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Permit
CITY OF TIGARD'PI FIRE PROTECTION SYSTEM PERMIT a ' COMMUNITY DEVELOPMENT Permit#: FPS2019-00049 T i Ll A R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/08/2019 Parcel: 1S126BC01506 Jurisdiction: Tigard Site address: 9020 SW WASHINGTON SQUARE RD 220 Project: Southwest Business Corporation Subdivision: None Lot: None Project Description: Fire sprinklers. Altering(2)sprinkler heads to accommodate TI. Contractor: MCKINSTRY COMPANY LLC Owner: TOWMAN ONE EMBASSY CENTRE LLC 16790 NE MASON STREET SUITE 100 BY TOWMAN LLC PORTLAND, OR 97230 25425 BASCOM AVE STE 230 CAMPBELL, CA 95008 PHONE: 503-331-0234 PHONE: FAX: 503-331-6907 FEES Description Date Amount Specifics: Permit Fee-COM 04/08/2019 $67.23 12%State Surcharge-Building 04/08/2019 $8.07 Type of Use: COM Plan Review-Fire Life Safety-COM 04/08/2019 $26.89 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 04/08/2019 $1.00 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Wet Standpipe Required: Hazard: LT Density: 1 Design Area: 200 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 $103.19 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,100.00 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]u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: j/ Permittee Signature: ° �� 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°NEN' .", ' , . City of Tigard ' ---=---' Received Date/B . l'iiLF"),1=111 IN111 13125 SW Hall Blvd.,Tigard,OR 97223 APR - 8 2019 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B : ••;.MIIIMIE• ISM= TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: IZI See Page 2 for Cirir(., ':.'„:...,ARD Internet: www.tigard-or.gov BIM DING DIVISION Notified/Method: Supplemental Information TYPE OF WORK , RE9UTIZED DATAx AND 2-FAMILY DWELklEG 0 New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all I s Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CAT!° "; CONSTRUCTION work indicated on this application. 1'4II16:1')i :0- C.' :: Valuation: $ El 1-and 2-family dwelling ig Commercial/industrial Number of bedrooms: 0 Accessory building 0 Multi-family 0 Master builder 0 Other: Number of bathrooms: -- JOB SITE INFOIRMATION AND LOCATION - -!J.", Total number of floors: Job site address: qatoscj (,,jacklyt .k.-6,A cetim4r, Ve..) New dwelling area: square feet City/State/ZIP: •-Rto,r; ov. ck.4.szs Garage/carport area: square feet Suite/bIdglaptioip i.c,j5 Project name: $(„silil c Covered porch area: square feet Cross street/directions to job site: 5.1*...114,6424. 13,.., ,- ,ss ( , Deck area: square feet Other structure area: square feet I -11.•:e43:cl'1.:1''''•7 A,•fSP 7•- :4:V. V§'alikc*ISi- Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: , equipment,materials,labor,overhead,and the profit for the DESCiii14;lt04;P•WORK work'' ‘. 55 _5;,:iii.5. ,;„, work indicated on this application. Valuation: $ 11100 A at! Z syrieacicr V.4.04)s Aro er...c.3.4.er3a.k.t. -V; Existing building area: square feet New building area: square feet 0 pito' -I.--1 OWNER 4o ,41',.* - ***EI: ki ANT INII Number of stories: '' e**,,..' --**,--A-•.e.,._Ivs...e,- ,,• i...;.,44‘ '- -1-ze ;' ' , Name: 5-'6,ac. Type of construction: Address: 40.2 a ci j i i 4441141)rov% Stu.sixt_ ep Occupancy groups: City/State/ZIP: 'it?JD OR c11 Z 23 Existing: Phone:(<61 ) Gu, —Zs' I Fax ( ) New: 5055:;45t:54 APPLIC '':,5:145 la coNTA6la. 14 ,,,,,,-4, , ,-,,,,, ,,,,,,,, PTY._ '.''•_, -4.' ., -'17,1 'NOTICE Business name: iviciatisb. co All contractors and subcontractors are required to be Contact name: 4i cex licensed with the Oregon Construction Contractors Board & Ori, under ORS 701 and may be required to be licensed in the Address: v,1cto „tie 1.144600 sttot:, jurisdiction in which work is being performed.If the applicant is exempt from licensing,the following reasons City/State/ZIP: ig5c4,14,64 OR. ct 1 z 0 apply: Phone:(II()C120, /4^17) Fax::( ) E-mail: 4 ,e #6444thy.coos -7-, --,--4..t,',7 l'-'',: • , -;._.,o,• ••• -1,•: --CONTRACTOW777- -'- ,:',71,1•7P' OEM i4,'i PERMIT FEE ,trie,,-;1:*0-et to fee scheditI4... .1.,• I._ Business name: ret414,,,tsi." Permit fee: Address: 4-(qØ1A)1. stitma,,, q - c..,..i.c (Go State surcharge(12%of permit fee): City/State/ZIP: 91 ,44,..,D 0,2 '•1-i Z7° FLS plan review(40%of permit fee): Phone:(qi( Fax:( ) (Due upon application submittal.) CCB lic.: ilz,qtt Total permit fees: _ - Amount received: Authorized signature: i This permit application expires if a permit is not obtained Print name: At. ..iiieed.• Date:OOP/VI within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:\BuildingTermitsTPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information e o k to be dope 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: Z. 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 1:1(36)+ direview required and (3) sets of plans. sets evoces:f plans.Plan Additional description of work: Type of Syste � omplete B or D as appy r )• � y t 3 .. I a'' t waw'' a +d ® 11 i e clal S-,....A-1',...--. tl 1 er ..,. r_. " 2 zx; zi; ,',rk,''` 'b.�� t .u� Y.tit:it„ Sprinkler Type ® Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group ;cshh' Density1 Design Area .ZOO t4.1. K. Factor C.(p Sprinkler Project Valuation: $ ) Type I- ®�/ Fire Su re [ n stem r Hood Project Valuation: $ •p mo „ 'r .,' Ma kR'.,,,c y grt£� ,� .� t s � f � „,,.,..a,,,..,-6,,� �t... ''�'Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Projecgt Valuation: $ yn ry R3. t ' 4 # •• $ esident>a nkler(Stand B 1 ystem) , e .v _` Mkt . Square Footage: Permit Fee: 0 to 2,000 $198.75 2 001 to 3 600 $246.45 '` � 3,601 to 7,200 $310.05 — t. 7,201 and greater $404.39 . Sprinkler Project Square Footage: sq. ft. �r� ©tecton P ”'Fees y4 .. Project valual , & above): $ Permit fee based onuatiproonjectsvaluation (AseeB fee scChedule): $ 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\Pemuts\FPS_PerrnitApp_031016.doc 2 „. City of Tigard ”" 8 Q Permit No.: PPS__ ^ .I q 13125 SW Hall Blvd.,Tigard,OR 97223 APR 2013 Phone: 503.718.2439 Fax: 503.598.1960 Date Received: Inspection Line: 503.639.4175 Cii Y TIGARD Internet: www.tigard-or.gov B'Ui; D1 ' t t + ., By: ./.tri/.//��//w li 0";*• FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: SWBC Washington Square Ste 200 Occupancy: B Job Address: 9020 SW Washington Square Road Type of Construction: TI Suite: 200 Contractor: McKinstry Co Phone: 971-420-7550 Number of Proposed or Altered Heads: 2 Type: Recessed Hazard: LH Density: 1 1, Alex Forker Oregon Construction Contractors Board No. 172811 certify the 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 t' //i oc�- t with a copy of the sketch attached shall be available for all inspections. fi Signature: Date: Oy/C/o(o{ Print Name: Alex Forker I:\Building\Forms\FireSprinklerAffidavit 071514.docx Page 1 of 1 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 9020 SW WASHINGTON SQUARE RD 220, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2019-00049 Inspection Type: Inspector: 999 Sprinkler final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9020 SW WASHINGTON SQUARE RD 220, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2019-00049 Inspection Type: Inspector: 999 Sprinkler final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor