Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
s COMMUNITY DEVELOPMENT Permit#: FPS2015-00095
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2015
Parcel: 25101 CA00200
Jurisdiction: Tigard
Site address: 7910 SW HUNZIKER RD
Project: TerraFirma Subdivision: 1994-025 PARTITION PLAT Lot: 2
Project Description: Adding(6)fire sprinkler heads in new tool room
Contractor: DELTA FIRE INC Owner: WALL STREET INDUSTRIAL LLC
14795 SW 72ND AVE A RICHARD VIAL EXECUTIVE CENTER LLC
PORTLAND, OR 97224 7000 SW VARNS ST
PORTLAND, OR 97223
PHONE: 503-620-4020 PHONE:
FAX: 503-620-1058
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/02/2015 $102.20
12%State Surcharge-Building 06/02/2015 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 06/02/2015 $40.88
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 06/02/2015 $0.50
Occupancy Grp: Height: It 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $155.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,894.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by e Oregon
Utility Notification - . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct ques'• s to OUN by calling 503.232.1987 or 1.800.332.2344.
Issued = : OS Permittee Signature: /
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Fire Protection System
Building Permit Applicatiol ,"�CEI1s TnT FOR OFFICE USE ONLY
City of Tigard l' �1'l j�1�11 DateB a �Dff Permit No.: AtAg 15i 0
ili
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review L �
• e Phone: 503.639.4171 Fax: 503.5$..60- 2 2015 Date/B : Other Permit:t67L� ppla
TI G A R D Inspection Line: 503.639.4175 2015 Date Ready/By: Ions. See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
C,ITYOFTIGARD
r�rrar Y. ISION
TYPF OF�1 OfrIZ`? REQUIRED DATA:1-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.
❑ 1-and 2-family dwelling 1a Commercial/industrial
Valuation: $
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7910 SW Hunziker St. New dwelling area: square feet
City/State/ZIP: Tigard, Or 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Terra Firma Foundation Systems 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.
Add sprinkler heads for new tool room Valuation: $2,894.00
mi- t J p gab-— I aq Existing building area: square feet
((,, [_7v New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Terra Firma Type of construction:
Address:7910 SW Hunziker Occupancy groups:
City/State/ZIP: Tigard, OR 97223 Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON
NOTICE
Business name:Delta Fire, Inc. All contractors and subcontractors are required to be
Contact name: Heidi Scarbrough licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 14795 SW 72nd Ave. jurisdiction in which work is being performed.If the
City/State/ZIP: Portland, OR 97224 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)620-4020 Fax::( 503)620-1058
E-mail: heidis @deltafire.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Delta Fire, Inc. Permit fee:
Address: 14795 SW 72nd Ave.
State surcharge(8%of permit fee):
City/State/ZIP: Portland, OR 97224 FLS plan review(40%of permit fee):
Phone:(503)620-4020 Fax:( 503) 620-1058 (Due upon application.)
CCB lic.: 64174 Total permit fees:
Authorized signature: +
Amount received:
_ This permit application expires if a permit is not obtained
Print name: Heidi Scarbrough I Date:6-2-2015 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\PermitsTPS-PermitApp.doc 03/23/06 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Modification to sprinkler heads only:
KJ Addition pg 1-10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 6
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes N/A
Information: Hazard Group
Density 0.1
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 2,894.00
B.) Type I - Hood Fire Suppression System
Mood 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 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
_ 7,201 and greater $381.50
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 (8%of permit fee): $
FLS Plan Review(40%of permit fee): $
TOTAL: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer,or NICET level"3"technicians.
I:\Buildiog/Pumils\FPS-PetmitApp.doc 03/23/06 440-4613T(I 1/02/COM/WEB)
D E LTD 14795 S.W.72nd AVENUE
PORTLAND,OR
PHONE 503-620-4020 97224
33-620 40
0 4 LETTER OF TRANSMITTAL
FIRE, I . CCB#64174 503-620-1058
DATE: 6/2/2015 I JOB#: 15-5449
ATTENTION: Building Department
RE: Terra Firma
TO: City of Tigard
13125 SW Hall Blvd.
Tigard,OR 97223
VIA: Delivery By Heidi
COPIES I NUMBER I DESCRIPTION
3 Sheet 1-1 of 1 Drawing
1 Pg 1-1 of 1 Permit Application
1 Pg 1-1 of 1 Permit Affidavit
THESE ARE TRANSMITTED as checked below:
X For Approval For Review and Comment n
For Your Use Approved
X As Requested Submit copies for distribution
REMARKS:
REPLY REQUIRED: OYES LINO BY DATE:
BY: Devin Ganz/Steve Cartales/Heidi Scarbrough
Ci ty of Tigard g and RECEIVED Permit No.: _CI-6 �
)/ 'd66 .5
13125 SW Hall Blvd..Tigard,OR 97223
= Phone: 503.7182439 Fax: 503.598.1960 Date Received: /.6V/5
Inspection Line: 503.639.4175 JUN 2 2015 ��
Tic n R[> Internet: www.tigard-or.gov p 7 y 2 1 By: ,L__ 2d
CM. OF FIGARD
FIRE SPRINNIIRIMMIAAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Terra Firma Foundation Systems Occupancy:
Job Address: 7 910 SW H u n z i k e r Street Type of Construction:
Suite:
Contractor: Delta Fire, Inc. Phone: 503-620-4020
Number of Proposed or Altered Heads: 6
Type: Wet Hazard: light Density: 0.10
1, Heidi Scarbrough Oregon Construction Contractors Board No. 64174
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 , th a cop, of the sketch attached shall be available for all inspections.
kik-- / 6-2-15
Signature: i Date:
Print Name: Heidi Scarbrough
1:1 Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of I
r c
City of Tigard RECEIVED Permit No.: j64 4 C 2 )O 7 5
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.19(�Q,N -2 Date Received: /
Inspection Line: 503.639.4175 J U 2015
Internet: www.tigard-or.gov By:
CITE'OFTIGARD
FIRE SPFEIMMAIMIAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Terra Firma Foundation Systems Occupancy:
Job Address: 7910 SW Hunziker Street Type of Construction:
Suite:
Contractor: Delta Fire, Inc. Phone: 503-620-4020
Number of Proposed or Altered Heads: 6
Type: Wet Hazard: light Density: 0.10
1, Heidi Scarbrough Oregon Construction Contractors Board No. 64174
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•th a cop, of the sketch attached shall be available for all inspections.
Signature: Date: 6-2-15
Print Name: Heidi Scarbrough
I:\Building\Fonns\FireSprinklerAffidavit_071514.docx Page 1 of 1