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Permit (50) ,.-- CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2018-00028 13125 SW Hall Blvd.,Ti Date Issued: 04/09/2018 TIGARD and OR 97223 503.718.2439 9 Parcel: 2S110DB00201 Jurisdiction: Tigard Site address: 15292 SW ROYALTY PKWY D Project: Center for Autism Subdivision: WILLOW-BROOK-FARM Lot: 8 Project Description: Fire sprinkler permit:Installing and relocating(5)sprinklers. Affidavit submitted. Contractor: EXPRESS FIRE SYSTEMS INC Owner: ARBOR HEIGHTS VENTURE LLC 1913 41ST STREET BY SECURITY PROPERTIES INC WASHOUGAL, WA 98671 ATTN BOB KROKOWER 701 FIFTH AVE STE 5700 SEATTLE,WA 98104 PHONE: 360-953-8432 PHONE: FAX: 360-953-8394 FEES Description Date Amount Specifics: Permit Fee-COM 04/09/2018 $134.48 12%State Surcharge-Building 04/09/2018 $16.14 Type of Use: COM Info Process/Archiving-Lg$2.00(over 04/09/2018 $2.00 Class of Work: ALT Type of Const: 11x17) Occupancy Grp: Height: ft Stories: Commercial Sprinkler System: `` Sprinkler Required: No Sprinklei�Type: Wet Standpipe Required: NO 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 $152.62 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $5,120.00 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: - � nature: y� ) 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 ,,--it-, r FOR OFFICE USE ONLY City of Tigard 9 ,, . ' _l ' K.' Received 14 - " Date/By: Permit No.: / .� J„L4 �%( / 13125 SW Hall Blvd.,Tigard,OR 97223 *1 Phone: 503.718.2439 Fax: 503.598.1960 l P' p Plan Review �j TIGARD Inspection Line: 503.639.4175 11„i O Date/By: Other Permit: /JSe p 0 i d ] ) Date Ready/By: Juns: ® See Page 2 for �C•� Internet: www.tigard-or.gov t_ „‘ ,3 t. 1 ffp r` Notified Method: Supplemental Information TA/TV ox+. F 1 -IIING IIO t _ Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑New construction ❑Demolition equipment,materials,labor,overhead,and the profit for the ®Addition/alteration/replacement ❑Other: work indicated on this application. CATEGORY©F CONSTRUCTION Valuation: $ ❑ 1-and 2-family dwelling ®Commercial/indus '. r+l fr 1t ” Number of bedrooms: Accessory building ;s vp)27 �s Ell ❑Multi-family Number of bathrooms: ❑Master builderI' / 0`Other. Total number of floors: 1, g0JOB SITE INFORMATION ANI) LOCATION ^✓ New dwelling area: square feet Job bite addles a RoJ al Pkwy i 51-1°- Garage/carport area: square feet City/State/ZIP:Tigard/Oregon/97224 Covered porch area: square feet Suite/bldg./apt.no.: Project name: „ ` t"',7;Itgrtd -n— Deck area: square feet Cross street/directions to job site: (e lc, -fir c- ,t-;4,,, Other structure area: square feet REQUIRED DATA:COIVIIVIERCIAL2USE.C'IUECKL1_ST Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Subdivision: Lot no.: equipment,materials,labor,overhead,and the profit for the Tax map/parcel no.: work indicated on this application. r 0 �q '' D S RIPIION PE WORD Valuation: $$) O,{jp Relocate and install sprinklers due to new walls and ceilings Existing building area: square feet ❑ PROPERTY OWNER '' �- �' `©,TENANT ,v. New building area: square feet Name: Number of stories: Address: Type of construction: City/State/ZIP: Occupancy groups: Phone:( ) Fax ( ) Existing: Light u ►Z+ APPLICANT' '' s% ,,,,,,E3 CONTACT'PERSON New: Light Business name:Express Fire Systems ` y, NOTICE Contact name:'I"ilTini`I«gle All contractors and subcontractors are required to be Address:670 S.28th St. licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the t City/State/ZIP:Washougal/Washington/98671 jurisdiction in which work is being performed.If the applicant is exempt from licensing,the following reasons Phone:(360)953-8432 Fax::(360)953-8394 apply: E-mail:Deign tigress irejysiem rcn„]m F'_- 9 /` CO TRACTOR r :i' l Business name:Express Fire Systems BU1I D1 G'PERIVIIT F1 I S* Address:670 S.28th St. = (Please refer lo fee schedule City/State/ZIP:Washougal/Washington/98671 Permit fee: Phone:(360)953-8432 Fax:(360)953-8394 State surcharge(12%of permit fee): CCB lic.:193272 FLS plan review(40%of permit fee): (Due upon application submittal.) t Total permit fees: Authorized signature: �— Amount received: -+ Print name:Tiffany Cole Date:04/09118 • t!' This permit application expires if a permitis not obtained REQUIRED DATA'1-AND 2-FAMILY DWELLING '" within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work to be done: 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 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: Type of System (Com pl°ete A,'-;B,C or D as„applicable): ... 7 � V s - r. i ,A.) Commercial$itinkler o ,. w ,, ;, Sprinkler Type ® Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group Light Density 0.1 Design Area /5710 K. Factor j'•jv Sprinkler Project Valuation: $ 512U11O B.) T it 4'Hood etre StippreisiOn Syst;ern , �.: r s Hood Project Valuation: $ 4 1- o<,P f ,yam y r % ,, 'o -'/ '0, `' '* 0" a' .... .' �' Fife Al x€ /. Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ Re ideitial Sprinkler(Stand Alotie�SyS'tetn) "' ,s a )) Square Footage: " P.. 9 g ermtt Fee: �, 0 , ,� !� ��l $198.75 A!, 2; 0 to 2,000 � 0 ,� � ,� ,,� / 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 ;" 3 4 .1 7,201 and greater $404.39 Sprinkler Project Square Footage: sq.ft. Fire Protection 13ernit'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:\Design\_Express Jobs\S18-029 Center for Autism-Tigard\Tigard Permit Applicatgon-Center for Autism.doc City of Tigard . . ', Permit No.: ✓ /T---'i 13125 SW Hall Blvd.,Tigard,OR 9722 � �',.�'� �Phone: 503.718.2439 Fax: 503.598.19M'II Date Received: itI'7 , Inspection Line: 503.639.4175 �f / _ TIGARL Internet: www.tigard-or.gov AP 9 ,i 0 i,! By: /lc?yv,,1el,t,/' icty�Fj�,.yl FIRE SPRIN tI Al FTT)A+IT FOR ALTERATIONS �/ Un 11'TENANTIMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: Center for Autism Occupancy: Medical Job Address: 15292 SW Royalty Pkwy Type of Construction: VB Suite: Contractor: Express Fire Systems Phone: 360-953-8432 Number of Proposed or Altered Heads: 5 Type: Pendent Hazard: Light Density: 0.1 I Tiffany Oregon Construction Contractors Board No. 193272 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: 04/09/18 Print Name: Tiffany Cole I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15290 SW ROYALTY PKWY, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Fire Protection System FPS2018-00028 Inspection Type: Inspector: 999 Sprinkler final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor