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Permit (55) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT N.. . COMMUNITY DEVELOPMENT r k� Permit#: FPS2019 00006 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/17/2019 Parcel: 1 S 126BC01506 Jurisdiction: Tigard Site address: 9020 SW WASHINGTON SQUARE RD 200 Project: SWBC Subdivision: None Lot: None Project Description: Fire alarm. Addition of clean agent fire detection and suppression system in server room. Contractor: NORTHWEST FIRE SUPPRESSION INC Owner: TOWMAN ONE EMBASSY CENTRE LLC 1800 NW 169TH PL, STE C600 BY TOWMAN LLC BEAVERTON, OR 97006 25425 BASCOM AVE STE 230 CAMPBELL, CA 95008 PHONE: 503-644-7720 PHONE: 503-644-7720 FAX: 503-644-8289 FEES Description Date Amount Specifics: Permit Fee-COM 01/17/2019 $263.60 12%State Surcharge-Building 01/17/2019 $31.63 Type of Use: COM Plan Review-Fire Life Safety-COM 01/17/2019 $105.44 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 01/17/2019 $6.00 Occupancy Grp: B Height: ft 11x17) Stories: 2 Info Process/Archiving-Sm$0.50(up to 01/17/2019 $17.50 11x17) Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Standpipe Required: Hazard: Density: 0 Design Area: 0 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Yes Cut Sheets Required: Yes Total $424.17 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $0.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or :.0.332.2344. Issued By: . Permittee Signature: A ( Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Biu ik1ing Permit Application Fire Protection System EC:, ;: L FOR OF Fl( i. I sly ON1 1 City of Tigard ,N 2019 Received a e/By t l? L ! /f Pe sea 1 -axl)6 0 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review 11 Phone: 503.718.2439 Fax: 503 59&3 69 t ,) DateBy: ) * J — K,^ Other Permit: TIG,�R n Inspection Line: g503.639..4175 , r Date ReadyBy: /� tin-is: H See Page 2 for .� LD (3 l Internet: www.ti and-or. ov l` otified/Method: Supplemental Information `YPE OP WORK ..k gro _oli1 1)AtM 113?- A 1`DWELL1$( 0 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 11 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the 'CATEGORY €?F'COs '1'RUGTI©N work indicated on this application. ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ Number of bedrooms: ❑Accessory building 0 Multi-family ❑Master builder 0 Other: Number of bathrooms: dOR RITE INFoanfinoot AM} LOCATION Total number of floors: Job site address:9020 SW Washington Square Road Suite 200 New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:SWBC Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet IATA:CONSTERCIA,i41$E,Cititaf.USTS Subdivision: I 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 D SI✓nIDN :; r work indicated on this application. Addition of Clean Agent fire detection and suppression system in server room Valuation: $518,000.00 Existing building area: square feet New building area: square feet e <a rlaT `E3"ltiltl TENAI ;.' Number of stories: Name:SWBC Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: i AITLIICANI El CONTACT PERSON Off' Business name:Northwest Fire Suppression,Inc. All contractors and subcontractors are required to be Contact name:Dan Loch licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:1800 NW 169th Place Suite C600 jurisdiction in which work is being performed.If the City/State/ZIP:Beaverton,OR 97006 applicant is exempt from licensing,the following reasons apply: Phone:(503)644-7720 I Fax::(503)644-8289 E-mail:danloch@nwfire.com C con Ac `OR �tHNG I Wor*ES* Business name:Same as above Permit fee: Address: City/State/ZIP: State surcharge(12%of permit fee): FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application submittal.) CCB lie.:088629 ..- Total permit fees: Amount received: Authorized signature: ,'' l ..._ This permit application expires if a permit is not obtained Print name:Dan Loc \ ~ ------": Date:1-8-2019 within 180 days after it has been accepted as complete. ""` ``l * Fee methodology set by Tri-County Building Industry Service Board. I:\Building'Permits\FPS-PermOApp_031016.doc 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2-Supplemental Information i scri r cro t`be done 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: Eg 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 ❑ 6+ devices: Plan review required and (3) sets of plans. (3)sets of plans. Additional description of work: Clean Agent Fire Suppression system.They would also like to cap two sprinkler heads,in leiu of the clean agent system. Type of System(Complete oar I app ie� )� Commercial Sprinkler Sprinkler Type ❑ Wet 0 Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes 0 No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ H `Fire.$$utessnSystem Hood Project Valuation: $ Eire Mid. Submittal shall Battery Calculations . .. .. ., ' It Yes include: Individual Component ® Yes Cut Sheets Fire Alarm Project Valuation: $ M. . Itesideotiat SimedaSystem) 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. Eite'l)--totection peimit 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): $ O:\2018\18108 SWBC(SHP)(ECARO)\FPS_PernutApp.doc 2 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 9020 SW WASHINGTON SQUARE RD 200, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2019-00006 Inspection Type: Inspector: 998 Alarm Final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor