Permit (138) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
' COMMUNITY DEVELOPMENT Permit#: FPS2019-00075
T i(;;t it r) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/01/2019
Parcel: 1S134CC01700
Jurisdiction: Tigard
Site address: 12325 SW KATHERINE ST
Project: Mary Woodward Elementary School Subdivision: None Lot: None
Project Description: Fire Sprinkler.Relocating/adding(47)sprinkler heads for TI.
Contractor: MCKINSTRY COMPANY LLC Owner: TIGARD-TUALATIN SCHOOL
16790 NE MASON STREET SUITE 100 DISTRICT 23J
PORTLAND, OR 97230 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-331-0234 PHONE:
FAX: 503-331-6907
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/26/2019 $231.32
12%State Surcharge-Building 06/26/2019 $27.76
Type of Use: COM Plan Review-Fire Life Safety-COM 06/26/2019 $92.53
Class of Work: ALT Type of Const: VA Info Process/Archiving-Lg$2.00(over 06/26/2019 $2.00
Occupancy Grp: E Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 06/26/2019 $7.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: ORD2
Density: 0.1 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 $361.11
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $15,000.00
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 t': rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Y.+ is-y obtain a copy of the rules
or direct questions to OUNC by calling 503.232 987 or 1.800.332.2344.
Issued By: { , IP
Permittee Signature: /
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 Applicatio> E C E l V E D
Fire Protection System /� FOR OFFICE USE ONLY `(� ���y�
City of Tigard JUN ® 4 2019Date/B Received Li i IA "1 S T Permit No.:�\'"9'VW
-1111 . '� 13125 SW Hall Blvd.,Tigard,OR 972R OF TIGARD Plan Review
Phone: 503.718.2439 Fax: 503.591 11 DING DIVISION DateB : MI Other PermitP-a(3\a—
Ins
Inspection Line: 503.639.4175 Date Ready/By: Juris: gi See Page 2 for
T I G AR D p Notified Method: , lR ), Supplemental Information
Internet: www ttgard or gov 4-4
TYPE OF WORK t"k *_ REQUIRED DATA:1 AND 2 VII f 1 rr 111`
El Demolition Permit fees*are based on the value of the work performed.
❑New constructionIndicate the value(rounded to the nearest dollar)of all
"g5Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
vx CATEGORYOF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling �01"1 mmercial/industrial
Number of bedrooms:
❑Accessory building
0 Multi-family
❑Master builder ❑Other: Number of bathrooms:
Total number of floors:
7. 1013 SITE INFORMATION'AND I:OCA`'1'ION =
Job site address:12325 SW Katherine St. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Mary Woodward Elementary Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIREDYDATA COMMERCIAL-VSE C CKLIST.
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
1; t DESCRIPT'ION'OF WORK
work indicated on this application.
Alteration of existing sprinkler system to accommodate floor plan changes i 7 Valuation: $$15,000.00
w
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ',<.,0-.- TENANTit, o, Number of stories: 1
Name:Tigard Tualatin School District Type of construction:
Address:6960 SW Sandburg St. Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)431-4000 Fax:( ) New:
a
0 APPLICANT , 0 CONTACT PERSON NOTICE A
Business name:McKinstry Co. All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name:Alex Forker under ORS 701 and may be required to be licensed in the
Address:16790 NE Mason St. jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP:Portland,OR 97230 apply:
Phone:(971)420-7550 Fax::( )
E-mail:AlexF@McKinstry.com
CONTRACTOR BUILDING PERMIT FEES* '
(Please refer to fee schedule)
Business name:McKinstry Co Permit fee:
Address:16790 NE Mason St.
State surcharge(12%of permit fee):
City/State/ZIP:Portland,OR 97230 FLS plan review(40%of permit fee):
Phone:(503)331-0234Fax:( ) (Due upon application submittal.)
/
CCB lic.:172811 Total pennit fees:
A
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
Print name:Alex Forker
__nab—05/3.1/2019_ within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-Courcy Building Industry
Service Board.
I:\Building\Penults\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
D q re&� s to a done z �.:M
1.) Type of Work 2.) Addition/alteration onlyto sprinkler heads: 3.) Addition/alteration onlyto alarm devices:
❑ New system Number of sprinkler heads: 47 Number of alarm devices:
® Addition or ❑ 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
® 11+heads: Plan review required and ❑ 6+devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work Movement of heads to accommodate room/spacing changes.No riser or mainline
alteration
Type t f System. (Complete A;B,, nr Dots applica 6 0
A' Commercial Sprinkler
Sprinkler Type ❑ 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 ystejiYai ' ' 51
Hood Project Valuation: $
�F1rC Alarm � x
Submittal shall BatteryCalculations ❑ Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
"r)) es�dental Sprinkler;(� f d Alone Syterfi)
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: $
c:\users\AlexF\Downloads\FPs_PennitApp(6).doc 2
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12325 SW KATHERINE ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00075
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor