Permit (85) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
114
t. COMMUNITY DEVELOPMENT Permit#: FPS2019 00072
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/04/2019
i Parcel: 2S113AB00500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD 250
Project: Good Life Company Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: Fire sprinkler permit:Adding and relocating a total of(8)sprinkler heads for new walls. Affidavit submitted.
Contractor: EXPRESS FIRE SYSTEMS INC Owner: G&S FC LLC
1913 41ST STREET 16083 SW UPPER BOONES FERRY RD,
WASHOUGAL,WA 98671 STE
TIGARD, OR 97224
PHONE: 360-953-8432 PHONE: 503-684-6000
FAX: 360-953-8394
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/04/2019 $112.96
12%State Surcharge-Building 06/04/2019 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 06/04/2019 $45.18
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 06/04/2019 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: No Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 0
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 $172.20
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 C•des and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not start;if within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the les jlopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00 - 90. You m obi/ a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.8011.322-2344. / /
Issued By: / Permittee Sigtrature:
Call .6 .4175 by 7:00 a.m.for the next available inspection date.
Thin rarmit card shall ha kart in a rnnepicunus piaci.on the job site until completion • th .roject.
Approved plans are required on the job site at the time of each inspecti•t.
Building Permit Application
Fire Protection System FOR OFFICE: CASE ONLY
City of Tigard14 . RECEIVE late d
�t�ateB )b.� e� �-
13125 SW Hall Blvd.,Tigard,OR 97223 Ian Review !I
IRIEM
Phone: 503.718.2439 Fax: 503.598.1960 Date/B
I'i G Au D inspection Line: 503.639.4175 JUN 0 4 2019 Date Ready/By: _ See Page 2 for
Internet: www.tigard-or.gov Notified/Method: -MI Supplemental Information
CITY OF TIGARD
e,-. ' '4 v- u,:o-a Xa ..,;. 5x am r;i u.iv,_- : ,.4•:III:i h;En'fel 41. ,t*" , .. 3 F:-,'
0 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
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
Afi$60it ;4 E>NsrittrcTtUll„
work indicated on this application.
❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
.1OLSt' x�R11MATt0N t.1 -L;DCATTois Total number of floors:
Job site address: 16083 SW Upper Boones Ferry Rd. New dwelling area: square feet
City/State/ZIP: Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 250 Project name:Fanno Creek - Good Life epy,a Covered porch area: square feet
Cross street/directions to job site: `� / I/ Deck area: square feet
Other structure area: square feet
RF IttDJ;DATA`COMM tAL-fl$ll + FIEcT I IS.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
:, TcgpTT } fits work indicated on this application.
Add/Relocate sprinklers for new walls Valuation: $ 3,500.00
Existing building area: square feet
New building area: square feet
ii ii it OWN .,r U:i -i _ Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
Business name:Express Fire Systems All contractors and subcontractors are required to be
Contact name: Tiffany Cole licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 670 S. 28th St. jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: Washougal, WA 98761
apply:
Phone:( 360
. 953-88432 M Fax::( )
Email 2SI (14" Qx.pr esT
. si 'it a , i �P
., u . �tD � E�
" ? #reie al
,Business name: Express Fire Systems
Permit fee:
Address:670 S. 28th St.
State surcharge(12%of permit fee):
City/State/ZIP: Washougal, WA 98761
FLS plan review(40%of permit fee):
Phone:(360)953-8432 Fax:( ) (Due upon application submittal) /
CCB lie.: 193272 d ,, 1 Total permit fees: i 7� d--e
Authorized signature:
` Amount received:
, &/(. This permit application expires if a permit is not obtained
Print name:Tiffany Cole / ' Date:5/30/19 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
' Service Board.
1:\RuildingiPormits\FPS-PcrmitApp_031016.doc 410-4613T(I 1/02/COM!WER)
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 s rinkler heads: 3 Number of alarm devices:
0 Addition or -10 heads: Affidavit required and 0 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
0 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Tyre*Srst .{+ ► C
Sprinkler Type 0 Wet 0 Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group '11*--',"
Density
11*-
Density i/
Design Area
K. Factor j
Sprinkler Project Valuation: $
Hood Project Valuation: $
}
Submittal shall Battery Calculations ❑ Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: I $
z>4..4444444 aw,c.«.:.4 .� 7:: :4;44
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
1 7,201 and greater $404.39
Sprinkler Project Square Footage: sq.ft.
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: $
L:\Building\Permits\FPS_PermitApp_031016.doc 2
SICity of Tigard Permit No.: . ';i.;(-)1`/ t.0 7 7.1
13125 SW Hall Blvd.,Tigard,OR 97221
Phone: 503.718.2439 Fax: 503.598.1960 Date Received: v `l/ ,
Inspection Line: 503439.4175
Internet: ww►v.tigard•ar.gov By: (_-e74 // % y*c.-re
J ./
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Fanno Creek-Good Life Occupancy: ORIC-
Job Address: 16083 SW Upper Boones Ferry Rd Type of Construction: 11 — 6
Suite: 250
Contractor: Express Fire Systems Phone: 360.953.8432
Number of Proposed or Altered Heads: 8
Type: QR SS Pendent Hazard: Light Density: 0.1
I, Tiffany Cole 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: 5/30/19
Print Name: Tiff ' Col
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