Permit (27) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
lig COMMUNITY DEVELOPMENT Permit#: FPS2018-00058
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/06/2018
T c i.;4 1<.C7 g Parcel: 2S111ACO2901
Jurisdiction: Tigard
Site address: 9500 SW MURDOCK ST
Project: Templeton Elementary School Subdivision: None Lot: None
Project Description: Fire sprinklers:Adding(8)sprinkler heads.
Contractor: SPRINKIT FIRE PROTECTION INC Owner: TIGARD-TUALATIN SCHOOL
PO BOX 2227 DISTRICT 23J
OREGON CITY, OR 97045 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-272-6650 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/06/2018 $112.96
12%State Surcharge-Building 06/06/2018 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 06/06/2018 $45.18
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 06/06/2018 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: 0 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 $172.20
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $3,500.00
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 calling 503.23 ., 987 or 1.801.332.2344.
z II
Issued By: ', � Mee Signature: ►
Call 503.639.4175 by 7:00 a.m.for the next available inspection da.e.
This permit card shall be kept in a conspicuous place on the job site until complejtion of the project.
Approved plans are required on the job site at the time of each inspection.
Ma
uikilllg it cl iiill Hpplis atiuu
Fire Protection System Foil orrith. I sig;oNIA
City of Tigard Received (` / - ', Permit No.:,p! 5ttr—tz c
13125 SW Hall Blvd.,Tigard,OR 97223 1p Datn Review Y.
_ Phone: 503.718.2439 Fax 503.598.1960 d�A Other Permit:
ate By:
Inspection Line: 503.639.4175 Juris: ei See Page 2 for-1ARD UIUgE >�VI RMthod:Internet: www.tigard-orgov
Supplemental information
`YP "oli; t3RX- " '' Q1:IIRFI)IATA:, -'A_ I-FA11MILYDW+LLING `.:
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Dij Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
�: T�C3R"v.=oF 1C'.Qi,404il[i-a"14W,
. e. work indicated on this application.Valuation: $
❑ 1-and 2-family dwelling ig Commercial/industrial
t Multi-family
El Number of bedrooms:
17 Accessory buildin
> A_itiaarcl uuuucr I.IJ vurci. ..
JOB SITE hilt R AT O,N ANI) I CAT O Total number of floors:
Job site address: 9500 SW Murdock New dwelling area: square feet
City/State/ZIP: Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: James Templeton Elementry Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
i
�....,.. ...,..
_„.. .. . .,,,...- cet
l t4l< R D DATA COMMERAt4Vs HEIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
A S AIPTION ' Wow work indicated on this application.
Add sprinklers for new ceiling 0') Valuation: $3500
V victinn 9i1 Iil rlina arca• cin Zara feet
New building area: square feet
❑ PROP Y O 4'11:L+R 'I' I*I Number of stories: t
Name: Type of construction:-, 1%,--e .-cc n 6 7y -
Address:
Occupancy groups:
City/State/ZIP: Existing:
1
Phone:( ) ( Fax:( )' l i' t
PL TANT - cONTAcT PFI SON:---:,.:::_:_i,,,-;::.:--:'-: 1 {.
Business name: Same as below 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: jurisdiction in which work is being performed.If the
City/State/Z1P: applicant is exempt from licensing,the following reasons
apply:
PI-one:.( ,) I Fax.:-( ) S
a
1>' 1 -tm1.y � CO )14, O .SILDING PjyIyTFE0 -
-#16, r11Ce-iOerluIe
Business name: Sprinklt Fire Protection Inc Permit fee:
Address: PO 2227 —
State surcharge(12%of permit fee):
City/State/ZIP: Oregon City, Or 97045 FLS plan review(40%of permit fee):
Phone:(5(13) 272-5550 Fax:( ) (Due upon application submittal.)
I, ( t
tC-) 1
Amount received: il�Z_2j
Authorized signature: �'C��1�L�1Q/L
This permit application expires if a permit is not obtained
Print name: Travis Schweitzer Date: within 180 days after it has been accepted as complete.
5-25-18 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/CONPWEB)
Ciiy of Tigard; Fire P rul.CcuuIl P erllul l.11CC1U1SL
Page 2- Supplemental Information
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: ( Number of alarm devices:
11,11.L1 L1V It VL 1-13 11l.aUJ. S1111uQV 11.11.11.11..91 a11U L_ 1-✓UL V .J. 11111&O.V111S..111.1111\.0 alItl
Alteration " (3) copies of sketch showing area (3) copies of sketch showing area
to existing of work within building structure of work within building structure
system
0 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
11uwuoua1 ucsLIlpuon V1 W'unc
Type cif System (Co pJe
A.) a mez � pti kl r`
Sprinkler Type Wet ❑ Dry
Additional Standpipes (\L')
Information:
cp yt_t
JUpk1S__ y i ilc I ❑ YcS ❑ `vo
.i- 1111h1C1
Density t V. `"cA,N4,(_1 .�
Design Area
K. Factor , Ls2
Sprinkler Project Valuation: $
`y e 1 Hood ' e`Suppres krn steYn.
Hood Project Valuation:j $
Submittal shall Battery Calculations. . _. ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
) Residential Spr xlkki (Stand one S)*em)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7.201 and greater $404.39
Fite 'tot tion Penn t 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): $
-FT; `Ph -1 Re-vie-Nu (4( nP nermtt fPP)• I $
t 1
INIAL: ff$
C:\Users\Sprinklt Fire\Downloads\FPS_PermitApp.doc 2
RECEIVED
PrilCity of Tigard r Permit No.: Ei°,90/K-X0��
13125 SW Hall Blvd.,Tigard,OR 97223 ��� ��
Phone: 503.718.2439. Fax: 503.598.1960 yy gd g�! OFg n Q��?iYtC Receive'
Inspection Line: 503.639.4175 i l a iryd �a^L�
TIGARD Internet: www.tigard-or.gov BUI3:1-4-e-ILDII G DIVISION i-1ek., -,
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
ii iv r „„ .7,7_,;'2,„" , ,.,r,=
Project Name: James Templeton Elementry Occupancy: School
Job Address: 9500 SW Murdock, Tigard Type of Construction:
Contractor: Sprinklt Fire Protection Inc. Phone: 503-272-6650
Number of Proposed or Altered Heads: 8
Sprinklt Fire Protection Inc
I, Travis Schweitzer Oregon Construction Contractors Board No. 211320
certify the following is true and reasonably defines the scope of work for this project:
a) A,. vvvrn iiuiii«.0 w uivpauu aiuivvii3 in a usuL-uaLaru vi4.upau..y.
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.
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 a fldlition I understand the fol lowing 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: %2., rd-• 32% tl Date: 5-25-18
Print Name: Travis Schweitzer
I.\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9500 SW MURDOCK ST, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00058
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor