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Permit (62) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2017-00163 13125 SW Hall Blvd.,Ti Date Issued: 10/19/2017 TIGtlfi and OR 97223 503.718.2439 9 Parcel: 1 S 126CC00100 Jurisdiction: Tigard Site address: 9700 SW WASHINGTON SQUARE RD Project: Nordstrom Subdivision: None Lot: None Project Description: Fire sprinkler permit:Relocating(10)sprinkler heads for TI. Contractor: PACIFIC FIRE SYSTEMS LLC Owner: PPR WASHINGTON SQUARE, LLC 6704 RIVERIA CT C/O NORDSTROM WEST LINN, OR 97068 ATTN: TAX DEPT PO BOX 2229 SEATTLE,WA 98111 PHONE: 503-710-6646 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 10/19/2017 $86.06 12%State Surcharge-Building 10/19/2017 $10.33 Type of Use: COM Plan Review-Fire Life Safety-COM 10/19/2017 $34.42 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 10/19/2017 $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 $131.31 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,767.00 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 1.800.332.2344. 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. 11111 City of Tigard EIV E Permit No.: in 13125 SW Hall Blvd.,Tigard,OR 97223 ���v l 7-C !��►� Phone: 503.718.2439 Fax: 503.598.1960 Date Received: t.0 jti/i 7 I c,1 l�I) Inspection Line: 503.639.4175 OCT 1. 9 2017 r Internet: www.tigard-or.gov. are OF _ � By: IGARD FIRE SPRINICIBMV' 191'1' FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: aD.-44 .1r1Z.c.) Occupancy: Job Address: 9---too ,,� uD A,S vv. S.Q, �,}� Type of Construction: Suite: Contractor: Pc e,,� t� i ' Phone: k ) - L 4 Q' 'L, Number of Proposed or Altered Heads: f,p Type: A Hazard: (.1 (WE— Density: . I c> I, 1<S. 0-' Oregon Construction Contractors Board No. I \ 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: /k Date: J o-oft, L I Z Print Name: toe- j M,41, \BuildingWormsWireSprinkler davit_071514.docx Page 1 of 1 Building Permit Application v . -.CbuftliC><acral nr-e_. /' .est5.A - FOR OF1.10E l Sl Oy 1.1 City of Ti andReceived MEIt r'� gcciDate/B : i PermitNo.: mr 3"" IM IN "I 13125 SW Hall Blvd.,Tigard,OR ti Plan Review '' Phone: 503.718.2439 Fax: 503.511/2)1iNi 60 ,1�\ Date/Date/I3 : Other Permit: 1 i a r I T c A IZ p Inspection Line: 503.639.4175 1Date Ready/By: 10 See 'age 2 for Internet: www.tigard-or.gov QC: ,(p .. Notified/Method. II ..MI Supplemental Information 01 TYPE OF Wti'SIAREQUIRED DATA:1 AND 2-FAMILY DWELLING 0 New construction ! % ; . on Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ❑ 1-and 2-family dwellingmmercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION ANL)LOCATION Total number of floors: Job site address: % irigx, New dwelling area: square feet City/State/ZIP: 1\ ®i'.r..... Garage/carport area: square feet Suite/bldg./apt.no.: Project name: N,. C, .."712.42)0,A.,‘> Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:.COMMERCIAL,US .CHECKLIST 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 01 SVUI t work indicated on this application. . .—r Valuation: $ <_ r...,‘. �� Existing building area: square feet New building area: square feet ;PROPER I Y 'N R ❑ TI NANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: s?a p"4 v V—'t ZZ-Z. Structural plan review fee(or deposit): Contact name: t<. P., l Address: �—1°A,- ..1„,9 i Z •1- FLS plan review fee(if applicable): ,{..,--1---- LAI z o a Z C)— Total fees due upon application: /+ / Ci /State/ZIP: �� Phone: Amount v 4 Amount received: 1j© '� t Ar-co"2.. Fax::( ) E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: fiacf i,,�r Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB tic.: t C6c>‘c,,Ne 0 Total fee due upon application: $201.60 Authorized signature: ,�` _ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: lia.• t,.7 t i A. ,Z Date: k.:) t$,.p. 1'7 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information • �v.:,: a. �'��€���i�t;-�� ��" ��,•�''1k�; .� �,. _ � .,,=rti+rr�e "ee: � ,,'.�•� *� � ra � �� a' a"���, '`.' `�'+�" 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: ❑ Addition or ❑ 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 required and ❑ 6+ devices: Plan review required and (3) sets of plans. (3) sets of plans. Additional description of work: tYp."F[t sFl � .r � ����„�� � ,`� E e `w � �. y � j S.rinkler TA.a C. Wet ❑ D Additional Stand.i.es Information: Sprinkler Su..l Line ❑ Yes 7 o Hazard Group Densi e .10 Des': Area K.Factor S. r•s , • ' 1•• . 1. e• $ ..•, . ' t �. 4@ raErgf �' }s° < szy F,�,ar s.1 r - {� z • u �'.. Hood Prosect Valuation: $ " 3' ` ' <� x` � ` '" *- f 09 "` Submittal shall Batte Calculations 0 Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Prosect Valuation: $ 1-'4 4` vft X �} �° sQ fi�.,. i e t �. .&• .�` r S.uare- Foota:-e: Permit Fee: x a � 0 to 2,000 $198.75 � s 2,001 to 3,600 $246.45 441 3,601 to 7,200 $310.05 7,201 and - eater $404.394 ` ; Sprinkler Project Square Footage: sq.ft. Pro'ect valuation subtotal see A,B&C above : $ Permit fee based on pro'ect valuation see fee schedule : $ Permit fee based on s.uare foota.e see D above : $ State Surchar'e 12% of permit fee : $ FLS Plan Review 40% of permit fee : $ TOTAL: $ I:\Building\Permits\FPS_PermitApp_031016.doc 2