sets of plans. Additional description of work: Construction of fire water service and double-check detector vault to supply Jroposed office building fire suppression system Type of System(Complete A,$,C or D as,applicable): A.) Commercial Sprinkler Sprinkler Type ❑ Wet 0 Dry Additional Standpipes Information: Sprinkler Supply Line 0 Yes ❑ No Hazard Group Density Design Area K.Factor Sprinkler Project Valuation: $ B) Type I= Rood Ftre:Suppressioi System Hood Project Valuation: $ ± ) Frre.Aiatfn Submittal shall Battery Calculations ❑ Yes include: Individual Component 0 Yes Cut Sheets Fire Alarm Project Valuation: $ DJ) 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: $ T:\jobs\4700-4799\4762 72nd Avenue MOB\Engineering\FPS_PcrmitApp.doc 2 Submittal Transmittal ?E \, r Chris Knight AKS Engineering & Forestry Debbie Adamski, C.P.T. 12965 SW Herman Rd. City of Tigard Suite 100 13125 SW Hall Blvd. Tualatin, OR 97062 Tigard, OR 97223 KnightC©aks-eng.com debbie@tigard-or.gov 503-563-6151 503-639-4171 "r` 'E-T 72nd Avenue MOB DLTE sENT 4762 8/22/2017 City of Tigard Fire Protection rD 00050 Building Permit Submittal 1 F, P' H.,EH For Review and Comment ``'- Courier Hello Debbie, Please find the attached water plan and signed application Thanks, Chris Christopher Knight, EI AKS AKS ENGINEERING & FORESTRY, LLC 12965 SW Herman Road, Suite 100 I Tualatin, OR 97062 P: 503.563.6151 Ext. 252 I F: 503.563.6152 I www.aks-eng.com I KnightC(aaks-engcom Offices in: Tualatin, OR I Salem-Keizer, OR I Vancouver, WA CONTENTS GT'V' DATED DESCRIPTION: ACTION: 3 8/21/2017 C300 Water & Sanitary Cm• DATED DESCRIPTION: 3 8/22/2017 Fire Protectection Building Permit - ACTION: Signed Page lof1