Permit p CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
11,1
COMMUNITY DEVELOPMENT Permit#: FPS2013 00159
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/31/2013
Parcel: 1S126DC03300
Jurisdiction: Tigard
Site address: 9900 SW GREENBURG RD 130
Project: TIAA-CREF Subdivision: LEHMANN ACRE TRACT Lot: 4-5
Project Description: Adding(10)sprinklers to suites 130 and 160.
Contractor: PATRIOT FIRE PROTECTION INC Owner: ATHERTON REALTY PARTNERSHIP
4708 NE MINNEHAHA ST 2100 S WOLF
VANCOUVER,WA 98661 DES PLAINES, IL 60018
PHONE: 360-699-4403 PHONE:
FAX: 360-699-4485
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/31/2013 $88.75
12%State Surcharge-Building 10/31/2013 $10.65
Type of Use: COM Plan Review-Fire Life Safety-COM 10/31/2013 $35.50
Class of Work: ALT Type of Const: IIIB
Occupancy Grp: B Height: ft
Stories: 2
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: .1 Design Area: 225
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 $134.90
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,900.00
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 / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspecti 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,A.nnlication.
Fire Protection System RECEIVED in':01 I I( II ,-,1 0\1
Received
City of ligard Doesiv 1 0 wiz= PeroitN4: a-... a•i ,00 1
!lhi • 13125 SW MAR Blvd-,rIgird.OR= 0 7.0 1 3 PlanRcriew
' ' Phone:503.71&2439 Fear 503 Date v•. CitherPerml 15A A I -00■ 7
A„„ Inspection Lir=503.639.4175 Date Reatey Aviv Of See Pate 1 for
Wens&www.ligard-or.gov cay ov TIG XRD Notified/Mated' -j- CS' supphauncat hironaraton
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:.. .:,,,,,,,,, -• . . '.=" Permit fees'are based on the value of the work performed.
El New construction 0 Demolition Incficstc the value(rotmded to the nearest dollar)of all
12j motion/ahem&nkepiaccment 0 Oihcr equipment.materials.labor,ovethead,and the proclit for the
_ , • week indicated on this application.
•;:'-'',••,;A):''.''''',,:,,','!:.'‘,.44;67;0 woz.colistRugroN. . ': ;; ,'.,,.-:. ? ‘ : . —
0 1-and 2-family dwelling ..1 tgl Commercialreadintrial '
— • — Number ofbedroomn
0 Accessory build:mg Dbfulti4=lly
Number of bathrooms:
0 Master buil 0 Othder er
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New dwe
Job site address:9900 SW Creenhurg BA llin Let
g area: square
------------•---- —
City/State/ZIP:Tigard,OR 97223 0=8e/capon sre.e square feet
Suite/bldg./apt no.:130&160 Project name:TIAA Crd Covered porch area: square fcct
— - — _
Cross street/directions lei&aim.SW Win=Street Deck sr= square feet
-
Other structure area: square feet
*OST*•: ,.... ' • •.•
Subclivision: _ —1-Lot go.: Permit fees*are based on tbe value-of the work performed.
— — Indicate the value(rounded%nibs nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor.,overhead,and the profit for the
1i3isON.or*bs ,' . ,.. .‘..'';',: ,::,'.1.:..• ::,...,,,.., '',,,.:z' Ivo&indicated on this application.
2d0 sprtredcra Ibr nen arab Valuation: $2,900.00
------------_
Entraps balling arca:. same square feet
New building alca: wane square feet
...1:,:•,),;k:1•,„,11:4•***-0,:;7.*:,',,,',:',.•er".,.',,,,,,-,, •,''; '‘•''; , '•,, :,,,t4;,*54NT,':', : ..,,,,.:'',,,,',:••,, Number oilstones: 2
Name:TIAA Cref TX Type of cosstructiern 3-B
Address:99005W Greenlnus Rd Occupancy groups:
City/State/ZIP:Tigard,OR 97224 nasal* it
Phone:( ) Pam( ) New: B
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Business.name::Patriot Fire Protection,Inc Ali ccotractres and subcontractors are required to be
licensed with-the Oregon Construction Contractors Board
Contact tun=Tol Baker ,_ under ORS 701 roadway be required robe licensed in the
Address:470$NE Minnelialte Street jurisdiction in which work it being performed.If the
applieant is=rapt from licensin&the following reasons
City/State/DE Vara:Enver,WA 98661 — ,illiPlY: __
Phone,.(36))699 1403 Pa=:(3W)6994403
—
E-matl:ted.lasker@pilrlotArecnin
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Business mane:Mile It*mlboVe Permit fee:
Address: State surcharge(1.20/0 of pemait fee):
City/State/ZIP: Mg pbri review OM of permit fee):
Phone:( ) I Fa ( ) (Due upon application.)
OCB HQ:MU Total permit fees:
Authorized signature: , . Amount received: 1,3C./.90
This permit application expires ifa permit is not obtained
ii3----------- ..
rPrintdorne Babor I Date!10-2843 within,' 1faidays after it has been accepted as complete.
* Fee Baelizadolosy Baby Tri-Coiany!bolding Industry
Service Board.
1:18agmertaballoo 02/01/11 440-44151,(1110/COMATIEB)
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City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
'--- �•: • • • "•'''-‘` :,, _:-: . •, ;... . •. ,, •
L) ❑ New 2.) Modification to sprinkler heads orly
❑ Addition 1-10 heads: No plan review required.
® Alteration ❑ 11+heads: Plan review required
❑ Repair
Number of sprinkler heads: Q
Additional description of work
,.; .: xSyslOC (Coi�F A r.;B�or A-as appficati ): ', •.
% j I,I` ,•,,11,,,1'41 ,a '( ' ^
\Vet D
Additional Standpipes no
Information: r!azard Group Ludt ,
Density -1
Design Area 225
T1.Factor 5-6
Sprinkler Project Valuation: $ 1
•,042—AISTPi ,4:•, oodtFs SuPpiession;S Lem.;
Hood Project Valuation: $
Submittal shall Batten-Calculations ❑ Yes
include: Individual Component ❑ V es
Cut Sheets
Fire Alarm Project Valuation: $
•
'
°,R nandAlnip•° item): ,`( ,;
Square Footage: Permit Pee: ,
0 to 2,000 $198.73
2.001 to 3,600 $246,43 ;
3,601 to 7,200 $310.05
7,201 and greater $404.39 (
Sprinkler Project Square Footage: sq.ft.
1',; 7 ,y(;.,' rP tv ; • " ., - •.
Project valuation subtotal(see A,B&C above): .$
Permit-fee based on project valuation(see fee schedule): $
Permit fee based on square footage(see D above): $
State Surcharge(12%of permit fee): $
FIS Plan Review(40%of permit Eft): $ ,
TOTAL: $
Plan review requires a completed application and 2 sets of plans at submittal Plan review fees are required at submittal
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W 9900 SW Greenburg Road
Suite 130 & 160
110 Tigard, OR 97223
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° I 32-11597
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