Permit (13) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: FPS2017-00063
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/13/2017
Tt t�1 °C' g Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16060 SW 85TH AVE
Project: Clean Water Services Subdivision: None Lot: None
Project Description: Adding and relocating(91)sprinkler heads for shop building remodel into office space.
Contractor: SOUND FIRE PROTECTION INC Owner: CLEAN WATER SERVICES
10756 SE HWY 212 2550 SW HILLSBORO HWY
CLACKAMAS, OR 97015 HILLSBORO, OR 97123
PHONE: 655-3775 PHONE:
FAX: 503-655-2990
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/13/2017 $355.04
12%State Surcharge-Building 06/13/2017 $42.60
Type of Use: COM Plan Review-Fire Life Safety-COM 06/13/2017 $142.02
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 06/13/2017 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 06/13/2017 $10.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD2
Density: .15 Design Area: 2500
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 $551.66
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $27,000.00
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.
Issued By: /" Permittee Signature:
Call 13.639.4175 by 7:00 a.m.for the next available inspection da
This permit card shall be kept in a conspicuous place on the job site until com etion of the project.
Approved plans are required on the job site at the time of each inspection.
building Permit Application
Fire Protection System FOR OFFICE Ii SE ONLY
City of Tigard Received
DaeBy
� ii / � Permit No.:FA5 20 f 7-aCxt, '�
13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review- -
Iii 2 Phone: 503.718.2439 Fax: 503.5 C i Date/By: AtO i1 \ .-jA2- At Other Permit: ,e0ita` ,ja7
TI G n R v Inspection Line: 503.639.4175 Date Ready/B Juris: See Page 2 for
Notified/Method: Supplemental Information
Internet: www Ugard or gov AY 1� �Q17 3 �7 �-�T T-�L
M �±w1 CrAfC
of q' ). 110 z, R iii Ai1
D pr1��" AND 2-1C+'AMTf.Y UELLCI�I
❑New construction
�W.034Q1/3 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
g` Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
'" // ii o 1 work indicated on this application.
..,...,.. ......... �, .o.....:
Valuation: $
❑ 1-and 2-family dwelling �7F Commercial/industrial
Number of bedrooms:
❑Accessory building 0 Multi-family
❑Master builder 0 Other: l Number of bathrooms:
`",' "" Total number of floors:
Job site address: l 0(P0 1-A‘)(---- New dwelling area: square feet
City/State/ZIP: (p Garage/carport area: square feet
y -�; c z1, o I� "JZZ y fi�w �; �t, c �t�
Suite/bldg./apt.no.: Project name: \- tx.(NAc, lQ.i j,ti 1 ^�r Covered porch area: square feet
Cross street/directions to job site: P . Deck area: square feet
Other structure area: square feet- -
1a DATA: of fEDOA rl s Cx l<s
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
Wk " B, '7'f-,-: AYa ' ` ''',� work indicated on this application.
fa
Ll i' 5 i nit IAV1 r4 *3 '1 tiri emit,/ Valuation: $ 2-7,b00 r s3
V 1 .Civ(/.), ..-+ s 1 ✓i fn j,,,;)V c r (,i( I�'IGI3 Ga/Y Existing building area: square feet
of c (/ ✓ New buildingarea: square feet
❑ PT{` 0 9 l tt Number of stories: (
„a Alm'.
Name: �x..,vk 1,3G S-c-rJ c.e A Type of construction: U(tt
Address: Occupancy groups: �"
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
7 rc
A1+1T 01 E 1
1 ,..;.', M :... .h� ,.�_' .. ,,,. `� m,� ,�. , �•.. ,,;,•. -..',07f,4.. '''' 0 A'oTICE ,`'
Business name: t e;! G` QrriksC(.4i6.1 ( 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: 10 77 L 1 24 Z jurisdiction in which work is being performed.If the
City/State/ZIP 2 applicant is exempt from licensing,the following reasons
aG f p�..MGS ( 7 7 V/ r apply:
Phone:(3 )(2c337'75" Fax :( )
E-mail: 1� 7 Qt ` (� Ifin
ONT*1 :; ,?: . ... 4 i ' " s
Business name: ,.._ !'l"e__, Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP: FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lic.:1000 3 Total permit fees:
Authorized signature: /
Amount received:
This permit application expires if a permit is not obtained
Print name:CAsi �/ Date: Cl///'? within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PermitApp.doe Rev 01/05/2012 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
1)e8 d'Or tU e:'� c L� �. :
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1-10 heads: No plan review required.
Alteration ❑ 11+ heads: Plan review required.
❑ Repair q
Number of sprinkler heads: -/ 1
Additional description of work:
i Sit ( e 7 bill as app abs
iitsiiokow -7 a'•
® Wet ❑ Dry
Additional Standpipes
Information: Hazard Group OriV
Density , 1
Design Area LVO
K. Factor 04010
Sprinkler Project Valuation: $ 7..1,o 0o
Hood Project Valuation: $
E \
�\ � K n ' ... .�\ •.\pro G ¢:,., ,5"t ....
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D t Spar r(Stand
\
Square Footage: Permit Fee:
0 to 2,000 $198.75 'CA
2,001 to 3,600 $246.45 .
3,601 to 7,200 $310.05 °\`
7,201 and greater $404.39 s, �' .. y.
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: $
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\CITY OF TIGARD\FPS-PermitApp.doc Rev 01/052012
Sound Fire Protection, Inc. Letter of Transmittal
10772 S.E. HWY 212
Clackamas, OR 97015 r, Date: Job#:
P
Fax#(503)655-2990 5-10-17
Phone#(503 655-3775 Attention:
Plans Examiner
To: City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
RECEIVED
MAY 11 2017
CITY
BUILDING DIVISION
r Drawings r Plans r Copy of Letter r Change Order r Attached r Other
Copies Date Number Description
3 4-24-17 FP-1 Fire Sprinkler Plans
3 Sprinkler Head Data Sheet
1 5-10-17 Application for Permit
These are Transmitted as Checked Remarks:
✓ For Approval
✓ For Your Use
✓ As Requested
✓ Returned for Corrections
• For Review and Comment
✓ Prints Returned After Loan to Us
r Other
Sincerely,
Z!.17 CCB#70003
Metro#3483
Casey Archer WA#SOUNDFP0055QL
E-MAIL: KC@SOUNDFIREPRO.COM