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Permit (106) ,, CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 71 1 = COMMUNITY DEVELOPMENT Permit#: FPS2017-00113 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/26/2017 Parcel: 1 S 134AD06201 Jurisdiction: Tigard Site address: 10450 SW NIMBUS AVE RA Project: Spec Space Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3 Project Description: Add(2)fire sprinklers in elevator shaft. Contractor: PATRIOT FIRE PROTECTION INC Owner: ROBINSON,JERRY CHRISTOPHER TRUS 4708 NE MINNEHAHA ST ROBINSON, MICHAEL WILLIAM VANCOUVER,WA 98661 HANSON, RONALD D ET AL 203604 EAST FINLEY RD KENNEWICK,WA 99331 PHONE: 360-699-4403 PHONE: FAX: 360-699-4485 FEES Description Date Amount Specifics: Permit Fee-COM 07/26/2017 $69.92 12%State Surcharge-Building 07/26/2017 $8.39 Type of Use: Plan Review-Fire Life Safety-COM 07/26/2017 $27.97 Class of Work: Type of Const: Info Process/Archiving-Sm$0.50(up to 07/26/2017 $0.50 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Standpipe Required: Hazard: Density: Design Area: K Factor: Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $106.78 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: Residential Square Footage: Fire Alarm Valuation: 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: /0 c. Permittee Signature: AV 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 j1 FOR OFFICE USE ONLY City of Tigard (� Received �,� irjill permit No LCLL__ 1 �7 2017 Date/B : �� ���0���� ©��� 13125 SW Hall Blvd.,Tigard,OR JUL:1 Plan Review �". Phone: 503.718.2439 Fax: 503.598.1960 Date/B : OtherPertp (/Vel7-- ,O/ , TI GA P D Inspection Line: 503.639.417�'I" Of I I /HD Date Ready/By: �� orris: 0 See Page 2 for Internet: www.tigard-or.go 1 J1LipIN(3 DIVISION Notified/Method: 7 1' Supplemental Information ;,,,,,,:%'s,„-„,7, :er^ �. liloiuliy IVISA' _ :.'9'-9.. --,,,,,,:014,,, ""/L -11111!111!,7-- Ili 9llk T '' OF2erliO '14119P-" nor ` *,4 w f,UIRE'M i AlAs 1'14 12-FAMIL'D a ING ❑New construction ❑Demolition Pe fees*are based on the value of the work perfo. ed. Indicat- e value(rounded to the nearest dollar)o .11 ®Addition/alteration/replacement ❑Other: equipment, $ aterials,labor,overhead,and the •-.fit for the dl i.gS'1.1' ' r iuiE --rte � . , i )� 6',„,,', .I I' CATEGORY , ,,,, C ICS o ru,.7- . ,,',.' - ' work indicate, on this application. ❑ 1-and 2-family dwelling [�]Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedroom ❑Master builder ❑Other: Number of bathrooms: by-" is :. : �,ryr �IVI'i`i . ,, .JOB SITE 1NFO1w MATION,)I ND LOC TIO1! „Ili4il°1r - f Total number of floors: Job site address: 10450 SW Nimbus Ave New dwelling are. quare feet City/State/ZIP: Tigard, OR 97223 Garage/carpo- area: squ..e feet Suite/bldg./apt.no.: Project name:Building R Elevator Upgrade Covere..eorch area: square = Cross street/directions to job site: SW Scholl's Ferry Rd De area: square feet ether structure area: square feet N { r� , R� A DATAw'i )t-1MEI2 �I _ E CHIC 4. q t Subdivision: scholl's business center 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 il�d V„ --908A---.-i,NImo_ DESCRIPTION 9F WO -7.:44:,-"i2.-ir; a I�'l il�(4, work indicated on this application. alum � 1200 Add (2) sprinklers in elevator shaft Valuation: $ Existing building area: same square feet New building area: same square feet (( ,�ii UIP '' ll�-. t14; vols - a rM, P1W ,( " 7',A.,:',ROPEI OWNER (G r" )I N _ �ll`❑ TENANT . : Number of stories: 2 Name: KG Investment Management Type of construction: 1B Address: 10240 SW Nimbus Ave, suite L-3 Occupancy groups: City/State/ZIP: Tigard, OR 97223 B Existing: Phone:(503 )598 9982 Fax:( ) B �i r n ,, ii' Ip ,' - w __ ii New: Ilii 7)rfe�� � D i"is rl pi�U' - ,: , - I+tTACT I' ,I ©I I,r, *'I Patriot Fire Protection, Inc � i��l�l" '' � C m 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 Fan::(360 ) 699 4485 l. E-mail: ted.baker@patriotfire.com ,,,'-,0Y � - iviii r i1' CO ail i .`Tun A ILII I WC -�s°" i' Illi.s'.; 'PIT" �a,PW-7''''' ,1V� ,1,-i'.'-' ,,,mh( - ii -«i«� . ,. m ,,,- �,,;16,,,,,-r=:BI —,.-k ii - —7- 1.ier Business name: same a s above nm,m . (Pleaserej feschedtd�� 15 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 lie.: 7 0 8 2 2 Total permit fees: Authorized signature: Amount received: This permit application expires if a permit is not obtained Print name: Ted Baker Date: 7-19-17 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.doe 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Decub It®":or ,,,t+ °bM tt ry °jn wi Vr. liu; `'r �'T 3 ,t ilft-liT: ,G„ ,,,,i,,,, - 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 0 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: r p of a ,:t0:10,,,,,Co i Ie le A 3 3 dS r r Ile b�e uN= i fir: �: ' .IV r'. IJP` n- "p 1 ,1, �nl a 1, t 6u a u y lli t , ,'„,-r".'„,--51.-, ■ w " '>r 'moi" �'r' yl,' V' , °i ITh ' �k' X11 , fi- - 'ski' ( Lpp Ir ri v � '•arc` N7 „� I'a� ili ' Y �: `. :,-',,,A4,-, c"��+'oi rnLrcLi"- rrnkI V,i( -.I s 6 �i ?r,- P -sg� ',..or i,{ i( i�'� (: .1N*. P,j,u p X11 ;,i .4: `110 �E" ,,iim i -air �i e� '�.�i �n = A� ® Wet 0 Dr Additional Standpipes no Information: Hazard Group light Density .10 (existing) Design Area N/A K. Factor 5.6 Sprinkler Project Valuation: I $ 1200 ,. a _= oodlFilre Suppr';'ssion Sys`tet ,, <�� y ry B} = 3'P X61 ; (, ( ,,qi ,� all 41� , � �j al a'- mr } illi '" - Hood Project Valuation: I $ ,'ti�. „(4:,1,!..:-rb '"�_._i. ,..6i� _-'� hua Iq”• 6�' „����.. � a11r: ir,� = .•D IV 11110a .,Vif-- it-" ;�I) G = '" r "pT ) , I,. ijr. Yfi, Al "i ipr A-a al. V?, Tv iil, i'" �� at .°1GI - " '. r:_ N1„ , ta ie 1r r G (, q AAA are _= b - Nai'r 'V1 y (IP i, i7lrc iy F ' =rc ,-__4a a 0 - - u' it ,. .�0 �' �11 v��i 1k, ; -. G. ----or, "4,, ,1, I- "1;J1' ali% +04(i''"i" ri dr-,,ii, ip�_ aiC. �-' v 9 �"- Submittal shall Battery Calculations ❑ Yes include: Individual Component 0 Yes Cut Sheets Fire Alarm Project Valuation: i $ laa ?la �G "�i i (1 �U. ^�I' !L K .-,1",:si!�ii 'ii x -Ala-Al' i 16; 7,1 FT '}_R1:-sid n r(Stan tr ,e stns 6 , : �. a, s- 1,116= �u� ,uliV _Vu� .14 :". --- a l,,A .. " IIT .-2e- tv .or ,a ,. T o , c, 1 rl,, �, a_� Square Footage: Permit Fee: j -' 0 to 2,000 $198.75 2,001 to 3,600 $246.45 �1 Iti i �'1, h -t, i, l 3,601 to 7,200 „�- ii 11� , $310.05 A�� ° " �t I 7,201 and greater $404.39 6ui i�-. �. F ,, h ' � nFA � { Sprinkler Project Square Footage: sq,_f ,i i0. ,, +- l' F - it `-PrOtee on Pernii Fes 4 - 'Oi 'r r 9tl 7 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 A OFFICE COPY City of Tigard Permit No.: %/'S RC/7._40/13 II 13125 SW Hall Blvd.,Tigard,OR 97223 2; Phone: 503.718.2439 Fax: 503.598.1960 Date Received: 7/.j 4%7 I'1(ARi3 Inspection Line: 503.639.4175 r. Internet: www.tigard-or.gov By: FIRE SPRINKLER AFFIDAVIT FOR ALTERA ri f I + EI VED OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) J U L 9 2017 CITY OF TIOARD BUILDING DIVISION Project Name: Building R Elevator Upgrade B Occupancy: Job Address: 10450 SW Nimbus Ave, Tigard 97223 Type of Construction: 1-B Suite: Contractor: Patriot Fire Protection, Inc Phone: 360 699 4403 Number of Proposed or Altered Heads: 2 SSU & HSW light Type: Hazard: Density:' 10 Ted Baker 70822 I, 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: /F))09/ Date: 7-19-17 Print Name: Ted Baker 1:\13uilding\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1