Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2011 -00059
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/06/2011
Parcel: 2S109DA14000
Jurisdiction: TIGARD
Site address: 12677 SW MOUNT VISTA CT
Project: ARLINGTON HEIGHTS NO. 3, LOT 59 Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 59
Project Description: Installation of 13D fire sprinkler system for new residence.
Contractor: WYATT FIRE PROTECTION INC. Owner: STONE BRIDGE HOMES
9095 SW BURNHAM 16869 SW 65TH AVE #505
TIGARD, OR 97223 LAKE OSWEGO, OR 97035
PHONE: 503 -684 -2928 PHONE: 503 - 387 -7577
FAX: 503 -684 -9657
FEES
Description Date Amount
Specifics: Permit Fee - RES 05/06/2011 $310.05
12% State Surcharge - Building 05/06/2011 $37.21
Type of Use: SF Info Process /Archiving - Lg Sheet (over 05/06/2011 $4.00
Class of Work: FPS Type of Const: 11x17)
Occupancy Grp: Height: ft Info Process /Archiving - Sm Sheet (up to 05/06/2011 $9.00
Stories: 11x17)
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $360.26
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 4590
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 No ' ion e r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain • cop, of the rules
or dire questions to OUNC cal i 503.232.1987 or 1.800.332.2344.
Issued By: tr./HA Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspectio date.
This permit card shall be kept in a conspicuous place on the job site until c•) • letion of the project.
Approved plans are required on the job site at the time of each inspection.
�.iiildin Per mit Application
Fire Protection System FOR OFFICE USE ONLY
City of Tigard RECEIVE
13125 SW Hall Blvd., Tigard, OR 97223
- Plan Review Permit No.: N 0112
Phone: 503.639.4171 Fax: 503.598.199A — 6 2011 Date/B 5 !o /I c V
Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD AI"1D Notifed/Method: Supplemental Information
TYPE O a �' 4 I#
- RE QCIIRED DATA 1 ANp 2 FAIVIII D1?V °
. � � �. -, = Permit fees* are based , >.
!=�"N e . . * construction ❑ Demolition 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 • CAT , O CO work indicated k 'ndica this applicati
aluation: s
. and 2-family dwelling 0 Commercial/industrial ---V-
0 Accessory building El Multi-fatnily
Number of bedrooms:
0 Master - , _ Number of bathrooms:
o f o o ® o o Total number of floors:
.. site address: New dwelling area: square feet
P Garage /carport area: square feet
Suite/bldg. /apt. no.: roject name:` L'AIQTrt 1- d y- / •. Covered porch area: square feet
Cross street/directions to job site: li&c5 9 Deck area: square feet
Other structure area: square feet
... *Q r4?,1`4T. z b. *.c SEkri
Subdivision: I Lot no.: 59 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
s equipment, materials, l a a r, overhead, and the profit th ofit for the
, -,; , 4Y a 0 I3E C O € ? ' a 4 4.' �X44 9 4 . fir" '' work indicated on this application.
r
K- Ni i D Ai Qt/ { 3 � 2) J P/ — //�.i 1� �-1- *J l t � / Valuation: $ ' 2 / co ' '
,
;3- iv i,(7 46,590 c ',. ;Q ; s F 7 R I u6-
E 5'- Existing building area: square feet
�� New building area: square feet
fl 'RO 'EIUY OWNER ❑ 1Z14ANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP:
Existing:
Phone: ( ) Fax: ( )
4
1('I'LICANT ❑. CONTACT PER501� ` tf: Mfg ki � ` ,z .,�' `
Business name: � � .� � .� . _..� •� . ‘. � .
c: ,'( % �,� T ci/L . All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/ State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) 1 Fax:: ( )
E -mail:
_ - - t , ;,. CONTRACTOR -,'
BUILDING PERMIT FE
:.. 's ESQ'
�� ' , , (Pleaserefer to Ice schedule)
Business name: , r fi - 7 J ,,,,k-__.. ?#7 /'�! �0 f
Address: go ,9e3 , / 150 AJ, % �y -! P fee_
City/State /ZIP: / 0 9 ` 7 7 2 3 State surcharge (12% of pemu fee)_
J review (40% of permit fee):
Phone: (5p3) 66#-2_4v l Fax: (SC' 3) C= 5'r -' -2b57 FLS plan rev (Due upon application.)
CCB lie.: Z,='4,-e., 77 Total permit fees: w
_.. Authorized signature: ,
/ G �„— Amount received: 7, �
„. , This permit application expires if a permit is not obtained
Print n ame: 61C / J /4- 77 / ,, Date: 6 —/z / t within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
L 440 I: \ $uilding \ Permits \FPS- PermitApp.doc 03/23/06
- 4613T(II /02 /COM/WEB)
• ' • W VAT T
e
FIRE PROTECTION, INC.
9095 S.W. Burnham
Tigard, OR 97223
(503) 684 -2928
May 12, 2011
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
Attn: George Heimos
RE: Arlington Heights Lot #59
The sprinkler heads in Bedroom #2 at the Upper Level are shown in compliance with NFPA
13D. The maximum spacing is 16' x 16' with 8' -0" off walls. One head is located 8 foot from
one wall and centered in the room with another head covering the alcove entry. This meets code
requirement for the room protection.
Sincerely,
Eugene Lathan
f \ 77 5, mo ✓/$iii C T'