Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
• COMMUNITY DEVELOPMENT Permit#: FPS2020-00057
Date Issued: 06/01/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S135A600100
Jurisdiction: Tigard
Site address: 10350 SW LINCOLN ST
Project: Metzger Elementary School Subdivision: METZGER,TOWN OF Lot: None
Project Description: Fire sprinkler. Adding and relocating(1)fire sprinkler for TI.
Contractor: SPRINKIT FIRE PROTECTION INC Owner: TIGARD-TUALATIN SCHOOL DIST 23J
PO BOX 2227 6960 SW SANDBURG ST
OREGON CITY, OR 97045 TIGARD,OR 97223
PHONE: 503-272-6650 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/27/2020 $69.92
12%State Surcharge-Building 05/27/2020 $8.39
Type of Use: COM Plan Review-Fire Life Safety-COM 05/27/2020 $27.97
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 05/27/2020 $2.00
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: 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 Cates Provided: Cut Sheets Required:
Total $108.28
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,200.00
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 OUN calling 503.2 .1987 or 1. 0.332.2344.
Issued By: Permittee Signature:
"( 17.
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 fos o1 If I, l ST ON 1.1
City of Tigard RECEIVE Received , '
i • 13125 SW Hall Blvd.,Tigard,OR 97223 Da e B :
gaz Plan Review / ,/
I Phone: 503.718.2439 Fax: 503.598.1960 MAY 4 2020 Date/B a� f ,
I. Inspection Line: 503.639.4175 t! Date Ready/By: tuns: RI See Page 2 for
Internet: wwwtigard-or.gov ClTV nr r A;. Notified/Method: Supplemental Information
TYPE OF WORK REQUtREDATA:I•Als4D2-FAMILYDWELLINC a
❑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 OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $1 200
❑Accessory building ID Multi-family Number of bedrooms:
❑Master builder 0 Other: -Number of bathrooms:
//3 1011 SITE INFORMATION ANTI LOCATION Total number of floors:
Job site address:1$3FY-Lincoln St. New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Metzger Elementary Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECK:EMT
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.
Add and relocate fire sprinklers for improvements. Ct) tipc,tci Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER .0 TENANT Number of stories:
Name:Tigard Tualatin School District Type of construction:
Address:6960 Sandburg occupancy groups:
City/State/ZIP:Tigard, OR 97223 Existing:
Phone: ( 9714727-4168 Fax:( ) New:
jQ APPLICANT CONTACT PERSON NOTICE
Business name; Same as below All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: applicant is exempt from licensing,the following reasons
apply:
Phone:( ) y n Fax: :( )
E-mail: JH &c spci2ili
CONTRACTOR $UIt•.,YiiNG PERMIT FEES
(Meerscovfe,re fte iter -
Business name:Sprinklt Fire Protection Inc. Permit fee:
Address: PO 2227 Oregon City, Or 97045
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( 5034272-6650 Fax:( ) (Due upon application submittal.)
CCB lie.:211320 Total permit fees:
Amount received:
Authorized signature ,� � v QL
:/,L
This permit application expires if a permit is not obtained
Print nameTraVIS Schweitzer Date:5-4-20 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
LlauildingWennitslFPS-Penni*App_031016.doc 440-4613T(11/02/COM/WP.B)
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:
0 New system Number of sprinkler heads: 1 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
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ® No
Hazard Group Light
Density , I
Design Area /S7 (1
K. Factor 5.6
Sprinkler Project Valuation: $1200
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
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): $1200
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: $
C:\Uscrs\SprinkIt Fire\Downloads\FPS_PermitApp.doc 2
ill City of Tigard ECEIVED PemutNo.: Cr rS 0— /J 2
• 13125 SW Hall Blvd.,Tigard,OR 9713
�l�o/
_ Phone: 503.718.2439 Fax: 503.598.19( ,AY Date Received:
Internet: www.: 503bongo 75 M 4 2020 ^�L—L `Z , �l _/ '
TIGARD, Internet: www.dgazd-or.gov By: cJ � �/� 77�>�!
CITY OF TIGARD
FIRE SPRItkEMHAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Metzger Elementary Occupancy: school
Job Address: 1035 Lincoln St.,Tigard Type of Construction:
Suite:
Contractor: Sprinklt Fire Protection Inc. Phone: 503-272-6650
Number of Proposed or Altered Heads: 1
Type: 155deg OR SSII Hazard:Light Density: //[c()
I, Travis Schweitzer, Sprinklt Fire Protection Inc. Oregon Construction Contractors Board No. 211320
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: %a.a d Date: 5-4-20
Print Name: Travis Schweitzer
I:1Building\FormslFireSprinklerAffidavit_071514.docx Page 1 of 1