Permit (84) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1 COMMUNITY DEVELOPMENT Permit#: FPS2018-00033
T I(-;\It f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/19/2018
Parcel: 1 S 126BC01506
Site address: 9020 SW WASHINGTON SQUARE RD 120 Jurisdiction: Tigard
Project: Ricoh
Project Description: Adding and relocating(10)sprinkler heads for TI. Subdivision: None
Lot: None
Contractor: CROSSFIRE SPRINKLER CO
17400 SE 82ND DR Owner: TOWMAN ONE EMBASSY CENTRE LLC
CLACKAMAS, OR 97015 BY TOWMAN LLC
25425 BASCOM AVE STE 230
CAMPBELL, CA 95008
PHONE: 503-210-5506 PHONE:
FAX: 503-210-5538
Description Date
Specifics: Amount
Permit Fee-COM 04/18/2018
Plan Review-Fire Life SafetyCOM $145.24
Type of Use: COM 04/18/2018 $58.10
Class of Work: ALT Info Process/Archiving-Sm$0.50(up to 04/18/2018
Type of Const: 11x17) $1.00
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System___•
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: .10 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 $204.34
Valuations:
Sprinkler Valuation: $6,800.00 Required Items and Reports(Conditions)
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 ow
e
ru
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952001 0090. You th may lobtain oate coby the Oregon
py of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:
Permittee Signature:
ji..11141�<<< Sr--- �
•- Ce
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.
Buiiding Permit Aneiiccaatl on
Fire Protection System ; `" X ""
rolloi1.1( LI51_oyl.1
City of Tigard
13125 SW Hall Blvd.,Ti I} Received
i Bim,OR 972 ; I. l� DatetB : Jr , `� / ,Permit No.: O// /''
Phone: 503.718.2439 Fax: 503 598 1960 Paan Review
, 6
T 1(i A p D Inspection Line: 503.639.4175 K F ', -,:',,,,Ai-s;
Date/13 : Other Permit:
Internet: www.tigard-or.gov , I�^ w F Date Ready/BY: N -, /30
h l t 7 + � F '?t $ Notified/Method:
Jur": Ql See P
ltd e1. a;e2[or
-.._.� -�-»-•-•� aPP mental Information
El New construction _ ..—•. -•- - - : * i, tb ti :a
0 Demolition Permit fees*are based on the value of the work performed.
®Addition/alteration/replacement0Othn Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
` � --' ='.- . , ,3 -• work indicated on this application.
❑ 1-and 2-family dwelling
®CommerciaUindustrial Valuation: S
❑Accessory building
0 Multi-family Number of bedrooms:
❑Master builder
V€ 0 Other Number of bathrooms:
-= i~ w ' c Total number of floors:
Job site address:9020 SW Washington Sq~
City/State/ZIP:Tigard,OR New dwelling area: square feet
Suite/bldg./apt.no.:120 G ge/carport area: square feet
Project name:RICOH®Embassy Center
Cross street/directions to job site: Covered porch area: square feet
Deck area: square feet
Other structure area: square feet
Subdivision:
,6„:„..
Lot
�""` -
Lot no.: t_ _-_h va :;
'- -
Tax map/parcel no.: Permit fees•are based on the valueue of the work performed.
Indicate the value(rounded to the nearest dollar)of all
• —_ ,,y equipment,materials labor,overhead,and the profit for the
Add/Relocate Sprinkler Heads around new wallsto maintain coverage Valuation:cated on this a.plic6tion.
1111111111111111111111111111111111111.111111111111111 $S6,800.00
Existing building area: square feet
"- New building area:
-. .: square feet
M _ Number of stories:
Address: Type of construction:
Occupancy groups:
Phone ( ) FaMMIIMMIIIIIIIIMENEENE 11111131
w
Business name:Crossfire Sprinkler
• ,r..,.:-7. ---..:,-.--.---- --- 7 ,..±.7--7,-----_,4771.,_-
prinklerW _
Contact name:Timothy A Bishop All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Address:17400 SE glad 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.com11.1111111111111111111111111111111
Business name:Crossfire Sprinkler � z4 r t t
Address:
State surcharge(12%of permit fee): 11111111
Phone:( ) FLS plan review(40%of permit fee):
CCB lic.:174746 Due upon a,plication submittal.
0.-� _...� ,� --.Authorized signature: -, Total permit fees:
.� _ Amount received: 1111111111111
Print name:Timothy A Bishop This permit application expires if a permit is not obtained
Date:4/16/8 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
I:1BuildiogtiPermits1FPS-PermiFAPP_031016.doe
440.4613T(11i02/COM/WEB) Service Board.
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
t '-" ., ...-- t',---7• -•, y�....'.,.••...:� '...s..._.. '--- -:.:--[...7,,.. ... -mss
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
0 New system Number of sprinkler heads: 1Q
Number of alarm devices:
® Addition or ® 1-10 heads: Affidavit required and
Alteration (3)copies of sketch showingarea ❑ 1-5 devices: Affidavit required and
to existing of work within building structture of(3building
of tch showing area
system of work within structurree
❑ 11+heads: Plan review required and
(3) sets of plans. ❑ 6+devices: Plan review required and
(3)sets of plans.
Additional description of work:
y
• _ ....f:.=-.7. 7....,..,..,-.
a:
Additional j• ►Z21 Wet ❑ D
Stand•i.es
Information:
Hazard Grou• Yes NO
Densi
.10
Des': Area 1500
K.Factor
S•
_.._ ... tillkler Pro'ect Valuation
OU
,"^ -..... . �
' ,. - - .
Hood Pro'ect
Valuation:
Submittal shall Batte Calculations T }
include: Individual Component ❑ Yes
0 Yes
Cut Sheets
Fire Mann Pro'ect Valuation:
S•ware Foots•e: - � �"" � �
_ 0 to 2,00(? w5
2,001 to 3,600
$198.75
3,601 to 7,200 " tic .
$310.05 - .,4.4
IIIIIIIIII— 7,201 and m. *� -� < x �:'
• eater — �- a — -
$404.39 . t. s
Sprinkler Project Square Footage: q.
:: _ _ '`^-'-r' . ` - --- __
.•..-� :. =� ..� '"fir��-x'z "• .''.�
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 foots•e see D above
State Surchar.a 12%of•erinit fee : _1011111111111111111..
FLS Plan Review 40%of•ermit fee
TOTAL: 1311.111111111111.
C:\Documents and Settings\CAD\My Documents\Permits\tigard permit.doc
2
City of Tigard cPs�l
13125 SW Hall Blvd,Tigard,OR 97223 :, ? l u Permit No.: I— _�y �3
Phone: 503.718.2439 Fax: 503.598.1960 1111
/!G /!rL�
rti nr.1?
Inspection Line: 503.639.41750 "m F. F, M1:Date Received:
Internet: www.tigard-or.gov "te4c4/(44/(4 -
FIRE
SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: RICOH @ Embassy Center
Occupancy: Office
Job Address: 9020 SW Washington Sq
Type of Construction:
Suite: 120
Contractor: Crossfire Sprinkler
Phone: 503 210 5506
Number of Proposed or Altered Heads: 10
Type: QR Pend Hazard: Light
Density: •10
L Crossfire Sprinkler
Oregon Construction Contractors certify the following is true and reasonably defines the scope of work for this proBect:rd No. 174746
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 .ument with
filikx. • etch attached shall be available for all inspections.
Signatu OP"'
Date: 4/16/18
Print Name: Timothy A Bishop
Y......o,ruuaavit0/1514 docx
Page 1 of 1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9020 SW WASHINGTON SQUARE RD 120,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00033
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor