Permit 1 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
- COMMUNITY DEVELOPMENT Permit#: FPS2020-00092
Date Issued: 10/8/2020
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
TjAR..L) g
Parcel: 2S112DD01600
Jurisdiction: Tigard
Site address: 15495 SW SEQUOIA PKWY 150
Project: Spec Space Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: Add&relocate fire sprinkler heads as require for TI
Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES
9095 SW BURNHAM ATTN: N PIVEN
TIGARD, OR 97223 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/06/2020 $102.20
12%State Surcharge-Building 10/06/2020 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 10/06/2020 $40.88
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Sm$0.50(up to 10/06/2020 $6.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
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 $161.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,254.00
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: Permittee Signature:
Call 3.639.4175 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.
y�5 Building Permit Application c` _ $/Y3 jav 2,
Fire Protection System R C E i F� ,:! FOR OFFICE USE ONLY
Received Ap _FO fr2� O
City of Tigard r Date/By:ive f/o.2O'2Ola PermitNo.. I U O O `Z.
• 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 1 '3 2020 Plan Review if
Phone: 503.7I8.2439 Fax: 503.599782
98.jS�( ., a Rev ,, " 8'o� Other Permit:
T I l;n R U Inspection Line: 503.639.4175 t I OF T I .I+tI`"e D Date ReadyBy: J��/ 1 ,p /�urpi.c: El See Page 2 for
Internet: www.tigard-or.gov -` 1.!J Notified/Method:W/f,./ /c�r.7,/ l,� Supplemental Information
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling ❑� Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15495 SW Sequoia Parkway New dwelling area: square feet
City/State/ZIP:Portland OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:150 Project name:PCC 225-150 Spec Office Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
add&relocate fire sprinkler heads as req for TI Valuation: $2254
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name:
Type of construction:
Address: Occupancy groups:
City/State/ZIP:
Existing:
Phone;( ) Fax:( ) New:
El APPLICANT 0 CONTACT PERSON NOTICE
Business name:Wyatt Fire Protection All contractors and subcontractors are required to be 1
Contact name:Ronin Campbell licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:9095 SW Burnham jurisdiction in which work is being performed.If the
City/State/ZIP:Tigard, OR 97223 applicant is exempt from licensing,the following reasons
apply:
Phone:( )503.684.2928 Fax: :( )503.684.9657
E-mail:r.campbell@wyattfire.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer w fee schedule)
Business name:Wyatt Fire Protection Permit fee:
Address:9095 SW Burnham
State surcharge(12%of permit fee):
City/State/Z1P:Tigard, OR 97223 FLS plan review(40%of permit fee):
Phone:( )503.684.2928 Fax:( )503.684.9657 (Due upon application submittal.)
CCB lic.:64077 Total permit fees:
Authorized signature:•!14�Mo G t Amount received:
D� This permit application expires if a permit is not obtained
Print name:Rosin Campbell Date:8/12/2020 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\BuildingP rmits\FPS-Pem,itApp_0310t 6.doc 440.4613T(1 tN2/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 21 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 LI 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 ❑■ Wet El Dry
}1�
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes El No
Hazard Group 5.6
Density a.1
Design Area 1500
K.Factor 5.6
Sprinkler Project Valuation: $2254
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations El Yes
include: Individual Component ❑ 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: $
W:\Permits\Permit Application Forms(Updated July 2017)\Tigard Fire Permit App.dnc2
Branden Taggart
From: Branden Taggart
Sent: Tuesday, October 6, 2020 3:16 PM
To: r.campbell@wyattfire.com
Subject: Tiland-Schmidt & Spec Space Sprinkler Permits: FPS2020-00092, 99
Attachments: Invoices.pdf
Hello Ronin,
The Tiland-Schmidt Architects sprinkler permit as well as the Spec Space sprinkler permit, located at 15495 SW Sequoia
Pkwy, are ready to issue now. I have attached invoices above for you, and the fees are as follow:
Permit# Fees Due
FPS2020-00092 $ 161.34
FPS2020-00099 $ 113.36
Total: $ 274.70
The above permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.aspx. From there,
click on the Building tab, enter the permit number in the Record Number field, and click Search. Once paid, please notify
us at TigardBuildingPermits@tigard-or.gov, and I will place these permits in our open Permit Center conference room for
you to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays.
Thank you,
Branden Taggart
Pha City of Tigard
s a... Senior Permit Technician
Community Development
TrCiARD
13125 SW Hall.Blvd
Tigard,OR 97223
(503}718-2449
b randent@tigard-o r;gov
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