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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2018-00130 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/19/2018 Tr"" Parcel: 1 S126CB00500 Jurisdiction: Tigard Site address: 9300 SW WASHINGTON SQUARE RD Project: Macy's Subdivision: None Lot: None Project Description: Fire sprinkler permit:Relocating(4)sprinkler heads near west entrance dressing rooms on first floor. Affidavit submitted. Contractor: CROWN FIRE SYSTEMS INC Owner: MACY'S DEPARTMENT STORES INC 7402 SE JOHNSON CREEK BLVD ATTN: TAX DEPARTMENT PORTLAND, OR 97206 7 WEST SEVENTH ST CINCINNATI, OH 45202 PHONE: 503-777-5030 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 09/19/2018 $59.16 12%State Surcharge-Building 09/19/2018 $7.10 Type of Use: COM Plan Review-Fire Life Safety-COM 09/19/2018 $23.66 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 09/19/2018 $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 $90.42 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $800.00 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.;i'. . •- Issued By: ` ••i aturer 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 Fire Protection System FOR OFFICE USE ONLI' PRECEf_. . City of Tigard Dat/Bea ®f( ---A. Permit No.: "r r La _ -7'i 1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review II Phone: 503.718.2439 Fax: 503.598.1960SEF' �; 9 2�1� l;` Date/B : Other Permit: s ta, ';..- . ti 1,1 TI G A R D Inspection Line: 503.639.4175 Date Ready/By: :4 See Page 2 for Internet: www.tigard-or.gov CITY OF+ i int= + ,, Notified/Method: ARM Supplemental Information � � �^ , : .� TYPE orWOT1 \ `: z .,,: : REQUIRED DATA:1-ANI)2-FAMILY DWELLING , ❑New construction El 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 CATEGORY OF CONSTRUCTION work indicated on this application. El1-and 2-family dwelling ElCommercial/industrial Valuation: $ ❑Accessory building ElMulti-familyNumber of bedrooms: El Master builder El Other: Number of bathrooms: r JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 931,98 SW jt/. /m/�-jam 54 XV New dwelling area: square feet City/State/ZIP: 77 . p Gl 72 Z 3 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: /Y1fCt/S Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED,. TA::CO , Mm 7 USE CHECKL. r 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 // . r = RI' is x". RIC work indicated on this application. A'1 DSt OOT OT VZFSci,,J - ' -IS Valuation: ��� $ 77,e SAC %p ewit-mki- Ceic.,"/c- ,4/p ./// Existing building area: square feet New building area: square feet h ,r. ❑ PROPERTYOWNER64#4.....-e ❑ ,Tp/ Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: Mk 0 APIC - t, , ❑ CONTE piiisON ..; 7. 4?r N9". $ , Business name: L/ jyJ,v /ze. ,5-' ,/,.s-.7--i.::,61/Ls All contractors and subcontractors are required to be Contact name: 'L'A 1/ r�JJr'F44,1 4.."J licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: Ya ra S�� SOHrvsc►x� C� BLv�. jurisdiction in which work is being performed.If the - City/State/ZIP:7 gr/ 7y ©i r'7ZQ6. applicant is exempt from licensing,the following reasons apply: Phone:(SO_j) 77 7-s63 C Fax::( ) Email75f C 'o AlA)/----/RCSJ'S7- S C'p 1 CONTRACTOR -f ., , e '; Its •. PE' . I FEES* .„0; : ,R gr fir to fee r dule) -". , �, Business name: - el� ti:( � Permit fee: Address: State surcharge(12%of permit fee): City/State/ZIP: FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application submittal) CCB lie.: /4,3'z 0 Total permit fees:�o. /1) Authorized signs re: Amount received: This permit application expires if a permit is not obtained Print name: i.A,✓ ®�I:e1j¢jt) Date: !/q I,g--- within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work to be done: r v 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: 11 Number of alarm devices: ❑ Addition or1-10 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,C or D as api1 ' } ^vg �w Sprinkler Type Wet ❑ Dry Additional Standpipes �lO Information: Sprinkler Supply Line (Yes ❑ No Hazard Group L/ /71j Density /Z) Design Area /,c K. Factor Sprinkler Project Valuation: $ B. Typei.= Hood'Fire Su resstoo''' ste � � ,re Hood Project Valuation: $ Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ 411 r}tal Sprinkler(Stank Alo ten') Square Footage: Permit Fee: 0 to 2,000 $198.75 2,001 to 3,600 $246.45 ` 3,601 to 7,200 $310.05 -11 r 3 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_PemutApp_031016.doc 2 City of Tigard RECEIVEDPermit No.: / 9 )ffffCJO i 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 SEP 1 a 9018 Date Received: `j f jq Inspection Line: 503.639.4175 J i o L.. P.t> Internet: www.tigard-or.gov �������.�.����� By: ��✓t'►L•1,� FIRE SPRINKL FF AIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: /7,YS Occupancy: -/74A-j 4-- Job Address: `7300 S"J 14/4s/ /#ve,-TZJw 56L 'JZD Type of Construction: Suite: Contractor: C"-e)("4-)A1j/,� S�'� TJ-N-t Phone:50.x'--r F--35-i 6 Number of Proposed or Altered Heads: V Type: id Hazard: // --,1-7 Density: / /G1 I, / T4 Oregon Construction Contractors Board No. / 3' a certify tlfe 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: Date: q-/5:.-/9--- Print / -/Print Name: —.7-r/170 67192? I:\Building\Forms\FireSprinklerAffidavit 071514.docx Page 1 of 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9300 SW WASHINGTON SQUARE RD, TIGARD, November 21 , 2018 at OR, 97223 9:39:41 AM Record Type: Record ID: Commercial - Fire Protection System FPS2018-00130 Inspection Type: Inspector: 999 Sprinkler final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor