Permit (143) .„ CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I: : COMMUNITY DEVELOPMENT Permit#: FPS2016 00042
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2016
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7236 SW DURHAM RD 600
Project: Lake Oswego PD Subdivision: None Lot: None
Project Description: Adding(4)sprinkler heads for storage area in warehouse. Affidavit submitted.
Contractor: VIKING AUTOMATIC SPRINKLER CO Owner: PACIFIC REALITY ASSOCIATES LP
3245 NW FRONT AVE ATTN: N PIVEN
PORTLAND, OR 97210 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-227-1171 PHONE: 503-624-6300
FAX: 503-227-1552
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/08/2016 $64.54
12%State Surcharge-Building 03/08/2016 $7.74
Type of Use: COM Plan Review-Fire Life Safety-COM 03/08/2016 $25.82
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 03/08/2016 $0.50
Occupancy
Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .1 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 $98.60
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $980.00
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 Signature: Qc/.\\
Cal�.39.4175 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 Brotection System
7 Received
City of Tigard \�o il�e 1.3 3 $' err- Permit No.: r Llo_CLIC
13125 SW Hall Blvd.,Tigard,OR 97 % t" Plan Review
' Phone: 503.718.2439 Fax: 503.598.1460 y_ other Permit: �/'ti f 67.„,
Inspection Line: 503.639.4175 �P� �,v�rA�e ReadyBy: kris: See Page'e+2 for
"""
atg
` �� Notified/Method: Supplemental Iaferatatioa
Internet: www.tigard-or.gov �0 . ��
TYPE OF WORK ik,\il��� REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Dem Permit Permit fees'are based on the value of the work performed.
®Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
work CATEGORY OF CONSTRUCTION k indicated on this application.
1-and 2-family dwelling ®Commerciavindustrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7236 SW Durham Rd New dwelling area: square feet
City/State/ZIP:Portland OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: &Oa Project name:LO Police Storage 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 fire protection to storage area in warehouse Valuation: $980
Existing building area: 10000 square feet
New building area: square feet
0 PROPERTY OWNER ® TENANT Number of stories: 1
Name:LO Police Department Type of construction: Wood
Address: Occupancy groups:
City/State/ZIP: Existing: Light Hazard
Phone:( ) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON
NOTICE
Business name: 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:( ) Fax::( )
E-mail:
CONTRACTOR BUILDING PERMIT FEES*
Business name:Viking Automatic Sprinkler CO fir '�fee s
'° Q1
Permit fee:
Address:3245 NW Front Ave
State surcharge(12%of permit fee):
City/State/ZIP:Portland OR 97210
FLS plan review(40%of permit fee):
Phone:(503)227-1171 Fax:(503)227-1552 (Due upon application submittal.) ,}
CCB lic.:64837 Total permit fees: x�g 00
Amount received:
Authorized signature: --���'���
.\1\2.....
This permit application expires if a permit is not obtained
Print name:Bryan Kelley Date:3$16 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\PermitsWPS-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:
0 New system Number of sprinkler heads: 4 Number of alarm devices:
® Addition or ® 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
Wet 0 Dry
Additional Standpipes
Information: Hazard Group Light Hazard
Density .1
Design Area
K. Factor 5.6
Sprinkler Project Valuation: $ 980
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations 0 Yes
include: Individual Component 0 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:\User\bryankelley\Desktop\LO Permitdoc 2
City o Tigard — 1
g .Permit No.: oC
f ( �Sd2o I to
RI lig13125 SW Hall Blvd.,Tigazd,OR 97223 RECEIVED `
: 1 Phone: 503.718.2439 Fax: 503.598.1960 Date Received: 31#
Inspection Line: 503.639.4175 8
Internet: www.tigard-or.gov MAR 2016 By: /7iY4Pv 7*--A vii-
FIRE
iiFIRE SPRINKI gtIXJT FOR ALTERATIONS
OK TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: L, (7, Cv\_, .,.,,c-Z -A-c;• r -c.._ Occupancy: L.2.4,,,,- \-\,c,,2.as.D
1
Job Address: '7 2'310 t)w \-J ver- ..., (2 Type of Construction: -t..1. -
Suite: (o 00
Contractor: 11, \\/'\1..:1,.,\64 .A,,,lra•e•,,0,4-,c t i4ck,- Phone: 0\'11- -c-n-moi ti,b,
Number of Proposed or Altered Heads: \
Type: I I I6 Hazard: \c1,t- Density: , 1
I, \J'�\L', 'c_,.,,c,„,.,,,At4. r•,,.�-,,,- Oregon Construction Contractors Board No. (0t{(611
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: \ — _ f' Date: '\-4.- 1k,
Print Name: \J r) , Y--.-L-Wil
I:\Building\Forms\FireSprinklerAffidavit 071514.docx Page 1 of 1
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
7236 SW DURHAM RD 600, TIGARD, OR, 97224
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2016-00042
Jeff Grove
Violation Summary:
Inspector Contractor