Permit (68) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT
Permit#: FPS2019-00077
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/24/2019
Parcel: 2S112DA01200
Jurisdiction:
Site address: 15060 SW SEQUOIA PKWY
Project: Office Depot Subdivision: 1995-098 PARTITION PLAT Lot: 3
Project Description: Fire sprinkler. Installing(12)pendent sprinkler for TI.
Contractor: COSCO FIRE PROTECTION INC Owner: PACIFIC REALTY ASSOCIATES
2501 SE COLUMBIA WAY SUITE 100 ATTN: N PIVEN
VANCOUVER,WA 98661 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 360-816-8418 PHONE:
FAX: 360-883-6390
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/24/2019 $123.72
12%State Surcharge-Building 06/24/2019 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 06/24/2019 $49.49
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 06/24/2019 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 06/24/2019 $27.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: 0.1 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 $219.56
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $4,174.00
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. A ON: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in 0•R 952-001-0. rough OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.33 . 344.
Issued By:� -ermi -• Signature:
Call 50 .639., 5 by 7:00 a.m.for the next available inspection dat
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 RECEIVED FOR OFFICE USE ONLI'
Received /( /� f .�,(y ) / 00 72
City of Tigard Receive (� L Pe '�"?jQ�(/
:1 R
13125 hnSW Hall Blvd.,Tigard,OR 97223 8.19 ,l l!N1 01 Plan Review 6-.24C3
�� — B C 1
Phone: 503.718.2439 Fax: 503.598.1960 J Date/By: (� .0 D
I
Inspection Line: 503.639.4175 d �^;f Date Ready/By: / /� /
/? Jure See Page 2 for
Internet: www.tigard-or.gov No'ted Method: - I Supplemental Information
BUILDING D VIS10 :.:.
O New construction ❑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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15060 SW Sequioa Parkway New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Office Depot-Tigard,OR 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.
install pendent sprinklers for tenant improvement /2 \ Valuation: $$4,174.00
(/ ✓ Existing building area: 27318 square feet
New building area: 4743 square feet
114 PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:PacTrust,Ryan McGuire Type of construction: wood joist
Address:15350 SW Sequioa Parkway,Suite 300 Occupancy groups:
City/State/ZIP:Portland,OR Existing: light hazard
Phone:(503)603.5422 Fax:( ) New: light hazard
I APPLICANT 0 CONTACT PERSON NOTICE
Business name:Cosco Fire Protection All contractors and subcontractors are required to be
Contact name:Christine Ziegler 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)353-0289 Fax::(360)883--6390
E-mail:cziegler@coscofire.com
CONTRACTOR BUILDING,PERNLIT MS*
Business name:Cosco Fire Protection (Please refer to f esclked+rfe)
Permit fee:
Address:2501 SE Columbia Way,Suite 100
City/State/ZIP:Vane ouver,WA 98661 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(360)3534289 Fax:(360)883-6390 (Due upon application submittal.)
CCB lic.:67508 Total permit fees:
Authorized signature:,�'�-'/`� Amount received:
C� This permit application expires if a permit is not obtained
Print name:Christine M.Ziegle Date:6/7/2019 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry _Service Board.
I:\Building\Permits\FPS-PennitApp_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: 12 Number of alarm devices:
® Addition or El 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 El 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
Sprinkler Type Wet El Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group L'yA f- /jy.,,ri
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
Ype(7.''` ooc dire suppression System
Hood Project Valuation: $
C.) Fire Mann
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
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:\Engineering\00-SERVICE\PS 7706 Office Depot Tigard\Pe nit Does\FPS_Permittk2p(1).doc