Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
!!` ! :'' COMMUNITY DEVELOPMENT Permit#: FPS2019-00061
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2019
Parcel: 2S112AD00700
Jurisdiction: Tigard
Site address: 14830 SW 72ND AVE
Project: Pioneer Waterproofing Subdivision: None Lot: None
Project Description: Fire sprinkler.Adding(9)sprinkler heads to previously unsprinklered portion of existing building for TI.
Contractor: DELTA FIRE INC Owner: CRAWFISH LLC
14795 SW 72ND AVE 14830 SW 72ND AVE
PORTLAND, OR 97224 TIGARD, OR 97224
PHONE: 503-620-4020 PHONE: 503-232-9020
FAX: 503-620-1058
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/09/2019 $220.56
12%State Surcharge-Building 05/09/2019 $26.47
Type of Use: COM Plan Review-Fire Life Safety-COM 05/09/2019 $88.22
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 05/09/2019 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: .10 Design Area: 796
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 $335.75
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $13,900.00
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: '\'ekl T'N Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next avai b : spectio• da
This permit card shall be kept in a conspicuous place on the j•• site unt' ompletion of the project.
Approved plans are required on the job site at the time of each Inspection.
Building Permit Application
Fire Protection System RECEIVEPFOR OFFICE USE ONLY
Cl of Tigard g Received
Date/Bi\te( Permit ;-
\CI- L'
II 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 01 y Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit�� , � 1k
1. ( 1,l� Inspection Line: 503.639.4175 CITY
Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov lal� I � � � Notified/Method: Supplemental Information
BUILDING DTVI into
CA^A.-)! zt •r "E� . „.� `7 U ... a „yam. '2-TAMLY DWELLING`
; of WORK
0 New construction El Demolition Permit fees*are based on the value of the work performed.
..dicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: eq .ment,materials,labor,overhead,and the profit for the
CATEGORY QIEi CfiNSTRIICT1«Nwork 1 .icated on this application.
❑ 1-and 2-family dwelling ❑� Commercial/industrial Valuation: $
Number of be, ooms:
1=1Accessory building ❑Multi-family
❑Master builder EIOther: Number of bathroo
rJOB SITE INFORJk
Total number of floors:
Job site address:14830 SW 72nd Ave New dwelling area: square feet
City/State/ZIP:Tigard Oregon 97225 Garage/carport area: quare feet
Suite/bldg./apt.no.: Project name:Pioneer Waterproofing Covered porch area: squ. e feet
Cross street/directions to job site: Deck area: square --t
SW 72ND AVE BETWEEN SW BONITA AND SW CARDINAL LN Other structure area: square feet
REQUIRED DATA MMERt E T"
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
- .. DESCRIPT i, o work indicated on this application.
ADDING 9 SPRINKLER HEADS TO PREVIOUSLY UNSPRINKLERED PORTION Valuation: $13,900
OF EXISTING BUILDING Existing building area: 15,000 square feet
New building area: square feet
P ERTY OWNER m � v �`
r fi N "` Number of stories:1
Name:PIONEER WATERPROOFING Type of construction:VB
Address:14830 SW 72ND AVE Occupancy groups:LIGHT HAZARD
City/State/ZIP:TIGARD OREGON 97225 Existing:LIGHT HAZARD
Phone:( ) Fax:( ) New:LIGHT HAZARD
a • t
Business name:DELTA FIRE INC Al co tors and subcontractors are required to be
Contact name:ANGELA CARTALES licensed wit - Oregon Construction Contractors Board
under ORS 701 an, ay be required to be licensed in the
Address: jurisdiction in which wo •s being performed.If the
City/State/ZIP: applicant is exempt from lice 'ng,the following reasons
apply:
Phone:( ) Fax::( )
E-mail:angic@deltafire.com
CONT R ��`' .,`- S*
�" ��``�Ji>GJ'IL7�'fhlG
�he ule)
ref Sar ",, ,. _� �,,.
Business name:DELTA FIRE INC
Permit fee:
Address:14795 SW 72ND AVE
City/State/ZIP:PORTLAND OREGON 97224 State surcharge(12%of permit fee):
FLS plan review(40%o of permit fee):
Phone:( )620-4020 Fax:( )620-1058 (Due upon application submittal.)
CCB lic.:64174 Total permit fees:
Authorized signatur
Amount received:
This permit application expires if a permit is not obtained
Print name:ANGELA C ALES Date:5/9/2019 within 180 days after it has been accepted as complete.
--_ SFeerevmethodologyLTY un Buitcfmg Industry _-
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/CAM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Descrr wolf to be dont ,: � _ :.
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads:
3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 9 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:
e of S em o1 ete A, = , a Lica �e� _ � '
a
A.) Comrrierci4 �ri
Sprinkler Type QR ssP/ssu ■❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑■ No
Hazard Group LIGHT HAZARD
Density .10/1500
Design Area 796
K. Factor 5.6
Sprinkler Project Valuation: $13,900
B.. = Hood . ession S s %.
Hood Project Valuation: $ ' 1 I
C j Fir �� 2, ,
S4'ubmittal shall Battery Calculations ❑ Yes
, -
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $ y
c ent><a pr��er; nc� f one Sys
r'y,.,x'?`x: .. .. ,.:r; .5:Zx4 s. § `,t.. s. . k'.. r.,. s .n{ X.F
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: 670 sq. ft.
Fire Pr. - 41 a e it Fee„ ., }
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: $
I:\Building\Pernuts`FPS_Pernut�p_031016.cIoc 2
City of Tigard Permit No.: -C.:CC) Q I
w 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Date Received: tLi t Ki
Inspection Line: 503.639.4175
T 1 c;A R D Internet: www.tigard-or.gov By:
FIRE SPRINKLER AFFIDAVIT FOR ALTERATION/RECEIVED
OR TENANT IMPROVEMENTS Mk 9 1019
(1 to 10 SPRINKLER HEADS WITHOUT PLANS) CITY OF TIG.af D;
a ILJILDl G Dl'.11 S101°•
Project Name: Pioneer Waterproofing Office Add Occupancy: Light Hazard
Job Address: 14830 SW 72nd Ave Type of Construction: VB
Suite:
Contractor: DELTA FIRE INC Phone: 503-620-4020
Number of Proposed or Altered Heads: 9
Type: WET Hazard: LIGHT Density: .10/1500
1, DELTA FIRE INC. Oregon Construction Contractors Board No. 64174
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.
1) 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 e protecti• system permit.
• A copy t is docu • u w. h a copy of the sketch attached shall be available for all inspections.
Signature: ` Date: 5/9/2019
Print Name: ANDREW CARTALES, PROJECT MANAGER
I:\Building\Forms\FireSprinklerAffidavit 071514.docx Page 1 of 1