Permit (118) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2017-00007
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/01/2017
Tf CaY g Parcel: 2S101DC04000
Jurisdiction: Tigard
Site address: 7500 SW TECH CENTER DR 130
Project: Specialty Heating&Cooling Subdivision: TECH CENTER BUSINESS PARK Lot: A
Project Description: Relocating(10)sprinklers for TI. Affidavit submitted.
Contractor: JR MERIT INC Owner: ICON OWNER POOL 1 WEST LLC
4504 NE 68TH DRIVE BY RYAN
VANCOUVER,WA 98661 PO BOX 460169
HOUSTON, TX 77056
PHONE: 360-693-7474 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/01/2017 $102.20
12%State Surcharge-Building 02/01/2017 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 02/01/2017 $40.88
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 02/01/2017 $0.50
Occupancy Grp: Height: ft 11x17)
Stories: Misc Administration Fee 02/01/2017 $1.50
Commercial Sprinkler System:
Sprinkler Required: No Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 1500
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 $157.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,900.00
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: Attie__ 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.
Buildiva Permit Apnlicatq�i �-°sq
FD
Fire Protection System ill ' ► FOR 0FF1( 1St 0 N"1
City of Tigard JAN 3 0 2017 Received r . r
• 13125 SW Hall Blvd.,Tigard,OR 97223 h " , �`
Phone: 503.718.2439 Fax 503.5 r r rq Other Permit:f
� 6� 9 .2s=Ani,3 u lti
T I G A R i) Inspection Line: 503.639.4175 g P r�@ 7 a t � Date Ready/By �. age for
Internet: Www.tigard-or.gov S LLI t U/' I'� liJy Not ed/Method; " Supplemental Information
'Mg
�i'ORTQ
'�hl`tENiATAO,i�TVD z-FX*`I�AWk'LLnvG
0 New construction 0 Demolition 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
CATEt3121' OF CbN53 R}�JCiTO work indicated on this application.
❑1-and 2-family dwelling Commercial/industrial Valuation:
❑Accessory building IDMulti-familyNumber of bedrooms:
❑Master builder 0 Other. Number of bathrooms:
;.3.: 01 . ; O i.�> 1:1t„1 ,Alvllt :O,OR WitiNatgain
Total number of floors:
Job site address: '7 jO $J G c, New dwelling area: square feet
City/State/ZIP: epR 1�„19.4 p t.t. Garage/carport area: square feet
Suite/bIdg./apt no.: 130 Project name: perCovered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
•
REQ171REIIDATA COMMER('I USE CflWrcr 1st Yi
Subdivision: I 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
�FSCRITIONr OF:VItORIs work indicated on this application.
17-E ,4 C.A� rC) S'5'iiat t K L 4 t'�'aSC wev.) G 1Lt Nq} Valuation:
Existing building area: square feet
New building area: 9/7 ) square feet
ROPERTs(? ".-.}x ANT Number of stories:
Name: , � Q
17/ . itt�n" i 14 1 e., Type of construction: k.J
l I T
Address: Occupancy L)
p cy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
:AP?L'ICAN7` `
New:
r r ,� � f `❑ CONTACT PE1;tSUN.
.
Business name:3g, W t r All contractors and subcontractors are required to be
Contact name: 9:0,1 /fq.ep ,N licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4 5-05- Li cxtrivi jurisdiction in which work is being performed.If the
City/State/ZIP: i A•tj Lc:> v-67– Lint} 'lett, IapplicantaPPis exempt from licensing,the following reasons
Phone:OCC,)C,13 '?+74 Fax::( )
E-mail:41$12,1J (,sits parr-tLt3Ps`
„ e "GOI�fl ACTOIt� _ BiJILDING PE BEES"
RMIT
Business name: „.31.z. pseg- 1 (Plmserefertofetachedute),
Address: •
Permit fee:
State surcharge(12%of permit fee):
City/State/ZIP:
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal.)
CCB lie.: IV} 7 3& Total permit fees:
Amount received:
Authorizedsignature.'' � , �Phis permit application expires if a permji-5-z
not obtained
Print name:.,4 j- j Y1" aj,,,il Date: I 30 1-7within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building industry
Service Board.
1:1Bnitding1PermitstFP5-Permitapp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe:work to be c one �. .:. ;. < y
I) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
0 New system Number of sprinkler heads: 1° Number of alarm devices:
Addition or 1-10 heads: Affidavit required and 0 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 0 6+devices: Plan review required and
(3)sets of plans. (3)sets of plans.
Additional description of work
Type of Syste ,((Comb 'fie A,B,C c Das applicab'le)y z i'u r�=L�[' a 4 [ t rs c M1
,ig
r > +a rs Y '^.r M r r
tiz ormm � . }4i r, `"ei' - CYC:, � , =rk '`y j gmsat sz k`�m . z
A yJ��ipi�1YEp�p` tt� K �.. A
i gq t„„y.A'v.._-, C». mak.Z..t,L� .:4.,f...1�k..... 1Y t f Z 4 K fir. g n l 1 {...
Sprinkler Type X Wet J 0 Dry
Additional Standpipes
Information: Sprinkler Supply Line N Yes 0 No
Hazard Group
Density C7,Jo
Design Area 10
K Factor
Sprinkler Project Valuation: $2,960
B) Type3= Hood P:re SuppresstoxttSystexlac` k _ ... . `._.{ ... n. . _.
Hood Project Valuation: $
Submittal shall Battery Calculations ❑ Yes,.
include: Individual Component 0 Yes
_ Cut Sheets �( �
Fire Alarm Project Valuation: $ t41
a � ;
D) Residennat Sp I.n lder(Stated.Alone ystetn)
,....k.<'.-a Z`,^3;x. `.r..4,. ... ,.:, ...Y.G-::ssy`i,.,t.�:':' ........Y .> [•..t: , ".... ,l Y. lyC'
l _
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.
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\lasonS\AppData\Local\Microsoft\Windows\'Temporary Internet Files\Contest.Outlook\92W4ANZ2\PYSJ'emitA.pp_031016.doc
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City of Tigard ' Permit No.: f/ 5 i 7[:XA;k)7
• 13125 SW Hall Blvd.,Tigard,OR 97223
• ■ Phone: 503.718.2439 Fax: 503.598.1960,A N 3 0 2 017 Date Received: )/30// 7
i! y F,r, Inspection Line: 503.639.4175
Internet www.tigardor.govCii..-,i` I_.i -(JA .,- By: oaieeidery v+-
FIRE
"FIRE SPR IT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: SF641 At—TY i4r r1.J�4 Occupancy: 4 .1444? rs i i o
Job Address: ?Sac 54..) -t Z i C'rL '9R Type of Construction:
Suite: (3o
Contractor: .. oleg.A Phone: 74o .¶3 14 74
Number of Proposed or Altered Heads: 1 O
Type: Hazard: L4*SIwi Density: Q.(d
I
Plirikvc Oregon Construction Contractors Board No. (Z 5 7
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: Date: 1—la`l 7
Print Name:JA SPtimuc,
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