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Permit (140) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2017-00170 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/10/2018 Parcel: 2S101AB03100 Jurisdiction: Tigard Site address: 12115 SW 70TH AVE 201 Project: Advanced Endodontics Subdivision: 2012-009 PARTITION PLAT Lot: 3 Project Description: Adding(48)fire sprinklers for TI. Contractor: SPRINKIT FIRE PROTECTION INC Owner: TIGARD TRIANGLE PARTNERS LLC PO BOX 2227 18187 SIERA DR OREGON CITY, OR 97045 LAKE OSWEGO, OR 97034 PHONE: 503-272-6650 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 01/10/2018 $134.48 12%State Surcharge-Building 01/10/2018 $16.14 Type of Use: COM Plan Review-Fire Life Safety-COM 01/10/2018 $53.79 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 01/10/2018 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: Info Process/Archiving-Sm$0.50(up to 01/10/2018 $2.50 11x17) 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 $208.91 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $5,927.00 Residential Square Footage: 0 Fire Alarm Valuation: 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 503.232.1jS`eri-88B. .244. Issued By: ermittee 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. Building Permit Application t'ire Protection System 4'11,f FOR OFFICE USE ONLY 1,1 City of Tigard Received C/ ! A 4 13125 SW Hall Blvd.,Tigard,OR 97223 t Date/B �'/VIS Permit No.: �/�/ )/'�j ._. _. `tet (/' Phone: 503.718.2439 Fax: 503.598.1960 N O V 1 2 017 Plan Review Inspection Line: 503.639.4175 Date/ByRe r 1���l ether Permit:�47,90)7�.. / T t G A R P p Date Read /B : C (p Internet: www.tigard-or.gov ClTvl' Z'1 ��:R' Notified/Method: / A� Jas' S See Pagel for Bu DnG iii rri�or I Supplemental Information REQUIRED DATA i t FAMILY D YELLING 0 New construction ❑Demolition Permit fees*are based on the value of the work performed. ®Addition/alteration/replacement Indicate the value(rounded to the nearest dollar)of all ❑Other equimaterials, overhead,and theprofit for the work indicated on this application.CATEGORY OF CONSTRUCTION ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building EllMulti-familyNumber of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE IN. ORMATION AND"L'OCA 'ION Total number of floors: Job site address: 12115 SW 70th Ave New dwelling area: square feet City/State/ZIP: Tigard, Or 97223 Garage/carport area: square feet Suite/bldg./apt.no.: 201 I Project name: Advanced Endodontics T.I Covered porch area: square feet Cross street/directions to job site: q Deck area: square feet Other structure area: square feet QUIREDSubdivision: ATA COMMERCIAL USEC E+CKLIST I Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no Indicate the value(rounded to the nearest dollar)of all ;DESCRIPTIQN OF WORK indicatedand the profit for equipment,materials,labor,overhead, the work on this application. Add fire sprinklers for tenant improvement. Valuation: $ $5 927 Existing building area: square feet New building area: square feet© PROPERTY OWNE3 ❑ TENAN3 ; Number of stories: Name: Type of construction: Address: City/State/ZIP: Occupancy groups: Phone:( ) Existing: Fax:( ) i APPLICANT New: 0 CONTACT PERSON NQTICE Business name: Same as below „ •-_ All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board Address: under ORS 701 and may be required to be licensed in the jurisdiction in which work is being performed.If the City/State/ZIP: applicant is exempt from licensing,the following reasons Phone:( ) I apply: Fax::( ) E-mail: ';.- CONTRACTOR _ . BUILDING PERMIT FEES* Business name: Sprinklt Fire Protection Inc (Please'iefer to fee schedule) . Address: PO 2227 Permit fee: City/State/ZIP:Oregon City,OR 97045 State surcharge(12%of permit fee): Phone:( 503)272_6650 FLS plan review(40%of permit fee): Fax:( ) (Due upon application submittal.) CCB lie.: 211320 Total permit fees: Authorized signatures Amount received: / � �0. �e4' This permit application expires if a permit is not obtained Print name: Travis Schweitzer I Date:11 1-17 I within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry I:\Building\Permits\FPS-PermitApp_031016.doc Service Board. 440-4613T(11/02/COM/WEB) • City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Descrrbe work.to be:_cone 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: 48 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: Type of System(Complete A,..B,.0 or D as appl�cablej .._.. A) Commerctal Sprinkler Sprinkler Type ® Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group light Density .1 Design Area 9 heads K. Factor 5.6 Sprinkler Project Valuation: $ B.) "Type I ...Hood Fire:Suppression.System. Hood Project Valuation: $ C) Fire Alarm Submittal shall Battery Calculations Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ I)..) Restdenttal 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: $ C:\Users\SprinkIt Fire\Downloads\FPS_PermitApp.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12115 SW 70TH AVE 201 , TIGARD, OR, 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2017-00170 Inspection Type: Inspector: 999 Sprinkler final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor