Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
Permit#: FPS2018-00016
COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/17/2018
T f fa'i g Parcel: 25111 ACO2901
Jurisdiction: Tigard
Site address: 9500 SW MURDOCK ST
Project: Templeton Elementary School Subdivision: None Lot: None
Project Description: Fire sprinkler permit:Sprinkler supply line and hydrant installation for a new 2-story,80,000 sq.ft.elementary
school.
Contractor: TRIPLETT WELLMAN INC Owner: TIGARD-TUALATIN SCHOOL
PO BOX 160 DISTRICT 23J
WOODBURN, OR 97071 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-982-4188 PHONE:
FAX: 503-982-0390
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/17/2018 $804.04
12%State Surcharge-Building 09/17/2018 $96.48
Type of Use: COM Plan Review-Fire Life Safety-COM 09/17/2018 $321.62
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 09/17/2018 $20.00
Occupancy Grp: E Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Gales Provided: Cut Sheets Required:
Total $1,242.14
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $98,500.00
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 . 44.
Issued By: ' mittee Signature: /!
Call 503.639.4175 by 7:00 a.m.for the next available inspection d e.
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/U rA &-NZ;ot4 FOR OFFICE USE ONLI
City of Tigard Received
�,1 g �, �^ Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 � � ate/By: j� " �J �� JC" � � j
Ian Reviey�-
_.. Phone: 503.718.2439 Fax: 503.598.1960' Date/By: b- (n- r :-. Other Permit: Pi if-01-i0 `q
T 1 G A R D Inspection Line: 503.639.4175 0 (� Q Date Ready/By: / A is: IO See Page 2 for
J�✓
Internet: www.tigard-or.gov MAR 1 2018 Notified/Method: G/ 7 (O /i 127r-6. 1 Supplemental Information
edede
TYPE OF WO ! !'I� r ' IGAcI��
R® `_�`��� L
SI I. IN ,�IJREQ IRED DATA:1-AND 2-FAMILY DWELLING
New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
0 Master builder gJ Other: e L t, � -r, 2.t tt Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: c ,6(_.,, t✓ �,\v(2- c S-T-- New dwelling area: square feet
City/State/ZIP: ITLiPcca 0 1 r—A2 C1.- J --,4 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ---e :::--i l 1 - , $ I Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
......rsv-i � Other structure area: square feet
4 * —)k4ti REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: �` \NCO 2.C\d 1 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
,✓.3'r3 � 'Lw,'-D i, Valuation: $ ��
rt
1-4 ..5-1 l�t_L ..\9 c ;e_.c.)-1-€_.Lit LCL' 1 i N. ri I C r
4 D tom;;( Existing building area: Va/lf\ square feet
New building area �c square feet
CZ PROPERTY OWNER ❑ TENANT Number of stories: -Z
Name: til •k0,, --7 T. APTtiU JC-imnt.. lr Jt,-;-Via-1 CA Type of construction: ,�.� 6—
Address: LoCiLoc ,x^ ?-o Occupancy groups:
•;+rV`)i�4�v
City/State/ZIP: --r1 t•,-`A .-cwt c ‘2.— "1 Z Z 4 Existing:
Phone:f t ) .,-2 , G'.i 0 7 Fax:( ) New: (�
.APPLICANTI�U TI `�
0CONTACT PERSON NOTICE
Business name: 'rF-J R� CP"t All contractors and subcontractors are required to be
Contact name: / licensed with the Oregon Construction Contractors Board
�� _1 d�. �ti 2 - under ORS 701 and may be required to be licensed in the
Address: Co L L- 5-,,,-; > > vi21 rt -�f„j jurisdiction in which work is being performed.If the
City/State/ZIP: "� � 2l"Z applicant is exempt from licensing,the following reasons
r(h tp:2i� 1 '�- �{ apply:
Phone:(57) -6 2.3 ,c�(0 -j Fax::( )
E-mail: L i\F F"?.-E €.,,L) 17A`(ci'i\A•L cvlA
CONTRACTOR BUILDING PERMIT FEES*
""`� (Please refer to fee schedule)
Business name:
t ar) fr lei) CIk /1,111 1i 0.4 Permit fee:
Address: /a..-1 Oe /
; �, State surcharge(12%of permit fee):
���
City/State/ZIP: ,:,,e "`�f`�„ _ � 0� ' `70 I
FLS plan review(40%of permit fee):
Phone:(5a)) Li g'" _,4,0 tJ i Fax:( ) (Due upon application submittal.)
CCB lic.: LI 314.14,
Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print named � within 180 days after it has been accepted as complete.
t_�,,t..ti tv Cs, C\1\Ll Sl :'5`f Date: ( ' 1 e
* Fee methodology set by Tri-County Building Industry
Service Board.
i:`.Building':Permits\FPS-PermitApp031016.doc 440-4613T(11/02/COM/WEB)
a
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
I Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
El New system Number of sprinkler heads: Number of alarm devices:
El Addition or El 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
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
El 11+heads: Plan review required and El 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type of System(Complete A,B,C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type El Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: $ g'
C.) Fire Alarm
Submittal shall Battery Calculations El 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 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
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): $
FLS Plan Review(40% of permit fee): $
TOTAL: $
I:\Building\Permits\FPS_PermitApp_031016.doc 2
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
:I Transmittal Letter
i,;\1: r, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: /C'1.1 DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
SEP 2 6 2018
FROM: -( ( & / lv-1 � 1 t CITY OF TIG ''D
V,--t-k- r J BUILDING 0 >ISION
COMPANY: l ` - l \U jX l yr 'ir' -C\('l
PHONE: 50, — JLO(') `7; (3 By:/7
RE: 1.GOb \1\) M 1I.V d (ik , - 'r 2 OlY Obtiftp
(Site Address) it Number)
4)-17c7a Or (-1 ne-tiv\ex I , ) /
(Project naine or subdivision name and lot number)
r
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: C ,p' s Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details.
( Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): re,fl , 5 (,G . I \i- X5.2 Q ek.+
REMARKS: -WI S`.%(-v‘-'
FOR OFFICE USE ONLY
Routed to Permit Technic'. :/ate: ) o — 'Z, • l/ Initials:
:►
Fees Due: 0Yes ►;� No Fee Description: Amo t Due
Special
Instructi a ns:
Reprint Permit(per PE): ❑Yes ❑No ❑ Done fi----Applicant Notified: Date: /0 / 2 -7/, Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
as
111111 . Transmittal
Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: /ein' ) DATE RECEIVED:
DEPT: BUILDING DIVISION RECEI
JUL 3 2019
FROM: ,IC SS 4-)t tvl CIT OF TIGARD
B WRING DIVISION
COMPANY: /0Pf=
PHONE: (5n) 51R-?�FBy:
RE: 11-I sY`% cS7x) (5L4) /lt41,o 'r• /°S .a/r- (XJCU/Ca
I. (Site Address) (Permit Number)
7r ileie
(Project name or subdivision name and lot number)
I.,
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: ) Copies: Description:
Additional set(s) of plans. A r • Revisions:
y Cross section(s) and detailsll- t0\` Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
/
. Other(explain): , 4,4,„,,t,-,_,,,„j --6-,,- 7c-,-c: j ii,hr.
S` REMARKS:
FOR OFFICE USE ONLY
Routeo,to Permit -chnician: Date: 7 — C - ! 9 Initials: `
3)
Fees Due.-.II -s ❑ No Fee Description: Amount Due:
. 1-4 v- p) 4-41% rid $ (-
$
$
$
Sp--ial
I, tructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified: if-, Date: '1/4,1,1 f7 Initials: 67 f
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc
Transmittal lqpmff
Page 1 of
DATE: July 3, 2019
PROJECT: 1600327—Tigard—Tualatin SD SUBJECT: Permit Modification
VIA: Messenger- 3 hour PURPOSE: As requested
JUL 3 2019
CTigard BuildingDepartmentFROM: Jessica Adams �r�
OF FIGARO
TO: TiD
g BUILDING IVISIO
Attn: Tom Hochstatter Jessica.adams@kpff.com
13125 SW Hall Blvd 503-542-3835
Tigard OR 97223
REMARKS: Please do not hesitate to call or email me with any questions-Jessica
DESCRIPTION OF CONTENTS:
;.a
1 07/03/19 Permit modification plans
» A, A
111 SW Fifth Avenue,Suite 2600, Portland,OR 97204 503.542.3860 FAX 503.274.4681
Eugene, OR Portland, OR