Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
,11111r-
3 COMMUNITY DEVELOPMENT Permit#: FPS2021-00057
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/24/2021
TIGARD Parcel: 25111 ACO2901
Jurisdiction: Tigard
Site address: 9550 SW MURDOCK ST
Project: Templeton Elementary School Subdivision: None Lot: None
Project Description: Re-routing existing sprinkler supply line for addition,
Contractor: TRIPLETT WELLMAN INC Owner: TIGARD-TUALATIN SCHOOL
PO BOX 160 DISTRICT 23J
WOODBURN, OR 97071 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-982-4188 PHONE:
FAX: 503-982-0390
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/24/2021 $123.72
12%State Surcharge-Building 05/24/2021 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 05/24/2021 $49.49
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/24/2021 $10.00
Occupancy Grp: E Height: ft 11x17)
Stories: 2
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type:
Standpipe Required: No 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: Cut Sheets Required:
Total $198.06
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $4,200.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State 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: Permlttee Signature: � tt-
r
Call 5 .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.
r - - -
Building Permit Application :S /i _(3
Fire Protection System UNDERGROUND
Cityof Tigard Reeeed
g nDate 6 I Penult No. / /J/Y/�I LS(X5
a 13125 SW Hall Blvd.,Tigard OR 97223( V E Plan Review
Phone: 503.718,2439 Fax: 503.598 1 Date/By: .21 other Permit: �/f470 -€9 0 ,0
TIGARD Inspection Line: 503.6394175 Dare Reads By:w 1��,�� I elf
See Pau 2�tlor ��f!
Internet: wuw.tigard-orgoV oiined llcihod'. �j -�.�I Supplemental Information
HAY 1 1 U __—
TYPE OF wow
.Ty OF TIGA �, REQUIRED DATA: I AND 2-EAMII l DWELLING
El New construction ❑ � GL71NG S�VIV Permit tees* are based on the value ol':lie work 1vc rfhrnlyd
---- Indicate the value(rounded to the nearest dollar)Of all
® Addition/alteration/replacement ❑Other: equipment,materials.labor,overhead,and the profit he the
work indicated on this application,
CATEGORY OF CONSTRUCTION
IDI-and 2-family dwelling ❑Commercial/industrial Valuation: S
❑Accessory building ❑ Multi-family Number or bedrooms.
❑Master builder
®Other: School Number oFhathrnams
JOB SITE INFORMATION AND LOCATION Total number of liners
Job site address.9550 SW Murdock Street New dwelling area. square feel
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Templeton Pre-K,Conf.... ('revered porch area. square feet
Cross street/directions to job site:97°and Murdock Street Deck area: square feel
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value orate work performed
Tax map/parcel no.: 2S11IACO2700 �- Indicate the value(rounded In the nearest deilai l mall
equipment.materials, labor,o erhead_and the profit Ior the
DESCRIPTION OF WORK work indicated on this application
Valuation: =�
All underground work associated with the site fire protection system. S F ,
Existing.building area. square reel
New building area: square tee!
® PROPERTY OWNER ❑ TENANT Number or stories.
Name:Tigard-Tualatin School District I\pc of construction -_-- -_--
Address:6960 SW Sandburg Street Occupancy group...
City/State/ZIP:Tigard,OR 97223 Existing-
Phone:(503)431-4000 Fax:( ) New
® APPLICANT ❑'CONTACT PERSON
----- NOTICE
Business name: Day CPM _ All contractors and subcontractors are required to be
Contact name:Shawn Christensen licensed with the r)regon('onstan:lion Contraetnrs Hoard
— — under ORS 701 and nun he required to he licensed in the
Address:6960 SW Sandburg Street jurisdiction in which work is being performed. Irthe
City/State/ZIP.Tigard,OR 97223 applicant is exempt from licensing.the tollosting reasons
apply:
Phone:(971)727-4168 Fax:: ( )
E-mail:shawn.christensen@otak.com
CONTRACTOR BUILDING PERMIT TEES'
Business name:Triplett Wellman
(Please refer 1n ter c'herhdr)
- -- - Permit lee
Address: 1717 Mt Jefferson Ave
---- ---- State surcharge(12%of permit feet.
City/State/ZIP: Woodburn,OR 97071
Phone: (503)982-4188 I Fax:( ) (Due a ton fi»icanon submittal.)
Ice I
FLS plan review(40%of permit
L..__IL nirrul)
CCB lie.:43496 Total permit Nee
Authorized signature: -- --\mountrceeived -- - -
his permit application expires if a permit is not ohlained
Print name:Shawn Christensen Date:5/10/2021 1 within 180 days after it has been accepted as complete.
* fee methodology set by Tri-County Building I dustry
Service Board.
IBwldtrteeermlls\FPS-Perini SApp_031016_doc 4404613T(I 1'OJCOi vwEB
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: Number of alarm devices:
❑ Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
literation (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
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I - Flood 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
2,091 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: $
nuh_ a.ikinc inn sharcp. Into,m/lcrvmal/;h,i„n_christc n_:un_ raL_com/Document9Documcnts/TNtP Corc/Permits/FPS_Undcrground PcrmirApp.doc
Branden Taggart
From: Branden Taggart
Sent: Monday, May 10, 2021 5:47 PM
To: Shawn Christensen
Subject: FW:Templeton Pre-K Fire Protection Underground
Attachments: TTSD TMP CORE Phase II APP FPS_Underground Permit 20210510.pdf; Civil Pages TTSD
TMP CORE PHASE II DWG Conformed Bid & Permit 20210114 1.pdf
Shawn,
No problem. Yes, it is a sea of permits! And honestly, I wouldn't have thought you needed a supply line permit for an
existing building, either. However, since you have slightly re-routed the line,then a permit is needed.
It would be appreciated if you can have the application included with the hard copies tomorrow. I will see about
expediting this permit for you. Have a good night.
Thanks,
Branden Taggart
w City of Tigard
m.r• Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard, OR. 97223
(503)718-2449
brandent@tigard-or.gov
From:Shawn Christensen <Shawn.Christensen@otak.com>
Sent: Monday, May 10, 2021 3:40 PM
To: Branden Taggart<brandent@tigard-or.gov>; #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: FW:Templeton Pre-K Fire Protection Underground
Warning!This message was sent from outside your organization and we are unable to Allow sender I Block sender
verify the sender.
Branden,
I looked at the other FPS permits we submitted and followed suit with the application. Attached are the digital versions
of the Underground Fire Protection permit application for the Templeton Core Pre-K Project and the PDF Civil
Plans. Hard copies will be delivered tomorrow. Let me know what else I need to do to get this permit moving through
the system. Like I said below, the work is complete and we have open trenches waiting for inspection. It is a short
section of fire line that was slightly re-routed shown on page 2 of the pdf. I apologize for missing this permit in the sea
of permits.
Thanks,
Shawn Christensen I Project Manager
DAY CPM, an Otak division
1
Mobile 971.727.4168
From:Shawn Christensen
Sent: Monday, May 10, 2021 3:08 PM
To: Branden Taggart<brandent@tigard-or.gov>
Subject:Templeton Pre-K Fire Protection Underground
Hi Branden,
Apparently I was supposed to pull an underground fire protection permit for moving a fire line a little bit. We thought it
was covered under site utilities and the work is done and ready for inspection. What application am I supposed to use
to apply for this permit? Site Utilities or Fire Protection?
Thanks,
DAYcpm Shawn Christensen, PMP I Project Manager
STRENGTHS: Responsibility I Relator I Restorative I Empathy I Adaptability
a�a,.,,i eiX1s'° 808 SW Third Ave., Suite 800 I Portland, OR 97204
Mobile: 971.727.4168
www.otak.com
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