Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
s a COMMUNITY DEVELOPMENT Permit#: FPS2021-00002
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1/12/2021
T I[;A I?.f_� 9 Parcel: 1S136CD02000
Jurisdiction: Tigard
Site address: 7805 SW DARTMOUTH ST
Project: AutoZone Subdivision: None Lot: None
Project Description: Fire sprinkler permit:adding and relocating(10)heads for TI.
Contractor: PHOENIX FIRE PROTECTION LLC Owner: 7805 SWD LLC
4130 AIRPORT RD BY ALSTON &BIRD LLP
NAMPA, ID 83687 BANK OF AMERICA PLAZA
101 SOUTH TRYON ST STE 4000
CHARLOTTE, NC 28280
PHONE: 208-468-9115 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 01/12/2021 $145.24
12%State Surcharge-Building 01/12/2021 $17.43
Type of Use: COM Plan Review-Fire Life Safety-COM 01/12/2021 $58.10
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 01/12/2021 $2.00
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: Hazard:
Density: 0 Design Area: 225
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Reg:
Battery Calcs Provided: Cut Sheets Required:
Total $222.77
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $6,499.00
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 r •s 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 calli : '03.232.1987 or 1.800.332.2344.
Issued By: —��1� Permittee Signature: .0 wa
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 15-1 5121
Fire Protection System RECEIVED FOR OFFICE USE ONLY
C _ )'y�j
City of Tigard Date BReceivedy: Df.O✓ 2/ .�� Permit No.:F Z02/-06 V
13125 SW Hall Blvd.,Tigard,OR 97223 JAN 0 5 2021
-
Phone: 503.718.2439 Fax: 503.598.1960 Plan Date/By:Review Vit. Other Permit: iNff 1o2d c"--
lCARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: 7 ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: I16t Supplemental Information
TAPING I- ISIONi -einetri-rry7.
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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
_ CATEGORY OF CONSTRUCTION work indicated on this application.
and 2-familydwellingValuation: $
0 1- ®CommerciaUindustrial
CIAccessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of Floors:
Job site address:7805 SW Dartmouth Street New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Autozone#5974 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST.
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Tenant Improvement scopw of work will be to add or reloacte heads to Valuation: S 6,499.00
accommodate new ceilings&walls Existing building area: square feet 944
New building area: square feet
j PROPERTY.OWNER '.❑ TENANT Number of stories: 1
Name: SWD, LLC C/O Benderson Development Type of construction: II B
Address: 7978 Cooper Creek Blvd. Occupancy groups: M
City/State/ZIP: University Park FL 34201 Existing: 944
Phone:( ) Fax:( ) New:
® APPLICANT -- 0 CONTACT PERSON NOTICE
Business name:Phoenix Fire Protection All contractors and subcontractors are required to be
Contact name: Teri Cruickshank licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:4130 Airport Rd. jurisdiction in which work is being performed.If the
City/State/ZIP:Nampa ID 83687 applicant is exempt from licensing,the following reasons
apply:
Phone:(208)468-9115 Fax::(208)461-9917 PLEASE CALL FOR PERMIT PAYMENT
E-mail:teri@phoenixfp.com 208-739-8112
CONTRACTOR 'BUILDING PERMIT FEES*
Business name:Phoenix Fire Protection (Please refer lo fee schedule)
Permit fee:
Address: 4130 Airport Rd. State surcharge(12%of permit fee):
City/State/ZIP:Nampa, ID 83687
FLS plan review(40%of permit fee):
Phone:(208 )468-9115 Fax:(208)461-9117 (Due upon application submittal.)
GCB lie.: 181692
Total permit fees:
/ Amount received:
Authorized signature: r • (iLa
/Q/l•% This permit application expires if a permit is not obtained
Print name:Teri Cruickshank Date:12.28.20 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1dBuildingTermits\FPS-PermitApp_031016.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: I 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 10 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:
Tenant Improvement to accommodate new ceilings &walls.
Type of System(Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes n/a
Information: Sprinkler Supply Line ❑ Yes ® No
Hazard Group 0G2
Density n/a
Design Area 225
K. Factor 5.6K
Sprinkler Project Valuation: $ 6,499.00
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: $
D.) Residential Sprinkler (Stand Alone System)
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 S404.39
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: $
I:A Building\Permits\FPS_PetmitApp_031016.doc 2
111
City of Tigard RECEIVEDPermit No.: Fps QZI Z
a 13125 SW Hall Blvd.,Tigard,OR 97223 ,e,
Phone: 503.7182439 Fax: 503.598.1960 JAN 1 CI)21 Date Received: bI f f7 5f ZOZ
7'IGARD Inspection Line: 503.639.4175
Internet: www.tigard-or.gov CITY OF t IGARD By: �r
BUILDING DIVISION
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Autozone # 5974 Occupancy: M
Job Address: 7805 SW Dartmouth Street Type of Construction: II B
Suite:
Contractor: Phoenix fire Protection Phone: 208-468-9115
Number of Proposed or Altered Heads: 10
Type: QR Hazard: Light Density: •1
1 Phoenix Fire Protection Oregon Construction Contractors Board No. 181692
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: %aiu ��Ga.Ia Date: 1.11.2021
Print Name: Teri Cruickshank
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