Permit CITY OF TIGARDIN
FIRE PROTECTION SYSTEM PERMIT
s COMMUNITY DEVELOPMENT Permit#: FPS2016-00055
Date Issued: 05/12/2016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 102AD02900
Jurisdiction: Tigard
Site address: 12790 SW ASH AVE
Project: Bumham&Ash Apartments Subdivision: BURNHAM TRACT Lot: 5
Project Description: Building 2-Fire sprinkler protection system for a new 3-story multi-family 26 unit apartment building with 2 retail
spaces.
Contractor: DELTA FIRE INC Owner: PREMIUM PROPERTY-TIGARD LLC
14795 SW 72ND AVE 1015 NW 11TH AVE, STE 243
PORTLAND, OR 97224 PORTLAND, OR 97209
PHONE: 503-620-4020 PHONE: 503-226-1972
FAX: 503-620-1058
FEES
Description Date Amount
Specifics: Permit Fee-MF 05/12/2016 $1,056.37
12%State Surcharge-Building 05/12/2016 $126.76
Type of Use: COM Plan Review-Fire Life Safety-MF 05/12/2016 $422.55
Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 05/12/2016 $12.00
Occupancy Grp: R-2 Height: ft 11x17)
Stories: 3 Info Process/Archiving-Sm$0.50(up to 05/12/2016 $10.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD2
Density: .20 Design Area: 1800
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 $1,627.68
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $154,234.00
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.
7litk Issued By: �� Permittee Signature: ,/+ nn/; 1 -6-V..;ki--1---
/COd 1��
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 FOR OFFICE, l USE ().\1,1
Received
City of Tigard >'" Y 9 �° 67r Permit No.: iO3-0/q{/..000 JS
1
13125 SW Hall Blvd.,Tigard,OR 9 C
Date/B J ll6h "_
g ,U Plan Review
II Phone: 503.718.2439 Fax: 503.598.P960 �� y , �G ,f� - Other Permit A20`cam- M 14S'
CL Date/By: U .7—W LC]J
1 1 A l n Inspection Line: 503.639.4175 io _,1,,,,..c0 pate Ready/By: jr, Juns: ® See Page 2 for
AlInternet: www.ti ard-or. ov 10tified/Method-- fD /t%7r "1" .....6SupplementalInformation
g g
`s.S.0 r1.4l�® 11/(0/1.-- fv/H t—ti jS
TYPE OF Vt'ORI , �� } REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑■ New construction ❑D efitOiVn Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling Commercial/industrial Valuation: $
AccessorybuildingNumber of bedrooms:
El 0 Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION
Total number of floors:
Job site address:12790 SW Ash Street New dwelling area: square feet
City/State/ZIP:Tigard, Oregon Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Burnham&Ash Apartments Bldg. 2 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.
Installation of Fire Protection System Valuation: $154,234.00
Existing building area: square feet
New building area: square feet
KI PROPERTY OWNER C] TENANT Number of stories:3
Name: Type of construction:Light, Ord. II
Address: Occupancy groups:S-2, M, R-2
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
Cii APPLICANT ® CONTACT PERSON
NOTICE
Business name: Delta Fire, Inc. All contractors and subcontractors are required to be
Contact name:Melissa Boughton/Devin Ganz 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 I 1 g Fax::(503 ) 620-1058
E-mail:melissab@deltafire.com/deving@deltafire.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedulel
Business name: Delta Fire, Inc. Permit fee:
Address: 14795 SW 72nd Ave.
State surcharge(12%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 submittal.)
CCB lic.: 64174 Total permit fees:
--C/ 1.12— Amount received:
Authorized signature44. fi�
U This permit application expires if a permit is not obtained
Print name:Melissa Boughton Date:3/11/1 fi within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Pevnits\FPS-PermitApp_071514.dor 440-4613T(1 I,02COM/W EB)
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: Number of alarm devices:
❑ Addition or El 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 ❑■ Dry
Additional Standpipes
Information: Hazard Group Ord.II
Density 0.20
Design Area 1800
K. Factor 5.6
Sprinkler Project Valuation: $154,234.00
B.) Type I- Hood Fire Suppression System
Flood 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\hcidis\AppData\I,ocal\'I'cmp\ITS_PcrmitApp.doc 2
Seubert Engineering
DESIGNING& CONSUL 77NG FROM CONCEPT TO PRODUCTION.
25125 S. Mt. View Rd. Robert C. Seubert, PE Phone/Fax (503) 824-5030
Colton, OR 97017 Rseubert(aseubertmachininq.com Cell (503)805-2920
Delta Fire, Inc. 4/26/16
14975 S.W. 72nd Ave.
Portland, OR 97224
ATT: Melissa
Subject: System Review/PE Stamping
Burnham &Ash
Delta project #15-5481
Hi Melissa,
I've reviewed the five drawings, five calculation spread sheets, and product data for building one. Six drawings, 4
calculation spread sheets, and product data for building 2. And seismic bracing calculations for this project.
Building one's remote areas consist of 51 &S3 designed for residential .1 gpm/sq. ft. S2 &S4 designed for Light
Hazard .1 gpm/sq.ft. and S9 designed for ordinary hazard I .15 gpm/sq. ft. Design criteria is per NFPA 13.
Building two's remote areas consist of S5 designed for ordinary hazard I .15 gpm/sq. ft. S6 designed for ordinary
hazard II .2 gpm/sq. ft. and area's S7&S8 designed for light hazard .1 gpm/sq.ft. Design criteria is per NFPA 13.
Seismic bracing includes 3 lateral and one longitudinal calculations.
I find no concerning issues with the design, layout, or calculations with respect to the applicable NFPA standards the
project is adhering to.
Given the compliance with the stated and supplied specifications it's my pleasure to approve this packaged with my
PE stamp.
Best Regards,
Robert Seubert, PE
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
12790 SW ASH AVE, TIGARD, OR, 97223
Record Type:
Commercial - Fire Protection System
Inspection Type:
999 Sprinkler final
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
FPS2016-00055
Inspector:
Chip Barnett
Contractor