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Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT • s COMMUNITY DEVELOPMENT Permit#: FPS2022-00027 Date Issued: 2/17/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S101AD03100 Jurisdiction: Tigard Site address: 6950 SW HAMPTON ST 100 Project: Ford Black&Co,PC Subdivision: WEST PORTLAND HEIGHTS Lot: B Project Description: Install(7)sprinkler heads Contractor: VANPORT MECHANICAL& FIRE SPRINKLERS Owner: WESTON INVESTMENT COMPANY 6101 NE 127TH AVE STE 200 ATTN: JOSEPH E WESTON VANCOUVER,WA 98682 2154 NE BROADWAY ST PORTLAND, OR 97232 PHONE: 360-892-8280 PHONE: FAX: FEES Description Date Amount Specifics: Permit Fee-COM 02/16/2022 $67.23 12%State Surcharge-Building 02/16/2022 $8.07 Type of Use: COM Plan Review-Fire Life Safety-COM 02/16/2022 $26.89 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 02/16/2022 $0.50 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Wet Standpipe Required: Hazard: LT Density: .1 Design Area: 0 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 $102.69 Valuations: Required items and Reports(Conditions) Sprinkler Valuation: $1,050.00 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 setu forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: back G>n , `)n, Permittee Signature: on r1 ,-v a.` \YJ�� 11f IIUUUKCC VJ�xCallll55033..639.4175 by 7:00 a.m.for the next available inspectionti � date.� C lAr1 t Q k� 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 l V r e l" CL..' Fire Protection System FOR OFFICE USE ONLY FEB14 Z022 Rerved City of Tigard DacctM: : p3 ‘S® Permit No.:FpS2.022-(X)C'a^� • 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review i Phone: 503.718.2439 Fax: 503.598-t ('OF 1 I(.7ARL Daw/B : Other Permit: Inspection Line: 503.530.4175 y f nII '/n� DIVISION nA Dale Ready/8y. ®See Page 2 for TIGARD Internet: www.tigar4-or.gov ' Jt i,'i ijivi 7l�nl Notified/Method: uat • Supplemental Information TYPE OF WORK REQUIRED DATAe I-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. ❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: El Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION - Total number of floors: Job site address: 6950 SW HAMPTON ST New dwelling area: square feet City/State/ZIP: TIGARD OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: 100 Project name: FORD BLACK&CO.P.0 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. Valuation: $ 1050 Existing building area: 62000 square feetAPPROX New building area: 3227 square feet ® PROPERTY OWNER ❑ TENANT Number of stories: 4 Name:WESTON INVESTMENT Type of construction: II-8 Address: 2154 NE BROADWAY ST Occupancy groups: B City/State/ZIP: PORTLAND OR 97232 Existing: Phone:( ) 503 284 9005 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: VANPORT MECHANICAL AND FIRE SPRINKLERS All contractors and subcontractors are required to be Contact name: IVAN KRAJESKI licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 6101 NE 127TH AVE jurisdiction in which work is being performed.If the City/State/ZIP: VANCOUVER WA 97682 applicant is exempt from licensing,the following reasons apply: Phone:( ) 360 255 9536 Fax::( ) E•mai I: I VAN K@VAN PORTM ECH.CO M CONTRACTOR - - - BUILDING PERMIT FEES* (Please refer to fee sehdute Business name: VANPORT MECHANICAL AND FIRE SPRINKLERS Permit fee: Address: 6101 NE 127TH AVE City/State/ZIP:VANCOUVER WA 97682 State surcharge(12%ofpermit fee): FLS plan review(40%of permit fee): Phone:( ) 360 256 9838 Fax:( ) (Due upon application submittal.) CCB tic.: 20852 Total permit fees: Authorized signature Amount received: `„. This permit application expires if a permit is not obtained Print name:IVAN KRAJESKI Date:2-9-2022 within I80 days after it has been accepted as complete. * Fee methodology set by Td-County Building Industry Service Board. d.Baildina Pamirs FPS•PamiiApp 031016.doc 4404613T(1 t02COM9VE6) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work to be done: , 1.) Type of Wark: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: Number of alarm devices: j] Addition or I] 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: Type of System (Complete A,B,;C or D as applicable): A.) Commercial Sprinkler Sprinkler Type j] Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group LIGHT HAZARD Density 0.10 GMPISQFT Design Area NA K. Factor 5.6 Sprinkler Project Valuation: $ 1050 B.) Type I- Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations El Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ �Kk 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 $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: $ I:\Building\Pcn is\Frs_Perma.\pp_U31o16.dcx 2 RECEIVED City of Tigard FEB 14 2022 Permit No.: F? 2022-0007:-1 n 13125 SW Hall Blvd.,Tigard,OR 97223 • Phone: 503.718.2439 Fax: 503.598.19bp, Date Received: 'a,\,W 2Z Inspection Line: 503.639.4175 `✓-I�Y of: IGHR� TIGARD., Internet: www.tigard-or.gov ?UILDING DIVISION By: C.,t e T-i ctr b FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS OFFICE COPY (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: FORD BLACK& CO. P.C. Occupancy: OFFICES C S Job Address: 6950 SW HAMPTON ST TIGARD OR 97223 Type of Construction: II-B Suite: 100 Contractor: VAN PORT MECHANICAL AND FIRE Phone: 360 256 9838 Number of Proposed or Altered Heads: 7 Type: 5.3K QR SC PENDENT Hazard: LIGHT Density: 0.10 I STEVE WILSON Oregon Construction Contractors Board No, 20852 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:'/5nn Date: 2-9-2022 Print Name: IVAN KRAJESKI I:1BuildingTonnslFireSprinklerAilidavit_071514.docx Page 1 of 1