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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 411 COMMUNITY DEVELOPMENT Permit#: FPS2022-00048 Date Issued: 3/15/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113A600300 Jurisdiction: Site address: 16037 SW UPPER BOONES FERRY RD 375 Project: Edward Jones Subdivision: FANNO CREEK ACRE TRACTS Lot: 38 Project Description: Fire sprinkler permit-add(2)and relocate(4)sprinkler heads.AFFADAVIT SUBMITTED. Contractor: WYATT FIRE PROTECTION INC. Owner: OREGON STATE BAR,THE 9095 SW BURNHAM 16037 SW UPPER BOONES FERRY RD TIGARD, OR 97223 PO BOX 231935 TIGARD, OR 97224 PHONE: 503-684-2928 PHONE: FAX: 503-684-9657 FEES Description Date Amount Specifics:, Permit Fee-COM 03/15/2022 $72.61 12%State Surcharge-Building 03/15/2022 $8.71 Type of Use: COM Plan Review-Fire Life Safety-COM 03/15/2022 $29.04 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 03/15/2022 $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: 0 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 $110.86 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,264.00 Residential Square Footage: 0 Fire Alarm Valuation: $0.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: Eolgarolo-fr L tovA.ado- Permittee Signature: S. .-aid i c- 4- Pw Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ;NN . Building Permit Application i$ Fire Protection System DECEIVED FOR OFFICE I SI.:ONI.I City of Tigard �Q2� Date/By: VW Received Ag�r7 ��� /' PermitNo.:Fp$2021- C0048 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 7 Plan Review : I Phone: 503.718.2439 Fax: 503.598.1960 DateBy: (J�i- Other Permit: Inspection Line: 503.639.4175 ��U�1�V Y Y tnris I t(;A R D P LACY Ot ntt, Date Read /B Supplemental See Page 2 for Internet: www.tigard-or.gov I Q�V�SIIlt' Notified//Meethod ���Z .�, Information ���Q .a I J .e lifeAL & ldfn TYPE 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: $ ❑ 1-and 2-family dwelling ❑■ Commercial/industrial El Accessory building Multi-family Number of bedrooms: ❑ ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:16037 SW Upper Boones Ferry Rd New dwelling area: square feet City/State/Z►P:Tigard, OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.:375 Project name:Edward Jones Boon Ferry 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. Adding and relocating fire sprinkler heads to accommodate tenant improvements Valuation: $1264 Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0 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:Levi Polinglicensed 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: y: Phone:( )503.684.2928 Fax: :( )503.684.9657 E-mail:I.poling@wyattfire.com CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Wyatt Fire Protection Permit fee: Address:9095 SW Burnham -- State surcharge(12%of permit fee): City/State/ZIP:Tigard, OR 97223 FLS plan review(40%of permit fee): Phone:( )503.684.2928 Fax:( )503.684.9657 (Due upon application submittal.) CCB lie.:64077 Total permit fees: p �`� Yn Amount received: ���p G Authorized signature: • This permit application expires if a permit is not obtained Date:3/3/2022 within 180 days after it has been accepted as complete. Print name:Levi Poling * Fee methodology set by Tri-County Building Industry Service Board. 1.'.Building Permits'FPS-PennitApp 031016.doc 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work to be done: 1.) Type of Work: o-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 ❑ 1-10 heads: Affidavit required and 0 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 system6+ devices: Plan review required and 0 11+ heads: Plan review required and 0 q (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 0 Wet ❑ Dry- Additional Standpipes Information: Sprinkler Supply Line ❑■ Yes ❑ No Hazard Group light hazard Density 0.1 Design Area K. Factor 5.6 and 11.2 Sprinkler Project Valuation: I $1264 B.) Type I - Hood Fire Suppression System Hood Project Valuation: I $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: I $ 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: I 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.doc 2 RECEIVED City of Tigard Permit No.: t RC 2022.a00 q'�' III • 13125 SW Hall Blvd.,Tigard,OR 97223 AAP. 7 202l 2 Phone: 503.718.2439 Fax: 503.598.1960 Date Received: 031 DZ/h2'n 0 22- TIGAftD Inspection Line: 503.639.4175 v4 I Y OF I KAHL CATY Internet: www.tigard-or.gov � ��LGJ�IN\,��� ����� By: OFTIC Pr FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) r!el &he �� Project Name: Edward Jones Boones Ferry 'Ocupancy: Job Address: 16037 SW Upper Boones Ferry Rd Type of Construction: Suite: 375 Contractor: Wyatt Fire Protection Phone: 503-684-2928 Number of Proposed or Altered Heads: 6 Cc P-a R *w.a Type: SSP-QR Hazard: Light Density: 0.1 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. Signature: "�� Date: 3/3/2022 Print Name: Levi Poling 1:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of I