Permit (35) ' CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
11, COMMUNITY DEVELOPMENT Permit#: FPS2018-00041
T[GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/07/2018
Parcel: 1 S136DB00201
Jurisdiction: Tigard
Site address: 11565 SW PACIFIC HWY
Project: FRED MEYER Subdivision: None Lot: None
Project Description: Fire sprinklers:Adding and relocating(43)fire sprinkler heads for TI.
Contractor: COSCO FIRE PROTECTION INC Owner: FRED MEYER STORES INC
2501 SE COLUMBIA WAY SUITE 100 STORE#375
VANCOUVER, WA 98661 1014 VINE ST
PROPERTY TAX 7TH FLOOR
CINCINNATI, OH 45202
PHONE: 360-816-8418 PHONE:
FAX: 360-883-6390
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/07/2018 $355.04
12%State Surcharge-Building 05/07/2018 $42.60
Type of Use: COM Plan Review-Fire Life Safety-COM 05/07/2018 $142.02
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/07/2018 $2.00
Occupancy Grp: M Height: 25 ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 05/07/2018 $75.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: ORD2
Density: .20 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $616.66
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $26,060.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spe '.ty, odes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is of s tried within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires to follow e r -s adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95 -001-0090; ou . obtai - opy of the rules
or direct questions to OUNC by calling 503.232.1987• ...1.332.2344.
Issued By: "..7..d,714v
�.--1, / I •e •e nature:
4,
Ca 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System Hfrib �,�
f eceived C 'J
0125,of Tigard Date/By: /,�y/t� F (Sj OJ�
`J g Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 et 9
':1111 A)( Plan sy:Reviewt-
- � r Other Permit: ������ �
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: 7
TI c;n R D Inspection Line: 503.639.4175 i �� Date ReadyBy: Juris: I See age 2 for
Internet: www.tigard-or.gov t_rl ! ,s' �YNotifie eth LnVL
Supplemental Information
TYPE OF O i'.-'14:.!:7-,{ a QU : D D '$`:1- AMILY m
s
ElNew construction 0 DemolitionPermit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
.
%; CA . ORY OF CONSTRIJ 'I work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JO E INFORM SON AND L&ATION Total number of floors:
Job site address:11565 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Fred Meyer 00375 Remodel Covered porch area: square feet
Cross street/directions to job site:SW Pacific Hwy and SW 71st Ave. Deck area: square feet
Other structure area: square feet
RE 6 ll 1 `',t ATA:COMMERCIAL-USE &11 KLEST
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
'" i 'iD R TION'OF WORK 7 work indicated on this application.
Add/relocate sprinklers on existing system for tenant improvement. Valuation: $$26,060.00
Existing building area: square feet
New building area: square feet
R , TY O .. t w. .M .�... 0 TEN , _- Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
.. ,+ ; a EWCANT �I CONTACT i_'t:t N 4 ::. ..,.
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
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: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) Fax::( )
E-mail:
` NTRACTOR
`
Business name:Cosco Fire Protection
',x
Al ma (p erto ;
Permit fee:
Address:2501 SE Columbia Way,Suite 100
State surcharge(12%of permit fee):
City/State/ZIP:Vancouver,WA 98661
FLS plan review(40%of permit fee):
Phone:(360)883-6383 Aar:(360)883-6390 (Due upon application submittal.)
CCB lic.:67508 Total permit fees:
Authorized signature./ .- - 'jI Amount received:
This permit application expires if a permit is not obtained
Print name:Dan Furno Date:4/18/18 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_031016.doe 4404613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
° .. r� liii l ami a m II1
X116 -
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 43 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 ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
�
t
'31
ltiRiNtil.ialirl
khiI413"iata2r L'''
� ta I. Emr ..� ® Wet ❑ Dry. r�tt�r Sprinkler Type N/A: StandpipesAdditional
Information: Sprinkler Supply Line ❑ Yes ® No
Hazard Group
0H2
Density .20
Design Area 1500
5.6
K. Factor
Sprinkler Project Valuation: I $ 26,060
Hood Project Valuation:• $
WI
-- - ,0 .ti,N .;' .. I_= i. t m �' ilir », "Y'al - - ..:. ,u .`ni (. li ,�rir7i it
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: I $
11.1.4111,k4,41.!;'rkfirliiiii'''r'i;i1?,'''',..1::•11!:;1,1)„,:iiiiiiiiii.'''.0:::',,',;;;;!,,',,i'lli:;;;IF.,illi',1!,;,',',',!!,,!-1,11::::titifi,!,1:51'1:'"!:,,-',,-!,i;-!:::'',',:,,;::1',,:::,:!:',',',..:
Square Footage: Permit Fee:
-' imr . : �m ! 'a - _- star - 'l �_
0 to 2,000 $198.75 "t gym. �� x` ,
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05 m
11111 0 111111114,160411,111112b' pi 0111144
7,201 and greater $404.39 wF
G
Sprinkler Project Square Footage: I sq. ft.
Project valuation subtotal (see A,B &C above): $
Permit fee based on project valuation (see fee schedule): $
it
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $
FLS Plan Review(40% of permfee): $
TOTAL: $
I:\Engineering\00-DAYWORKS\PD 5202 Fred Meyer-Tigard\Submittal\FPS_Permit2pp.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11565 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00041
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor