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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT IN Permit#: FPS2017-00156 1-t(., i.A j--) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/31/2018 Parcel: 2S 113B000600 Site address: 16060 SW 85TH AVE Jurisdiction: Tigard Project: Clean Water Services Project Description: TPS Building:Fire sprinkler permit.Adding(150)sprinkler eads'vito ex sting building. None Lot: None Contractor: FIRESTOp CO 3203 NE 65TH ST#2 Owner: BURLINGTON NORTHERN INC VANCOUVER,WA 98663 PROPERTY TAX DEPT PO BOX 961089 FORT WORTH, TX 76161 PHONE: 360-718-8604 PHONE: FAX: 360-718-8603 Description Date Specifics: Amount Permit Fee-COM 01/12/2018 Type of Use: COM 12%State Surcharge-Buildin $$68.0867.32 - Plan Review-Fire Life SafetyCOM 01/12/2018 Class of Work: ALT Type of Const: VB - 01/12/2018 Class Occupancy Grp: B Info Process/Archiving-Lg$2.00 $2$2.00 over Height: ft 11x17) ( 01/12/2018 $2.00 Stories: 1 Info Process/Archiving-Sm$0.50u 11x17) ( P to 01/12/2018 $20.00 Commercial Sprinkler S stem: Sprinkler Required: Yes Sprinkler Type: Dry Standpipe Required: No Hazard: LT Density: .10 Design Area: 148 K Factor: 5.6 Commercial Fire Alarm S stem: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Valuations: Total $884.33 Required Items and Reports(Conditions) Sprinkler Valuation: $55,000.00 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 ofq 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. T •se 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 ailing 503.23 987 or 1.800.332.2344. Issued By: /�i ' ' / �_. to aL6/��L� Permittee Signature: • k _________,(_. / 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 pdie Protection System 1� FOR OFFICE USE ONLY -o �j . Received Permit No.: ��� �'\ �'�j City of TigardDate/B : lr� �3t 1111‘ '1 13125 SW Hall Blvd.,Tigard,OR 9722‘a `�0�� Plan Re -7/41), �� Other Permit:ei )j -cot t Date/By: !"`-'' Phone: 503.718.2439 Fax: 503.598.1960 ��! � Juris: H See Page 2 for 'r% 1,:to Ready:y: TIGARD Inspection www.: 503.639.4175 r � � e~ . / /0116,-1,f_ Supplemental Information \IN d 1}r `��(`�� . Pied Method7 / Internet: www hgard or gov V.J �it'.�\,1 ad 4" ' (`? h ! ptkt R '°A A4Mffi FA LYp E L& Permit fees*are based on the value of the work performed. N New construction 0 Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the twork indicated on this application. � ` .''''.44'..,,g-,:l'. -#4- E ' i t l�lSt CN ''-rr a ; ' h„ Valuation: $ ❑ 1-and 2-family dwelling ®Commercial/industrial Number of bedrooms: ❑Accessory building 0 Multi-family Number of bathrooms: ❑Master builder 0 Other: Total number of floors: 0 "' 1�S3FO ATION AND LOCATION; — J + � New dwelling area: square feet Job site address:16060 SW 85th Ave Garage/carport area: square feet City/State/ZIP:Tigard,OR 97224 otr. Covered porch area: square feet Suite/bldg./apt.no.: I Projectname: >m uri�t I'I,� 17 .,., Deck area: square feet Cross street/directions to job site:SW Durham Rd /Oh/ / 0./ Other structure area: square feet ''RE-OARED DATM COMMEC ALAJSE CFf kLF T Lot no.: Permit fees*are based on the value of the work performed. Subdivision: Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the r "+ ' �,t t 'IOII t7T`'� I{r work indicated on this application. Valuation: $$55,000.00 Fire spinkler system to be added to existing building. Existing building area: 6250 square feet New building area: 6770 square feet - - 1- x ;I' i'MT N, Number of stories: 1 � " " �'» Ptip�)tCtt �ti�t�'� '` �` ,� � _ � Type of construction: VB Name:TS Gray Address:12705 SW Herman Rd Occupancy groups: City/State/ZIP:Tualatin,OR 97062 Existing: B Phone:( ) Fax:( ) New: B A a k," 00.6. Y* `k,x a ,,:„....1 , a.CON AG ' PERSON,: - - -. tl r -` k Business name:Firestop Company All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name:Robert Green under ORS 701 and may be required to be licensed in the Address:3203 NE 65th St Space 2 jurisdiction in which work is being performed.If the applicant is exempt from licensing,the following reasons City/State/ZIP:Vancouver,WA 98663 apply: Phone:(360)718-8604 I Fax::( ) E-mail bob,green@firestopco.com r i.1T11.D111G 1I R 1T EHEN" , h A....'„4-_ 1 >P "t ,J-1-t-)'+I7�► OR:1 ,t A. w _ - i-fp eo5B,�'fer1'1F.re t ieJ --..0-„R 'T Business name:Firestop Company Permit fee: Address:3203 NE 65th St Space 2 State surcharge(12%of permit fee): City/State/ZIP:Vancouver,WA 98663 FLS plan review(40%of permit fee): (Due upon application submittal.) Phone:(360)718-8604 Fax:( ) Total permit fees: CCB lic.:183279 ,7 Amount received: r Authorized signature: � , s�6 �--e -v- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Robert Green I Date:10/5/17 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\PermitsWPS-PermitApp_031016.doc 440-46I3T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information e d'ri a work to a dyne , r 2' .. -' r- :3 } x 4 4- 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ® New system Number of sprinkler heads: 150 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: ex s din�ax rpl t B{,`C-,b-", s ppIic 1e): *14. , d `" k` d fx , ) { � ' firi'Co � i [ " der ur 4ti1 Ld - 4_ - ,-4 l 4 444 , ,Sprinkler Type ❑ Wet 11 Dry Additional Standpipes No Information: Sprinkler Supply Line ® Yes ❑ No Hazard Group Llight Density .10 Design Area 148 K. Factor 5.6 Sprinkler Project Valuation: I $ 55,000 = 'y e I- i®cid Fide p ss% st { r'r 4 -44 41;" .4444L-1 Hood Project Valuation: I $ r 4"44. —AL b Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: I $ # e t471.1 ' a k ,u. #_ a L - r` __. i _y r i d Alone Systeth L.11 ' + - w 4 S.uare Foota_e: Permit Fee: O to 2,000 $198.75 2,001 to 3,600 $246.45 r � 3,601 to 7,200 f a ` $310.05 ' r 7,201 and greater $404.39 f ad ` 'u '� a `� � t Sprinkler Project Square Footage: 6770 sq. ft. "L bT a y - iL ":41'41',14-41444 y y� 1 w 4U' ' 1{ L'a 'LL � LV 11 4.� 41.+aY: *.'`� - # ix` Rr yij L. 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:AUsers\Admin\Desktop\JOBS\DURAM TPS\SUBMITTAL\DURHAM S'I'AMPED2FPS_PermitApp.doc 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 II . Transmittal Letter Ti(I A]z t) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: &V DATE# ; ;i ; ,,TED DEPT: BUILDING DIVISION DEC 2 8 2017 FROM: go .13 614-6 'iv CITY Oi±TIGARD COMPANY: F// S723-p C� , BUILDING.DIVISION PHONE: (36 ad) ?/ $ - 0 6 el I By:`j'_; RE: 1606o S W e s ,¢/E / hos -2-0i? ao© / S (Site Address) (Permit Number) D /A/-f, el-c 'rig s — e-t '4 IV W47n-z__ S E72-vi c f r (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: I Copies: I Description: I Copies: 1 Description: 1 Additional set(s)of plans. ' Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. 1 Other(explain):Azit,oL• 4 1` '�- 3 REMARKS: ADDS 6 /1/0 J S /2_S 64 -001 11�6- -P4 7 y c3 AP--r Sti sr-cm , DcG-E'7^Et7 eCf c-f/v rsS 4ivi1cw6i 7214 I FOR O FIC USE ONLY Routed to Permit Technician: te: 1 to Initials: `!' Fees Due: ❑ Yes o Fee Descriion: Amo I tl ue: $ $ Special $ Instructions: 1 Reprint Permit(per P ) Yes 1 0 No ❑ Done Applicant Notified: I []Date: /1, i 5- ( Imtlals: fr--- 1:\BuildingTonns\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16060 SW 85TH AVE, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Fire Protection System FPS2017-00156 Inspection Type: Inspector: 999 Sprinkler final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor