Permit (83) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
III ! COMMUNITY DEVELOPMENT Permit#: FPS2018-00032
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 04/19/2018
TtC„�IFf) 9
Parcel: 1S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 210
Project: EMBASSY CENTRE Subdivision: None Lot: None
Project Description: Relocating(4)fire sprinkler heads for TI.
Contractor: CROSSFIRE SPRINKLER CO Owner: TOWMAN ONE EMBASSY CENTRE LLC
17400 SE 82ND DR BY TOWMAN LLC
CLACKAMAS, OR 97015 25425 BASCOM AVE STE 230
CAMPBELL, CA 95008
PHONE: 503-210-5506 PHONE: 503-595-9689
FAX: 503-210-5538
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/18/2018 $64.54
12%State Surcharge-Building 04/18/2018 $7.74
Type of Use: COM Plan Review-Fire Life Safety-COM 04/18/2018 $25.82
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 04/18/2018 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: 010 Design Area: 1500
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 $98.60
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,000.00
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: .71---,c t
/ Azedffe,ee.
11"/( C-11
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 i ffi "
City of Tigard 8Received
• 13125 5 W Hall Blvd.,Tigard,OR 972231 7�� Date/6 ; Y �� ,�i Permit No.: ' /,l�7�
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review (/t/ J
T r t,A I:p Inspection Line: 503.639.4175 i�V' ;1 art t, Date/6 :III
Other Permit
Internet: Line:g t' a r, fir ..§ pate Ready/By: Axis: A ' . a " , �►
1I,III a 3I N4r , f: fI £ <,t Igotifed/Method: S See Pent t for
Supplemental InTormatlon
0 New construction " z xa.K% t
0 Demolition Permit fees*are based on the value of the work performed.
®Addition/alteration/replacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
r w equip ment,materials,labor,overhead,and the profit for the
- -� -.....» — � -- - -- — work indicated on this application.
❑ 1-and 2-family dwelling
®CommercialCommercial/industrialValuation: S
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
T t.' `_-"K4 = --•_, a.',. .-,5-1:- .;37-4 =4,4S4- Total number of floors:
Job site address:9020 SW Washington Sq "` x_^
New dwelling area: square feet
City/State/ZIP:Tigard,OR
Garage/carport area: square feet
Suite/bldg./apt,no.:1"Fir
Project name:Embassy Cntr RR Remodel
eet
Cross street/directions to job site: Covered porch area: quaref
Deck area: square feet
Other structure area: square feet
Subdivision: • ` > L. 'a 4 _= j `P A .
Lot no.: of d.
Tax map/parcel no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
': 1, - equipment,materials,labor,overhead,and the profit for the
w-• t work indicated on this application.
Relocate Sprinkler Heads at new ceilings to maintain coverage Valuation:
$51,000.00
Existing building area: square feet
.s New building area: square feet
' � `w Number of stories:
Address: Type of construction:
Occupancy groups:
Phone:( ) Existing:Fax:( )
New:r_ is t'
-- M _
�-.. _ - . - � it,.. tea» : .., >Businessname.Crossfire Sprinkler
Contact name:Timothy A Bishop All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Address:17400 SE 82°d Drive under ORS 701 and may be required to be licensed in the
City/State/ZIP:Clackamas,OR 97015 jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
Phone:(503)210 5506 apply:
Fax::(503)210 5538
E-mail:timothy@crossfiresprinkler.com
== -.==- '-.w» 4..:t`» .s._ -r �„` 5
Business name:Crossfire Sprinkler m� ti ) "
R= = , .rte � ` aa... ;`mac `"'
Address: _ 1
State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( )
(Due upon a,•lication submittal.
/
MOMMIIIINP
Authorized signature: —�j....m......... Total permit fees:
Amount received:
_........di This permit application expires if a permit is not obtained
Print name:Timothy A Bishop
Date:4/16/18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
1:\BpildnglPermhs\FPS.Pero,ilApp-031016.doc Service Board.
440.461377 I 1 I0]JC OM/W E B)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration tronly to alarm devices:
0 New system Number of sprinkler heads: 4
Number of alarm devices:
® Addition or ® 1-10 heads: Affidavit uired and re
Alteration q ❑ 1-5 devices: Affidavit required and
(3) copies of sketch showing area (3) copies of sketch showing area
to existing of work within buildingstructure
system of work within building structure
0
11+heads: Plan review required and 0 6+ devices: Plan review required and
(3) sets of plans. (3)sets of plans.
Additional description of work:
....:.0-. � ., Cw n---
-a .. 'S --
um
2 a
Additional �� ® Wet p D ,
Stand•iscs
Information:
" 0 Yes ❑ No
Hazard Grou. Li.ht
Densi .10
Desi: Area 1500
K. Factor 5.6
S
.=.._..�:�.: --.--.� .�ect Valuation. $
1000.0
0` = �c----� . _��- s -���. � : �}= P� ;
Hood Pro'ect Valuation: $
._.. �
Submittal shall --` _ `-"
Batte Calculations es
include: ❑ Yes
Individual Component ❑. Yes
Cut Sheets
Fire Alarm Pro'ect Valuation: $
---.. ',. -7.-' •,....------.-----,... 4-3-=''-'-'-
..._ "' ..a 3] 'y-a•=z.:.. _, --...._.-.-.. .-,.... . .�
.. r.—�.�---•.. "G-^--..,...^---.,.... . �.-�..��`i' ..�. 4.�.=�'� .»...1-.>s, �.... .z.._..
S.uare Foo e: c-;`.T w -
Petmit Fee: ` ----------,,,,,,I.,-,.--,-.. ..,,,. ..0 to 2,000 -—.�
$198.75 �-.
— 2,001 to 3,600 _.. =r ��
$246.45 .. �— — =�' V
3,601 to 7,200 $310.05 —_ .-
7,201 and eater
$404.39 -- _ « ,
Sprinkler Project Square Footage:
mrte „,,.....:_.4.....t7 ----_. .r , - - 7E: et.
..,.,»..,.mom T .i5.Til, S.i r y;c s a -;.i e ... .. a..' t” may,.,., _.
Pro'ect valuation subtotal see A,B&C above : $ � �
Permit fee based on .ro'ect valuation see fee schedule : $
Permit fee based on s.uare foota_e see D above : $
State Surchar:e 12%of.ermit fee : $
FLS Plan Review 40%of.errnit fee : $
TOTAL: $
(:\Documents and Settings\CAD\My Documents\Permits\agard permit.doc
2
HEGF:Ii 11—rt
ity of
i1; 1131 225 SW Hall Blvd_, OR 97223 APR 2018 permit No.; F a,Gy Q.
Phone: 503.7182439 Fax: 503.598. o D o,o`��
Inspection Line: 503.639.4175 4 1 4.a ;z' -1 l». Date Received:
TlGaht) ,
Internet: www.tigard-or.gov '-31!1 .0!‘4'1', r)'t r
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Embassy Center 1st Floor Restroom Remodel Occupancy: Office
Job Address: 9020 SW Washington Sq
Suite: 1st Floor Type of Construction:
Contractor: Crossfire Sprinkler
Phone: 503 210 5506
Number of Proposed or Altered Heads: 4
Type: QR Pend Hazard:
Density:
Light .10
I, Crossfire Sprinkler
Ocertify the following itr
s ue and reasonably defines sthe scope of work foron Construction this project:BBoard No. 74746
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 % I 1 cument
of the sketch attached shall be available for all inspections.
44
.r
Date: 4/16/18
Signature: _
Print Name: Timothy A Bishop
1:1Building\Forms1FireSprinklerAtridavit 071514.docx
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