HomeMy WebLinkAboutPermit (9) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
s COMMUNITY DEVELOPMENT Permit#: FPS2022-00108
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/25/2022
Parcel: 2S112DD00200
Jurisdiction: Tigard
Site address: 15618 SW 72ND AVE
Project: Apex Subdivision: None Lot: None
Project Description: Fire sprinklers. Relocating 6 sprinkler heads.
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 07/25/2022 $86.06
12%State Surcharge-Building 07/25/2022 $10.33
Type of Use: COM Plan Review-Fire Life Safety-COM 07/25/2022 $34.42
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 07/25/2022 $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: 225
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 $131.31
Valuations: Required items and Reports(Conditions)
Sprinkler Valuation: $1,762.00
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: C(mac /G N
/
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
Fire Protection System FOR OFFICE USE ONLY
Re ved
cel
City of Tigard R E C3 Date/By- 7_44
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
oll
Phone: 503.718.2439 Fax: 503.598.1960
Date/By:
Inspection Line: 503.639.4175 Date Ready/By: Juris. 0 See Page-2 Or'
Internet: www.tigard-or.gov �P Fy C.4- ori Notified/Method: Supplemental information
71
DATA: AND 2- L
J,
TyfE OF J� TAA.
R New construction El Demolitionit leare based on the value of the work perf9pKed.
In to the value(rounded to the nearest dollar),
.9f all
R Addition/alteration/replacement 9 Other: T I, equip t,materials,labor,overhead,and th, rofit for the
work indib#ted on this application.
El 1-and 2-family dwel lingValuation: $
JW Commercial/industrial
El Accessory building El Multi-family Number of beooms:
El Master builder El Other: Number of bath` ms:
77 Total number of floo
Job site address: 15 G 11 S ? Al D AVE New dwelling ar i square feet
City/State/ZIP: TZ&ARI) C)R 9'7 2 2 Lt Garage/carp?!�area: square feet
Suite/bldg./apt.no.: Project name: APet)XI! COMUNTES Covere - orch area: \Square feet
Cross street/directions to job site: D"I(area: sq re feet
Other structure area: squareYeet
"DATA:COMNiERCTA
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
work indicated on this application.
Valuation: $
r ,7r
_J r e Existing building area: square feet
New building area: square feet
Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: Fax: New:
CONTACT"PERSON
Y
�
NOTICE
Business name:*
;; APPLICANT
19 Y COT e-C 4;CO 44- All contractors and subcontractors are required to be
Contact name: &96 1, licensed with the Oregon Construction Contractors Board
I e. 164 under ORS 701 and may be required to be licensed in the
Address: ?c--C1 x jurisdiction in which work is being performed.If the
City/State/ZIP: 'r, applicant is exempt from licensing,the following reasons
51 44-V( 0 oo, apply:
V
Phone: $03) Ct 15 Fax:
E-mail: • CJ c,,!% w*f:re- C-0&&A
f0Nt0ACT10Jk
I ,I I - WILDING PERMIT FEES*'
Business name: (Pkese!x#;T to ewe schedute
Permit fee:
Address:
City/State/Z]P: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone: Fax: (Due upon appheation submittal.)
CCB lic.: ly &_� � Total permit fees:
Authorized signature: Amount received:
Ava. This permit application expires if a permit is not obtained
Print name: 4 7 Date: within 180 days after it has been accepted as complete.
Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-Pe itApp_031016.doc 440-4613T(I 1/01CONLVEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe wbtk#o
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 alarm devices:
[ Addition or 1-10 heads: Affidavit required and ❑ 1-5 devices: fi it required and
Alteration (3) copies of sketch showing area (3) copies o e showing area
to existing of work within building structure of work thin buildin fracture
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:
T fly, Ccs;
��'/� r3 .w.���• y-T = # :: ...xk'^krr£',�''sk' `� 'i �'. £ r, -�„ i*.r gk �
Ic
A'`) <" efdal rin r
Sprinkler Type E2 Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes No
Hazard Group ;CIA
Density
Desi Area
K. Factor S. G
Sprinkler Project Valuation: $ /2C",Z
I Hr + `Filre`S rmid Systeiii
Hood Project Valuation: $
C.) Firs A,tat ,
Submittal shall tte Calculations Yes
include: Indiv 1 Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Refiderlti l SptinkletM d Al` System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
✓ m
2,001 t ,600 $246.45
3 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire,Proteetion Permit Fees
Project valuation subtotal see A,B &C above): $
Permit fee based on project valuation see fee schedule): $
Permit fee based onsquare footage see D above): $
State Surcharge 12%of permit fee): $
FLS Plan Review 40%of ermit fee): $
TOTAL: $
1:A Building\Permits\I TS_Permi tApp_031016.doc 2
City of Tigard Permit No.:
* 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Date Received:
Inspection Line: 503.639.4175
Internet: www.tigard-or.govov By: ��/�� l//✓
FIRE SPRINKLER AFFIDAVIT FOR ALTERATI V "`',
OR TENANT IMPROVEMENTS All 202
(I to 10 SPRINKLER HEADS WITHOUT PLANS) ail`{tii i }rtL
Project Name: Apex Companies TI Occupancy: Light Hazard
Job Address: 15618 SW 72nd Ave Type of Construction:
Suite:
Contractor: Wyatt Fire Protection Phone: 503-684-2928
Number of Proposed or Altered Heads: 6
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: E24iDate:
7/22/2022
Print Name: Levi Poling
1:\Building\Forms\FireSprinklerAffidavit_071514.docx Page I of 1
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