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Permit (81) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT :4 ■ COMMUNITY DEVELOPMENT Permit#: FPS2019-00019 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/19/2019 T t ;r R Dg Parcel: 2S101 DD00600 Jurisdiction: Tigard Site address: 6700 SW SANDBURG ST Project: Apex Labs Subdivision: SALEM FREEWAY SUBDIVISION Lot: 3 Project Description: Fire sprinkler permit:(6)new dry pendent sprinklers in new freezer/cooler. Contractor: COSCO FIRE PROTECTION INC Owner: 6700 SANDBURG LLC 2501 SE COLUMBIA WAY SUITE 100 BY NERENBERG, BIANCA VANCOUVER,WA 98661 13148 SW BROADMOOR PL TIGARD, OR 97223 PHONE: 360-816-8418 PHONE: FAX: 360-883-6390 FEES Description Date Amount Specifics: Permit Fee-COM 02/19/2019 $86.06 12%State Surcharge-Building 02/19/2019 $10.33 Type of Use: COM Plan Review-Fire Life Safety-COM 02/19/2019 $34.42 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 02/19/2019 $0.50 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Dry Standpipe Required: No Hazard: ORD2 Density: .2 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 $131.31 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,795.00 Residential Square Footage: 0 Fire Alarm Valuation: $0.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- You may copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.80 344. Issued By: Permittee Signature: C. 13.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Fire.Protection System FOR OFFICE I,SE ONLI' Received , 14 City of Tigard Date/B : Permit No.: — l-— lc lig 13125 S W Hall Blvd.,Tigard,OR 97223 Plan Review ■ Other Permit: Phone: 503.718.2439 Fax: 503.59$S$ �C 1V E Date/B ; v 4 — - )' Ij; 1 I G 11.12I1 Inspection Line: 503.639.4175 l'•{` L� Date Ready/By: ® See 'age 2 or Internet: www.tigard-or.gov 219 Notified/Method: `,. Supplemental Information FEB 19 TYPE OF W C QF-CIGAR© REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction 1 , ►hi>oo ittio.DI�1151�� •Permit fees*are based on the value of the work performed. -- Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El1-and 2-family dwelling Valuation: $ ®Commercial/industrial ElAccessory building 0 Multi-family Number of bedrooms: ElMaster builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:6700 SW Sandburg St. New dwelling area: square feet - City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Apex Labs Covered porch area: square feet Cross street/directions to job site:End of Sandburg St. 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 D SCRIP 11Uiv OI± WO " work indicated on this application. Install new dry pendent sprinklers in new freezer/cooler Valuation: $$1,795.00 Existing building area: square feet New building area: 766 square feet 0 PROPERTY OWNER -" 0 TENANT Number of stories: 1 Name: Type of construction: Address: Occupancy groups: ' City/State/ZIP: Existing: Phone:( ) Fax:( ) New: OH 2 ® APPLICANT rt...4 CONTACT PERSON NOTICE Business name:Cosco Fire Protection All contractors and subcontractors are required to be Contact name:Dan Furno licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:2501 SE Columbia Way,Suite 100 jurisdiction in which work is being performed.If the City/State/ZIP:Vancouver,WA 98661 applicant is exempt from licensing,the following reasons apply: Phone:(360)335-5907 Fax: :( ) E-mail:dfurno@coscofire.com CONTRACTOR BUILDING PERMIT FEES* Business name:Cosco Fire Protection (Please refer to fee schedule.) --. Permit fee: Address:2501 SE Columbia Way,Suite 100 City/State/ZIP:Vancouver,WA 98661 State surcharge(12%of permit fee): FLS plan review(40%of permit fee): Phone:(360)335-5907 Fax:( ) (Due upon application submittal.) CCB lic.:67508 Total permit fees: Amount received: Authorized signature: This permit application expires if a permit is not obtained Print name:Dan Furno Date:02/15/19 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: 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: 6 Number of alarm devices: ® Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and Alteration (3) copies of sketch showingarea (3) copies of sketch showingarea p p 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 I)as applicable): A.) Commercial Sprinkler Sprinkler Type ❑ Wet ® Dry Additional Standpipes n/a Information: Sprinkler Supply Line ❑ Yes ® No Hazard Group OH 2 Density .20 Design Area 1500 K. Factor 5.6 Sprinkler Project Valuation: $ 1795.00 B.) Type f- :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: $ C:\Users\dfurno\Downloads\FPS_PermitApp.doc 2 INCity W Tigard RECEIVED Permit No.: /=-V.51.6 —ez_,- /I/ • ■ 13125 SW Hall Blvd.,Tigard,OR 97223 2 Phone: 503.718.2439 Fax: 503.598.196gB 19 2019 Date Received: I/Vi y Inspection Line: 503.639.4175 C TIGARD Internet: www.tigard-or.gov By: �-- CITY OF TIGARD �li if / !,-'°� BUILDING DIVISION FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: A1'e_K LC10S Occupancy: F'ee et ,I/GP0IQtr Job Address: �7G� �� Su�lburq '_ Type of Construction: Nod- GP►vt(�u.Si‘i�nt2 J uh'bsft'+ec Suite: Contractor: Co Scln Cite, .lPfo*c71'4,Co Phone: 3 bO-33 5-'Sq O'7 Number of Proposed or Altered Heads: G Type: Dry Hazard: 0 ti-2_ Density: . Z 0 I, 1)an 1�U rK O Oregon Construction Contractors Board No. (9 750 $ certify the following is true and reasonably defines the scope of work for this project: 0NZ a) All work is limited to drops and armovers in a 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 co t of this doc ,%,1 ith a copy of the sketch attached shall be available for all inspections. Signature: i// e� Date: 2/i q [ I Q Print Name: T7Givt. hAt vlb I:\Building\Forms\FireSprinklerAfdavit 071514.docx Page 1 of 1 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 6700 SW SANDBURG ST, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2019-00019 Inspection Type: Inspector: 999 Sprinkler final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor