Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
/. COMMUNITY DEVELOPMENT Permit#: FPS2014-00086
T[CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/13/2014
Parcel: 2S 101 DD00701
Jurisdiction: Tigard
Site address: 6960 SW SANDBURG ST
Project: Tigard Tualatin School District Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: New supply line for(8)existing sprinkler heads for service room and computer lab.
Contractor: SIMPLEXGRINNELL LP Owner: TIGARD-TUALATIN SCHOOL
6305 SW ROSEWOOD ST. DISTRICT 23J
LAKE OSWEGO,OR 97035 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-683-9000 PHONE:
FAX: 503-675-6521
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/13/2014 $242.08
12%State Surcharge-Building 05/13/2014 $29.05
Type of Use: COM Plan Review-Fire Life Safety-COM 05/13/2014 $96.83
Class of Work: ALT Type of Const:
Occupancy Grp: B Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Dry
Standpipe Required: Hazard: LT
Density: .10 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 $367.96
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $15,886.00
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 UNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: �^J
Call 503.639.4175 by 7:00 a.m.for the next available ins ectio ate.
This permit card shall be kept in a conspicuous place on the job site unt c pletion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application RECEIVED
Fire Protection System FOR OFFICE USE()NIA()NIA City of Tigard MAY 13 2014 Deacteemived: .5...^472112912142 Permit No soO/y—o'oa
"13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
2 Phone: 503.718.2439 Fax: 503.598.1 TY OF TIGARD DateB Other Permit:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/ey: li3 See Page 2 for
Internet: www.tigard-or.gov 1 t IliM Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑Demolition Permit fees*are based on the value of the work performed.
❑New construction Indicate the value(rounded to the nearest dollar)of all
tit Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1-and 2-family dwelling &Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 6 960 . ,�_ 50,04/41 St. New dwelling area: square feet
City/State/ZIP: LLCq(erd, (T. 47223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: T� eerL_ Tlr/G .rt' _SD Covered porch area: square feet
Cross street/directions to job site: '1Z rid Ave" -5 f2 Ot'/ Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: - Permit fees*are based on the,aluc 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.
�� QG Valuation: $ /� 8810
_ . . . . - • • - I I dR. (/G UI_ -tO 1
Existing building area: square feet
0 Ot 14 L,1t g • New building area: square feet
❑ PROPERTY OWNER , ,_- / /❑ TENANT Number of stories:
Name: /2 C/ laafa p S����t:��.Ka [)c3 rri- Type of construction:
Address: J696Q S iJ LuAt i.bu,iq ,I_• Occupancy groups:
City/State/ZIP. 72.0a,t,. de. 1 q'7Z23 Existing:
J
Phone:( ) Fax:( ) New:
Si APPLICANT ❑ CONTACT PERSON
NOTICE
Business name: L Ley(Trcktn It. All contractors and subcontractors are required to be
Contact name: �QI`� licensed with the Oregon Construction Contractors Board
V under ORS 701 and may be required to be licensed in the
Address: ,365 S,LJ. gOsajood 5t _ jurisdiction in which work is being performed.If the
0 sr ie.�o, D 4'7635 applicant is exempt from licensing,the following reasons
City/State/ZIP: / J /
apply:
Phone:(.503)6 3 3 . 9606 Fax: :(5-03)6,75--.&52, I
E-mail: 5iInA.k4Q1elACitn.0 i(. Cc� w
CdNTRACTOR BUILD ING PERMIT FEES*
SCE
If LCIt.vin (Please refer to fee schedule!
Business name: D
r Permit fee: ,g y.2, 0 i
Address: -
City/State/ZIP: State surcharge(12%of permit fee): oZ9 r‘96.--
FLS plan review(40%of permit fee): /y� ��
Phone:( ) Fax:( ) (Due upon application.) b� i
CCB lie.: ('1942- I Total permit fees:
Amount received: l t74
Authorized signature: _
k,"...., This permit application expires if a permit is not obtained
Print name: e t>ti So1n.. Date: .5 lei within 180 days after it has been accepted as complete.
SD �Q z`�/ *
Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-Permit App.doe Rev 111/05/2012 44(1-4613T111/02/COM/WEB)
I
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition a1-10 heads: No plan review required.
'® Alteration ❑ 11+ heads: Plan review required.
❑ Repair p
Number of sprinkler heads: 0
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
❑ \Vet Dry
Additional Standpipes
Information: Hazard Group Lei* (,t
Density 0,/Q
Design Area
K. Factor (o
Sprinkler Project Valuation: I $ /S-886
B.) Type I - Hood 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
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and4;reater $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: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
http://www.tigard-or.gov/city_hall/departments/cd/dots/FPS-PermitApp.doc Rev 01/25/2012
li Building Division
Over-The-Counter (OTC) Plan Review & Permit Process
TIGARD Commercial Projects
For an OTC plan review,the applicant shall submit the following material and information:
1. Permit application must be completed,signed and must have the site address*and suite number,if
applicable,and must provide contractor and current licensing information (Oregon Construction
Contractors Board license and sub-trade license,if applicable)**.
2. Tri-County Commercial Application Checklist must be completed.
3. Applicant must submit two sets of plans that include:
(a) Scale (any standard architectural or engineering only).
(b) Site plan.
(c) Parking lot plan.
(d) Floor plan showing existing walls,etc.
(e) Floor plan showing the revisions.
(f) Sheet of details showing accessible parking stalls,access aisle,signage,curb ramp,interior wall
construction,etc.
(g) Manufacture cut sheets for components in the system,i.e. fire alarm,sprinklers,mechanical
equipment,etc.
(h) Accessibility(see item number 4 below).
4. An amount equal to 25%of the valuation of the work being done shall be budgeted for removal of
existing architectural barriers within the site and building(tenant space). The requirement for
accessibility upgrades is applicable to every permit,except for re-roofing and mechanical system
alterations,unless they affect the usability of the building or facility.
Submit the Barrier Removal Plan form showing the budget for barrier removal. This form is
included in the Commercial TI Building Permit Application packet. Start at the public way and
describe each existing barrier and the cost for its removal.
The plans submitted must show the accessible route,building interior and construction details for:
(a) Sidewalks,curb ramps,accessible parking with adjacent access aisle,signage,ramp,handrails and
a building/facility accessible entrance,and;
(b) Door hardware,doorway width,drinking fountain,sink accessibility in common use areas,i.e.
stairways (lunch room or classrooms)when no elevator is provided,receptionist area,counter
space,reach ranges and restroom facilities.
5. Applicant must have funds 12 Ray fa permit at plan submittal.
* Address verification: It is recommended that applicant contact the building permit technicians at
503-718-2439 to verify site address prior IQ OTC appointment. If the site address and/or suite# do
not exist in the City's parcel database the applicant must contact the City's engineering department for
assignment of a new address and/or suite#and pay$50.00 addressing fee prior 14 OTC appointment.
** License verification: Applicant may contact the building permit technicians at 503-718-2439 to verify
license information prior tQ OTC appointment.
I:\Building\Forms\OTC-COM-SubmittalCriteria.doc Rev.12/10/12 1
SERVICE AVAILABILITY:
Over-the-counter plan review is by appointment only. This service is provided six times weekly and can be
scheduled by calling the building permit technicians at 503-718-2439 for the next available time slot. Two 1-
hour time slots are available each day on Tuesday,Wednesday and Thursday at 10:00 a.m. and 2:00 p.m. .
Walk-in customers will be served with the next available appointment.
APPLICATIONS QUALIFYING FOR OVER-THE-COUNTER REVIEW:
Building:
• Interior modifications that do not involve a change of occupancy
• All occupancies except H,I or facilities regulated by State Licensure
• Non-structural alterations of existing elements only
Mechanical:
• Replacement of existing equipment.
• Units weighing less than 400 pounds unless an engineer's calculations and plans for seismic restraint and
members supporting the equipment are provided.
Sprinklers:
• Modifications to existing systems. Plan review not required for 10 heads or less.
Fire Alarms:
• Modifications of existing system,no additional elements unless battery calculations,element cut sheets
including panel specifications,capacity rating and existing load are provided.
PERMIT ISSUANCE:
Permits will be issued over-the-counter if all work is found to be in conformance with applicable codes
(minor red-lines allowed). If corrections are required,the applicant must obtain another appointment when
all required corrections are completed.
I:\Building\Forms\OTC-COM-SubmittalCriteria.doc Rev.12/10/12 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
6960 SW SANDBURG ST, TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
June 30, 2014 at 9:32:32 AM
FPS2014-00086
Chip Barnett
Violation Summary:
Inspector Contractor