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Permit (87) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2019-00106 5/12 i t;A t;.0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2019 Parcel: 2S112DA01400 Jurisdiction: Tigard Site address: 6650 SW REDWOOD LN 350 Project: Academy Mortgage Subdivision: 1996-048 PARTITION PLAT Lot: 2 Project Description: Fire sprinklers. Relocating(3)sprinkler heads for TI. Contractor: FIRESTOP CO Owner: PACIFIC REALTY ASSOCIATES 3203 NE 65TH ST#2 ATTN: N PIVEN VANCOUVER,WA 98663 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 360-718-8604 PHONE: FAX: 360-718-8603 FEES Description Date Amount Specifics: Permit Fee-COM 08/27/2019 $69.92 12%State Surcharge-Building 08/27/2019 $8.39 Type of Use: COM Plan Review-Fire Life Safety-COM 08/27/2019 $27.97 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 08/27/2019 $1.00 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Wet Standpipe Required: Hazard: LT Density: 1500 Design Area: 5.6 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $107.28 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,200.00 Residential Square Footage: 0 Fire Alarm Valuation: $0.00 • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if ork is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to • ow the rules adopted by the Oregon Utility Notification Center. Those rules . - set fo • in OAR 952-001-0010 through OAR 952-001-0091 You may obtain a copy of the rules or direct questions to OUN •y g 503., . 987 • 1.8001 Ar Issued By: Permittee 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. Building Permit Application Fire Protection System FOR OFFICE USE ONLY Cityof Tigard Received t �� g Date/B : Or 410111 EIZ �MMIl//rte II ' 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review / _ Phone: 503.718.2439 Fax: 503.598.1960 Date/B : . im TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: la See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information 'E OF WORK REQi l 1 :1- `1` I: . 1 I' I` any.. ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all `Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the '1";71",./' :CATEGORY�x ' CONSTRUCTION„_ , ' work indicated on this application. � � ; Valuation: $ ❑ 1-and 2-family dwelling Commercial/industrial ElAccessory building 0 Multi-family Number of bedrooms: 0 Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION'AND OCATION'Al.,?:43.'5;,." ;.{ Total number of floors: Job site address: (_GtS.Q S to ke_4_4 t oa,,i LA.✓v� New dwelling area: square feet City/State/ZIP: --T-.•` 0( '=" 7 2. .4 Garage/carport area: square feet Suite/bldg./apt.no.: ��� Project name: 14 e_a T"sl e-.-"y I o/4 p j a Covered porch area: square feet Cross street/directions to job site: � " J Deck area: square feet Other structure area: square feet 'ii�t D I)A O i 1RC :,HECKLIS �; ��'%`*"'`�'„ ibti ... max' 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 DESC ' tI -0. WQ work indicated on this application. Valuation: $ 63 J\ Existing building area: square feet New building area: square feet ti rt NA `PROPE,, R Number of stories: Name: G ( %....—S 4- Type of construction: • Address: t S 3 b S(,,‘..) S ,, ',,,d Le,,,__ ,PO�,,,.\e__•.,,.) Occupancy groups: City/State/ZIP: i; O w,-� ')1 `"7V q-7 Z2(4 Existing: Phone:( ) Fax:( ) New: ®� ,- P'LiCANT 4�14-%.,:-.-1414-;, CONTA t'1,-4', a A"ON N� Business name: ,•/`2-..5 0-n ,,,-- ,/�,,v,i All contractors and subcontractors are required to be Contact name: '! V'r licensed with the Oregon Construction Contractors Board L4.— 0. LG' may under ORS 701 and be required to be licensed in the ` Y Address: 1 M 3 Z aµ,i'-.•�,,1A.l� P—d\ , jurisdiction in which work is being performed.If the City/State/ZIP: M j (� Q ^soLA applicant is exempt from licensing,the following reasons Phone: J l1 ( Q).— ,I Fax::( ) Email At _.....C1. is,' _ +-ofe..,• C-0 W- aa4` ON RA - A - - ,•tIDNG f--1 SEES* R . � g � (�esereferr -1eIII!��„. Business name: Permit fee: Address: �t� ....- State surcharge(12%of permit fee): City/State/ZIP: FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application submittal.) CCB lic.: l 1632'1 Total permit fees: vv Amount received: Authorized signature: This permit application expires if a permit is not obtained Print name: 4 a K�I,� Date: S-2-1, ( 1 * within 180 days after it has been accepted as complete. Gli�✓ Fee methodology set by Tri-County Building Industry Service Board. I.\Building\Pennits\FPS-PermitApp 031016.doc 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information � rbe wop rk 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: Number of alarm devices: 1:1Addition or 10 heads: Affidavit required and El1 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)+s devices: Plan review required and (3) sets of plans. ets of plans. Additional description of work: Vile of Sy c'®description lete A,B}C or `appli •• ,,,,,:-.7::'-'71,:::;:::,..1':::,-;;C:'...:';' , '::lir''''':1:1:72''21.;::''''' A.) +bona t , , c tx,. , s Sprinkler Type ! Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes No Hazard Group L_,; Density e(g . Design Area /V/a K. Factor (p Sprinkler Ioject Valuation: $ r2.-vv • Type I- ©dkFi>re Suppressio S ' Hood Project Valuation: $ ,� . $ rm `y Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ , � ��u th °ys a ' I pit Square Footage: Permit Fee: A 0 to 2,000 $198.75 ...1k4-1, 2,001 to 3,600 $246.45 4 ' '` _ 3 601 to 7 200 $310.05 . ' 7 201 and greater $404.39 Sprinkler Project Square Footage: sq. ft. Fire Protection iit Fees if , Project valuation subtotal (see A,B &e Cc 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:\Building\Pemuts\FPS_PermitApp_031016.doc 2 City of Permit No.: eS�U` �j—Ot)f 13125 SW HallTigard Blvd.,Tigard,OR 97223 �/�7/l I Phone: 503.718.2439 Fax 503.598.1960 Date Received: Inspection Line: 503.639.4175 T TIGAl 0 Internet: www.tigard-or.gov By: crcii ' drtkikh4 FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: ACADEMY MORTGAGE CORP. Occupancy: B Job Address: 6650 SW REDWOOD LAND Type of Construction: 11-B Suite: #350 Contractor: FIRESTOP COMPANY Phone: (360)718-8604 Number of Proposed or Altered Heads: 3 Type: PENDANT Hazard: LIGHT Density: -01 , Oregon Construction Contractors Board No. 183279 certify he ollowing 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. In addition,I underst.^d the following is required: • Submit(3)c• .ies of a sketch showing the area of work within the building's structure. • Building ' r: protection system permit. • A copy o t is document with a copy of the sketch attached shall be available for all inspections. Signature: Date: 08/27/19 Print Name: I:\Building\Forms\FireSprinklerAffidavit 071514.docx Page 1 of 1