Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2021-00054 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/24/2021 T r G A R I7 9 Parcel: 2S113AB00600 Jurisdiction: Tigard Site address: 16165 SW 72ND AVE Project: Ednetics Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30 Project Description: Fire sprinkler permit-adding and relocating(5)fire sprinklers Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES LP 9095 SW BURNHAM ATTN: N PIVEN TIGARD, OR 97223 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-684-2928 PHONE: FAX: 503-684-9657 FEES Description Date Amount Specifics: Permit Fee-COM 05/20/2021 $67.23 12%State Surcharge-Building 05/20/2021 $8.07 Type of Use: COM Plan Review-Fire Life Safety-COM 05/20/2021 $26.89 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 05/20/2021 $0.50 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: 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 Calm Provided: Cut Sheets Required: Total $102.69 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,035.00 Residential Square Footage: 0 Fire Alarm Valuation: $0.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Vc rvDe Were Permittee Signature: HollyCall 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1 Building Permit AnnlicatuRECE'VED - -51 q'11 Fire Protection System MAY 4 iI)Zl City of Tigard "°`�'•"y.i D D jD2/ Permit No. FP,$Zp2J-QDO . 13125SW Hall Blvd.,Tigard,OR 9722CITY OF TIGARD ��eins Phone: 503.7182439 Fax 503.598.1 o.� Other PermY /t�Q2/-0O66g' Inspection Line: 503.639.4175 BUILDING DIVISION +drierW sir Parer:tar Internet: www.tigmdor.gav NotificdeMcdnd � Saivisaaeatal lefarmadae TYPE OF WORK REQUIRED DATA-.1-AND 2rFAMILY DWELLING ❑New construction ❑Demolition Permit fees•arc bused un the value of the work performed. Indicate the value(rounded to the nearest dollar)of all g Additiadalteranonheplacement ❑Other equipment,materials,labor,overhead.and the profit for the CATEGORY" OF CONSTRUCCJON work indluxt4d on Otis application. ❑ 1-and 2-family dwelling III Commercial/industrial Valuation: S ❑Accessory building 0 Multi-family ofbedronms: es ❑Master builder ❑Odder: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site addresx:16165 SW 72ND AVE New dwelling area: square feet City/Sate/ZIP:PORTLAND,OR 97224 Garage/capon area: square feet Suitdhldg./apt.no.: Projea:l tame:EDNETICS Covcrod porch area square feet Cruse street/directions to job site; SW UPPER BOONES FY RD.&SW 72ND AVENUE Deck area: square fat Other structure area. square fad REQUIRED DATA.COMMERCIAL-USE CHECKLIST Subdivision: Lot no• Permit fee•are based on the value of the work performed. indicate the value(rounded to the nearest defier)of all Tax map/parcel no,: ) equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application ADDING AND RELOCATING FIRE SPRINKLERS Valuation 51035.00 Existing building area: square feet New building area. square fat © PROPERTY OWNER 0 TENANT Number of stories. Name: Type of eons traction Address Occupancy groups City'Stater/JP: Existing: Phone( ) Fax:( ) New: ® APPLICANT 0 CONTACT PERSON NOTICE Business name:Wyatt Fire Pmteelion All contractors and subcontractors arc required to he Contact name:LEVI POLING licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:9095 SW Bumham jurisdiction in which work is being performed.If the Ciry•'Stat /ZlP:Tigard,OR 97223 applicant is exempt from licensing,the following reasons , appb' Phone:( )503,684.2928 Fox::( )503.684,9657 E-mail:Lpoling@wyattfire.com CONTRACTOR BUILDING PERMIT FEES, Business name.Wyatt Fire Protection (Misr nee Yfe11rr Permit fee Address.9095 SW Burnham Stare surcharge(12%of permit fox). City.StwdZIP:Tigard, OR 97223 PIS plan review(40%ofpermit fee) Phone:( )503.684.2928 Fax:( )503,684.9657 (Due upon application submittal.) CCB tic.:64077 Total permit fees: Authorized signature: P 4 1�p Amount received: -b�t' Thls permit application expires if a permit is not obtained Print name:Levi Poling Doc:04/29/2021 witbIn IRO days after 11 has been accepted as complete. • Fee methodology set by Tri•Cnunty Building Industry Service Board. l awldvgPen ar7TS.Pe.nsAry_mal la dot 440-4613T(11 ttt0t4wEa) 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: El New system Number of sprinkler heads: 5 Number of alarm devices: ■❑ Addition or • 1-10 heads: Affidavit required and El 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 El 11+ heads: Plan review required and ❑ 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 ❑ Dry Additional Standpipes 1 Information: Sprinkler Supply Line ■❑ Yes El No Hazard Group light hazard Density 0.1 Design Area 1500 K. Factor 5.6 Sprinkler Project Valuation: $1035.00 B.) Type I - Flood 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.doc2 RECEIVED City of Tigard Permit No.: FPS2-12ZI-o r 541 i .• 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 4 2021 Phone: 503.718.2439 Fax: 503.598.1960 Date Received: d6/0`t"/ 20y/ TIGARD Inspection Line: 503.639.4175 CITY OFTIGARD Internet: www.tigard-or.gov By: Cali B` '�//'-t/ 3UILDING DIVISION FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS ° PC Core (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: Ednetics Occupancy: Job Address: 16165 SW 72nd Ave Type of Construction: Suite: Contractor: Wyatt Fire Protection Phone: 503-684-2928 Number of Proposed or Altered Heads: 5 Type: SSP-SR Hazard: Light Density: 0.1 Wyatt Fire Protection 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. Levi Poling Digitally signed by Levi Poling Signature: g Date:2021.04.2914:32:13-OT00' Date: 04/29/2021 Print Name: Levi Poling I:\Building\Fonns\FireSprinklerAffidavit_0715I4.docx Page 1 of 1