HomeMy WebLinkAboutPermit (3) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2023-00035
Date Issued: 5/18/2023
1'[G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AB02100
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: Krieid; �� Permittee Signature: /110/17
t
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.
a
Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
City of TigardEIVED Received �r
'� 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: ' / W � J "�j/►
g Plan Review
Phone: 503.718.2439 Fax: 503.598.1960,,/4 si�/ qw/! Date/By: ' //�
I t G A R I) Inspection Line: 503.639.4175 Date Ready/By: mis: ® See Pagi2'for
Internet: www.tigard-or.gov Notified/ ethod: 1( Supplemental Information
CITY OF TIGARD !!!
._ AP-----‘TYPE OF r84 y1 ® `r ■ REQUIRED DATA:I-AND 2-FAMILY DWELLING
ElNew construction ElDemolition 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 E Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling 0 Commercial/industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:6600 sw Cardinal Ln New dwelling area: square feet
City/State/ZIP:Tigard OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Starbucks 1-5 and Cardinal 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.
Adding heads for tenant improvement Valuation: $3731
Existing building area: 6753 square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:1
Name:Pacific Realty Type of construction:VB
Address:15350 sw sequoia pkwy suite 300 Occupancy groups:
City/State/ZIP:Portland, OR 97224 Existing:
Phone:( )503 624 6300 Fax:( )
New:
III APPLICANT : ❑ CONTACT PERSON
NOTICE
Business name:Wyatt Fire Protection All contractors and subcontractors are required to be
Contact name:Laura Berta 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:I.berta@wyattfire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection
(Please refer tofeesthedule)
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 lic.:64077 Total permit fees:
(,Fl i/ Amount received:
Authorized signature: /_ / ' This permit application expires if a permit is not obtained
Print name:Michael Distifeno Date:5/1/2023 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\FPS-PermitApp_031016.doc 440-4613T(I 1/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 23 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:
Type of System(Complete A,B,C or D as applicable).
A.) Commercial Sprinkler
Sprinkler Type ❑■ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑■ Yes ❑ No
Hazard Group ordinary
Density 0,1
Design Area
K. Factor 5.6
Sprinkler Project Valuation: $
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: $
EL) 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:\Permits\Permit Application Forms(Updated July 2017)\Tigard Fire Permit App.doc2