Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111 s COMMUNITY DEVELOPMENT Permit#: FPS2021-00052
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/20/2021
T f('A R. - g Parcel: 2S 111 ACO2901
Jurisdiction: Tigard
Site address: 9550 SW MURDOCK ST
Project: Templeton Elementary School Subdivision: None Lot: None
Project Description: Fire sprinkler permit-adding and relocating 37 sprinkler heads.
Contractor: SOUND FIRE PROTECTION INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT 23J
10756 SE HWY 212 6960 SW SANDBURG ST
CLACKAMAS, OR 97015 TIGARD, OR 97223
PHONE: 655-3775 PHONE:
FAX: 503-655-2990
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/19/2021 $242.08
12%State Surcharge-Building 05/19/2021 $29.05
Type of Use: COM Plan Review-Fire Life Safety-COM 05/19/2021 $96.83
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/19/2021 $2.00
Occupancy Grp: E Height: 25 ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 05/19/2021 $6.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: 0.1 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 $375.96
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $15,725.00
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: Va41 tDe/We. a Permittee Signature: OvvAppLicut'wvt
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.
c _.
Building Permit Applicati ECEIVED 15-412t 'i2 i
Fire Protection System APR 2 6 2021 Et tiaaihl'1( E I''t t r'q.'t
City of Tigard Jtaanves i4, ZO2I 'r'7 pamtir2So.:F1 '202/-c1O Z'
13125 SW Hall Blvd.,Tigard,OR 972GITY OF TIGARD Ma
PJannw.
uvie{v /�
. "- tt t Phone. 503.718.2439 Fax 503.59B,i96DDING DIVISION Dete/By. 'i3. 2 I OrharPanat:/I? ieki -a�c)
(,1 •ai '. Inspection Iane: 503.639.4175 pate Ready/By: :�I is: See age Sur
1 '� Internet: www.tigardrorgnv ma- 'method: / /�s�61 Sapptawcatal idmmadoe
TYPE OF WORK I IiLQIl1TL6U D 4 1ti 2-F VNftl.x PWEW G
❑New construction ❑Demolition I Ptandt fees'are based on the value of the work perforated.
Indicate the value(rounded to the nearest dollar)of all
349dditiorJnitrrationhbplaoemot I ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEC,/7RY;or Co'til'rittC7'I6N ! work indicated on this application.
Valuation: S
❑ I-and 2-family dwelling ommercini/industrial
--
❑Accessory building D Multi-famil Number of bedrooms: T ^
❑Master builder 0 Other: i\'mnhcY of bathrooms:
JOS SITE INFORMATION AND LOCATION E Total number of floors:
Job site a y 5(,1J a.� /. 2'7"- area:New dwelling ar square feet
City/State/ZIP: � r7 1 4!
� tate // ����'d/ 02 ����/ Garage/outpost area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross stteeUrlirectinns to job sift.: %r�p(rl�k.l E�yy(j'1^A 3 ® Deck area: • aquae:feet
Fd �..G• t Other stractere area: square feet
Rlt"QI IRLDDATA:CO RCIAS:.LuSE CHEC CLISTr
Subdivision: Lot no.: Permit fees'are based on the value of the work purfunned.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DIt.SCRIPTIOPi OF WORN I work indicated on this application. _Mfi -
/or 12eG ioc..4.fi. I--,-=6. S1p,4,-4.0I ev's , Valuation: $ !S, ? "is- "
4
a f,,74(- 11,a 2 G"sc.( (}CP' a,t,t.C 7 PI, m Existing building area: square feet /4: 741i t
L 4:.1 S f--a'v[ [ S sic L >� i9 tP4 ti feet y.. New building area: square
!$ PRON ERTY OVER
I 0`TBM1AiV9 t.. ; . Number of stories: /
Name; rfI ✓ _/
� '�1 -' !41gi'r/G', z/-4,e9 ✓c�.e[S / CT,5'J4,-i C}` Type of construction:
{� �.�.-3 '/
Address: 6--96,6 . .(..,„...,/. .(..,„...,/ ✓L e sk4- 0 ( ..,,,ka occupancy 9nups(. \
) Ir+-r-� 0,-,4R, /
!
City/StatelZIP: ' t`4(rr fir ,0/2 9 7222 3
Existing:
Phone,( ) Fax:( ) Nety.
4PPLICANT I j] CocTACT IYERSOY l
Business name: �-`�t is ^ .___ .. ... _
C H 0 't"i rE- `L7f a`i`.�t"c-U All contractors and subcontractors are required to be
Contact name: tt licensed with the Oregon Construction Contractors Board
4a.$ t(� vZr�to
.4ddre�ss: /"�' under ORS 701 and may be required to be licensed in the
i �._.terE 1-4W' ?_t - jurisdiction in which work is being performed.If the
City/State/ZIP: (' y4„.4 5 ) ;0 s? 9r 7a/fit'— applicant is exempt from licensing,the following reasons
p- 7 r`�. apply:
Phone:(,7T?) 65-6--- 3�j7 5 Fax::( )
E-mail: VC.- @. SOtJtf1C;` ea" Sc pro. C- ✓- —
C'ONiTR#GTOit l "8L1t:.DL',iG PfiRMTT FEgR'.
Business name: ,esis 1. 5- 4. 0%, .. - "-flJare+aiµitie.Frs eta''�irk)�-'
Address:
Permit fee:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
?hone:( ) l Fax:( ) 'Due upon applientian submittal)
CCB lie.: —7 o 00 '2 Total permit fees:
J t/2/( Amoantreceived: ,
Authorized signature: ;/ `-- _ :
j�— This permit application expires If a permit is not obtained
Print name: / " f,�r ¢. Date �/ �� within tg0 days after it has been accepted as complete.
L i r r u" !.I * Fee methodology set by Tti-County Building Industry
I,waddiaylPcrm: YPS-Pe nsApp mlm6,300 Service Board.
44b46Ia'Itl lla7J(AW9lErty
y -
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: -37 Number of alarm devices: A) A'
!:1 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"off plans. (3) sets of plans.
Additional description of work: i� at 4,16 f"✓C- Spr-v"<+-1.er/S i 0-a al 'c ?'mod
0e. - P'aw . j > 0SF-c-t-,t5 5er S —
Type of System (Complete A, , C or D as applicable):
A.) Commercial Sprinkler ,/
Sprinkler Type 1E4 Wet ❑ Dry
Additional Standpipes /v/ -
Information: Sprinkler Supply Line ❑ Yes `XL No
Hazard Group
Density
Design Area / d
K.Factor 6 K
Sprinkler Project Valuation: $
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes WA—
Cut include: Individual Component ❑ Yes Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75 • f
2,001 to 3,600 $246.45 /v
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: $
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