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Permit (180) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 1114 2 ' COMMUNITY DEVELOPMENT Permit#: FPS2016-00189 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 11/21/2016 T[ a .f? 9 Parcel: 2S 113 BA00400 Jurisdiction: Tigard Site address: 7632 SW DURHAM RD 320 Project: Allstate Insurance Company Subdivision: None Lot: None Project Description: Add/relocate(3)sprinkler heads for TI Contractor: PATRIOT FIRE PROTECTION INC Owner: PORTLAND SW CENTER LLC 4708 NE MINNEHAHA ST BY FELTON PROPERTIES INC VANCOUVER,WA 98661 ATTN: FELTON, MATT 520 SW 6TH AVE, STE 610 PORTLAND, OR 97204 PHONE: 360-699-4403 PHONE: FAX: 360-699-4485 FEES Description Date Amount Specifics: Permit Fee-COM 11/21/2016 $61.85 12%State Surcharge-Building 11/21/2016 $7.42 Type of Use: COM Plan Review-Fire Life Safety-COM 11/21/2016 $24.74 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 11/21/2016 $0.50 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 $94.51 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 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 stions to OUNC b calling 503.232.1987 or 1.800.332.2344. Issu d By: Permittee Signature:C 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 11111 City of Tigard Received ��� "" 13125 SW Hall Blvd.,Tigard,OR 97223 NO V 9 2016Date/B : // /0 s< , ��'+ Permit NT' 5 ��.—�Q/��� _ Phone: 503.718.2439 Fax: 503.598.1960 Plan Review TIGARD Inspection Line: p Date/B : Other Penni4 �'�U�10d_ Internet: Line:g 503.639.4175 1( O IG RD Date Ready/By: .tuns: 0 See Page 2 for `P la Notified/Method: Supplemental Information BUILDING TI/ISION ' TYPE fly`WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING`, '' 0 New construction ❑Demolition Pe fees*are based on the value of the work perfo.' ed. Indicat- e value(rounded to the nearest dollar)o 1 ®Addition/alteration/replacement ID Other: s n �+ equipment, . aterials,labor,overhead,and the .M.fit for the -,- x I Ok` i lli"~Q 1 ' Uc - :� - ' '`. A work indicates.on this application. � -' Nr li` ID1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building IDMulti-familyNumber of bedroom ❑Master builder ❑Other: Number of bathrooms: 'O.1,-„,TINF 1(ATION Al D LOCTIO Total number of floors:11 Job site address: 7632 SW Durham Road New dwelling are, quare feet City/State/ZIP: Tigard, OR 97224 Garage/carpo, area: squ.,e feet Suite/bldg./apt.no.: 3O I Project name:Allstate Insurance T.I. Covered:+orch area: square f- Cross street/directions to job site: SW 76th Ave De area: square feet I ther structure area: square feet EQI IRED DATA © R tl 1JS k Subdivision: I , , �, �j ` moi, ' , =?` 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 w equipment,materials,labor,overhead,and the profit for the '▪ , �I, E 1 11ESC P O i ,'`,.„-i', Q a E x work indicated on this application. Add, relocate sprinklers to Valuation: $ 900 accommodate remodel. Existing building area: same square feet New building area: same square feet ;, R▪ iiiii ,, k R TEI ` . :'t 3 44444 44444,4444- , `� Number of stories: Name: Allstate Insurance Company Type of construction: 2BA Address: 7632 SW Durham Road City/State/ZIP: Tigard, OR 97224 Occupancy groups: 503 575 8282 Existing: B Phone:( 03 ) 575 ( ) New: B 'AP'PLIcANT f '4,4,44,,74,4,- c©NTAC'I' PERSO t 4 a n Business name: Patriot Fire Protection, Inc " All contractors and subcontractors are required to be Contact name: Ted Baker licensed with the Oregon Construction Contractors Board Address: 4708 NE Minnehaha Street under ORS 701 and may be required to be licensed in the jurisdiction in which work is being performed.If the City/State/ZIP: Vancouver, WA 98661 applicant is exempt from licensing,the following reasons Phone:(360) 699 4403 I Fax::(360 ) 699 4485 apply: E-mail: ted.baker@patriotfire.com i B iG L't2MiT EES Business name: same d S above ,'4 (7+Ienserefert ee�scJ,e r+tei '' 0 .-, 3 Address: Permit fee: City/State/ZIP: State surcharge(12%of permit fee): FLS plan review(40%of permit fee): Phone:( ) I Fax:( ) CCB lic.: 70822 (Due upon application submittal.) Total permit fees: Authorized signature: ICP-/ •• Amount received: 9 5/ Ted This permit application expires if a permit is not obtained Baker Print name: ! pate: 9-9-16 1within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. l:\Building\Permits\FPS-PennitApp_071514.doc 440-4613 T(1 I/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information , 4 k N ;._ 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ElNew system Number of sprinkler heads: Number of alarm devices: 3 ❑ 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 ❑ 6+ devices: Plan review required and (3) sets of plans. (3) sets of plans. Additional description of work: 111' u r tj'f S ter'`i (` c m � `e ',* '.f` ✓ V`'ap ,1icab1e)�� +5�' 'M _ t'` 4 r`,.'..t =x+44 th_ ?#` 5 _£,.,��r'.. � r .. �(` JF i_sit ?'=_ ,'irtmag - m_,. a m t E = 3� f X =p` l gre IB o it 't - . -Y ' -s El Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ V= F x)d 14 .r Hoo I' G7 -.a?S Y n ' .�; r= "' y i i¢r iiGz �y'_' .,a r�`��',,� `s i� 9i t �, �„'` "'-•T f_ Hood Project Valuation: $ 7)itiq aro ; . f '�.�k'� d, (iii L ='�' ,- 1%p rg -�=., -l�� 4� i ti4 1 ' �Y ! r'* �Gk '^ i� r 4 zk n g =,t� „t� i r"" '"C �r - iyi 3 ( tr 1�iE r l''`:r r+ '� „r d r � �- r '�4. j� {� �." m ��, � `,, ti ��"� , E�"' �� ,���}, -+�� s�r I Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ r„ i rr 3 {�04 9 : c a `-r. ' -., r -moi a�, - _ M ate) 1e >4et aI S� irinkler St nd orte i' t r E C ` i t t F Square Footage: Permit Fee: tw 0 to 2,000 $198.75 � � 2,001 to 3,600 $246.45 4 alt ` 3,601 to 7,200 $310.05 7,201 and greater $404.39Ealame, � �, ! � r Sprinkler Project Square Footage: sq. ft. A,, _ Fire jrotecttbn Pe0#1:P.Fee „ r.ri r ,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: $ \\patriotfire.local\dfs\VAN Profiles\ted.baker\Downloads\FPS_PermitApp.doc 2 RECEIVED City of Tigard Permit No.: A05.30/(o- Od/g 9 • 13125 SW Hall Blvd.,Tigard,OR 97223 m( U 3 2016 ■ Phone: 503.718.2439 Fax: 503.598.1960 Date Received: ////p///� T t G A K D Inspection Line: 503.639.4175 Internet: www.tigard-or.gov CITY gO,,�'��IG AR By: & i 1I ILLIMNG DIVISION FIRE SPRI ER AFFIDpAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: Allstate Insurance T. I B Occupancy: Job Address: 7632 SW Durham Road, Tigard 97223 3-B Type of Construction: Suite: Contractor: Patriot Fire Protection, Inc 360 699 4403 Phone: Number of Proposed or Altered Heads: 3 SSP light Type: Hazard: g Density: 10 Ted Baker I, 70822 Oregon Construction Contractors Board No. 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: J - '. Date: 11-9-16 /`_ Print Name: Ted Baker I:Building\FormaireSprinkler davit 071514.docx Page 1 of 1 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 7632 SW DURHAM RD 320, TIGARD, OR, 97224 Record Type: Commercial - Fire Protection System Inspection Type: 999 Sprinkler final Result: PASS- NoCofO Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: December 9, 2016 at 9:15:59 AM Record ID: FPS2016-00189 Inspector: Chip Barnett Contractor