Permit (85) •
III 1 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2018-00034
T I c;A r D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/19/2018
Parcel: 2S 101 DA00104
Site address: 13333 SW 68TH PKWY, STE#220 Jurisdiction: Tigard
Project: Total Quality Logistics
Project Description: Adding and relocating(5)sprinkler heads for TI. Subdivision: VARNS ACRES
Lot: 9
Contractor: CROSSFIRE SPRINKLER CO
17400 SE 82ND DR Owner: TRIANGLE POINTE TWO LLC
CLACKAMAS, OR 97015 901 NE GLISAN ST, STE 100
PORTLAND, OR 97232
PHONE: 503-210-5506 PHONE:
FAX: 503-210-5538
Description Date
Specifics:
Amount
Permit Fee-COM 04/18/2018
12%State Surcharge-Building $112.96
Type of Use: COM 04/18/2018 $13.56
Class of Work: ALT Plan Review-Fire Life Safety-COM 04/18/2018
Type of Const: Info Process/Archiving-Sm$0.50(upto $45.180
Occupancy Grp: Height: ft 11x17 04/18/2018 $1.00
Stories: )
Commercial Sprinkler Svstem:
Sprinkler Required: 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 $172.70
Valuations:
Required Items and Reports(Conditions)
Sprinkler Valuation: $3,500.00
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
issuance, or if work is suspended for more the 180 days. ATTENTION:ans.OregonTh1Spermit will expire if work is not started within 180 days of
law requires
w
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952001 0090.oIl Youth may the
atecopy of the regon
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: '/ / . i
�— ,P, Permittee Signature: ,
< - A
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 t�°t s
Fire Protection System
APR 1 6 201,3 lOR 0141cl: tr:0N1.1
City of Tigard Received
" 13125 SW Hall Blvd.,Tigard,OR 9722i.s l 1 '` (,t F t a Date: : / Permit t lo.: L/
Phone: 503.718.2439 Fax 503.598; j *w € $a Plan ReviewIN
(///
a �: s',`" ;;�' Dat Other Permit
F i t;;\it n Inspection Line: 503.639.4175 Air a
Internet: www.tigard-or.gov Date Ready/By: lurk: RI See Page-2 for
Notified/Method:
suppiementar Information
., a - m �.=arc_^ . .--_•-_"_- ' .-z-.. _�.-..._,.... .. ; —�
� �_ ,—:"7:, - .e - V. ;;. _- " +._ - _--:1fi., ,... � li � , _❑New construction
0 Demolition Permit fees*are based on the value of the work performed.
®Addition/alteration/replacement0Other: Indicate the value(rounded to the nearest dollar)of all
• s $ equipment,materials,labor,overhead,and the profit for the
---- ----"----- �u , . .„ ,. ms T = work indicated on this application.
❑ 1-and 2-family dwelling ...Commercial/industrial
I __._•,"
®Commercial/industriaa
l Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Numberof bathrooms:
K._., _,_ �_l,..�.. -:. ._ �-/.'..m.e-... a - Total number of floors:
•Job site address:13333 SW 68"Pkwy C---, q7.-.
City/State/ZIP:Tigard,OR New dwelling area: square feet
Suite/bldg,/apt.no.:220 Project
area: square feet
name:Total Quality Logistics Covered
Cross street/directions to job site: porch area: square feet
Deck area: square feet
Other structure area: square feet
Subdivision: r';:c
Lot no.: .x. ...,— . .�_Y :1 ;s rr
Tax map/parcel no: Permit fees'are based on the value of the work performed
Indicate the value(rounded to the nearest dollar)of all
o ,--= L equipment,materials,labor,overhead,and the profit for the
-- - .._. - .._ ,.., .; . --- work indicated on this application.
Add/Relocate Sprinkler Heads around new walls to maintain coverage _ Valuation:
$$3,500.00
Existing building area: square feet
A� x- New building area: square feet
Number of stories:
Name: __.
Address: Type of construction:
City/State/ZIP: Occupancy groups:
Phone:( ) Existing:Fax:( )
ry� - New:
x
.___.. • � 'k� �-.� �.,._. _..�,
Business name:Crossfire Sprinkler _ - _ _.:77.„r x,
Contact name:Timothy A Bishop All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Address:17400 SE 8214 Drive under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed.If the
City/State/ZIP:Clackamas,OR 97015 applicant is exempt from licensing,the following reasons
Phone:(503)210 5506 apply:
Fax::(503)210 5538
E-mail:timothy@crossfiresprinkler.com
, ' f s
L. k 4 fj x
.: r -.�, 71..-- -',""---t--
Business name:Crossfire Sprinkler Permit fee:
City/State/ZIP' State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( )
CCB tic.:174746 (Due upon application submittal.)
►jt�►�r'mr trig, Total permit fees:
Authorized signature: /1. �.
-1 /111/81.• Amount received:
Print name:Timothy A Bishop This permit application expires if a permit is not obtained
Date:4/16/18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
t:\ uilding\ rmits1FPS•Pamitnav_o3iot6.doc Service Board.
B
44046131t1iro2/CONwEBI
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
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:
0 Addition or ® 1-10 heads: Affidavit required and
Alteration (3) copies of sketch showing ❑ 1-5 devices: Affidavit required and
to era tin area (3)copies of sketch showing area
g of work within building structure
ucure of work within building structure
0 11+heads: Plan review required and
(3) sets of plans. ❑ 6+devices: Plan review required and
(3)sets of plans.
Additional description of work
l- _+'s'.:_ ,....... _.......__...'....... .-; -.--- - :..„., ,^-�..._., m7-` T-_...,-._ -- -----_--- mss
.,.E ... -'�' ig----- --e;. _.,..... ..,--4,-.,, " --.- ms
' �� ® Wet p D
Additional Stand.i.es 11111111111111111111111111111111.1
Information: ,ffim mcgmemmo
Hazard Grou. ❑ Yes 0 No
Densi .10
Desi: Area 1500
K. Factor
S u
•rinkler Pro'ect Valuation: $ 3500
Hood Pro ect Valuation: $ F
Submittal shall Batt- ""'--:-.;.,...,--�---- i ;�, � .� .:'
Calculations ❑ Yes , "` Y"
include: Individual Component
Cut Sheets ❑ Yes
z� s Fire Alarm Pro'ect Valuation:
�k"a V p;' ,3"q i -.._ ., '--- -......s.._ -- -..w .-�-- .4- '.--s ,._, `maxi z^-
+ .., y ? "`• V +. ;5 wY � i,-.-.c. � L'.�.... t-�-�.._ .� .F...L..i.... y�^�
= S•uare I nora:e: `
Permit Fee.
Oto2,000 `u
$198.75 _ .-; .. -- =� ,
2,001 to 3,600 $246.45 G_ - -- 1�- '''
- 3,601 to 7,200 = '~ 44 - .;`P �, - _-_
7,20I and eater $310.05 -. ��
- $404.39 ��4reiV, `�---] �- .,� .� _ -�..
Sprinkler Project Square Footage:e=
Pro ect valuation subtotal see A,B &C above : $
Permit fee based on .ro'ectvaluation 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.errnit fee : $
TOTAL: $
C.\Documents and Scngs\CAD\My Documents\Permits\tigard pemtit.doc
2
City of Tigard
,� 13125 SW Hall Blvd.,Tigard,OR 97223 A,P R 1 6 2 01 8 Permit No.: l �] y
Phone: 503.718.2439 Fax: 503.598.1960 ^/1 _
T t c; , ;,; Inspection Line: 503.639.4175 CiTY Date Received: Ll/ G/
..aEy sat
Internet: www.tigard-or.gov + a
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Total Quality Logistics
Job Address: W 68th Pkwy Occupancy; Office
13333 S
Type of Construction:
Suite: 220
Contractor: Crossfire Sprinkler
Phone: 503 210 5506
Number of Proposed or Altered Heads: 10
Type: QR Pend Hazard: Light
Density: 10
1, Crossfire Sprinkler
Oregon certify the following is true and reasonably de nes the copeof work for this proction Contractors B ctd No. 174746
Board
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 ma be
installed when each head is in a separate fire area). Y
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
0 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 , ument with a copy of the sketch attached shall be available for all inspections.
Signature: --7'✓ i
Date: 4/16/18
Print Name: Timothy A Bishop
1:1B uildingTonnsWireSprinklerAffidavit_071514.docx
Page 1 of 1