Permit (247) CITY OF TIGARD /la e�,ra FIRE PROTECTION SYSTEM PERMIT
114COMMUNITY DEVELOPMENT Permit#: FPS2018-00078
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/10/2018
T t "�P' ' g Parcel: 251136000600
Jurisdiction: Tigard
Site address: 16580 SW 85TH AVE
Project: Clean Water Services-0&M Building Subdivision: None Lot: None
Project Description: Fire Sprinklers:Remodel of existing 0&M building and new conference room. 8/22/18:REPRINT to correct
address. 9/10/2018: REPRINT to include conference room on permit.
Contractor: COSCO FIRE PROTECTION INC Owner: CLEAN WATER SERVICES
2501 SE COLUMBIA WAY SUITE 100 2550 SW HILLSBORO HWY
VANCOUVER,WA 98661 HILLSBORO,OR 97123
PHONE: 360-816-8418 PHONE: 503-547-8150
FAX: 360-883-6390
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/10/2018 $594.22
12%State Surcharge-Building 07/10/2018 $71.31
Type of Use: COM Plan Review-Fire Life Safety-COM 07/10/2018 $237.69
Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 07/10/2018 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 07/10/2018 $22.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: LT
Density: 0.1 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 $929.72
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $59,500.00
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: N /9.7
a,04
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.
CITY OF TIGARD ,1 IRE PROTECTION SYSTEM PERMIT
WOW
COMMUNITY DEVELOPMENT Permit#: FPS2018-00078
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/10/2018
T t C;A I<.Dg Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16580 SW 85TH AVE
Project: Clean Water Services-0&M Building Subdivision: None Lot: None
Project Description: Fire Sprinklers:Remodel of existing 0&M building. 8/22/18:REPRINT to correct address.
Contractor: COSCO FIRE PROTECTION INC Owner: CLEAN WATER SERVICES
2501 SE COLUMBIA WAY SUITE 100 2550 SW HILLSBORO HWY
VANCOUVER,WA 98661 HILLSBORO,OR 97123
PHONE: 360-816-8418 PHONE: 503-547-8150
FAX: 360-883-6390
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/10/2018 $594.22
12%State Surcharge-Building 07/10/2018 $71.31
Type of Use: COM Plan Review-Fire Life Safety-COM 07/10/2018 $237.69
Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 07/10/2018 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 07/10/2018 $22.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: LT
Density: 0.1 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 $929.72
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $59,500.00
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 questions to OUNC by calling 503.232.19871-
0%3..y2322.1987 or 1.800.332.2344.
Issued By: ✓���'� 1 —Rermittee Signature:
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.
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT
Permit#: FPS2018-00078
Date Issued: 07/10/2018
T[
(.3A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S1136000600
Jurisdiction: Tigard
Site address: 16060 SW 85TH AVE
Project: Clean Water Services-0&M Building Subdivision: None Lot: None
Project Description: Fire Sprinklers:Remodel of existing 0&M building.
Contractor: COSCO FIRE PROTECTION INC Owner: CLEAN WATER SERVICES
2501 SE COLUMBIA WAY SUITE 100 2550 SW HILLSBORO HWY
VANCOUVER,WA 98661 HILLSBORO, OR 97123
PHONE: 360-816-8418 PHONE: 503-547-8150
FAX: 360-883-6390
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/10/2018 $594.22
12%State Surcharge-Building 07/10/2018 $71.31
Type of Use: COM Plan Review-Fire Life Safety-COM 07/10/2018 $237.69
Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 07/10/2018 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 07/10/2018 $22.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: LT
Density: 0.1 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 $929.72
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $59,500.00
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 fort�h OAR 252-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 2.1987 or 148Q0.332.2344.-"\,
Issued By: Permittee Signature: ActfeAA ((L
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. dJ
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 K.QEIVED
City of Tigard Received
2018 Date/By: 7_ Permit No.
III 13125 SW Hall Blvd.,Tigard,OR 9722u�
Plan Review III=S,I==IIIIIIIIIII
�����
Phone: 503.718.2439 Fax: 503.58 1 T y t Other Permit:
OF
� `f-y ,
Date/
By:
1 G A R D Inspection Line: 503.639.4175 p{l�'J/-� TIGARD� 1 Date Ready By: 7uris: Ea See Page 2 for
Internet: www.tigard-or.gov � �E U �� ��� tified/Method: ?1/� (i-� Supplemental Information
'' 'iYPE OFRK RE DATA:1- -7"I'''''
„" II Y DWELLING
®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
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
pp
work indicated on this application.
CATEGORY OF CONSTRUCTION . -
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
r>-=F JOB SITES a I to TION AND LOCATION Total number of floors:
.,, .ten. .
Job site address:16060 sSW 85th ve. New dwelling area: square feet
City/State/ZIP:Tigard,O 7224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Clean Water Services Covered porch area: square feet
Cross street/directions to job site:SW 856 Ave.&Durham Rd. Deck area: square feet
Other structure area: square feet
"SQUIRED DATA:Cd iMERCIAL-r4� ' li"i *,am=s1,,,•'' '
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
DESCRIPTION ( WORK ,_,,,,,,,,,*p,4"' work indicated on this application.
NPws1400 sqft ennfPreuce building. Valuation: $$59,500.00
Remodel of existing O&M office building Existing building area: 18965 square feet
New building area: 2515 square feet
' 1,4 PROPERTY OWNER .w 0 TEN " Number of stories: 1
Name:Clean Water Services Type of construction: Mix-Steel&W
Address: 16060 SW 85th Ave. Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing: Light/Ord Has
Phone:(503)547-8150 Fax:( )
New: Light Hazard
CANT ►i CONTACT" PERSON
.� .r �K.... z:rc NOTE; `'
Business name:Cosco Fire Protection All contractors and subcontractors are required to be
Contact name:Tim Carpenter licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:2501 Columbia Way 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)883-6383 Fax::(360)883-6390
E-mail:tcarpenter@coscofire.com
s"
xi r, ,. CQNTRACTOR BUILD I e ,I a l FEES*
Business name:Cosco Fire Protection (Please r 'r lel
Permit fee:
Address:2501 Columbia Way
State surcharge(12%of permit fee):
City/State/ZIP:Vancouver,WA 98661 FLS plan review(40%of permit fee):
Phone:(360)883-6383 Fax:(360)883-6390 (Due upon application submittal.)
CCB lic.:67508 7/02U/! Total permit fees:
Authorized signature:
Amount received:
.404.
This permit application expires if a permit is not obtained
Print name:Tim Carpenter Date:7/3/18 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.doc 440-4613T(11/02/COM/WEB)
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City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
�. ° R 'to be I. A:LHx.:m- : , �a; _. �` - ,,� .'"�.
' III ���i 741, ,,;$���_ .
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
® New system Number of sprinkler heads: 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 1=1(36)+ devices: Plan review required and
(3) sets of plans. sets of plans.
Additional description of work: New conference building with U.G. to 5'-0" out
Remodel of existing O&M office building
W _
II
1,7:1111i of Syst m f Q �'v M or D_.. w h- m m, yy�'. -mill yy-�
f y U 1i -E _ =� 1C,r E �
ore 1 ' t er , _4---'4=-444111(7,,,„4,14 III
Sprinkler Type ® Wet I=1 Dry
Additional Standpipes 0
Information: Sprinkler Supply Line ® Yes 1:1 No
Hazard Group Light Hazard
Density .10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: I $ 59,500
Hood Project Valuation. I $
11 Iql
10 N poor_im � ry � :. ouoii - l --- Mc�
Submittal shall _ Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: I $
• ` c, i I 1 # 4, t (et .d d . r - _fy,tti ,P�� ( i � '' d. p
Square Footage: Permit Fee: _' r" . a a 1,
0 to 2 000
$198.75 rt.. , OA
2,001 to 3,600 $246.45 ii -
3,601 to 7,200 $310.05
7,201 and greater $404.39 ( �� w.
Sprinkler Project Square Footage: sq.ft.
1 gar II„ILA'd�r- :i` e : a • en °r<t' 1t ,� ' r II�C1,c- .1'. , -a J
Project valuation subtotal (see A,B & 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: $
I:\Engineering\00-DAYWORKS\PD 5214 Lewelling Elementary School\Pemut Docs\2ity of Tigard-Permit App.doc