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Permit (195) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT "` 777 � ' COMMUNITY DEVELOPMENT Permit#: FPS2018-00088 Date Issued: 07/24/2018 T l t ,' Ft D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S114AA00100 Jurisdiction: Tigard Site address: 9000 SW DURHAM RD Project: Tigard High School Subdivision: None Lot: None Project Description: Fire sprinkler permit:Installing new double interlock pre-action system for MDF room. Affidavit submitted. Contractor: MCKINSTRY COMPANY LLC Owner: TIGARD-TUALATIN SCHOOL DISTRICT 16790 NE MASON STREET SUITE 100 6960 SW SANDBURG ST PORTLAND, OR 97230 TIGARD, OR 97223 PHONE: 503-331-0234 PHONE: FAX: 503-331-6907 FEES Description Date Amount Specifics: Permit Fee-COM 07/24/2018 $338.92 12%State Surcharge-Building 07/24/2018 $40.67 Type of Use: COM Plan Review-Fire Life Safety-COM 07/24/2018 $135.57 Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 07/24/2018 $2.00 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Dry Standpipe Required: No Hazard: LT Density: .10 Design Area: 196 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 $517.16 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $25,000.00 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 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. • IssuedBy: �` ermittee Signature: 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. 4. 4 Building Permit Application Fire Protection System FOR OFFICE LSE ONLY � fes' 1' ,..,, it,:,. .Received _ City of Tigard Date/By: C Permit No.: . r'- w 13125 S W Hall Blvd.,Tigard,OR 97223 i 9 ��� �" � �� = g t ` J 1 Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: / >/© T 1 G A R D Inspection Line: 503.639.4175 iµ' pate Ready/By: Jam: See Page for Internet: www.tigard-or.gov 1 ' 't° "' lotified Method: Supplemental Information .> ,__ T1CPE OF WORK „• Q TITtEt)D/ITA.e.1 .ND,Z 1~ I'1,4,......,„„ ,...,....,..%',,,` ❑New construction 0 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 work indicated on this application. °CATEGORY DF CONSTRI3CTION pp ❑ 1-and 2-family dwelling Valuation: $ ®Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: 'fj' JOB SITE INFO RI4 ATION AND , r Total number of floors: Job site address:9000 SW Durham Road New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Tigard HS Modernization Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 7,4 4/it- At -_,." Other structure area: square feet 1i/ 4 ✓71` t.-,S '7 ) REQUIRED.1)ATA,COMMERCIAIAJSE•CHECKLIST y.a Subdivision: r� r f �� z� 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 J j�-t .f.-, . l j C.�na.r I. / . equipment,materials,labor,overhead,and the profit for the DESCRIPTION OP WO work indicated on this application. Install new double interlock pre-action syhstem to protect new MDF room. Valuation: $$25,000.00 Existing building area: 196 square feet • New building area: 196 square feet • PROPERTY OWNER 10 N NT' Number of stories: 1 Name:Tigard-Tualatin School District No.23J Type of construction: Fire Protection Address:6960 SW Sandburg Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: X Phone:(503)431-4000 Fax:( ) New: :,P,,,APPLICANT Q CONTACT,PERS01` e Business name:McKinstry Co.,LLC All contractors and subcontractors are required to be Contact name:Leah Dethlefs licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:16790 NE Mason Street jurisdiction in which work is being performed.If the City/State/ZIP:Portland,OR 97230 applicant is exempt from licensing,the following reasons apply: Phone:(503)278-3902 Fax: :(503)331-6906 E-mail:leand@mckinstry.com ` CONTRACTOR � UIIING PERMIT EES* 1w., a tiiisase rt er;`to f e sehe . Business name:McKinstry Co.,LLC Permit fee: 515.16 Address:16790 NE Mason Street State surcharge(12%of permit fee): City/State/ZIP:Portland,OR 97230 0 FLS plan review(40%of permit fee): Phone:(503)331-0234 Fax:(503)3-1-0234 (Due upon application submittal.) 1 CCB lic.:172811 Total permit fees: 1 1 Amount received: Authorized signatur . l �� ) This permit application expires if a permit is not obtained Print name:Leah Det efs f) 111 /r 11 ate:07/17/18 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 440-46131(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information D cribe ork { 1.) Type of Work 2.) Addition/alteration onlyto sprinkler heads: 3.) Addition/alteration onlyto alarm devices: ❑ New system Number of sprinkler heads: 2 Number of alarm devices: 0 ® 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 y i C+ plete ,B, r }' s a ip c bf Sprinkler Type ❑ Wet ® Dry Additional Standpipes N/A Information: Sprinkler Supply Line El Yes ® No Hazard Group Light Hazard Density 0.10 Design Area 196 sq.ft. K.Factor 5.6 Sprinkler Project Valuation: $ 25,000 B.)', Type I Hood Fire Suppression Systeri% ': Hood Project Valuation: $ C Fire:Alarm Submittal shall Battery Calculations El Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D} Residential Sprnkler(Stand done 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 h 1 7,201 and greater $404.39 Sprinkler Project Square Footage: 196 sq. ft. Fire Protect on Permit Fees Project valuation subtotal(see A,B &C above): $ 25,000 Permit fee based on project valuation(see fee schedule): $ 515.16 Permit fee based on square footage (see D above): $ 198.75 State Surcharge (12% of permit fee): $ 61.82 FLS Plan Review(40% of permit fee): $ 206.06 TOTAL: $ 25,981.79 \\mckinstry\portland\Projects\I-M\LCD\114280 Tigard HS Modernization\001 FP\DDawings and Specs\004 Permit Submittal\FPS_PemutApp.doc City of Tigard Permit No.: 1i 4)61 5' 14 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 Date Received: 7/i 'h Inspection Line: 503.639.4175 �`�,/ TIGARD Internet: www.tigard-or.gov By: er7, ,,fie fire"--'"- FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS i/� OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: Tigard HS Modernization Occupancy: Light Hazard Job Address: 9000 SW Durham Road Type of Construction: Addition/Alteration/Replacement Suite: Contractor: McKinstry Co., LLC Phone: 503-278-3902 Number of Proposed or Altered Heads: 2 Type: Dry Hazard: Light Hazard Density: 0.10 I, Leah Dethlefs Oregon Construction Contractors Board No. 172811 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. Leah Dethlefs Digitally signed by and@ Dethlefs 07/23/18 Mt C=US,018 E=23 10:45:03-0'00' ,CN=Leah Dethlefs 7� Signature: [Sate'.2018.07 23 10:45:03-07'00' Date: Print Name: Leah Dethlefs I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1