Loading...
Permit (27) 11111 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT x^ COMMUNITY DEVELOPMENT Permit#: FPS2016 00080 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/21/2016 Parcel: 1S135AB01004 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 640 Project: Old Republic Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Fire sprinklers-Relocate(2)sprinkler heads Contractor: MCKINSTRY COMPANY LLC Owner: LINCOLN CENTER LLC 16790 NE MASON ST., STE. 100 BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97230 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-331-0234 PHONE: FAX: 503-331-6907 FEES Description Date Amount Specifics: Permit Fee-COM 04/21/2016 $51.09 12%State Surcharge-Building 04/21/2016 $6.13 Type of Use: COM Plan Review-Fire Life Safety-COM 04/21/2016 $20.44 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 04/21/2016 $1.00 Occupancy Grp: Height: ft 11x17) Stories: 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 $78.66 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $500.00 Residential Square Footage: 0 Fire Alarm Valuation: $0.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct quest. s to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: .6(94-4/Pt \Mb ••• er– Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Fire Protection System FOR 01 FI F: l SE O\I.\ /� Received City of Tigard 1�C f Iic^ DateB : PermitNo.: (PSav/lo bqD$o 114 q 13125 SW Hall Blvd.,Tigard,OR 9722 L• Ii art Plan Review ,/� R Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit. 'iQu /`0 , T 1<' R D Inspection Line: 503.639.4175 APR 2 1 2016 Date Ready/By: loris. H See Page 2 for Internet: www.tigard-or.gov U Notified/Method. Supplemental Information CIT • 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 ®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the e e t ° , a y, work indicated on this application. 0 1-and 2-family dwelling ® m Comercial/industrial Valuation: $ 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: '... _ff °r ' °" 'PhD�.,, .. " Total number of floors: Zt ma1 :S.„: °w�, aw� c. s,, zr1, ,,„thizoY Job site address:10220 SW Greenburg Road New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:640 I Project name:Old Republic Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet 0 IT I lx r, ''t ,I,A,1, 'Y 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 1, l . � \''� ! I o i e •z''k`� *$ work indicated on this application. F;, Relocate(2)sprinkler heads Valuation: $$500.00 Existing building area: square feet New building area: square feet 1-Pi' TX OWNER _„, .,,4,.4,,,, , >+ §¢ r Number of stories: Name:Old Republic Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: �,„ t T ; p.P A,�.:' ¢. t qe s r, # A� �y s u-. \�.:-^3a�...',,k.,-,'@i�'�.�' a � � : `„. :F:�-.aw,:;,..,41.7 ,"`tea, z,,4,.,. ....:� 4`..., '�^ ., W.,,'n.r,. .I .f v W --v Q. Business name:McKinstry Co. All contractors and subcontractors are required to be Contact name:Tria Day licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:16790 NE Mason Street,Suite 100 jurisdiction in which work is being performed.If the City/State/ZIP:Portland,OR 97230 applicant is exempt from licensing,the following reasons apply: Phone:(503)318.2057 I Fax::( ) E-mail:triad@mckinstry.com i =-0,,,,,,;4 ' ,4 ,4.44-'�'z, .. a 4;,:,',41 i is 'at' 1 ` Business name:McKinstry Co. Permit fee: Address:16790 NE Mason Street,Suite 100 State surcharge(12%of permit fee): City/State/ZIP:Portland,OR 97230 FLS plan review(40%of permit fee): Phone:(503)331-0234 Fax:(503)331-6906 (Due upon application submittal.) CCB lic.:172811 Total permit fees: �r Authorized signature: Amount received: p 7$- ,c...4:-.) � This permit application expires if a permit is not obtained Print name:Tria Day L/ Date:4/21/16 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\FPS-PermitApp_071514.doc 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information n► k �• v 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: 2 Number of alarm devices: ® Addition or ® 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 0 6+ devices: Plan review required and (3) sets of plans. (3) sets of plans. Additional description of work: b 9 9/ Cilie ",i'�.sa ""v�; F.��. �� - `1�� 1,-411 s ® Wet 0 Dry Additional Standpipes Information: Hazard Group Co N- Density , l5 Design Area ,p.“-3®p K. Factor 5.6 Sprinkler Project Valuation: $ 500 U %oferpeI f ( irvSuppressi©n System zoz; , < k, eft � R Hood Project Valuation: $ w aR#§ 9 ,,.a'°'" p @"✓ ::' "fix zv `a `��;� v,°vs i "w Q, a' iy�: r -� az g*� `' �R�'�a C, • �, ,€ s • Fuji '44A, m Submittal shall Battery Calculations 0 Yes include: Individual Component 0 Yes Cut Sheets Fire Alarm Project Valuation: $ $fAST ���, �� rad �, ,� ��a ,� 44314` Sp i er( w m Ef+ ystexri Square Footage: Permit Fee: #.y " 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 A � Sprinkler Project Square Footage: sq. ft. 4 <� ` .. of w •"' a `s ",e', 4� >< <:@`�Rvv""`• a.,-.,. 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: $ W:\Projects\N-R\Russell Construction\107106 Old Repblc Ste 640,2-Lncln\001 Mechlonst\Permits\FS\FPS-PermitApp.doc City of Tigard RECEIVED Permit No.: I4 j 9/(p-660 86 13125 SW Hall Blvd.,Tigard,OR 97223 I Phone: 503.718.2439 Fax: 503.598.1969NPR 2 1 2016 Date Received: q/S.j�jlp Inspection Line: 503.639.4175 I €C;:1 R t) Internet: www.tigard-or.gov By: J CITY OF TIGARD BUILDING DIVISION FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: Old Republic Occupancy: r� Job Address: 10220 SW Greenburg Road Type of Construction: Suite: 640 Contractor: McKinstry Phone: 503.331.0234 Number of Proposed or Altered Heads: 2 Type: �,�e, Hazard: N- p,rpk Density: .l des ipa n I, Tria Day Oregon Construction Contractors Board No. 172811 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: 7' ' > J Date: 4/21/16 Print Name: Tria Day I:\Building\Forms\FireSprinklerAffidavit 071514.docx Page 1 of 1 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 10220 SW GREENBURG RD 640, TIGARD, OR, 97223 Commercial - Fire Protection System 999 Sprinkler final PASS - No C of O FPS2016-00080 Jeff Grove Violation Summary: Inspector Contractor