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Permit (250) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 11 COMMUNITY DEVELOPMENT Permit#: FPS2018-00080 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/10/2018 T t c;f�li C� g Parcel: 1S135AB01002 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 301 Project: Sterling Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Fire sprinklers:(8)sprinkler heads for TI. Contractor: PACIFIC FIRE SYSTEMS LLC Owner: LINCOLN CENTER LLC 6704 RIVERIA CT BY SHORENSTEIN PROPERTIES LLC WEST LINN, OR 97068 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-710-6646 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 07/10/2018 $88.75 12%State Surcharge-Building 07/10/2018 $10.65 Type of Use: COM Plan Review-Fire Life Safety-COM 07/10/2018 $35.50 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 07/10/2018 $0.50 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Wet Standpipe Required: Hazard: LT Density: .10 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 $135.40 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,861.00 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 503.2 2.1987 or 1.800.332.2344. Issued By: Perm' ee ignature: 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 Systemnil a FOR til I( I; ISI.()\l.A City of Tigard �`2 ' .Lam' Received f�//�,�� DateB : ����,�/��� Permit No.: / �� III _ 13125 SW Hall Blvd.,Tigard,OR 97223 J U L 14 2018Plan Review Phone: 503.718.2439 Fax: 503.598.1960 DateB : Other Permit:/tie i4•/ -- a i T c_A R t) Inspection Line: 503.639.4175C l; - l Date Ready/By: kris ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information BUay.E.,—„,2 a,r ..N TYPE OF WORK` REQUIRED DATA:1-"AND 2-FAI LYDWEL 0 New construction 0 Demolition Permit fees*are based on the value of the work performed. ddition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTIONwork indicated on this application. Valuation: $ ❑ 1-and 2-family dwellingmmercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND,LOCATION, Total number of floors: Job site address: ({�q,,Lfl `1Z,V ,�,�4j J New dwelling area: square feet City/State/ZIP: U pct7 0 Z. Garage/carport area: square feet Suite/bldg./apt.no.: 3&‘, 4t c_ Project name: %tom:1?.._LLAI,�C11. Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMEIRCIA14-IJIM`CHECKLIST 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 DESCI If11�1,.OP WORK work indicated on this application. Tz__t�-L-b Cfp�� ✓, qi, t- r S --i›-t—_---7--c— P r�✓t✓ Valuation: $ 1 C. ( . O� LA-) p„�A..., l is V-�"'1--,-- Existing building area: square feet New building area: square feet PROPERTY"OW1t1ER :" [.TEI�IAN t ` Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: D APPLICANT Q_CONI'AC'I'"PERSON 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: e z� BUII�t1�Y11<�' (1 + �'u+.aeesrak} Business name: —ep�,U ;=---,,t ;=---,,Cwt Permit fee: Address: ( --IC) (Z,,31r - , v City/State/ZIP: e. ,--,c--- L.r,r,..%1,..), C>^j 06, State surcharge(12%of permit fee): FLS plan review(40%of permit fee): Phone:(51v,5) -'1 l 0 „ t,t„ r� Fax:( ) (Due upon application submittal.) CCB lic.: ' D t 0 Total permit fees: Authorized signature: (,/�, Amount received: This permit application expires if a permit is not obtained Print name: (,Z. )i r,l.! I,^ k"`� 1✓ -- Date: -1.... Q, 1 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I.\Building\Permits\FPS-PemtitApp_031016.doc 440.4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information nY r'� ;>r i 5,, a "�a. w�"4 X .:'' & ,n a x` ,` r' #x '� , 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: SCJ ,I'Addition or El 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: c Mfr�, v,x..,_. E .€ x. ;��r_,.�,n L c„ � _r ?'r "a C�s.- '°ter` ., a ,,; ,- a -s ....;:;,,,i;'4.1-- a - x a ;s ' {.,.'-:—.�' ro,: " :.� ,-x-i�y� x y-, r ''::::.0,---,:':-',...:- �s- p+3- ,i r x �- .F' k -ey � *# * - x, 3t a s ' '* Y su�,'s +r Sj s k r� '' '. .1 -i }t -,',:r:.' m r ael tt Eti `�� w � - ,--;i., � 3 �n �3,^..,_ .:,. x� .st :. ,'r,.a:.'' � .,�4su' r...>w'�„�.,. ?r� y _'." ,. _ .,..}. "'' .r.,,,,-,,,-40...,,,..-.4„:-.-.,.< ,« ,.?;3.a�1` .,',.. • �• ��► i;�, wet ❑ D Additional Stand.i.es Information: .. ❑ Yes 21'. o Hazard Group to i [a i,\-A Densi 1 Des': Area MAII=Il K. Factor S.rinkler Pro' . . i. i•• $ 41 Cc 7 Hood Pro ect Valuation: $ a A `. i�i #' z.a a -, ..,,. xe y --- k,,, .fig": ti .n -" ` _ .W ..k,: w a"*ra 5s:>.h+ .� ,. ..,.L+an .g', 't _� v+�z 7t1.•�; Submittal shall Batte Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Pro•ect V:1.7ati:72:,,. .,$774.p.w.- 1'r kn# � .6Y �,. l sym '� z3 "S`„� _ i at � & t .1Z B ..r(Stant' + on 46 F a -n. P'''''Ar� '''- - d a ,ir . } >-rte t I&''t' ,.."to' :x.. - .. ,. _, , ,�?,�=i�..-r- '.w. ( a- , r -- �`-.. �', S.uare Foota•e: Permit Fee: ' k � , 0 to 2,000 $198.75 �. -(P4 1 2,001 to 3,600 $246.45q 3,601 to 7 200 $310.05 !:=4;t141:::7 �s #.b ,xn .0 . 2-c`r, -,,z,-,,,,,,,„ ,,,, :4117; a,7,201 and : eater $404.39 � � . >,#, __� ` Sprinkler Project Square Footage: sq.ft. Firs ProtectiO�.Pe t . Pro'ect valuation subtotal see A,B&C above : $ Permit fee based .ro'ect valuatifee schedule : $ Permitasefee based on s.uare footaon .seee see D above : $ e Sha . of . rmit ee : FLSStatPlanurcReview e 40%12%of.ermeit ffee : $$ TOTAL: $ I:\Building\Permits\FPS_PermitApp_031016.doc 2 City of Tigard Permit No.. F/"$,,? /,--(6QR). a 13125 SW Hall Blvd.,Tigard,OR 97223 iJ 2013 7 'fD ■ Phone: 503.718.2439 Fax: 503 598.19Date Received: ! �` Inspection Line: 503.639.4175 T t GA R Internet /dAtArice)14 www.tigard-or.gov " „ By: G��. FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: 4 i z-A--A, Occupancy: 0 Job Address: t 'i?�© /�c`Z %+� � Type of Construction: Suite: '?j 7 " Contractor: 9 fk 41t cr . Z,t�_ Phone: 1.,ve Ito —AA-6 `-- Number of Proposed or Altered Heads: 9) Type: —k." --r1,--S> Hazard: t.- '. c .144--\---- Density: a L 0 M Oregon Construction Contractors Board No. t l kiC0 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: -�� `- ---� Date: 'i. L© J LQ, AK Print Name: t14.%s ‘.1-1‘1J I:\Building\Fonns\FireSprinklerAffidavit_071514.docx Page 1 of 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10220 SW GREENBURG RD 301 , TIGARD, OR, 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2018-00080 Inspection Type: Inspector: 999 Sprinkler final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor