Full Text
270 Montgomery Street Woodburn, OR 97071 CITY OF WOODBURN BUILDING DIVISION [PHONE REDACTED] [EMAIL REDACTED] Building Permit No. FIRE SPRINKLER AFFIDAVIT FOR ALTERTIONS OR TENANT IMPROVEMENTS (0-10 sprinkler heads without plans) Over the Counter Project Name: Occupancy: Job Address: Type of Construction: Suite: Contractor: Phone: Number of Proposed or Altered Heads: Type: WET Hazard: LIGHT Density: 10 I, Oregon Construction Contractors Board No. certify that 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 the current 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 NFPA13. f) The installation shall comply with the requirements of the current adopted edition of NFPA 13. g) Piping shall not be concealed until hangers and bracing are inspected. h) Final approval shall be subject to onsite tests and inspections. In addition, I understand the following is required: * A sketch attached to this document showing the area of work within the building's structure, and * A copy of this document shall be available for all inspections. Signature: Date: SIGN