Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
114 COMMUNITY DEVELOPMENT Permit#: FPS2018-00176
13125 SW Hall Blvd.,Ti Date Issued: 12/06/2018
TiC_;;kI2J) and OR 97223 503.718.2439 9
Parcel: 1 S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 560
Project: SW Financial Services Subdivision: ASHBROOK FARM Lot: 5
Project Description: Fire sprinkler:Relocating(2)and adding(2)sprinklers for TI.
Contractor: PATRIOT FIRE PROTECTION INC Owner: PLAZA WEST OWNER LLC
4708 NE MINNEHAHA ST BY CHIEF FINANCIAL OFFICER
VANCOUVER,WA 98661 680 FIFTH AVE 20TH FL
NEW YORK, NY 10019
PHONE: 360-699-4403 PHONE:
FAX: 360-699-4485
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/06/2018 $59.16
12%State Surcharge-Building 12/06/2018 $7.10
Type of Use: COM Plan Review-Fire Life Safety-COM 12/06/2018 $23.66
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 12/06/2018 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 0
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 $90.42
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $750.00
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:
Call 603.639.4175 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 FOR 0E11('E t'SE()1L1
City of Tigard Received N 0 V 2 Received �.� PennitNo' ' 50k jiA //
1111 13125 SW Hall Blvd.,Tigard,OR 97223 01(1 PlanDate/B Rev:iew Li. f '
Phone: 503.718.2439 Fax: 503.598.1960 Date/B Other Pe: Ap ifittlirMirrilIA
1 11 i,,R D Inspection Line: 503.639.4175 (_ J ,`' ( - ' I f a Date Ready/By: auris El See Page 2 for
Internet: www.tigard-or.govB Notified/Method: Supplemental Information
Uill
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Pe fees*are based on the value of the work perfo p ed.
Indicat- e value(rounded to the nearest dollar)o :11
®Addition/alteration/replacement 0 Other: equipment, t aterials,labor,overhead,and the p 'fit for the
CATEGORY OF CONSTRUCTION work indicates on this application.
❑ 1-and 2-family dwelling II Commercial/industrial Valuation: $
•
❑Accessory building ElMulti-familyNumber of bedroom
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9600 SW Oak Street New dwelling are.- quare feet
City/State/ZIP: Tigard, OR 97223 Garage/carpoY area: squ-e feet
Suite/bldg./apt.no.: 550/560 Project name:SW Financial Services TI Covered .srcharea: square
Cross street/directions to job site: SW 95th Ave De ' area: square feet
I er structure area: square feet
REQUIRED DATA:COMMERCIAL-USE 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
DESCRIPTION OF WORK work indicated on this application.
relocate (2) & add (2) sprinklers Valuation: $ 750
to accommodate remodel Existing building area: same square feet
New building area: same square feet
0 PROPERTY OWNER ❑ TENANT Number of stories: 5
Name: SW Financial Services Type of construction: 2B
Address: 9600 SW Oak Street, suite 550/560 Occupancy groups:
City/State/ZIP: Tigard, OR 97223 Existing: B
Phone:(503 ) 499 0073 Fax:( ) New: B
® APPLICANT 0 CONTACT PERSON NOTICE
Business name: Patriot Fire Protection, Inc All contractors and subcontractors are required to be
Contact name: Joseph Plattner licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4708 NE Minnehaha Street 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: joseph.plattner@patriotfire.com
CONTRACTOR BUILDING PERMIT FEES"''
Business name: same as above
(Please reJertofeeschedule)
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.: 70822 Total permit fees:
t Amount received:
Authorized signature: i. I
/ This permit application expires if a permit is not obtained
Print name: Joseph Plattner Date: 11-28-18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\PermitsWPS-PemtitApp_071514.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 4 Number of alarm devices:
0 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:
Type of System (Complete A,B,C or D as applicable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes no
Information: Hazard Group light
Density .10 (existing)
Design Area N/A
K.Factor 5.6
Sprinkler Project Valuation: $ 750
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq.ft.
Fire Protection Permit Fees
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
City of Tigard Permit No.: 7 iS v —06!7 -
10 13125 SW Hall Blvd.,Tigard,OR 97223
6 Phone: 503.718.2439 Fax 503.598.1960 Date Received: 2. Sffi
Inspection Line: 503 639 4175 ("\ 2 9 r 115 --�—
car ri n Internet www.tigard or.gov �� BY: cJ�a [t�L larGZi
FIRE SPRINKLNEt lkyrukmorrFoR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: SW Finanical Services TI y:
Occu anc B
P
Job Address: 9600 SW Oak Street, Tigard 97223 Type of Construction: 2-B
Suite: 550/560
Contractor: Patriot Fire Protection, Inc Phone: 360 699 4403
Number of Proposed or Altered Heads: 4
SSP light 10
Type: Hazard: Density:'
Joseph Plattner 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: / (, Date: 11-28-18
Print Name: Joseph Plattner
I:iBuilding\Forms\FireSprinIderAllidavit 071514 dam Page 1 of 1
I`'L)lr 2 $i • k
TRANSMITTAL �°s
DATE: 11-28-18
To : City of Tigard Building Dept.
13125 SW Hall Blvd
Tigard, OR 97223
Att: Plans examiner
From: Joseph Plattner
Job#: 32-14648
re: SW Financial Serviced T.I. fire sprinkler affidavit submittal
Enclosed you will find (3) sprinkler cut sheets, (3)fire sprinkler TI plan, (1) fire
sprinkler affidavit and,(1) permit application
Please feel free to call with any question.
Thank you,
Joseph Plattner
OR CCB 70822
WA PATRIFP099CF
pATRI JOSEPH PLATTNER -DESIGNER
FIRE PROTECTION INC, D 360 816 8724�C 360.409.3860 JOSEPH.PLATTNERa,PATRIOTFIRE.COM
4708 NE MINNEHAHA STREET I VANCOUVER,WA 98661 P 360.699.4403 F 360.699.4485
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9600 SW OAK ST 560, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00176
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor