Permit (130) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
IN 4 COMMUNITY DEVELOPMENT Permit#: FPS2018-00143
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/06/2018
TIGARD g Parcel: 1S134AD06201
Jurisdiction: Tigard
Site address: 10450 SW NIMBUS AVE R-1A
Project: Kruger Optical Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3
Project Description: Add(11)and delete(35)sprinklers for new tenant improvement.
Contractor: PATRIOT FIRE PROTECTION INC Owner: KYLE LATTA
4708 NE MINNEHAHA ST 10240 SW NIMBUS AVENUE, L-3
VANCOUVER,WA 98661 PORTLAND,OR 97223
PHONE: 360-699-4403 PHONE: 503-598-9980
FAX: 360-699-4485
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/05/2018 $145.24
12%State Surcharge-Building 11/05/2018 $17.43
Type of Use: COM Plan Review-Fire Life Safety-COM 11/05/2018 $58.10
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 11/05/2018 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 11/05/2018 $5.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: 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 $227.77
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $6,250.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,,, 41
�- i Permittee Signature: ��6i9e,e'��
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
. (77 /7
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
t Building Permit Application i V r. ��
Fire Protection System r �{ FOR OFFICE IJSE ONLY'
Cityof Tigard OCT 16 2018 Received
ill N 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B : %�? ,i 7/ Permit" N _ ��de,��_3
g CF:,:
a 1a,"` y Plan Review
Il Phone: 503.718.2439 Fax: 503.598.140 ,,\ C r. d /So S:.'-1 Date/By: J 43* -,p'2 Other Pen
Inspection Line: 503.639.4175 , i,I t if -- ate Ready/By: Juris:
l f t;A I'1) 1. � �� I�1.� '$ "� Y Y� ® See Page 2 for
Internet: www.tigard-or.gov ; q ,.... .- _. .- )-Notified/Method: 4, I Supplemental Information�►1
TYPE OF WORK ' QUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Pe fees*are based on the value of the work perfo. ed.
Indicat- he value(rounded to the nearest dollar)o . I
®Addition/alteration/replacement ❑Other: equipmen', aterials,labor,overhead,and the t,.fit for the
CATEGORY OF CONSTRUCTION work indicateon this application.
El1-and 2-family dwelling n Commercial/industrial Valuation: $
❑Accessory building IDMulti-familyNumber of bedroom
❑Master builder ❑Other: Number of bathrooms:
ievs-0 JOB SITE INFORMATION AND LOCATION Total number of floors.
Job site address: '3"1-5—SW Nimbus Ave New dwelling are.. quare feet
City/State/ZIP: Tigard, OR 97223 Garage/carpo- area: squ..e feet
Suite/bldg./apt.no.:R1A & RIB Project name:Kruger Optical Coverea .orch area: square --
Cross street/directions to job site:SW Scholls Ferry Rd and SW Nimbus Ave De area: square feet
Building R(10450)
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Add (11)and Delete (35) sprinklers to accommodate Valuation: S 6,250
new tenant improvement. Existing building area: same square feet
New building area: same square feet
D PROPERTY OWNER ® TENANT Number of stories: 2
Name: Kruger Optical Type of construction: 3B
Address: 10110 SW Nimbus Ave, suite R1A and R1B Occupancy groups:
City/State/ZIP: Tigard, OR 97223 B
Existing:
Phone:(541) 549 0770 Fax:( ) New: B
] APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: Patriot Fire Protection, Inc
All contractors and subcontractors are required to be
Contact name: Joseph Plattner /16055n a- -o) licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4708 NE Minnehaha Street jurisdiction in which work is being performed.If the
City/State/ZIP: Vancouver, WA 98661 applicant is exempt from licensing,the following reasons
Phone: 360 699 4403 apply:
( ) Pax: :(360 ) 699 4485
E-mail: joseph.plattner@patriotfire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name: same as above (Please refer to fee schedule)
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 lic.: 70822 Total permit fees:
Authorized signature:
Amount received:
This permit application expires if a permit is not obtained
Print name: Joseph Plattner Date:10-12-18 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_071514.doc 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:
0 New system Number of sprinkler heads: 4 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
I] 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 applicable);
A.) Commercial Sprinkler
® Wet 0 Dry
Additional Standpipes no
Information: Hazard Group light
Density .10 (existing)
Design Area N/A
K.Factor 5.6
Sprinkler Project Valuation: $ 6250
B) Type I Hood Fire Suppression System
Hood Project Valuation: $
C) Fire Alarm
Submittal shall Battery Calculations 0 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: $
\\patriotfire.local\dfs\VAN Profiles\ted.baker\Downloads\FPS_PermitApp.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10450 SW NIMBUS AVE R-1A, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00143
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor