Permit t CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
'r ! ; COMMUNITY DEVELOPMENT Permit#: FPS2021-00124
Date Issued: 3/3/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108CC00300
Jurisdiction: Tigard
Site address: 15600 SW RIVER TERRACE BLVD
Project: Art Rutkin Elementary School Subdivision:ART RUTKIN ELEMENTARY SCHOOL Lot: 1
Project Description: New sprinkler system with 100%coverage.(3)wet/(1)dry/(1)pre-action
Contractor: COSCO FIRE PROTECTION INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT 23J
2501 SE COLUMBIA WAY SUITE 100 6960 SW SANDBURG ST
VANCOUVER, WA 98661 TIGARD,OR 97223
PHONE: 360-816-8418 PHONE:
FAX: 360-883-6390
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/21/2021 $1,972.33
12%State Surcharge-Building 12/21/2021 $236.68
Type of Use: COM Plan Review-Fire Life Safety-COM 12/21/2021 $788.93
Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 12/21/2021 $14.00
Occupancy Grp: E Height: 25 ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 12/21/2021 $111.50
11x17)
Returned Check Fee 12/21/2021 $20.00
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: 0.15 Design Area: 1500
K Factor: 05.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $3,143.44
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $358,545.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: --G/ ) - Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. t/tz�l
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
Building Permit Application
.—Fire Protection System FOR OFFICE USE ONLY , y
City of Tigard Received
Date/By: /e//9 2O21 Permit No.:Pia OZ1'/y
az,
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /
_ Phone: 503.718.2439 Fax: 503.598 a l O—0—� � Other Permit:
`NEC \E E Date/By:
Inspection Line: 503.639.4175 (v` Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Ivfethod: /1a/ii, Supplemental Information
tT14TUZi 0 11 T'w,.
TYPE OF WO, REQUIRED DATA:1-AND 2-FAMILY DWELLING
®New construction ❑S/ 16'tt nriGARL Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement Mj WR\in r"1/IS$(j\ equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ElCommercial/industrial Valuation: $
❑Accessory building El Multi-familyNumber of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15600 SW River Terrace Blvd. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Art Rutkin Elementary Covered porch area: square feet
Cross street/directions to job site:1/2 mile north/1/3 mile east of Deck area: square feet
SW Beef Bend Rd.&Roy Rogers Rd. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:pending Lot no.: 100 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:WCTM 2S108CC00 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New sprinkler system with 100%coverage. 3-wet/1 dry/1 pre-action Valuation: $358 545
Existing building area: N/A square feet
New building area: 78747 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 2
Name:Tigard-Tualatin School District Type of construction: V-B
Address:6960 SW Sandberg St. Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)431-4000 Fax:( ) New:
0 APPLICANT ® CONTACT PERSON
NOTICE
Business name:Cosco Fire protection All contractors and subcontractors are required to be
Contact name:Tim Carpenter licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:2501 SW Columbia Way Ste.100 jurisdiction in which work is being performed.If the
City/State/ZIP:Vancouver,WA 98661 applicant is exempt from licensing,the following reasons
apply:
Phone:(360)883-6383 Fax::(360)883-6390
E-mail:tarpenter@coscofire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:same as applicant above (7�a; bet Pit,j.,, )) (Ptenserelerrojeescbedak)
�'��+ � Permit fee:
Address:1 iF t )ltn/tihA y a4.sI L o
City/State/ZIP: '// 41- $d ` State surcharge(12%of permit fee):
" f i" `P)�O(O i FLS plan review(40%of permit fee):
Phone:(36d ) "g 16_i i Fax:( ) (Due upon application submittal.) '
CCB lic.: (,75/1 Total permit fees. 3l lg.LW
V
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name:Tim Carpenter Date: 10/14/21 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
l;BuilduteermiIs1FPS-PermitApp 031016.doc 440-4613T(Il/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: 3.) Addition/alteration only to alarm devices:
New system Number of sprinkler heads: 1416 Number of alarm devices:
El 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: New sprinkler system with 100%coverage. 3-wet / 1 dry / 1 pre-action
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ® Wet ® Dry
Additional Standpipes no
Information: Sprinkler Supply Line ® Yes ❑ No
Hazard Group Light/Ord GR I
Density .10/.15
Design Area multiple
K. Factor multiple
Sprinkler Project Valuation: $ 358,545
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $ N/A
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ N/A
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: 78,747 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:\Rngineering\00-CONTRACTS\PC 0318 Art Ruskin Elementary School\Permit DocslCity of Tigard-Permit App.doc