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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 114 COMMUNITY DEVELOPMENT Permit#: FPS2021-00095 T I G A R n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/9/2021 Parcel: 2S 113 B000600 Jurisdiction: Tigard Site address: 16580 SW 85TH AVE Project: Clean Water Services-0&M Building Subdivision: None Lot: None Project Description: Install new dry fire sprinkler system. Contractor: SPRINKIT FIRE PROTECTION INC Owner: CLEAN WATER SERVICES PO BOX 2227 2550 SW HILLSBORO HWY OREGON CITY, OR 97045 HILLSBORO, OR 97123 PHONE: 503-272-6650 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 09/09/2021 $263.60 12%State Surcharge-Building 09/09/2021 $31.63 Type of Use: COM Plan Review-Fire Life Safety-COM 09/09/2021 $105.44 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 09/09/2021 $4.00 Occupancy Grp: A-3 Height: ft 11x17) Stories: Info Process/Archiving-Sm$0.50(up to 09/09/2021 $12.50 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Yes Hazard: ORD1 Density: 0.1 Design Area: 1600 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 $417.17 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: S18,000.00 Residential Square Footage: 0 Fire Alarm Valuation: $0.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth i A 1-00 through R 952-001-0090. You may obtain a copy of the rules Issued By: ittee Signature: e// 5 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application RECEIVED 1E3- g 1-7 21 Fire Protection System AUG 17 2621 i (i 1, t) m I( i I 1 (,\1 1 City of Tigard13125 Received I)ek/Bc. :7 J/,;J G� f,�,'i.� )'omit No. S �'t,' 'i-- c"C `k`�.S S Hall Blvd.,Tigard,OR 97223 CITY OF TIGARb Plan Review Phone: 503.718.2439 Fax: 503.s9B.19tf�ILDING DIVISIOr`' Date/By. 7 - I permit Inspection Line: 503.639 4175 Date ley. ��/ ® See pate 2 for Internet: wow tigard-or gov N / / 7/ Supplemental Information �r , y ,� n dd i`f �� r .., .f'`�.y;y '., . e,�$ - S>'rG:;z , ,. ��:f�yg��J4,4 s 5,x'�,ca `z m s i #17,`� �rkri :,�'� 1 r ❑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 is Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the -);.: S Sit s� ti. hip. w�indicated on this application. x*9 ..-.'tS - j,-i.i:4Rfi<a. ,. ,. ^...t yaiiniti� tp cS s-{.�, "£ . - , ❑ I-.and 2-familydweling Comm0 Valuation: — } ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other Number of bathrooms: kit ,+ tAii : , $ * :, Total number of floors: Job site address Q 85th Ave New dwelling area: square feet City/State/ZIP:Tigard, OR 97224 ("( ,.,c_Jt,ti; ,. .; ;: 1--- s t-ir t. i, C,_ S Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Durham 0& M Building Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet 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 4 ''{{iii:-.'A y v 'yx'� * f 0 , .r9t.t work-indicated on this application. install a new dry fire sprinkler system Valuation: $18,000.00 Existing building area: square feet New building area: square feet % i,. ` . ' z Number of stories: Name:Clean Water Services Type of construction: Address:16580 SW 85th Ave pcc„pan ygrouPs: City/State/ZIP:Tigard, OR 970224 Existing: Phone ( ) Fax:( ) New: Business name:Sprinklt Fire Protection Inc. All con �subcontractors required to be Contact name:Nena Stringham licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:PO Box 2227 jurisdiction in which work is being performed.If the City/State/ZIP:Oregon City,OR 97045 applicant is exempt from licensing,the following reasons Pam:( )971-313-3826 Fax::( ) y E-mail:office©spiinkitfire.com Business name:Sprinklt Fire Protection Inc. Address:PO Box 2227 Permit fee: City/State/ZIP:Oregon City, OR 97045 Statestucharge(12%of permit fee): FLS plan review(40%of permit fee): Phone:( )971-313-3826 Fax:( ) (Due upon application submittal) CCB lic.:211320 Total permit fees: Authorized signature: Amount received: �� This permit application expires if a permit is not obtained Print name:Nen S Ingham Date:Q /2021 within 180 days after it has been accepted as complete. • Fee methodology set by Tri-County Building Industry Service Board. I\Buildmx\Penum\FP3-PennitApp_o3 lon6.dot 440-4613T(1 vovconvWEB) City of Tigard: Fire Protection Permit Checklist Page 2-Supplemental Information rr:' c k r Cry 3y 3 s'`tylo-} 8 1:f '+ 4'tzt 'w2 '�' ,n.: !,. '3"� :.•^`✓" -'� �'.'.�x" s3.x��> ii."$'. a3'"- 1.) Type of Work: 2.) Addition/aheration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: Number of alarm devices: Addition or 0 1-10 heads: Affidavit required and 0 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: _ . -.s ,� {y+i c ,k .:.1 s �+�Y,';,¢.. �:•... yi, y,�gey, �S.rg � c`� zAsn'Y r.N.t, 2.Lg3ec �"F'� ��; .'� � 'w+ �5� �F Q ' � `?cr ' t�" A.) Canlntercial Sprink kl di l ,� p P W 1 3 �� 1" fi d.%T1 Y*4 w • Sprinkler Type ❑ Wet ® Dry Additional Standpipes none Information: Sprinkler Supply Line ❑ Yes ® No Hazard Group Ordinary Density 0.2 GPM I SOFT Design Area 1620 sgft K.Factor 5.6 Sprinkler Project Valuation: $18,000.00 3�4::T e 2-:'hood Fite Suppression System Hood Project Valuation: $0.00 3/K 4 t n .e,. rcri ax T ^ram kT %i,1."`Sx- .i?s-my�" 3 3 m ..»wV.e -zus .7 4 4...,:S Li�wP4 'fix Submittal shall Batttay Calculations 0 Yes include: Individual Component 0 Yes Cut Sheets N/A Fire Alarm Project Valuation: $ D.) Residential Sprinkler(Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $198.75 = n 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. Fire Protectio%i :l s 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:\Budding\Permits\FPS_PevnitApp_031016.doc 2