Permit (11) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
'.- COMMUNITY DEVELOPMENT Permit#: FPS2017-00008
1 f CGA:@ D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/07/2017
Parcel: 2S1136000600
Jurisdiction: Tigard
Site address: 16580 SW 85TH AVE
Project: Clean Water Services Subdivision: None Lot: None
Project Description: Solids Building-Temporarily remove(3)fire sprinkler heads and reinstall after elevator repair.
Contractor: SOUND FIRE PROTECTION INC Owner: BURLINGTON NORTHERN INC
10756 SE HWY 212 PROPERTY TAX DEPT
CLACKAMAS, OR 97015 PO BOX 961089
FORT WORTH, TX 76161
PHONE: 655-3775 PHONE:
FAX: 503-655-2990
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/07/2017 $51.09
12%State Surcharge-Building 02/07/2017 $6.13
Type of Use: COM Plan Review-Fire Life Safety-COM 02/07/2017 $20.44
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 02/07/2017 $2.00
Occupancy Grp: F-1 Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: 1500 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 $79.66
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $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 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. /l
Issued By: joie •• mittee Signature:
w
fop
Call 503.6375 by 7:00 a.m.for the next available inspection d
This permit card shall be kept in a conspicuous place on the job site until co etion of the project.
Approved plans are required on the job site at the time of each inspection.
No
Building Permit Application .II
Fire Protection System FORliFlBair- OFFICE USE ONLY
City of Tigard ""`�� 4� ..� Received �� Permit N 1
• ermt o.Tigard,OR 97223 Date/Br:
13125 SW Hall Blvd.,Ti . �/'//JJ��/7 L?%�a
U
g Plan Review
Phone: 503.718.2439 Fax: 503.5983 1 �01/ Date/By.
Other Permit:
TIGARD Inspection Line: 503.639.4175 'Jr."f1 ` Date Ready/By Juris El See Page 2 for
Internet: www.tigard-or.gov NotitiedlMethod: Supplemental Information
Cit ' U , at� !. —
nitittle14.1., ,It':, DIVISIOV REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work perfonned.
Indicate the value(rounded to the nearest dollar)of all
Q Addition/alteration/replacement ❑Other: equipment.materials,labor.overhead,and the profit fcr the
CATEGORY OF CONSTRUCTION work indicated on this application.
I:11-and 2-family dwelling ❑Commercial/industrial Valuation: S
1=1Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE LNFORMATION AND LOCATION Total number of floors:
Job site address: i t„'" .._, `ti', ' I' 'i ,. New dwelling.area: square feet —
City/State/ZIP: ..,,:;;\\,.., . . .,\ ( i r_1 Garage/carport area: square feet
Suite/bldg./apt.no.: Project:name: CI LtitiQ 1,04-T-Efl. ,f,QJ,C.ES Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECICI,IST
Subdivision: Lot no.: Pennit fees*are based on the value of the work perfonned.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment.materials,labor.overhead,and the profit fcr the
DESCRIPTION OF WORK work indicated on this application.
Valuation: S C, s:%) , ,1,3
dq t e .0t., ( Existing building area: square feet
6-01A bb -Zi-41 Lb.I-)e — rC 1�.tJ&-rcL New building area: square feet
—
0 PROPERTY OWNER 0 TENANT Number of stories: 2-
Name: Type of construction: .,.,>,(,, k-c,— 1/6
Address: Occupancy groups: J- /,,-,,,,,,,,77, (` 6
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
"APPLICANT # 0 CONTACT PERSON
NOTICE
Business name: ;( '- ., `e/-;I I t,,i,, ' ',.r All contractors and subcontractors are required to be
Contact name: '` licensed with the Oregon Construction Contractors Board
v;a`,t`' I , t
under ORS 701 and may be required to be licensed in the
Address: i( j i L. .I- //i„;., . f / £. - jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP: I' t3{} , ..,t, e"" /IL, i
f apply:
Phone:(( ;°) . Fax :( ) j
E-mail: r t. 1 ., $
CONTRACTOR BUILDING PERMIT FEES*
{Please refer to fee schedule)
Business name: t ..�. : (;,` ) 4�,Ae, ,.
Address: Permit fee:
State surcharge(12%of permit fee):
City/State/ZIP: _.
Phone:( ) Fax: FLS plan review(40%of permit fee):
( ) (Due upon application.)
CCB lie.: ` -(
I Total permit fees: j
Authorized signature
�`� Amount received: 1 al
x ., , This permit application expires if a permit is not obtained
Print name : , / f ,/, .., Date: ' j within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Sen-ice Board.
I:ABuilding\Permits\FPS-PermitApp.doc Rev 01/05/2012 440-4613T(i 102;COM WEB)
,w b 1
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) El New 2.) Modification to sprinkler heads only:
❑ Addition 1-10 heads: No plan review required.
Alteration ❑ 11-F heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
Type of System(Complete A,B,C or D as applicable):
A.) Commercial Sprinkler
It Wet ❑ Dry
Additional Standpipes L
Information: Hazard Group t
Density .19/
Design Area
_ K. Factor 5',L„tc
Sprinkler Project Valuation: $ (:)-0 u.'
B) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler(Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 5198.75
2,001 to 3,600 S246.45
3,601 to 7,200 S310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A,B & C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12% of permit fee): $
FIS Plan Review(40% of permit fee): $
TOTAL: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
O:\4-PERMIT APPLICATIONS\CIYY OF TIC RD\FPS-PermitApp.doc Rev 01/057)2012
City of Tigard RECEIVE!) �j Permit No.: 6,:9-0/ 7--600,0
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1qj 31 2017 Date Received: //Oil/7
Inspection Line: 503.639.4175
['GARI1 Internet www.tigard-or.go-or.govOF B 0-6
FIRE SP j`8: RfTAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: �u j-tt ,,,, (,� �'� „k-v�et Occupancy: .-i{✓c.Ai SkL f /
Job Address: J $O SEA) BS'' AK- oIC- 9 7Z /Fype of Construction: o nta,2
Suite:
Contractor: l,ma Pcw__ Phone: -3 (n S - 3
Number of Proposed or Altered Heads: 3
Type: L.). Hazard: 1i5L Density: 0 jl U
I, ( S AC/-e/ Oregon Construction Contractors Board No. -7 0 003
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:
-Z3-/7
Print Name:
eA5eq
I:\Building\Forms\FireSprinklerAffidavit 071514.docx Page 1 of 1
Sound Fire Protection, Inc. Letter of Transmittal
10772 S.E. HWY 212
Clackamas, OR 97015 Date: Job#:
Fax#(503)655-2990 RECOPVED 1-24-17
Phone#(503 655-3775 Attention:
To: City of Tigard
JAN ?[)17 Plans Examiner
13125 SW Hall Blvd. TIY OF
TIGARD
Tigard, OR 97223
BUILDINGDIVISION
✓ Drawings r Plans r Copy of Letter __ Change Order Attached J— Other
Copies Date Number Description
3 1-10-17 FP-1 Fire Sprinkler Plans
3 Sprinkler Head Data Sheet
1 1-13-17 Application for Permit
These are Transmitted as Checked Remarks:
r For Approval
✓ For Your Use
✓ As Requested
• Returned for Corrections
✓ For Review and Comment
• Prints Returned After Loan to Us
r Other
Sincerely,
CCB#70003
Metro#3483
Casey Archer WA#SOUNDFP0055QL
E-MAIL: KC@SOUNDFIREPRO.COM
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16580 SW 85TH AVE, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00008
Inspection Type: Inspector:
999 Sprinkler final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor