Permit (150) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
' COMMUNITY DEVELOPMENT Permit#: FPS2017-00050
Date Issued: 04/20/2017
T[GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S126CA01100
Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 100
Project: Target Subdivision: None Lot: None
Project Description: Fire sprinkler-Modification of(52)sprinkler heads for TI
Contractor: PATRIOT FIRE PROTECTION INC Owner: DAYTON HUDSON CORPORATION
4708 NE MINNEHAHA ST BY TARGET CORP T-0345
VANCOUVER,WA 98661 PROPERTY TAX DEPT/TPN-0950
PO BOX 9456
MINNEAPOLIS, MN 55440
PHONE: 360-699-4403 PHONE:
FAX: 360-699-4485
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/19/2017 $156.00
12%State Surcharge-Building 04/19/2017 $18.72
Type of Use: COM Plan Review-Fire Life Safety-COM 04/19/2017 $62.40
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 04/19/2017 $2.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 04/19/2017 $3.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD2
Density: .2 Design Area: 1500
K Factor: 8
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $242.62
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $7,800.00
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: f $�� ll 503.69.4Permittee Signature: x
ierr'7
Call 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.
k
Building Permit Applica�j,��c�,V/��
Fire Protection System H L. 1.-(w Orrlcl: t sl':oyI.v
City of Tigard722 R 6 201? Received
Date/By //,, Permit Y�)5�/7 QQ ,50
III 2
r 13125 SW Hall Blvd.,Tigard,OR 9 3R
' Phone: 503.718.2439 Fax 5 Plan Review ` Other Permit: n !lp
o./1 1 I OI•TIGARD Date/By: / \ ( by aPcp.0�ee2g /
1.l'.*
h I) Inspection Line: 503.639.4175 Date Read : Juris: H See Page 2 for
Internet: www.tigard-or.govBUILDING DIVISION Notified/Method: K /47 / 7 . Supplemental Information
N:7 ,' XL`` � � � 3'l /T- ► 2-lADYI1J
II14+
❑New construction ❑Demolition Pe fees*are based on the value of the work peril)/ ed.
Indicat- e value(rounded to the nearest dollar)o .11
®Addition/alteration/replacement ❑Other: equipment, aterials,labor,overhead,and the •,slit for the
r �n CATEGORY OF O ,R ,t // i '',',:‘,03:4work indicate on this application.
❑ 1-and 2-family dwelling U Commercial/industrial Valuation: $
I:Accessory building ElMulti-familyNumber of bedroom
❑Master builder ❑Other: Number of bathrooms:
"- JOB SITE 11lA'14OANt?TOO 'r0
Total number of floors:
Job site address: 9 0 0 9 SW Hall Blvd New dwelling are.• quare feet
City/State/ZIP: Tigard, OR 97223 Garage/carpo-'area: squ..e feet
Suite/bldg./apt.no.: Project name:Target @ Washington Square Covered 4orch area: square f•:
Cross street/directions to job site: SW Palmblad Road De area: square feet
I er structure area: square feet
/ice
" '4� �A. w al'..`Com CSC:
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
A:i; ' D q .,,OF WCN 04r work indicated on this application.
Add, relocate and delete sprinklers to accommodate Valuation: $ 7800
remodel. Existing building area: same square feet
New building area: same square feet
Number of stories: 1
Name: Target Type of construction: 5B
Address: 9009 SW Hall Road Occupancy groups:
City/State/ZIP: Tigard, OR 97223
M
Existing:
Phone:(503 )624 0273 Fax:( ) M
New:
.'','"% ,,E1%; APPLICA rs ' .....�. w
44...,.,:a., �ON.,.iii�.ma�.." •.i-8.g "`,7'
.,.."• '. 7�.. / eowNon� ,<' * ,i-t,
Patriot Fire Protection, Inc
Business name: All contractors and subcontractors are required to be
Contact name: Ted Baker licensed with the Oregon Construction Contractors Board
4708 NE Minnehaha Street under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: Vancouver, WA 98661 applicant is exempt from licensing,the following reasons
apply:
Phone:(360) 699 4403 Fax::(360 ) 699 4485
E-mail: ted.baker@patriotfire.corn
,4 4).41)�.':i.4 •s.cll r '. \�.. ,; t
Business name: same as above
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP: FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal.)
CCB lic.: 7 0 822 Total permit fees:
.! Amount received: --("
Authorized signature: (/
C/ This permit application expires if a permit is not obtained
Print name: Ted Baker Date: 4-3-17 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1)Building\Pemtits\FPS-PernitApp_071514.doc 440-4613T(1 I/02/COM/WEB)
r
4
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
b, ork to be'dc>,ne ,
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
El New system Number of sprinkler heads: 52 Number of alarm devices:
El Addition or El 1-10 heads: Afit required and III diAffidaviqud d
Alteration
to existing of work within building structure(3) copies of sketcfidavh showing area (3)1-5 copices:es of sketch t shreowing area
an
of worevk within building structureire
system
® 11+heads: Plan review required and Li6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
,•• " '' ie f"�N .,: ..,... � �: ;e ��i 4 ap',lIrCop � , , vii `//�F/aQygH
S
;;;.Typ f ystem ` ,� ,� `� �� � ❑ Dry.zil rev, „® wet
• w,„
Additional Standpipes no
Information: Hazard Group light&OH2
Density .20 (existing)
Design Area 1500 (existing)
K. Factor 5.6 &8
Sprinkler Project Valuation: I $ 7800
. Hood Fire Ali ppres etx .. k 3 ,,. ..r.,,::
,.
Hood Project Valuation: 1 $
\\\tel .. ... : ''''''''.',,4
� \ 4 ;'C " d arm
Submittal shall Battery Calculations EI Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: I $
Jaz ;� ss :.'/ \
`/r ,s .� �\ yid / \\\ P .
e idelkltla�.Spnia M. '11,,,,,„.,0 Syste� xroNa J \.
?,„,,,z.,,',. ..�. ..v.•.\\\ , % / ..
„e„, �.G� S rte.
Square Footage: Permit Fee:
0 to 2,000 $198.75 , � �
2,001 to 3,600 $246.45 lk�\ � �4 \ \
3,601 to 7,200 •
$310.05
7,201 and greater $404.39 „_,.. .,....v..."',..',.,:\,,-,, •,
Sprinkler Project Square Footage: sq. ft.
14*
Project valuation subtotal(see A,B\8''''''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
APR 6 2017
CITY OF TIGARD
TRANSMITTAL BUILDING DIVISION
DATE: 4-3-17
To : City of Tigard Building Dept.
13125 SW Hall Blvd
Tigard, OR 97223
Att: Plans examiner
From: Ted Baker
re: Target @ Washington Square T.I. fire sprinkler submittal
Enclosed you will find (3) FP1 sprinkler plan, (3) sprinkler data sheets, (1) permit
application. Please call or e-mail with a fee amount and I will provide credit card
payment.
Thank you,
Ted Baker
OR COB 70822
WA PATRIFP099CF
yt. TED BAKER-SERVICE PROJECT MANAGER
FINE PROTECTION D 360.816.8714 I C 360.831.5850 TED.BAKERPATRIOTFIRE.COM
4708 NE MINNEHAHA STREET VANCOUVER,WA 98661 I P 360.699.4403 I F 360.699.4485
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9009 SW HALL BLVD 100, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00050
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor