HomeMy WebLinkAboutPermit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2023-00035
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/18/2023
Parcel: 2S 102AB02100
Jurisdiction: Tigard
Site address: 12547 SW MAIN ST
Project: AVA Tigard Subdivision: AVA MIXED USE Lot: 15
Project Description: Fire sprinkler. Installing a complete fire sprinkler system.
Contractor: WYATT FIRE PROTECTION INC. Owner: AVA TIGARD DEVELOPMENT LLC
9095 SW BURNHAM PO BOX 213
TIGARD, OR 97223 BEAVERTON, OR 97075
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
•
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/18/2023 $777.14
12%State Surcharge-Building 05/18/2023 $93.26
Type of Use: COM Plan Review-Fire Life Safety-COM 05/18/2023 $310.86
Class of Work: NEW Type of Const: VA Info Process/Archiving-Lg$2.00(over 05/18/2023 $6.00
Occupancy Grp: R-2 Height: 33 ft 11x17)
Stories: 3 Info Process/Archiving-Sm$0.50(up to 05/18/2023 $68.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: ORD1
Density: 0.2 Design Area: 1500
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 $1,255.26
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $93,166.00
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: t, i f.:)ek Permittee Signature:
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 RECEIV FOR OFFICE USE ONL1
13125 W Tigard Date/By:
00o
`J g MAR 2 7 2023 Date/By: 3'�n'� Permit No.: pQ Z b 2Q V VLJ35'
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie v
Phone: 503.718.2439 Fax: 503.598.1960 CITY p Date/By: 'I i ^ra 1 Other Permit:
Tit;A 1.1) Inspection Line: 503.639.4175 CI I 1 OF TIGARDDate Ready/By: - / , Juris: Ei See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISh tifi`dMethod:�1, /1 j/ Supplemental Information
1 `E OF WORT .:< QUIRED DA 'A:i 2-F L; t r'W? 1�
❑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
ATEGOR „ work indicated on this application.
Valuation:
ID1-and 2-family dwelling IDCommercial/industrial
$
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder El Other:
Number of bathrooms:
i il'FO MdkTION D Total number of floors:
Job site address: Main St V 2 r New dwelling area: square feet
City/State/ZIP:Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:AVA Tigard Development Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Qt tED.1K1A«COMMERCIAL-USE1!LIST
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
DESCRIPTIONOF OR work indicated on this application.
Install a complete fire sprinkler system. Valuation: $93166
Existing building area: square feet
New building area: square feet
rPR RTY.1€ VNER • Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
Business name:Wyatt Fire Protection All contractors and subcontractors are required tof 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
CONTRAC OR UILDI YGPE "l FE S*
Business name:Wyatt Fire Protection
sc5ed,ds
Permit fee:
Address:9095 SW Burnham
State surcharge(12%of permit fee):
Ciry/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:
^ _
Authorized signature: 10 Amount received:, `
This permit application expires if a permit is not obtained
Print name:Ronin Campbell Date:3/23/23 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
� be o r fie doper
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 537 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
■❑ 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Syster.(Co l A,
A) Commertal Sprier
Sprinkler Type ■❑ Wet ❑ Dry
Additional Standpipes No
Information: Sprinkler Supply Line ■❑ Yes ❑ No
Hazard Group Ordinary
Density 0.2
Design Area 1500
K. Factor 5.6,4.9,8.0
Sprinkler Project Valuation: $93166
.) Type I-;.R Fib. up ssion Syst
Hood Project Valuation: $
C.) Fire Alax a
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
f):Rees den0-44 Sprinkler(Staid Aloe stun)
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 Prt ton Permit!cep
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:A Permits\Permit Application Forms(Updated July 2017)\Tigard Fire Permit App.doc2