Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
11111 g COMMUNITY DEVELOPMENT Permit#: FPS2015-00062
T E C)ARI3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/06/2015
Parcel: 2S 101 CA00400
Jurisdiction: TIGARD
Site address: 7930 SW HUNZIKER RD
Project: Sunbelt-Turret Steil,Inc Subdivision: 2007-064 PARTITION PLAT Lot: 1
Project Description: Adding(2)sprinkler heads and removing(2)sprinkler heads. Affidavit submitted.
Contractor: VIKING AUTOMATIC SPRINKLER CO Owner: MERITAGE FIVE LLC
3245 NW FRONT AVE FHA&ASSOC
PORTLAND, OR 97210 155 B AVE#222
LAKE OSWEGO, OR 97034
PHONE: 503-227-1171 PHONE:
FAX: 503-227-1552
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/06/2015 $75.30
12%State Surcharge-Building 04/06/2015 $9.04
Type of Use: COM Plan Review-Fire Life Safety-COM 04/06/2015 $30.12
Class of Work: ALT Type of Const: Misc Administration Fee 04/06/2015 $0.50
Occupancy Grp: Height: It
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: No 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 $114.96
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,400.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signa
-sop
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System I I)lt ()I 11( 1 ( .I (),I
City of Tigard owEO Rimed if i— Permit No.: f� s '
• 13125 SW Hall Blvd.,Tigard,'t$ �72 Plan Review �'� r r'S f r
s Phone: 503.718.2439 Fax: 51 c. 9g8i 960 015 Date/B : Other Permit:
1.I t A R D Inspection Line: 503.639.4175 p(� 6 Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov A` " QD Notified/Method: >'i Supplemental Information
TYPE O O G u"- \ON REQUIRED DATA:1-AND 2-FAMILY DWELLING
Permit fees*are based on the value of the work performed.
❑New construction Demolition P�
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.
❑ 1-and 2-family dwelling Commercial/industrial
Valuation: $
O"
❑Accessory building ❑Multi-family Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:1130 ��4,7z I IK.Ee_ ..A._ New dwelling area: square feet
City/State/ZIP: ""11(.0,Ipo2 e,2 Q17-LZ-s, Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 5,,,..,wen-n- Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA COMMERCL4L.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: $ 14p0
ADD 2 t ,ollfl f Q►.)e.1 Z lvdar-
frs N Qeve' 1EQ ✓-ACT Ie J Existing building area: square feet
�--�! New building area: square feet
Al PROPERTY OWNER I'rENANT Number of stories:
F'l,!1A f 1k55oL, Type of construction:
Name: ES
Address: t 5 S- .$ A oc s.,‘,c-E tz7 Occupancy groups:
City/State/ZIP: t1ow_E 1:::,s` 1\c:„ d . '1-1(53‘-k Existing:
Phone:(cc (o3Co , 1-Lfzi—S Fax:( )
New:
a.APPLICANT pir CONTACT PERSON NOTICE
Business name: 4l‘t.t „... (c. te.ci.... All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:
�Dd'.>!>G -30, ' -0.1J under ORS 701 and may be required to be licensed in the
Address: 32 LK" /J4,› t=12v,,_Ir lkutr jurisdiction in which work is being performed.If the
City/State/ZIP:/State/ZIP: applicant is exempt from licensing,the following reasons
y '' ,042 -bovr,O 02 S ?Z I apply:
Fa ::(
Phone:one:( )2Z-1- 1\�7 \ 503 2Z.'1-\SSZ
E-maiLDaL, UATELvAJ►�@kiIlt t9.3A5�tlatclEit, L 'C-
CONTRACTOR BUILDING PERMIT FEES'
(Please nfirr Ole.seAri 4
Business name: 414L 1„.7 S2IS.,1L i cz.
Permit fee:
Address: 32y, tt._, F,24 11‘uC -
City/State/ZIP: �.ltA�� PQ �1.L l O State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(5-63)2'L"')-1 Yl \ Fax:( SOV 22 ) -%SS 2 (Due upon application submittal.)
CCB lic.: (.044631 Total permit fees:
Authorized signet
Amount received: I/m1,. Lt a
''�ll�0' r This permit application expires if a permr rs not obtained
Print name: �?� Date: { ( t� within 180 days after it has been accepted as complete.
� e `--' tltiJ>s`� I t * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_071514.doc 440-4613T(11/02/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: Z Number of alarm devices:
Addition or j 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
DI Wet ❑ Dry
Additional Standpipes -et--
Information: Hazard Group L-i U t}1-
Density itift , IC
Design Area I-Ilk
K. Factor 6",(p
Sprinkler Project Valuation: $ \ op
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 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: $
C:\Users\dave.batcman\Desktop\Permit Applications\City of Tigard\City of Tigard FP2'errnitApp.doc
t City of Tigard C C I V C n Permit No.: C-� S–�jl� 2
13125 h n SW Hall .24 Blvd.,9 Tigard,OR 9 C G L/ Il/6n/
� Phone: 503.718.2439 Fax: 503.5916 Date Received: ,S-
t F,i, Inspection Line: 503.639.4175
Internet: www.tigard-or.gov APR 6 2015 By: e-Wde,, 777,A-'74.
•FIRE SPRIti E! 1 ,:. IT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Occupancy:
Job Address: 7°1%o (1GEy_- Sc Type of Construction:
Suite:
Contractor: \I��,,,x Srgr_tee 1 E2 Phone: sc3 ZZ ) - Iv-, 1
Number of Proposed or Altered Heads: Z
Type: 'STMt we Hazard: Li c f Density:
.14A 7 Oregon Construction Contractors Board No. ( 4 B 1
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.
S igna 5 Date: 41G)I
Print Name: t� •Dm-wtJ
1:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of I
RECEIVED
APR 6 2015
CITY OF TIGARD
PLUG AND REMOVE 2 BUILDING DIVISION
EXISTING HEADS OVER
OFFICE
WAREI.4OU$E
•ADD
ADD•
OFFICE BREAKROOM
S 2-0)5—OOO((Z
THIS DRAWING IS THE PROPERTY OF VIKING AUTOMATIC SPRINKLER COMPANY.
IT IS SUBMITTED IN CONFIDENCE AND IS NOT TO BE DISCLOSED OR UTILIZED
WITHOUT THE WRITTEN PERMISSION OF VIKING AUTOMATIC SPRINKLER CO.
GENERAL NOTES STATE OF OREGON SPRINKLER SYMBOL DESCRIPTION
LICENSE 4837
1.ALL MATERIAL AND EQUIPMENT TO BE NEW AND NO. 64837 SYM STYLE MFG RESPONSE THD "K" TEMP SIN# FINISH ESCUTCH. WRENCH QTY KING.
UNDERWRITERS APPROVED. • SSP VIKING STD ± 1/2" 5.6 155° VK102 CHROME E-1 CHR 2 SEATTLE pprPRO7�7g1V MEDFORD
2. PIPING DIMENSIONS ARE CENTER TO CENTER EXCEPT RISER& 1' 0' 2' 4' 6' 8' i - PORTLAND LONGVIEW
DIMENSIONS SHOWN THUSLY(1-6)WHICH ARE END TO END. BOISE VIKING AUTOMATIC SPRINKLER COMPANY LODI
3. PIPING, HANGERS,AND EARTHQUAKE BRACING SHALL BE IN i 3245 NW FRONT AVENUE
ACCORDANCE WITH NFPA PAMPHLET NO 13,APPL. EDITION. SCALE: 1/8"=1'-0" I _ PORTLAND,OREGON 97210•24 hrs.(503)227-1171
4. JOINING OF PIPE AND FITTINGS,THREADED AND WELDED OREGON CCB#64837 METRO LIC#2816•WASHINGTON LIC#VI-KI-NA-5373NT
SHALL BE IN ACCORDANCE WITH NFPA PAMPHLET NO 13.
5. OWNER TO MAINTAIN 40°F MINIMUM IN LOCALITIES SUBJECT TO SUNBELT
FREEZING PROTECTED BY A WET PIPE SPRINKLER SYSTEM
AND IN ENCLOSURES FOR DRY PIPE, DELUGE,OR ANY OTHER 7930 SW HUNZIKER ST, PORTLAND OR 97223
VALVES CONTROLLING WATER SUPPLIES. —
6. STRUCTURAL ADEQUACY OF THE BUILDING TO SUPPORT THE i INSPECTION REPAIRS
SPRINKLER PIPING IS THE RESPONSIBILITY OF THE OWNER TOTAL SPRINKLERS SHOWN ON THIS SHEET 2 Drawn By Date Drawn: Scale: Job No: Drawing No'.
AND/OR HIS STRUCTURAL REPRESENTATIVE. TOTAL SPRINKLERS REQUIRED ON THIS CONTRACT 2 BATEMAN 4/6/2015 1/8"=11-0" OPT-5413 FP1 of 1