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Permit �t CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT a, .. COMMUNITY DEVELOPMENT Permit#: FPS2013-00136 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/06/2013 Parcel: 2S 101 AB01400 Jurisdiction: Tigard Site address: 7600 SW DARTMOUTH ST Project: Walmart Subdivision: HERMOSO PARK Lot: 8 Project Description: Fire sprinkler system for new 137,900 square foot retail store Contractor: FIRESTOP CO Owner: PACIFIC REALTY ASSOCIATES LP 3203 NE 65TH ST#2 15350 SW SEQUOIA PARKWAY#300 VANCOUVER,WA 98663 PORTLAND,OR 97224 PHONE: 360-718-8604 PHONE: 503-624-6300 FAX: 360-718-8603 FEES Description Date Amount Specifics: Permit Fee-COM 11/06/2013 $1,482.92 12%State Surcharge-Building 11/06/2013 $177.95 Type of Use: COM Plan Review-Fire Life Safety-COM 11/06/2013 $593.17 Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 11/06/2013 $16.00 Occupancy Grp: M Height: ft 11x17) Stories: 1 Info Process/Archiving-Sm$0.50(up to 11/06/2013 $34.00 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Hazard: ORD1 Density: .425 Design Area: 2000 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $2,304.04 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $250,000.00 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 iss , or i is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon tility Notification Cen 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 OUN y ing 503.232.1987 or 1.800.332.2344. � p Issued By: til �J� /1 P ��/ ermittee Signature: „,p„, V 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 ONLY • RECEIVED Received /� City of Tigard Date/B /'2 �3 41111.04 Permit No.: F/.�aU/3—oo il 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ��7i Phone: 503.718.2439 Fax: 503.59 119K0 Date/B : art r J Other Permit: "�/.?�p�2, 2 1013 TIGARD Inspection Line: 503.639.4175 Date Ready/By: kris: 0 See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: I) 'S 13 Supplemental Information TY14141WWISM REQUIRED DATA:1-AND 2-FAMILY DWELLING rsi 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. Valuation: S ❑ I-and 2-family dwelling .g Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND.LOCATION Total number of floors: Job site address: —760 d Sr w, b.A 12-T no e w T1-( ST. New dwelling area: square feet City/State/ZIP: TI 6-i4/Z D, O f • 9 7 2.2-3 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: (),4 (,.MA ti . -1-0 QE Covered porch area: square feet Cross street/directions to job site: . Sy 3 5- 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. D Es/6-N i /A/ STA-w Ft 12_6' sp/z i Nk fin Sy3T5A,S Valuation: $ 2 SO (a-o re. 4 e co iL,a ,-k TE NE 141 QE7/4 it- s'ja R-IE Existing building area: square feet New building area: 1 3 6/73 2.. square feet PROPERTY OWNER ❑ TENANT Number of stories: A_ Name: WA Lit/I L T S 7-23/2_6-s Type of construction: UN O 6 S T 2VC7TE.b Address: Occupancy groups: m E.JL.C 4 N 77 L C City/State/ZIP: Existing: Phone:( ) Fax:( ) New: [YPPLICANT I+]-CONTACT I'ERSON NOTICE Business name: F'(r2ES To p C 0,J L LG All contractors and subcontractors are required to be Contact name: 6p �1ZEEAJ licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 4 3 24 3 N.,IE. g S� ST, r/?Ac-e 'L jurisdiction in which work is being performed.lithe City/State/ZIP: VA-A/Co U V E Ai �j4. 9/Gd l�6 3 applicant is exempt from licensing,the following reasons apply: Phone:(36o) 71g -06cg- Fax: :(3C(5) 718-8603 E-mail: ,bo 1,, Ire e h ® T,'re.s iv p Co, Go/v1 — CONTRACTOR BUILDING PERMIT FEES* e (Please refer to fee schedule Business name: �A/y) E /T S A-8 e Permit fee: Address: State surcharge(12%of permit fee): City/State/ZIP: FLS plan review(40%of permit fee): Phone:( ) i Fax:( ) (Due upon application.) CCB lie.: / 8 3 Z7 9 n Total permit fees: Authorized signature: ��-� 7t" Amount received:'V�� This permit application expires if a permit is not obtained Print name: Ar3 6 EAT b , 6-12-E EN Date: 1,Q/2/) 3 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. LU3uilding\Permits\FPS-PermitApp doc 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.) J New 2.) Modification to sprinkler heads only: El Addition ❑ 1-10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. El Repair L 8 Number of sprinkler heads: 1 Additional description of work: Type of System (Complete,A, B, C or D as applicable): A.) Commercial Sprinkler Q' Wet ❑ Dry Additional Standpipes N o N E. Information: Hazard Group E H E H I _.Density b/ i 4-2_S Design Area Z co o S,F; K. Factor 1<D,$ ZS,L Sprinkler Proje t Valuation: $ B.) Type I - Hood Fire Suppression System • Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations El 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: $ Plan review requites a completed application and three (3) sets of plans at submittal. Plan review fees are required at submittal. http://uw-e.tigard-or.gov/city_hall/departments/cd/dots/I'PS-PermiLApp.doc Rcv 01/915/2012 RECEIVED 1 [ T 22013 CITY OFTIGARD ® `: C BUILDING DIVISION ' AUTOMATIC FIRE PROTECTION LETTER OF TRANSMITTAL Attention: Fire Sprinkler Plans Examiner Authority Having Jurisdiction: City of Tigard Building Department Regarding: Walmart Store #5935 Fire sprinkler System Submittal Address: 13125 SW Hall Blvd. Tigard, Or. 97223 From: Bob Green -Date: October 2, 2013 Subject Address 7600 SW Dartmouth Street Tigard, Or. 97223 Includes: 1. 3 Sets of Shop Drawings 2. 3 Sets of Product Data Sheets 3. 3 Sets of Hydraulic Calculations 4. 1 Fire Permit Application These are submitted for approval. If you have any questions, please call. Copy: to file Thank you, j'-')-,-- Robert D. Green, CET Bob.green©firestopco.com 360-718-8604 3203 NE 65th Street,Ste. 2,Vancouver,WA 98663 P 360-718-8604* F 360-718-8603 WA/FIRESCL922OH *OR/183279*CO/121482 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7600 SW DARTMOUTH ST, TIGARD, OR, 97223 Commercial - Fire Protection System 999 Sprinkler ﬁnal PASS - No C of O FPS2013-00136 Chip Barnett Violation Summary: Inspector Contractor