Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2015-00070
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/16/2015
Parcel: 2S 101 DD00703
Jurisdiction: Tigard
Site address: 13950 SW 72ND AVE B
Project: Hyder Graphics Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: Adding(2)pendant sprinklers within warehouse. Affidavit submitted.
Contractor: WESTERN STATES FIRE PROTECTION Owner: FINLANDIA BUSINESS PARK, LLC
13896 FIR ST STE B 14010-B SW 72ND AVE
OREGON CITY, OR 97045 PORTLAND,OR 97224
PHONE: 503-657-5155 PHONE:
FAX: 503-657-5182
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/16/2015 $64.54
12%State Surcharge-Building 04/16/2015 $7.74
Type of Use: COM Plan Review-Fire Life Safety-COM 04/16/2015 $25.82
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 04/16/2015 $1.00
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 1500
K Factor: 975
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $99.10
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $975.00
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. 7V11-
Issued By: •- ee Signature: Alk/
Call 503.639.4 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 FOR OFFICE USE ONLY
Received �
City of Tigard Date/B : y �� Permit No O- ione7
■ 13125 SW Hall Blvd.,Tigard,OR 97223 V Plan Review �x jrfs �'�= Phone: 503.718.2439 Fax: 503.598.1960 1Gj`� Date/B : Other PermitI 1p, �/.5--- •
1 I t,A It I t Inspection Line: 503.639.4175 GG V 15 Date Ready/By: 65 See Page 2 for
Internet: www.tigard-or.gov LO Notified/Method: J Supplemental Information
TYPE OF WO O�1 \910 REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑ r G,VI Permit fees*are based on the value of the work performed.
Q\�" Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement 0$11% equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling DiCommercial/industrial Valuation: $
❑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: 13(\5) ) '72,x Ave New dwelling area: square feet
City/State/ZIP: i I OR co 2 ZS -$036 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: t uw G' c Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: I 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
DESCRIPTION OF WO• work indicated on this application.
Ara N Fen 13 r c.146,^ tc. LA14,x/
Valuation: $ 0/ 75-
Ij ItnAA,,-,d t-c l t/1'-t, Q 4A, Existing building area: square feet
iiiii,,,,,Ave+N New building area: square feet
❑ PR TY OWNER I ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
_ ❑ CONTACT PERSON „ •
Business name: `reet t' C (eV.)(� All contractors and subcontractors are required to be
Contact name: �(/ licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) I Fax::( )
E-mail:
Business name: jAkeyftril 5' 4 o' Permit fee:
Address: /38'616 fir SIN State surcharge(12%of permit fee):
City/State/ZIP: el 70475-
�� / OA — FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal)
CCB lic.: foLf, TTT 7v Total permit fees: .X J
en„ I Cl
/ AL" Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
M Date: / within 180 days after it has been accepted as complete.
Print name:
70 SL r” ��� 1 `�'. * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Buildiny\Permita\FPS-PermitApp 071514.doc 440.4613T(II'02!COM WEB)
u
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
escn I e wo - i . one. i
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 2 Number of alarm devices: .
`t Addition or -10 heads: Affidavit required and El 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
El 11+heads: Plan review required and ❑ 6+ devices: Plan review required and
(3)sets of plans. (3)sets of plans.
Additional description of work:
of System (Comp , le): _
• er
'et ❑ Dry
Additional Standpipes
Information: Hazard Group U0,4- I zG.d
Density .(()
Design Area I
K Factor I 5,4
_
Sprinkler Project Valuation: j $ (17 5
B. Tile I - Hood Fire Su• •ression S stem
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fite 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 Fe
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\joshua.miller\Downloads\FPS_PermitApp(1).doc 2
City of Tigard °\15) Permit No FP--5RO =000
• 13125 SW Hall Blvd,Tigard,OR
Phone: 503.718.2439 Fax: 503.594_ Received:
Inspection Line: 503.639.4175 c '101
`''� I) Internet: www.tigard-or.gov PQ k 1 V 9 By: /�,zir 1--
F�`�Pa Ow,
FIRE SPRIN�J (� 1<DAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: dw (r,f1,,,■r5 T1 Occupancy:
Job Address: 13 q so S I 77 Azi Ave Type of Construction:
Suite:
Contractor: (,JQ�p,,.l v �, p?.�c,c�(-I Phone: c-03 -cis-3- Li Li
Number of Proposed or Altered Heads: 2
Type: 6 • U0,\A- Density: ((i
I, 3.-osc,, M;alt— Oregon Construction Contractors Board No. 104s-70
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: 705/1"v, ititAL Date: 911 6//5-
AA
Print Name: , OSt., ! 1 1 It TA,
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