Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
III g ' COMMUNITY DEVELOPMENT Permit#: FPS2015-00109
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/16/2015
Parcel: 2S 112AA00400
Jurisdiction: Tigard
Site address: 14280 SW 72ND AVE
Project: Leifs Autobody Subdivision: MILLMONT PARK Lot: 49
Project Description: Installing(1)pendent sprinkler head. Affidavit submitted.
Contractor: DELTA FIRE INC Owner: ICON OWNER POOL 1 WEST LLC
14795 SW 72ND AVE BY RYAN
PORTLAND,OR 97224 PO BOX 460169
HOUSTON,TX 77056
PHONE: 503-620-4020 PHONE.
FAX: 503-620-1058
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/16/2015 $56.47
12%State Surcharge-Building 07/16/2015 $6.78
Type of Use: COM Plan Review-Fire Life Safety-COM 07/16/2015 $22.59
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 07/16/2015 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: .10 Design Area: 1500
K Factor: 5.62
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Gales Provided: Cut Sheets Required:
Total $86.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $694.00
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 g.'' . 44.
Issued By: •. ittee Signature:
Call 503.6 175 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 Application FOR OFFICE USE ONLY
City of Tigard BC CEP ED Received �m Permit No.: —aa
13125 SW Hall Blvd.,Tigard,OR 97 BE Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 6 2015 Date/B : Other Permit:
I I c,A It I) Inspection Line: 503.639.4175 �UL 1 Date Ready/By: Juris: See Page 2 for
Internet: www.tigard-or.gov Y M1,..10 Notified/Method: .7�.c Supplemental Information
GTv ri._
TYPE OF } D;lv°-a 1-J o,t.,'v 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
3 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 j 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: 14280 SW 72nd Ave. New dwelling area: square feet
City/State/ZIP: Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Leif s Auto Collision TI 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.
Install Sprinkler Pendent for existing room in building with valuation: $694.00
existing fire protection that did not have a sprinkler previously. _ Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: Leif s Auto Collison Type of construction:
Address: 14280 SW 72nd Ave. Occupancy groups:
City/State/ZIP: Tigard, OR 97224 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: applicant is exempt from licensing,the following reasons
Portland, OR 97224 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: O(P,_ /
'��// Amount received:
,t)..()(
Authorized signature: (I,rl �l
This permit application expires if a permit is not obtained
Print name: Heidi Scarbrough Date: 7-16-15 Within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:/BuildingPennits'FPS-PermitApp.doc 03/23/06 440-4613T(II/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:
❑ Addition ® 1-10 heads: No plan review required.
® Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 1
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
® Wet ❑ 1)r■
Additional Standpipes N/A
Information: Hazard Group Light
Density 0.10
Design Area 1500
K. Factor 5.62
Sprinkler Project Valuation: $694.00
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 $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:1Building\Permits\PPS-PezmitApp.doc 03/23/06 440.4613T(11/02/COM/WEB)
City of Tigard ECE,!a' ) Permit No.: P'S 01-0 r S— 9
• 13125 SW Hall Blvd.,Tigard,OR 972 3 r Qd(�
1,1
Phone: 503.718.2439 Fax: 503.598.1960 1 1 6 2015 Date Received: 7/b/i s
Inspection Line: 503.639.4175 JUL
T I G n I.Il Internet: www.tigard-or.gov OF TIGARO By: ,�e$'
CITY r��.f4i�i
G DIVISION
FIRE SPRIW AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Leif's Auto Collision TI Occupancy:
Job Address: 14280 SW 72nd Ave. Type of Construction:
Suite:
Contractor: Delta Fire, Inc. Phone: 503-620-4020
Number of Proposed or Altered Heads: 1
Type: 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 documei t with a copy of the sketch attached shall be available for all inspections.
Signature: ; Date: 7'16-15
Print Name: Heidi Scarbrough /
I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1
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PIPING PLAN
SCALE-h-.1'-0"
ADD SPRINKLER TO EXISTING ROOM
SPRINKLER TO BE SUPPLIED BY
EXISTING FIRE SPRINKLER SYSTEM
2'X 1"MECH.TEE
1"X AS REQ. �1, ..__w....1AREAOFWOR ••
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EXISTING 2"PIPE f
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SPRINKLER TO BE
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- DROP DETAIL KEY PLAN
SCALE-N.T.S. SCALE-N.T.S.
SYM. TYPE MFG.IMOOEL SINE TEMP. SIZE FINISH CANOPY FINISH QTY.
LEI F'S • SSP RELIABLE Fl iRS6 RA1414 15SF •1/2 CHROME AEC CHROME 1
AUTO COLLISION DELT
14280 SW 72ND AVE,TIGARD OR 97224 FIRE,INC.
TITLE COMPUTER ROOM SPRINKLER 71 FIRE PROTECTION CONTRACTORS
DATE 7/18 2013 SCALE 1/S" 1'-0" SHEET 1 OF 1 tnse 9w.12ro.PORnun.oR 9722" 190)120.W20
CONT. 15-5475 DRWM. MG SYSTEM VET