Plans ID
City of Tigard G �"� Permit No.: (46,9W4—�i 2 /
. - e 13125 SW Hall Blvd.,Tigard,OR 72
Phone: 503.718.2439 Fax: 503.598.1960 2 3 2015 Date Received: !f/9-5//‘
Inspection Line: 503.639.4175 NQv
T I G n R D Internet: www.tigard-or.gov r . p.1�. P' By: �a,a 1l
r.S.%
FIRE SPRINKLER ER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: S Ve_ev -rr 0.L[\ Occupancy: --e`'r /moi c�
Job Address: ��(760 S ;'\ lc Z Type of Construction:
Suite:
Contractor: ,oe_ Sk-e-v'\-5 e_5 Phone: 0 693' 49 0
Number of Proposed or Altered Heads: 5
Type: Q& ? Hazard: L,5 -s`-/Oc A_ Density:
I, C‘,-\-,r- S \ e\V--_
Oregon Construction Contractors Board No. L-1 9 7 Z
certify the following is true af>'d 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: ` ~—C Date: l VZ 5//5
Print Name: CANC 5 AP i 'cf
1:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1
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>;� //� ADJACENT TENANT SUITE:
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SPRINKLER LEGEND FLOOR PLAN
SYMBOL TYPE MFG MODEL SIZE TEMP FINISH CANOPY TOTAL SCALE 1/8,"'= 1'-0"
U OR SSP TYCO TY323 5.6K 155 WHITE WHITE 5
TOTAL SPRINKLERS REQUIRED ON THIS CONTRACT 5
GENERAL NOTES PIPING NOTES CONTRACT NAME:
,SLEEP TRAIN - TIGARD Fire Systems West
1.ALL NEWLY INSTALLED MATERIAL AND EQUIPMENT TO BE NEW AND U.L.APPROVED. 1 SCREWED PIPING 1"TO BE BLK SCHEDULE 40 PIPING VV/SCREWED CAST IRON FITTINGS. 'u u S
2.PIPE HANGERS AND METHOD OF HANGING TO BE IN ACCORDANCE WITH NFPA 13,2013. SW BONITA RD. "., t
3.PIPING SHALL BE IN ACCORDANCE WITH NFPA 13,2013. ABBREVIATION DENOTES tOtt TIGARD, OR I 600 SE Maritime Ave,. Suite 300
4 JOINING OF PIPE AND FITTINGS SHALL BE IN ACCORDANCE WITH NFPA 13,2013 AFF:ABOVE FINISH FLOOR CL.CENTER LINE EXISTING PIPE CONTRACT WITH: Vancouver, WA. 98661
5.EXISTING MAIN AND S SHOWN IN APPROXIMATE LOCATIONS. BOJ:BELOW BOTTOM OF JOIST SF SQUARE FEET ®� NEW PIPE RETAIL CONSTRUCTION
6 EXISTING UPRIGHT SPRINKLERS SHOWN IN APPROXIMATE LOCATIONS,FOR REFERENCE ONLY BOD:BELOW BOTTOM OF DECK OC:ON CENTER IN):NEW I (360)693-9906 Fax: (503)289-2208
ON:DROP DOWN TYP:TYPICAL (RI.RELOCATE 11343 39TH ST. NORTH
(D/P):DEMO/PLUG LAKE ELMO, MN 55042 WACL#FIRESWI140B1 OR CL#49732
SCOPE OF WORK:INSTALL 5 NEW PENDANT SPRINKLERS IN TENANT IMPROVEMENT SPACE. PROJECT MANAGER'BARRY URBAS DESIGNER DATE JOB NUMBER SHEET
EXISTING SHELL COVERAGE TO REMAIN THROUGHOUT.
C.DEVICO 1120/15 1-11-1239 1 of 1