HomeMy WebLinkAboutPermit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2023-00056
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/23/2023
Parcel: 2S 109DA18600
Jurisdiction: Tigard
Site address: 12758 SW WILLOW POINT LN
Project: Sandhu Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 115
Project Description: Extending the fire sprinkler system into new finished basement.
Contractor: WYATT FIRE PROTECTION INC. Owner: SANDHU, SACHLEEN S
9095 SW BURNHAM CUMMINGS, SHANNON MARIE
TIGARD, OR 97223 12758 SW WILLOW POINT LN
TIGARD, OR 97224
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Fire Protection System Permit-RES 05/23/2023 $198.75
12%State Surcharge-Building 05/23/2023 $23.85
Type of Use: SF Info Process/Archiving-Sm$0.50(up to 05/23/2023 $10.00
Class of Work: ALT Type of Const: VB 11 x17)
Occupancy Grp: R-3 Height: ft
Stories: 2
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: UNK
Density: 0.05 Design Area: 2
K Factor: 4.9
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $232.60
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,950.00
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 fo h in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature: ! ,V
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 OFFICI USE ONLY
City of Tigard RECEIVED FOR
c ) j ��,(��� - am
lIl ■ 13125 SW Hall Blvd.,Tigard,OR 9722
# �{ I, 2023 Plan Review 1
Phone: 503.718.2439 Fax: 503.598.1'�1 ,! 'T L J Date/By: � � •'y=
,Az
r I t,,v R I) Inspection Line: 503.639.4175 Date Ready/By: aria: lit Page 2 for 1�
Internet: www.tigard-or.gov CITY OF TIC p RD eptifie shod: �_ Supplemental Information
TYPE OF,;' REQUIRED DATA:1 +D A1► LY DWELLING
❑New construction El Demolition I 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 OP CONSTRUCTION work indicated on this application.
1-and 2-familydwellingValuation: $1950
❑ ❑Commercial/industrial
❑Accessory building El Multi-familyNumber of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE.INFORMATION AND LOCATION Total number of floors:
Job site address:12758 SW Willow Point Lane New dwelling area: square feet
City/State/ZIP:Tigard OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Sandhu Residence Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
'REQUIRED WATA: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.
Extend the fire sprinkler system into new finished basement. Valuation: $
Existing building area: square feet
New building area: square feet
PROP I1 OWI IER [] TENAN1 Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New
Arr CANT CLCOI4TACT 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 rugs*
Business name:Wyatt Fire Protection �eesthzAirk
Address:9095 SW Burnham Permit fee:
City/State/ZIP:Tigard, OR 97223
State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( )503.684.2928 Fax:( )503.684.9657 (Due upon application submittal.)
CCB lic.:64077 Total permit fees:
Authorized signature:74624i(� — Amount received:
\\\��� This permit application expires if a permit is not obtained
Date:12/5/22 within 180 days after it has been accepted as complete.
Print name:Ronin Campbell
* Fee methodology set by Tri-County Building Industry
Service Board.
1:ABuildingAPermits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 Supplemental Information
Describe work to be
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 9 Number of alarm devices:
■❑ Addition or ❑ 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
0 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 (Comylete A,B,C or D as apllicalale):, _ _
A.) Commercial Sprinkler
Sprinkler Type RES PEN ❑■ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line M Yes ❑ No
Hazard Group Residential
Density 0.05
Design Area 2 Heads
K. Factor 4.9
Sprinkler Project Valuation: $1950
B) Type I- Hood Fire SuppressionSystem"`
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
1}) Residential Sprinkler(Stan d Alone Syste x)
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 F ``
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