Permit (157) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
IN--i- , COMMUNITY DEVELOPMENT Permit#: FPS2019-00025
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/04/2019
T f C.A I C> g Parcel: 25101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 300
Project: Health Net Subdivision: None Lot: None
Project Description: Fire sprinkler. Relocating(10)sprinkler heads to maintain coverage.
Contractor: CROSSFIRE SPRINKLER CO Owner: GK TRIANGLE CORPORATE PARK III L
17400 SE 82ND DR ATTN KBS REALTY ADVISORS
CLACKAMAS, OR 97015 P 0 BOX 28270
SANTA ANA,CA 92709
PHONE: 503-210-5506 PHONE:
FAX: 503-210-5538
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/04/2019 $188.28
12%State Surcharge-Building 03/04/2019 $22.59
Type of Use: COM Plan Review-Fire Life Safety-COM 03/04/2019 $75.31
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 03/04/2019 $1.00
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: Hazard:
Density: .20 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 $287.18
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $10,125.00
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: fie' ,it a Signature: S
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Ait
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. U//
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.
City of Tigard Permit No.: 1 l --OOOZ-r
Ar 13125 SW Hall Blvd,Tigard,OR 97223
irr Phone: 503.718.2439 Fax: 503.598.1960 Date Received: a ��
Inspection Line: 503.639.4175 / i'�J�►/. -
Internet: www.tigard�r.gov By: J, /LL LLL/.4
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Centene Remodel Occupancy: Office
Job Address: 13221 SW 68th Pkvvy . eC' Type of Construction:
Suite: 3rd Floor
Contractor: Crossfire Sprinkler Phone: 503 210 5506
Number of Proposed or Altered Heads: 10
Type: QR Pend Hazard: LightDensity: .10
1, Crossfire Sprinkler Oregon Construction Contractors Board No. 174746
certify the following is true and reasonably defines the scope of work for this project:
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.
t) 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 this document with a copy of the sketch attached shall be available for all inspections.
�� � 2127/1 g
Signature: G_.. ' �a�� Date:
Print Name: Timothy A Bishop
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