Permit (267) q CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
11111 I . COMMUNITY DEVELOPMENT Permit#: FPS2015-00073
-F IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/22/2015
Parcel: 2S102AB01900
Jurisdiction: Tigard
Site address: 9452 SW TIGARD ST
Project: Cascade Organics Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: 56
Project Description: Fire sprinkler-install(4)heads in walk-in refrigerator and freezer.
Contractor: RISER FIRE PROTECTION LLC Owner: ALLRED INDUSTRIAL LLC
PO BOX 2319 17902 S HIDDEN LAKE DR
BATTLE GROUND,WA 98604 OREGON CITY,OR 97045
PHONE: 360-887-1463 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/22/2015 $64.54
12%State Surcharge-Building 04/22/2015 $7.74
Type of Use: COM Plan Review-Fire Life Safety-COM 04/22/2015 $25.82
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 04/22/2015 $1.00
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $99.10
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,000.00
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 N. • . • .- ter. Th. - rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dirt questions to O • calli • 03.232.1987 or 1.800.332.2344.
Is- ed By: A011/ Permittee Signature:kct----2
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 i 111( ), 1( 1 ,l )•
City of Tigard RECEIVES / Permit g R yff� S /5— 73
13125 SW Hall Blvd.,Tigard,OR 972 , 2 2 2015 °ate
IN ell
Phone: 503.718.2439 Fax: 503.598.1':;t"
Pin Review
Date/B Other Permit: r1feabl5= '?'/S'
I i c,A r.I) Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris B See Pap 2 for
Internet: www.tigard-or.gov V Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK
REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $1,000.00
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOE SirE INFORMATION AND LOCATION Total number of floors:
Job site address:9452 SW TIGARD ST. New dwelling area: square feet
City/State/ZIP:TIGARD,OR97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA; CHECKLIST
Subdivision: 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
DESCRIPTION OF WORK work indicated on this application.
INSTALL FIRE SPRINKLERS INTO WALK IN COOLERS. Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name:CASCADE ORGANIC Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name:RISER FIRE PROTECTION LLC All contractors and subcontractors are required to be
Contact name:BOB BRADSTREET licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:PO BOX 2319 jurisdiction in which work is being performed.If the
City/State/ZIP:BATTLE GROUND,WA 97604 applicant is exempt from licensing,the following reasons
apply:
Phone:(360)887-1463 Fax::(360)887-1166
E-mail:riserfireprotection @msn.com
CONTRACTOR BUILDING PERMIT FEES'
reef
Business name:RISER FIRE PROTECTION LLC 1lkraeA•1a°seketkrkt)
Permit fee:
Address:PO BOX 2319
City/State/ZIP:BATTLE GROUND,WA 98604 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:(360)887-1463 / Fax:(360)887-1166 (Due upon application submittal.)
CCB lic.:158041 //r 7 /i Total permit fees:
Authorized signature: ((( Amount received:
This permit application expires if a permit is not obtained
Print name:BOB BRADSTREET Date:4-15-15 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_071514.doc 440-4613T(I I/02/COM/WEB)
City of Tigard Permit No.: -/ 5 . — /. - 7 3
III13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Date Received: $ /C
Inspection Line: 503.639.4175 �n
I' Internet: www.tigard-or.gov By: -C_d�,
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS c 0\1e°
(1 to 10 SPRINKLER HEADS WITHOUT PLANt G'-" G
ApR 2 2 2015
`~ipptGPRD
CASCADE ORGANIC GtTY lib USE trJN
Project Name: Occupancy:
Job Address: 9452 SW TIGARD ST. TIGARD, OR 97223 Type of Construction: COOLER/FREEZER
Suite: N/A
Contractor: RISER FIRE PROTECTION LLC Phone: 360-887-1463
Number of Proposed or Altered Heads: I Li
Type: WET SYSTEM Hazard: LIGHT Density: -1
1, RISER FIRE PROTECTION LLC Oregon Construction Contractors Board No. 158041
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: 4-15-15
Print Name: BOB BRADSTREET
1:\Building\Forms'FireSprinklerAffidavit_071514.docx Page 1 of 1
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: b 4 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(Complete A,B,C or D as applicable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ 1,000.00
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: j $
C.) Fire Alarm►
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler(Stand Alone System)
Square Footage: 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 greater $404.39
Sprinkler Project Square Footage: sq.ft.
Fire Protection Permit 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: $
http://www.tigard-or.gov/document_center/Building/FPS_PermitApp.doc 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9452 SW TIGARD ST, TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2015-00073
George Heimos
Violation Summary:
Inspector Contractor