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Permit (153) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2018-00021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2018 Parcel: 1 S136CD01000 Jurisdiction: Tigard Site address: 11745 SW PACIFIC HWY 100 Project: 4 Wheel Parts Subdivision: None Lot: None Project Description: Relocate(5)pendent sprinklers to maintain coverage in new restrooms and office. Contractor: CROSSFIRE SPRINKLER CO Owner: MONAGHAN FARMS, INC 17400 SE 82ND DR 1950 E PRETICE AVE, STE 101 CLACKAMAS, OR 97015 GREENWOOD VILLAGE, CO 80111 PHONE: 503-210-5506 PHONE: FAX: 503-210-5538 FEES Description Date Amount Specifics: Permit Fee-COM 03/26/2018 $145.24 12%State Surcharge-Building 03/26/2018 $17.43 Type of Use: COM Plan Review-Fire Life Safety-COM 03/26/2018 $58.10 Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 03/26/2018 $0.50 Occupancy Grp: B Height: ft 11x17) Stories: 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 $221.27 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $6,525.00 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: 41X77;04-/ y T7Lr/,/ 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. ' '. 1a4 1 t City of Tigard �a�{ � I i,l 1� Permit No.: /`/°.� /�— DC7C7�� 111 - 13125 SW Hall Blvd.,Tigard,OR 97223 ■ Phone: 503.718.2439. Fax: 503.598.I960_, Date Received: -)/1 '/r Inspection Line: 503.639.4175 ? a ,, 1 1,t Internet: www.tigard-or.gov J3 Y � r; FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: 4 Wheel Parts Occupancy: Office/ Restrooms Job Address: 11745 SW Pacific Hwy Type of Construction: Suite: B /0-0 Contractor: Crossfire Sprinkler Phone: 503 210 5506 Number of Proposed or Altered Heads: 5 Type: QR Pend Hazard: Light Density: •10 1, Crossfire Sprinkler Oregon Construction Contractors Board No. 174746 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. fl 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 cument with a co of the sketch attached shall be available for all inspections. Signature: Date: 3/14/18 Print Name: Timothy A Bishop 1:1Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of I In 4! • Building Permit Application Fire Protection System 1 .r F(lll Oll-l<1, lel'. 0\1.1' City of Tigard Receives p '�' ,,itNo. ° III f 't 13125 SW Hall Blvd.,Tigard,OR 97223 M A P 1 4 Plan Review /� mit— PSfO 4©� � Phone; 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit: e 2 for T i�;n I1.t� Inspection Line: 503.639.4175 •k ' ' ` Date Rea /B: J�rli Internet: www.tigard-or.gov 13., P s 5,' `_ ' ' i Notified/Method: Supplemental Information ,�=.ex-- ......�._. .- M ;— ^._...3.,=£, _...a,..,k .:..- _..�. a. •;l �'i', F4','1,''p -'` �1 a .i.-- A ❑New construction s Permit fees'are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration/replacement ■ • equipment,materials,labor,overhead,and the profit for the -- - — W ., . ire �„ ,- work indicated on this application. ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ElAccessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: �r-"x-- +., '.,.,,.:�}:.FS.`.;:y,,am"te'aem "''.;. :''R't '. Total number of floors: Job site address:11745 SW Pacific Hwy New dwelling area: square feet City/State/ZIP:Tigard,OR Garage/carport area: square feet Suite/bldg./apt.no.:B /re J Project name:4 Wheel Parts Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet v is r ti .5,-,..5':,-S4.,..2,....:� eie: f 74't �' 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 —mm �e equipment,materials,labor,overhead,and the profit for the '= '' t,= ' � work indicated on this application. Relocate Pendent Sprinklers to maintain coverage in New RestTooms andOValuation: $86,525.00 Existing building area: square feet New building area: square feet ' " `. :' -, .. �.d:- .; . - .„"- �' - Number of stories: Type of construction: Occupancy groups: Existing: �_ -y' ss� vNew: '.'..^� PY ....«.... Y.'.- 3 x.43 1.1—"r Business name:Crossfire Sprinkler All contractors and subcontractors are required to be Contact name:Timothy A Bishop licensed with the Oregon Construction Contractors Board „a under ORS 701 and may be required to be licensed in the Address:17400 SE 82 Drive jurisdiction in which work is being performed.If the City/State/ZIP:Clackamas,OR 97015 applicant is exempt from licensing,the following reasons apply: Phone:(503)210 5506 Fax::(503)210 5538 E-mail:timothy®crossfiresprinlder.com _i..11 « T._"'..''4.::.4+ of..aw ,' ..yam_-..» Z �`� �� Y, S1 V.Y:"F' { S�u. Gx�c.._i Business name:Crossfire Sprinkler =j ,,.. Permit fee: / �. 4Z/ Address: City/State/ZIP: State surcharge(12%of permit fee): ` 7. y3 ( ) FLS plan review(40%of permit fee): S d.,r //d Phone:( ) Fax: (Due upon application submittal.) r ..,c0 ,thry CCB lie.:174746Total permit fees: ----- Authorized signatu io -- Amount received: 7, ?? This permit application expires if a permit is not obtained Print name:Timothy A Bishop Date:3/14/18 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. 1:•.Building1Permits\FPS-PermitApp 031016.doc 440-4613T(11/02/COM/WEB) x City of Tigard: Fire Protection Permit Checklist Page 2-Supplemental Information a r geed{ x _ 1.) Type of Work: 2) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: 5 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 t temto existing of work within building structure of work within building structure Ys ❑ 11÷ heads: Plan review required and ❑ 6+ devices: Plan review required and (3) sets of plans. (3) sets of plans. Additional description of work: arw _,_.._rzx•,,.r.-n.. xsc4 sv- 5}t a 3- �- ...-..f.1 •»�+ --z ate [. y t { ."' -..^-c-•_... _.. h^ 1"�'G.�.Y'^.'...,....-,�_.....: �..._"�..�y�-'".�--�+-.-rte J��'�y - �.zw..:..�'•'^^-- ��� 1 ....� .-....._ .. 'ar�:...................... .._•.....*....,..«..w..,..,,, +^n- ice—.,-a,....,w'.^ .rinkier T j.e ® Wet 0 Additional Stand.i.es Information: illEMEMEME1111m ❑ Yes ❑ No Hazard Grout Li:ht Densi .10 Des': Area 1500 K. Factor 5.6 S.rinkler Pro'ect Valuation: $ 6525 f_;- t..�i,. -wwtyf,77',77*: - r -Ms ay, a3' C t', . .., Hood Pro'ect Valuation: $ Submittal shall Batte Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Pro'ect Valuation: $ S•uare Foota_°e: 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: eater $404.39 Sprinkler Project Square Footage: sq.ft. — ...w^s„' r-'._ r"':,` :.-.."�" -s::.rti-spa.°4. ,�,�.� c o :3 - ca c:y� :°',-n--- --;r'• ..:,.r-,.�,-- 'mss '_��w� i-» amu. ... 45.;r.,,,. Pro'ect valuation subtotal see A,B&C above : $ Permit fee based on .ro ect valuation see fee schedule : $ Permit fee based on s•uare foota_e see D above : $ State Surchar:e 12%of .ermit fee : $ FLS Plan Review 40%of.ermit fee : $ TOTAL: $ C:\Documents and Settings\CAD\My Documents\Permits\tigard permit.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11745 SW PACIFIC HWY 100, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2018-00021 Inspection Type: Inspector: 910 Sprinkler rough-In Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11745 SW PACIFIC HWY 100, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2018-00021 Inspection Type: Inspector: 999 Sprinkler final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor