Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
! 'n COMMUNITY DEVELOPMENT Permit#: FPS2022-00037
Date Issued: 4/5/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101DD00300
Jurisdiction: Tigard
Site address: 7100 SW SANDBURG ST
Project: CJH LLC Subdivision: None Lot: None
Project Description: Fire sprinkler permit-install NFPA 13 fire sprinklers in existing building(189 sprinkler heads).Run new
underground fire line from city water main.
Contractor: WYATT FIRE PROTECTION INC. Owner: CJH LLC
9095 SW BURNHAM 2480 NE CENTURY BLVD
TIGARD, OR 97223 HILLSBORO, OR 97124
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/04/2022 $551.18
12%State Surcharge-Building 04/04/2022 $66.14
Type of Use: COM Plan Review-Fire Life Safety-COM 04/04/2022 $220.47
Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 04/04/2022 $2.00
Occupancy Grp: S-1 Height: 25 ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 04/04/2022 $17.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: ORD1
Density: 0.6 Design Area: 2000
K Factor: 16.8
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total V`' 'c'
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $51,311.00
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: � Permittee Signature: %`4.6,1-1 /!
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.
$uilaini Permit Application _ -1 F I V ED •
Fire Protection System q��J', FOR OFFICE USE()NIA'
�/,
City of Tigard FEE ti4 Z�Z� Date/BReceivea ✓�j��a Permit No:rr,ZQ�,�/v0�
• 13125 SW Hall Blvd.,Tigard,OR 9722 I I Y ut- I IGARD Plan Review r v
1 3 Phone: 503.7I 8.2439 Fax: 503.598.19 0 Date/B : 3 _j S "22. ' Other Permit: / —/: 14
TtenRn Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: -2 1,, ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Q d,I17it %) ION Supplemental Information
L,n.u, ,e_i lam:
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
❑I Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ I-and 2-family dwelling 0 Commercial/industrial
❑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:7100 SW Sandburg New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldgJapt.no.: Project names C'7-it 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: I 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.
Install a complete NFPA 13 fire sprinkler system in existing building, Pew Valuation: S1 3 I
'tm
Existing building area: square feet
New building area: square feet
0 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:Max Colley 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
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:m.colley@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:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Max Colle Date:2/17/2022
* within 180 days after it has been accepted as complete.
y Fee methodology set by Tri-County Building Industry
Service Board.
I:'BuildinecemitslFPS-PermitApp_031016.doc 440-4613T(I I/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:Install complete fire sprinkler system.
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑■ New system Number of sprinkler heads: 1 89 Number of alarm devices:
El 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
❑ 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work: Install new fire sprinkler system an '.
Type of System (Complete A,B,C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type Standard spray,Ext.Cox. 0 Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line 6"underground ❑D Yes El No
Hazard Group storage
Density 0.6
Design Area 2000
K. Factor 16.8k
Sprinkler Project Valuation: $100,557
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery 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:\Pemuts\Permit Application Forms(Updated July 2017)\Tigard Fire Permit App.doc2