Permit (35)16.
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I # Permit#: FPS2017-00119
COMMUNITY DEVELOPMENT
Date Issued: 08/24/2017
TI+aARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S103AA00101
Jurisdiction: Tigard
Site address: 10865 SW WALNUT ST
Project: Fowler Middle School Subdivision: None Lot: None
Project Description: Add/relocate(8)fire sprinklers for TI. Add branch line restraints per drawings.
Contractor: OMLID AND SWINNEY FIRE PROTECTION Owner: TIGARD-TUALATIN SCHOOL DISTRICT
157 S 47TH ST BY MAPLETHORPE, BONITA
SPRINGFIELD, OR 97478 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 541-741-1775
PHONE:
FAX: 541-741-0347
FEES
Description Date Amount
Specifics: Permit Fee-COM 08/24/2017 $177.52
12%State Surcharge-Building 08/24/2017 $21.30
Type of Use: COM Plan Review-Fire Life Safety-COM 08/24/2017 $71.01
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 08/24/2017 $2.00
Occupancy Grp: E Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 08/24/2017 $5.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: 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 $276.83
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $9,045.00
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 .r 1.800.332.2344.
Issued By: Permittee Signature: Alt/1.7
OF
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 RECEIVE!) FOR OFFICE USE ONE)'
City of Tigard ' //��,,rr�� ?
aDate/B : 13/ /7 �w��,/� it No � � G/V��/
13125 S W HaI1 Blvd.,Tigard,OR 97223 JUL.L 31 2017 Plan Revie 1' I
m Phone: 503.718.2439 Fax 503.598.1960 Date/By: w\- j/ - 17 Other Permu,O fy- t'/o_3
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Rea, ' / Juris: I H See Page 2 for
Internet: www.tigard-or.gov
Notified/Method:/ /57"/,7 /j Supplemental Information
BUILDING DIVISION
��� �, 1r.� .f iB „-7-7:''''1711, 1 f 1I e
❑ lik
New constructionILI ❑Demolition Permit fees*are based on the�value of the work performed
Indi
Addition/alteration/replacement ❑Other: quip ment,materials,ate the value(rounded toand theprofit for the
Jam” ,' . <<���÷ '�, labor,overhead,
nearest dollar)of all
p t 1 r
,� "' a.- work indicated on this application.
❑ 1-and 2-family dwelling commercial/industrial Valuation: $
o Accessory building 0 Multi-family Number of bedrooms:
o Master builder ❑Other: Number of bathrooms:
f l' "' i B r = 1 •kik,; `° = Total number of floors:
Job site address: 1og65' jLtf Wat..�� New dwelling area: square feet
City/State/ZIP: T,G44' v��p (7223 Garage/carport area: square feet
Suite/bldg./apt.no.: l lj`Project name: F ' IvIlika Slwa J Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
. ; 1 i r i. t p : i� work indicated on this application.
itttii PI' GU I
b Valuation: $
t
' V� �' ' J 0�5 �� s Existing building area: square feet
l New building area: square feet
_,, �_4 ...,!.....-..;:_°,,',. ..-,,..--,-;-1,_t ,�,J� _`�ua`�r , - Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax
�� "� .11.--.-J1-7.C::'=,;---1k111:111
�u New:
�m� r
4'1
Business name: 1 ' �s_��, " t _ ��
Wakon 5,,,.1'Fi5 p„, i ;,.„ `\8rr1 All contractors and subcontractors are required to be
Contact name: h Ate„ 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:( ) I Fax::( )
•
E-mail: ,51„.‘ 4. .t/ WS ...v5
Business name: Uesk.,.,ir, 54c„> 5 c Pti ttA;
Permit fee:
Address: 17564 ,5W C' Avtx r tAke b 5 ars
City/State/ZIP:
7U ''` l State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(53) 6S-7-5(55' Fax:( )
(Due upon application submittal.)
CCB lip.: Qh�t�7O Total permit fees:
Authorized signature: '�'7 1 ��� Amount received:
�lT3h This permit application expires if a permit is not obtained
Print name: ‘3"--06I /V�\I I Date: `744/201 7 within 180 days after it has been accepted as complete.
h f 1 �+� * Fee methodology set by Tri-County Building Industry
Service Board.
440-4613T(11/02/COM/WEB)
I:\Building\Permits\FPS-PermitApp_031016.doc
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
r '`f �:_ '''''''""AL1---
II II i�Ei le ''_i ii _ i* _ 'lrvii(�- - 'a i ��i +oaf
ra i, s
1.) Type of Work: 2.) Addition/alteration only to sprinklerriyheads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: I� Number of alarm devices:
Addition or 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 ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work: A � gat% ou co % .
v16 i '-';'''''"--."''''''-'1
i -�? r EYi tt, a i6i
nia — it ay a.7 a.� �+ ao m�(
=_� "'''''::jt------t. ( Al ("� 'a t9 "n 9 ,r r the 'r �;%r I�t ,r J d r:
r „ ,,,,,,-,-, 11,---'fi,` ai'7,774...
Ih '� r '” ii�41a r m �� hi 4i Ii �i
iI '''-'17:,'",,""""'
�hllr" h fe 0 r �, rP a �'� tl I� a F
i f , (''" #r 8 w tl i;l Vi ;, om19- = i'" p,--:..:?' (73-.4k1,„
� iI� ,i :i N J
=..�4.. did -��. _ �� �° Ieda. i, ha a 51- s, ,a aR r
Sprinkler Type Eu Wet 1=I
Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group , w� tk�z�.a,ti. ( . o LJ1C
Density a'1 GPC ,14%
Design Area
K. Factor ,b
Sprinkler Project Valuation: I $ 9/O L\
! it-,-- ';14A 4, ,i -- r
Hood Project Valuation: ',..„.„,$,,,,,,
I a it i r J r' 7,1
iT '��,
Tali a h r!'''.....:4:1-1-71,0k.' �, r ' irnr r ,3 ii �i 1' _ yiii
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: I $
7-11,:':,:41.-2,--46,:
_ � 4�p -.--:-.','!:.,'..,-. 7.1.,..
a y iia ��— f yni°i,: ILL i„( t ;; 'i "'�- i1�2 +i y
$e
> 7---.-.2.....5.7.--- i- -. „iP. aid.... °Rs ��.r.._ = r� • r `a r a
Square Footage: Permit Fee: ' " � � r • ��
0 to 2 000 $198.75 �� '
2,001 to 3,600 $246.45 ti
3,601 to 7,200 $310.05 u ; ' A�
7,201 and greater $404.39x▪. ,� � � �� '2-4"'"1";"--.. .
Sprinkler Project Square Footage: sq.ft.
4,111-,r. ..;--° 41-''''''':°';'
� i �.i m � �a ror
@a, it s, a ▪ _ a'r ,_ -'iiL:a. Ilia ..,Ari:.,
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: $
2
C:\Users\Joshua.Miller\Downloads\FPS_PermitApp.doc