Report (32) City Tigard
111 Permit No.: `�J / inQ otO
'l 13125 SWW Hall Blvd.,Tigard,OR 97223
_ Phone: 503.718.2439 Fax: 503.598.1960
TIGARD Inspection Line: 503.639.4175 Date Received: aS-//j6
Internet: www.tigard-or.gov By: (A ). -SCl/
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FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS Nd Jia�O AJJO9
(1 to 10 SPRINKLER HEADS WITHOUT PLANS) 91.0Z ( '330
Project Name: ALLIED BUILDING ADD HEAD Occupancy: LIGHT
Job Address: 11440 SW TIEDEMAN ROAD Type of Construction:
Suite:
Contractor: Wyatt Fire Protection Phone: 503-684-2928
Number of Proposed or Altered Heads: 1
Type: SSP Hazard: LIGHT Density: 0.10
I,Max Colley, Wyatt Fire Protection Oregon Construction Contractors Board No. 64077
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: 12/2/2016
Print Name: Ma Colley
I:\Building\FonnsTireSprinklerAffidavit071514.docx
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