Permit q CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: FPS2013 00138
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/24/2013
Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10330 SW GREENBURG RD
Project: Red Lobster Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Install new fire spnnkler system from existing riser in existing building
Contractor: COSCO FIRE PROTECTION INC. Owner: LINCOLN CENTER LLC
2501 SE COLUMBIA WAY SUITE 100 BY SHORENSTEIN PROPERTIES LLC
VANCOUVER,WA 98661 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 360-816-8418 PHONE'
FAX: 360-883-6390
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/24/2013 $338.92
12%State Surcharge-Building 10/24/2013 $40.67
Type of Use: COM Plan Review-Fire Life Safety-COM 10/24/2013 $135.57
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/24/2013 $4 00
Occupancy Grp: A-2 Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 10/24/2013 $23.50
11x17)
Commercial Sprinkler System:
Sprinkler Required. Yes Sprinkler Type Wet
Standpipe Required. Hazard ORD1
Density .15 Design Area. 900
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 $542.66
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation' $24,200 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 • 's suspended for more the 180 days ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility ■ • 'cation 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 d -ct questions to OUNC b - ;g 503 232 1987 or 1.800.332.2344
I•sued By: / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available mspectio ate.
This permit card shall be kept in a conspicuous place on the job site until .mpletion of the project.
Approved plans are required on the job site at the time of each inspection.
uildin2 Permit Application
Fire Protection System S Y 's GENE
• >•i FOR OFFICE' I:SI:()NIA
City of Tigard Received
114 `J g Date/By: �/O /'3 Permit No. 1,95026/3,e0 i3a
13125 SW Hall Blvd.,Tigard,OR 97223 `� ?�' Plan Review �; ) lye Z I�
Phone: 503.718.2439 Fax: 503.598 1960 Date/By. 4 V V Other Permit.
-1-1 G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By. f 4 5/ luris. ® See Page 2 for
Internet: www.tigard-or.gov N9tified/Method:'eV?' / Supplemental Information
BUILDING DIVISION dp° t_ 2u __P ,
TYPE OF WORK ' :QUW IT ATA:1-AND 2-FAMILY DWELLING
❑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 0 Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10330 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Red Lobster#457 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: 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.
Install new complete fire sprinkler system from existing riser in existing Valuation: $24,200.00
building. Existing building area: 8338 square feet
New building area: square feet
IN PROPERTY OWNER ❑ TENANT Number of stories: I
Name:Darden Restaurants,Inc. Type of construction:
Address: 1000 Darden Center Drive Occupancy groups:
City/State/ZIP:Orlando,Florida 32837 Existing:
Phone:(407)245-4000 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name:Cosco Fire Protection All contractors and subcontractors are required to be
Contact name:Jeff Halstead 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,Washington 98661 applicant is exempt from licensing,the following reasons
apply:
Phone:(360)816-8418 Fax: :(360)883-6390
4 E-mail:jalstead@coscofire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Cosco Fire Protection (Please refer to fee schedute)
Permit fee: 338.92
Address:2501 SE Columbia Way,Suite 100
City/State/ZIP:Vancouver,Washington 98661 State surcharge(12%of permit fee): 40.67
FLS plan review(40%of permit fee): 135 57
Phone:(360)816-8418 Fax:(360)883-6390 (Due upon application.)
CCB lic.:675080 l r Total permit fees: 515.16
Authorized signature: Amount received:
,Th
This permit application expires if a permit is not obtained
Print name:Jeff Halstead Date:9/30/13 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I\Budding\Permits\FPS-PemmitApp doe Rev 01/05/2012 440.46131(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
® Addition ❑ 1-10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: _
Additional description of work:
Type of System (Complete A, B,C or D as applicable):
A.) Commercial Sprinkler
0 Wet ❑ Dry
Additional Standpipes N/A
Information: Hazard Group OH Group I
Density .15
Design Area 900
K Factor 5.6
Sprinkler Project Valuation: $ 24,200
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: I $
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): $ 24,200
Permit fee based on project valuation (see fee schedule): $ 338.92
Permit fee based on square footage (see D above): $
State Surcharge (12%of permit fee): $ 40.67
FLS Plan Review(40%of permit fee): $ 135.57
TOTAL: $ 515.16
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
I:\Engineering\00-DAYWORKS\PD 5119 Red Lobster#457-Tigard\Documents\PD2119 City of Tigard.doc Rev 01/05/2012
2501 SE Columbia Way,Suite 100
••••••••• I C J S C® Vancouver,Washington 98661
•••••••• Ph(360)883-6383 Fax(360)883-6390
•••••••• . Fire Protection
WA COSCOFP110NM,OR 67508
Transmittal
September 30,2013
TO: City of Tigard RE: Red Lobster#457
13125 SW Hall Blvd. 10330 SW Greenburg Road
Tigard,Oregon 97223 Tigard,Oregon 97223
ATTN: Plan Review Cosco Job Number: 24PD5119
Enclosed are the following :
Item Number Copies
Engineer Approved Automatic Fire Sprinkler Plan _ FP-1 to 2 4
Engineer Approved Hy draulic Calculations _ 2 per set 4
Material Submittal 4
Permit Application 1
REMARKS:
THESE DRAWINGS ARE: THESE DRAWINGS FOR :
1 Not Approved 1 Preliminary Approval
2 Approved By Insurance Services Office 2 As per your request
3 Approved By Kemper Insurance 3 X Your approval and/or comments
4 Approved By W.S.R.B. 4 Fire Department approval
5 Approved by City Building Dept. 5 Architect's approval
6 Approved by City Fire Dept. 6 For your use
7 _Approved by Architect 7 Record set for your files
8 With revisions 8 X Return(2)copies of each print
9 X Approved by our staff P.E. 9 P.E.Stamp
10 10
11 `-- 11 --
12 12
Sincerely,
Copies To : FILE Cosco Fire Protection /
Je a I: . , - • ect ager
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10330 SW GREENBURG RD, TIGARD, OR, 2013 -11 -26 (null)
97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2013 - 00138
Inspection Type: Result:
999 Sprinkler Final PASS - No C of 0
Comments:
Violation Summary:
Inspector Contractor