Permit (103) CITY OF TIGARDFIRE PROTECTION SYSTEM PERMIT
. COMMUNITY DEVELOPMENT Permit#: FPS2018-00044
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 =' Date Issued: 05/17/2018
T[C3.r�l..J. 9 9 // Parcel: 2S102CB00200
Jurisdiction: Tigard
Site address: 13115 SW PACIFIC HWY
Project: Natural Grocers Tigard Subdivision: None Lot: None
Project Description: Fire alarm:FACP,pull station,monitoring modules,digital command,and horn strobes. 9/11/2018: REPRINT
permit to correct site address.
Contractor: NORTHWEST FIRE SUPPRESSION INC Owner: TIGARD PACIFIC RE LLC
1800 NW 169TH PL, STE C600 C/O LEADERSHIP CIRCLE LLC
BEAVERTON,OR 97006 1521 OXBOW DR STE 210
MONTROSE,CO 81401
PHONE: 503-644-7720 PHONE:
FAX: 503-644-8289
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/17/2018 $123.72
12%State Surcharge-Building 05/17/2018 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 05/17/2018 $49.49
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/17/2018 $4.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 05/17/2018 $7.50
11x17)
Additional Plan Review 08/18/2018 $90.00
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Yes Alarm Type: Automatic
Pull Station Required: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $289.56
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $4,968.00
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: .c:::(2
Permittee Signature: eiti
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.
q CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
"! . COMMUNITY DEVELOPMENT Permit#: FPS2018-00044
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2018
Parcel: 2S102CB00200
Jurisdiction: Tigard
Site address: 13125 SW PACIFIC HWY
Project: Natural Grocers Tigard Subdivision: None Lot: None
Project Description: Fire alarm:FACP,pull station,monitoring modules,digital command,and horn strobes.
Contractor: NORTHWEST FIRE SUPPRESSION INC Owner: TIGARD-TUALATIN SCHOOL
1800 NW 169TH PL, STE C600 DISTRICT 23J
BEAVERTON, OR 97006 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-644-7720 PHONE:
FAX: 503-644-8289
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/17/2018 $123.72
12%State Surcharge-Building 05/17/2018 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 05/17/2018 $49.49
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/17/2018 $4.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 05/17/2018 $7.50
11x17)
Additional Plan Review 08/18/2018 $90.00
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Yes Alarm Type: Automatic
Pull Station Required: Yes Smoke Detectors Req: Yes
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $289.56
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $4,968.00
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 952-001,009 . You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.3 .
Issued By:
"PermitteeSignature:
Call 50 �41 5 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.
ding Permit Application
Commercial U
s FOR OFFICE USErciallq
/� �(./�`'/��/(�
City of Tigard MAY 7 2018 Received �-f y`/1,�" ' Permit No.: f�1 (.I-'t/`U VVV /
�' Date/By: S ! (� /
13125 SW Hall Blvd.,Tigard,OR 97223 P1anRevie `
Phone: 503.718.2439 Fax: 503.598.1960 C _ , D J 6' J Other Permit e eS OO�-�
e� �.C�, DateBy:
T T G A RD Inspection Line: 503.639.4175 BUILDING 'DIVISION Date Ready/By: / Juris: Ea See Page 2 for
Internet: www.tigard-or.gov tified/Method: ( /�(F Supplemental Information
.< TYPE OF WORK - REQUIRED DATA:1-AND 2-FAMILY D 1 1 ,
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
[A ddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
1=11-and 2-family dwellingValuation: $
❑Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
1=1 Master builder 1=1 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:13125 SW Pacific Highway New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Natural Grocers Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Fire Alarm Monitoring System Valuation: $$4,968.00
�A ��L 7°4I7-.. h�Dv,v t�� m l�J�- Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
g
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Northwest Fire Suppression,Inc.
Structural plan review fee(or deposit):
Contact name:Erin Hedrick
FLS plan review fee(if applicable):
Address:1800 NW 169'Place Suite C600
Total fees due upon application:
City/State/ZIP:Beaverton,OR 97006
Amount received:
Phone:(503)644-7720 Fax::(503)644-8289
E-mail:erin@nwfire.com PFIO' OV
Commercial and residential prescriptive installation of
CONTRACTOR ,4 roof-top mounted Photo Voltaic Solar Panel System.
Business name:Northwest Fire Suppression,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:1800 NW 169'Place Suite C600 Solar Installation Specialty Code checklist.
City/State/ZIP:Beaverton,OR 97006 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)644-7720 Fax:(503)644-8289 State surcharge(12%of permit fee): $21.60
CCB lic.:88629 C-----'1 c Total fee due upon application: $201.60
Authorized signature: `? A-..7 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Erin Hedrick Date:5/2/18 * 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
Describe work to be done:
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 X.G+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
ti
t-, 1+1 "e' €1 !-7A`' rt'G,'t.
Type of System (Complete A, B,C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
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: $
D.) 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: $
I:\Building\Permits\FPS_PermitApp_031016.doc 2
Julie Drinkwater
From: Julie Drinkwater
Sent: Monday, August 13, 2018 8:53 AM
To: erin@nwfire.com
Cc: #Building Permit Technicians
Subject: FW: FPS2018-00044 & ELR2018-00070, 13125 SW PACIFIC, Natural Grocers Tigard
Attachments: SKM_284e18051617190.pdf; SKM_284e18081309000.pdf
Hello Erin
I apologize, I meant to include the invoice as an attachment for your review.
Thank you
Julie Drinkwater
Permit Technician
City of Tigard I Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
From:Julie Drinkwater
Sent: Monday, August 13, 2018 8:50 AM
To: erin@nwfire.com
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: FW: FPS2018-00044& ELR2018-00070, 13125 SW PACIFIC, Natural Grocers Tigard
Good morning Erin
The permits for Natural Grocers, are also ready to be issued. Thank you for your payment of the fire protection safety
and electrical permit fees. The balance due, for the additional plan review, is$90.00. Attached please find the invoice
for the fire protection safety permit.
You can pay the fees online, or when you pick up the permit, Monday-Thursday, 8:00 am to 4:30 pm. We are closed on
Fridays.
To pay the fees online,you can go to our website: https://aca.accela.com/TIGARD/Default.aspx. From there, click on the
Building tab, enter the permit number in the Record Number field, and click Search.
The person listed as the signing electrical supervisor is not registered on your account with the Building Code
Division. We cannot issue this permit without the signing electrical supervisor being listed. Please resubmit this
application with the assigned signing electrical supervisor's signature or contact the Oregon Building Cods Division to
request that they add this person to your account and then notify us once that change has been made. I have
attached the electrical permit application for you.
Thank you
1
Julie Drinkwater
Permit Technician Assistant
City of Tigard I Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
From:Julie Drinkwater
Sent:Wednesday, May 16, 2018 5:11 PM
To: 'erin@nwfire.com' <erin@nwfire.com>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: FPS2018-00044 & ELR2018-00070, 13125 SW PACIFIC, Natural Grocers Tigard
Good afternoon Erin
The electrical permit, number ELR2018-00070, is also ready to be issued. The balance due for the electrical permit is
$84.00.
You can pay the fees online, or when you pick up the permit, Monday-Thursday, 8:00 am to 4:30 pm. We are closed on
Fridays.
To pay the fees online,you can go to our website: https://aca.accela.com/TIGARD/Default.aspx. From there, click on the
Building tab, enter the permit number in the Record Number field, and click Search.
The person listed as the signing electrical supervisor is not registered on your account with the Building Code
Division. We cannot issue this permit without the signing electrical supervisor being listed. Please resubmit this
application with the assigned signing electrical supervisor's signature or contact the Oregon Building Cods Division to
request that they add this person to your account and then notify us once that change has been made. I have
attached the electrical permit application for you.
Thank you
Julie Drinkwater
Permit Technician Assistant
City of Tigard Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
From:Julie Drinkwater
Sent: Wednesday, May 16, 2018 1:30 PM
To: 'erin@nwfire.com'<erin@nwfire.com>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: FPS2018-00044, 13125 SW PACIFIC, Natural Grocers Tigard
Hello Erin
2