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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2016-00020 TIG RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/09/2016 Parcel: 2S112DA01100 Jurisdiction: Tigard Site address: 6600 SW CARDINAL LN Project: Sweet Tomatoes Subdivision: 1995-098 PARTITION PLAT Lot: 2 Project Description: Fire sprinkler modification-Add(3)new sidewalls for existing cooler. Add(1)new sidewall for existing canopy. 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: 503-624-6300 FAX: 360-883-6390 FEES Description Date Amount Specifics: Permit Fee-COM 02/09/2016 $69.92 12%State Surcharge-Building 02/09/2016 $8.39 Type of Use: COM Plan Review-Fire Life Safety-COM 02/09/2016 $27.97 Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 02/09/2016 $2.00 Occupancy Grp: Height: ft 11x17) Stories: Info Process/Archiving-Sm$0.50(up to 02/09/2016 $4.00 11x17) Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Standpipe Required: Hazard: Density: 0 Design Area: 0 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 $112.28 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,200.00 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 if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or. ect questions to O•' • :fling 503.232.1987 or 1.800.332.2344. ssued By: II i/ 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 12 P. Fire Protection System s -,41( FJ- ,j FOR O14I( I: I tie ONI.1 1111111 City of Tigard • 13125 SW Hall Blvd.,Tigard,OR Phone: 503.718.2439 Fax: 609 9 016 Received iialk!/Date/B : Plan Review Date/B : Permit No.: y i u//n40 Other Permit: 1 1 c,A It 1) Inspection Line: 503.639.4175 L, i'v k d p i I Date Ready/By: Suri ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental information 13t1ILDI i, 11)1 M01,, _ TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 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 KAddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION 0 1-and 2-family dwelling Commercial/industrial Valuation: $ 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB-SITE INFORMATION AND LOCATION Total number of floors: Job site address: C4,o O Sis,_< Cq(L1p s 46cL, L J New dwelling area: square feet City/State/ZIP: T l rA.2-l. r p 41-12-7--4 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:i( £ i -1 ,?-1.. .-TO E Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet #,:7)1 J { 3°fir '1 e? ) ., k,n"si etiP ..Y' � t s! Y. d� Rrj , M t 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 ,,..„ O work indicated on this application. -,. tw v. cue ArQD (M) t,lEw (��� StpEv./�C.L- Qz. g-,,..--.-r, Valuation: $ ( ( �.- Co Ce oC-i✓a . ADD`"�7C 1) t-t Eve Day b St oku.._ Existing building area: square feet Cpe...._ EYet —r 1,.14- CA,nslo tad New building area: square feet p t i.-- fi �,• S ••4', ens t :w t :€ ,, r`4 5 , '. " Number of stories: ,.. t� rr' 3,Sa L11,2a„ TefAl t-•..Z.......,.,...i.: .t._.5_, s,”',011a.,�t,,:Ii 4n.,k..u... .1."` . ,e-.. -iii I Name: 5�ve"-_-_----CLc-�Lc-,k-AA----1-0 e--5 Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) • Fax:( ) New: g i r3 •a+,•-•n+_ �„t rix tt t fi .*� #�r' !' £ ,.,,,,4,.a i.t R ' p.''N'b .4'+r::rta e/.ViC' - i'' w,. „- — 7' * An're'-- -'p v trod” ” 4 ase`kr,w :" t- J n i ,d ' �.1.: Business name: GmScp IF‘__ doep'TEG—rt 0 All contractors and subcontractors are required to be Contact name: �EF� t c I S licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:ZSc ( SE C yL._.)M1 Id; "A-f jurisdiction in which work is being performed.If the City/State/ZIP: v/tr^I L oVvE a. 1,fj.q 9 E,C,4 ' applicant is exempt from licensing,the following reasons G apply: Phone:&op) l is - S 1('-Cj i Fax::( �-) E-mail: -AC.,OL-1...-L i1/4.)% d C. % C,SGO f l' ZE CO 0- L,,, .,# s vM a r ++�." : 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: 4 Number of alarm devices: Addition or ` ,e. Affidavit 1-10 heads: Affidavit required and ❑ 1-5 devices: 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 El 11+ heads: Plan review required and ❑ 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 S riplder e i s M y Wet ❑ Dry Additional Standpipes 1 Information: Hazard Group Density Design Area ____ K. Factor Sprinkler Project Valuation: $ T :}a d .Supp ..y:44.1nn e161 md' 1:'•;,,,-,,,:: w ' -P4 :;!,`.. �r .I erwo" w-. ....--':,< t . y Hood Project Valuation:I$.. t � t • Y'r 3sr „ -„ t ° ,�.r<<.,,,- ," s 4 '. • • , ,` . -,T,•''''.'-., w•••!`..±,.,- T$ '1',,-`!:•'-',;,- +* 4 r t 4 '� Y�yY die teai ';'• 3T °S 'ikh iaV* *• ' F too, :,13',-1.•.••''',•'•--.3,• MY--{ R , iY h.. R. ' p.� t, ;'''';:1\'''-- '•, a e ;f.wr >�w �;*.. r;m �. fir4..L- " __s .,�: :r. �. " . , °-4, .> 4' Submittal shall Battery Calculations 1 El Yes include: Individual Component El Yes Cut Sheets Fire Alarm Project Valuation: I $ y � k ; • u � t7 , F ' Reidenl mlder(StaredAlone Sst+ 1 ' pn , ,s,._.,...„,,,..,444;'• ,4•.;4; ;'''''''rP''...;',,,r' Square Footage: Permit Fee: - 0 to 2,000 $198.75 ,fr .T' v , ._ . ,i �' 2,001 to 3,600 $246.45 . x+�„ ;,,,,.%-,,,s,::*...,." `” 3,601 to 7,200 $310.05 z : " 7 201 and greater $404.39 -'''.. ...''-7. .--,.•- •.7.",'-...,:,....i4.:"..' �. .Q `� ' d ".+s;. ya.•.. .'r,.. ., ..«.Sii gu' .'''� ,,,,?''];F^It,,,u. '-., 4.... Sprinkler Project Square Footage: I sq. ft. ''. .- Fite Protec a P rmit1 ees .. . . 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: $ http://www.tigard-or.gov/document_center/Building/FPS_PermitApp.doc 2 City of Tigard Permit No.: 'f'7 o)/6-0(/0Z0 :� 11 13125 SW Hall Blvd.,Tigard,OR 97223 - ' 9l/� I Phone: 503.718.2439 Fax: 503.598.1960 Date Received: '7 V/ Inspection Line: 503.639.4175 6 A k I) Internet: www.tigard-or.gov By: FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: ?v iee-r -7"."44-r°e Occupancy: Job Address: 66,00 S ./ Type of Construction: Suite: (� Contractor: 1sCc 4-<<L I-'2.o rc-Ti 0 N Phone: -K ,o-7 1 -s" I o? Number of Proposed or Altered Heads: 4 Type: U 1- I Hazard: GC.O Ctz.P I Density: i, I, CoSGes c712C-. Pg6TE.-61;0 Oregon Construction Contractors Board No. (17sC:)42) 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 this document with a copy of the sketch attached shall be available for all inspections. Signature: Date: Z /40 Print Name: ^JE ►.1 I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1