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Permit (132) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT ' COMMUNITY DEVELOPMENT Permit#: FPS2017-00108 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/31/2017 T G �'� g Parcel: 2S 101 DA01900 Jurisdiction: Tigard Site address: 6996 SW VARNS ST Project: Madrona Recovery Subdivision: VARNS ACRES Lot: 3 Project Description: Fire sprinkler system Contractor: DELTA FIRE INC Owner: NELSON VIAL LLC 14795 SW 72ND AVE 7155 SW VARNES ST#120 PORTLAND, OR 97224 TIGARD, OR 97223 PHONE: 503-620-4020 PHONE: FAX: 503-620-1058 FEES Description Date Amount Specifics: Permit Fee-COM 07/27/2017 $545.80 12%State Surcharge-Building 07/27/2017 $65.50 Type of Use: COM Plan Review-Fire Life Safety-COM 07/27/2017 $218.32 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 07/27/2017 $4.00 Occupancy Grp: I-1 Height: 30 ft 11x17) Stories: 2 Info Process/Archiving-Sm$0.50(up to 07/27/2017 $50.00 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Hazard: LT Density: .1 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 $883.62 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $51,000.00 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. 0.332.2344. Issued By: Permittee Signature: C 411 ..•111—.101111111.1111.MIna_ Call 503.639.4175 by 7:00 a.m.for the next available inspe• ion dat=. This permit card shall be kept in a conspicuous place on the job site until ••a -tion of the project. Approved plans are required on the job site at the time of each inspection. building Permit Application Fire Protection System RECEIVED FOR OFFICE USE ONE,Y'PI City of Tigard Date/B : �� Permit No.: _ g 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie _ Phone: 503.718.2439 Fax: 503.598.1960 J U L 1 9 2017 Received afe ErigiDate/B : Ai -' Other Permit: a 1 7, T 1 G A K D Inspection Line: 503.639.4175 CITY OF �•I � � Date Ready/By:, l ris: WI See Page 2 for Internet: www.tigard-or.gov Notified/Method:?�7 Supplemental Information BUILDING DIVISI© 1 i-'79-/L- it-Diss ot . �, PE OF QK .,< z ... 1tE19�° 1 ATA i /v Fr19 � 1..Io � . . °'���, ,, :� . � � � ii El New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Z Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the , CAT ,,F,1650"-OF C ,STRIJCTION r . t. work indicated on this application. El1-and 2-family dwelling ®Commercial/industrial Valuation: $ ElAccessory building ElMulti-familyNumber of bedrooms: 111 Master builder CI Other: Number of bathrooms: . d l E INFO• i f TION d!� , ATIf" Total number of floors: Job site address:3AO6SW Varns Road New dwelling area: square feet City/State/ZIP:Tigard,OR Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Madrona Recovery Center N Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet RED DAT_.' i MMERC . i°`1 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 e v' ' G3t1PTION �1<tK ' m work indicated on this application. Installation of fire sprinkler system Valuation: $$51,000.00 Existing building area: square feet New building area: square feet ❑ PROPLRlY OWNER : ® TENANT" Number of stories: Name:Madrona Recovery Center North Bldg. Type of construction: Address:7690-SW Varns Road 4p 91 le Occupancy groups: City/State/ZIP:Tigard,OR Existing: Phone:( ) Fax:( ) New: r ® CONT; T PE 4 " ', � ) N ` NOTI�R r Business name:Delta Fire,Inc. All contractors and subcontractors are required to be Contact name:Melissa Boughton 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)620-4020x118 Fax: :(503)620-1058 E-mail:melissab@deltafire.com ' _ . CONTRACTOR , . 2 v I ,i DING PERMIT FES '''>- ) Business name:Delta Fire,Inc. ,' se refertahhIule Permit fee: Address:14795 SW 72'Ave. State surcharge(12%of permit fee): City/State/ZIP:Portland,Oregon 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:L Amount received: 'V Authorized signature: This permit application expires if a permit is not obtained Print name:Melissa Boughton Date:7-18-17 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. 1:ABuildingAPermits\FPS-PermitApp_031016.doc 440-46131(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information escribe work to be done: x DKK. v. 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 El 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 1:](36)+ devices: Plan review required and (3) sets of plans. sets of plans. Additional description of work: Type f S stein(Complete ,C as liabi± m a` AL'''.) 'mme al Spr rkler Vie, � �� w Sprinkler Type $ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line Yes EI No Hazard Group Li Density Design Area ta v K. Factor ;.1,, Sprinkler Project Valuation: $ Si loc.'0 "=' . t ' . ,_ t . Project Valuation: $t-P_,./.. n I ' d updF`sion,S set Hood Fire Alarm , k Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D. Desi® 6 tial S i�nkl r a .: rAllt { Square Footage: 45 16' Permit Fee: 11 0 to 2,000 $198.75 2,001 to 3,600 $246.45 3,601 to 7,200 $310.0571 7,201 and greater $404.39 Sprinkler Project Square Footage: sq. ft. 7 � x ,. ' Fire Protesjon P` Ott 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: $ S:\Contract File\175707 Madrona Recovery Ctr\Permit\Tigard Permit application-Nort2x.doc Seubert Engineering DESIGNING& CONSULTING FROM CONCEPT TO PRODUCTION. 25125 S. Mt. View Rd. Robert C. Seubert, PE Phone/Fax(503) 824-5030 Colton, OR 97017 Rseubert@seubertmachininq.com Cell (503) 805-2920 Delta Fire, Inc. 7/17/17 14975 S.W. 72nd Ave. Portland, OR 97224 ATT: Melissa Subject: System Review/PE Stamping Madrona Delta project #17-5707 Hi Melissa, I've reviewed the three drawings, and the two calculation spread sheets for this project. Remote area one and two are both designed for light hazard occupancy @ .1 gpm/sq. ft. Design criteria is per NFPA 13 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 Seubert Engineering DESIGNING& CONSULTING FROM CONCEPT TO PRODUCTION. 25125 S. Mt. View Rd. Robert C. Seubert, PE Phone/Fax(503) 824-5030 Colton, OR 97017 Rseubert@seubertmachining.com Cell (503) 805-2920 Delta Fire, Inc. 7/17/17 14975 S.W. 72nd Ave. Portland, OR 97224 ATT: Melissa Subject: System Review/PE Stamping Madrona Delta project #17-5707 Hi Melissa, I've reviewed the three drawings, and the two calculation spread sheets for this project. Remote area one and two are both designed for light hazard occupancy @ .1 gpm/sq. ft. Design criteria is per NFPA 13 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 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6996 SW VARNS ST, TIGARD, OR, 97223 November 21 , 2017 at 7:22:42 AM Record Type: Record ID: Commercial - Fire Protection System FPS2017-00108 Inspection Type: Inspector: 999 Sprinkler final Chip Barnett Result: PASS - NoCofO Comments: Previous inspection corrections completed Violation Summary: Inspector Contractor