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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT a COMMUNITY DEVELOPMENT Permit#: FPS2020-00098 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/19/2020 Parcel: 2S112AD01000 Jurisdiction: Tigard Site address: 14945 SW SEQUOIA PKWY 180 Project: Spec Space Subdivision: PACIFIC CORPORATE CENTER Lot: 1 Project Description: Relocate one head for TI Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES LP 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 10/19/2020 $53.78 12%State Surcharge-Building 10/19/2020 $6.45 Type of Use: COM Plan Review-Fire Life Safety-COM 10/19/2020 $21.51 Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 10/19/2020 $3.00 Occupancy Grp: B Height: ft 11x17) Stories: 1 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No 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 $84.74 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $582.00 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 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 Application 912/ Zo— ¢ Fire Protection System S r P 2 i 2e2G FOR OFFICE USE ONLY City TigardReceived L9723 2020 �2 22�OCXJ98 of I ti PemutNo-� 14 13125 SW Hall Blvd.,Tigard,OR 97223 5 (;.1 Plan Revie ^ Other Peruur. Phone: 503.718.2439 Fax. 503.598.1960 Date/e : t a.0 / r.I e,A R 17 Inspection Line! 503.639.4175 Date Ready/By: �t ^^�l� ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: �(/ �� W '��/ ■L Supplemental information TY PE OF WORK REQUIRED DATA:1-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. Valuation: S ❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ElMaster builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:14945 SW Sequoia Pkwy New dwelling area: square feet City/State/ZIP:Portland OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: /f ) Project name: Covered porch area: square feet Cross street/directions to job site: � (J,�� '- 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. Tax map/parcel no.: 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. Relocate one head for TI valuation $ S 2- 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: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name:Wyatt Fire Protection All contractors and subcontractors are required to be 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* Business name:Wyatt Fire Protection (Please refer to fee schedule Pennit fee: Address:9095 SW Burnham State surcharge(12%of permit fee): City/State/ZIP:Tigard, OR 97223 0 FLS plan review(40%of permit fee): Phone:( )503.684.2928 Fax:( )503.684.9657 (Due upon application submittal.) CCB tic.:64077 Total permit fees: ' / Authorized signature: �a,,t4,1 Amount received: 'ro" P r (((/// This permit application expires if a permit is not obtained Print name:Ronin Campbell Date:9/18/2020 * within 180 days after it has been accepted as complete. Fee methodology set by Tri-County Building Industry Service Board. I?BuildineermitsTPS-PermitApp_031016.doc 440.4613T(I1/O2/COM/WEB) • City of Tigard: Fire Protection Permit Checklist Page 2-Supplemental Information Describe work to ° , K . . ,' ,, `o ;:r . i' ` 'i ., , 4,_::s r 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: Number of alarm devices: [Addition or d 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 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 111- Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group j;1 h Density Q. I Design Area 1500 K. Factor S (, Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Batten Calculations ❑ 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.doc2 .::171,CE COPY City of Tigard Permit No.: ,. S.2p.zp — O p? • 13125 SW Hall Blvd.,Tigard,OR 97223 s Phone: 503.718.2439 Fax: 503.598.1960 Date Received: Inspection Line: 503.639.4175 I IG: R1) Internet: www.tigard-or.gov By: E. f'l.✓f"Lt47nre--0'd• FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS SFP 2 2020 (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: PCC 233 Suite 180 TI Occupancy: Job Address: 14945 SW Sequoia Pkwy Type of Construction: Suite: 180 Contractor: Phone: 503-684-2928 Number of Proposed or Altered Heads: 1 Type: SSP-QR Hazard: Light Density: 0.1 I Wyatt Fire Protection, Ronin Campbell Oregon Construction Contractors Board No. 64077 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. f) 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. Signature: / Date: 9/18/2020 Print Name: Ronin Campbell I Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1