Permit (26) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
74s COMMUNITY DEVELOPMENT Permit#: FPS2018-00017
T f G,A P D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 `? Date Issued: 05/09/2018
Parcel: 2S102CB00200
9 '/ /e ,-Val Jurisdiction: Tigard
Site address: 13115 SW PACIFIC HWY
Project: Natural Grocers Tigard Subdivision: None Lot: None
Project Description: Fire sprinkler system for new grocery store. 9/11/2018: REPRINT permit to correct site address.
Contractor: TRIAD FIRE PROTECTION Owner: TIGARD PACIFIC RE LLC
1927 NE RODNEY AVE C/O LEADERSHIP CIRCLE LLC
PORTLAND, OR 97212 1521 OXBOW DR STE 210
MONTROSE,CO 81401
PHONE: 503-856-6333 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/09/2018 $317.40
12%State Surcharge-Building 05/09/2018 $38.09
Type of Use: COM Plan Review-Fire Life Safety-COM 05/09/2018 $126.96
Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/09/2018 $6.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 05/09/2018 $22.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: ORD2
Density: .2 Design Area: 1500
K Factor: 14
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $510.95
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $22,356.00
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 too° OUNC by calling 503.232.1987 or 1.800.332.2344. /
Issued By: ,, /5 '_ Permittee Signature: �. / ^ 74/4Gsf�,i-770/11
./ 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.
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2018-00017
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2018
TIGARD Parcel: 2S102CB00200
Jurisdiction: Tigard
Site address: 13125 SW PACIFIC HWY
Project: Natural Grocers Tigard Subdivision: None Lot: None
Project Description: Fire sprinkler system for new grocery store.
Contractor: TRIAD FIRE PROTECTION Owner: TIGARD-TUALATIN SCHOOL
1927 NE RODNEY AVE DISTRICT 23J
PORTLAND, OR 97212 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-856-6333 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/09/2018 $317.40
12%State Surcharge-Building 05/09/2018 $38.09
Type of Use: COM Plan Review-Fire Life Safety-COM 05/09/2018 $126.96
Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/09/2018 $6.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 05/09/2018 $22.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: ORD2
Density: .2 Design Area: 1500
K Factor: 14
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $510.95
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $22,356.00
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: Jc�C� Permittee Signature: �.
Call 0 . 39.4175 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.
Irm- ildii g Permit Application 7 F r
Fire Protection System FOR OFFICE USE()NEN'
City of Ti and i r1 J 1'? :::::...,:iew,..7,/, C /�t g KA t ' / �/�� PerniitNo � �tT (✓0('/
a 13125 SWHall Blvd.,Tigard,OR 97223Phone: 503.718.2439 Fax: 503.598.196 '»/ ' ` Date/By: –�- Other PernA l r2J/7 &®// '
T I GA R D Inspection Line: 503.639.4175 h `�j � Date Ready/By: Amis: ®See Page 2 for
Internet: www.tigard-or.gov IIllal ING DTVI 7I:_ N;otl�ied/Method: 3 7 4�fr Supplemental information
1777
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®New construction ❑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
work indicated on this application.
1=11-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 1=1 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
; O tE' NFO AN) Total number of floors:
Job site address: 13125 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Natural Grocers Tigard Covered porch area: square feet
Cross street/directions to job site:School St. Deck area: square feet
Other structure area: square feet
Kt fl€tt E 9i71 xi: C
Subdivision: 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
equipment,materials,labor,overhead,and the profit for the
P1;WlCl *AtOk workindicated on this application.
New wet Fire Sprinkler system for a newly-constructed building. Valuation: $$22,356.00
Existing building area: 0 square feet
New building area: 13337 square feet
r,,, ,,,,E 1? I i .� .�x.... ., .�, .,. �'A,N"C! aI`�_II Number of stories: 1.5
Name:Natural Grocers by Vitamin Cottage Type of construction: steel
Address:12612 W Alameda Pkwy Occupancy groups:
City/State/ZIP:Lakewood,CO 80228 Existing: n/a
Phone:(303)789-6082 Fax:( ) New: mercantile
APPL N'. t a s a
t' 1E
� � �� � All contractors and subcontractors are required name:Triad Fire Protection quired to be
Contact name:Eric Chase licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:1927 NE Rodney Ave jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,OR 97212 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)856-6333 Fax: :( )
E-mail:eric@triad-tire.com;office@.triad-fire.com
,xx , 4.'''''I'':.:::::::: :'-::::- sla f"f1 1 *` `�
.o.. .,.,,, ,: .'',' x .'-' ..�. ' — ..,,w.,e __ ..,.,.
Business name:Triad Fire Protection
Permit fee:
Address: 1927 NE Rodney Ave
State surcharge(12%of permit tee):
City/State/ZIP:Portland,OR 97212
FLS plan review(40%of permit tee):
Phone:(503)856-6333 Fax:( ) (Due upon application submittal.)
CCB lie.:199988 Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Eric Chase Date:03/01/20180 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
C\Bui Idi ng\Permit'•-FPS-PennitApp0311116.doc 440-46131(1 1/112/COMAV EB)
A
s
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
. ? b #
's"''''''''''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:
El 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:
��t n sus �'' �
. - Type ® Wet ❑ Dry
Additional
Standpipes no
Information: Sprinkler Supply Line ® Yes ❑ No
Hazard Group OH2/LH
Density .2
1500
14
tion: I $
Desigm Area
K. Factor
Sprinkler Project Valua22,356
;114,L, A
�; w • Stet if
,,„ „,:.,,,,..........
Hood Pro.��. ��., ,.�., •::R, � ,.,. ,�
ject Valuation: I $
'''' „
Submittal shall Battery Calculations Yes . ,<.. �. . .... ,..
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
i •� a� lg1 �� � Cita °�
Square Footage: Permit Fee:::;:•..:!.::;''':'. I.'":,..::.'"'::a:-:''-:r41':':'$'''''T:'"t'-- 7 9�
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: s
q. ft.
r,
tom .,
(see "„,..,-47-„,,,:..
A B &( a
Pro :::,.,
ject valuation subtotal bove): $ ..,. rr.
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: $
:vl:\Active Jobs-PORTLAND\McPherson Contractors Inc\171220 Natural Grocers Ti2rd\04 Submittals\02 TO AHJ\180301 Natural Grocers Permit App.doc