Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
''1 a COMMUNITY DEVELOPMENT Permit#: FPS2013 00152
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/31/2013
Parcel: 2S 109DA16300
Jurisdiction: Tigard
Site address: 15370 SW OAKMONT PL
Project: Arlington Heights No.3,Lot 82 Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 82
Project Description: Fire sprinkler system for 4,640 sq ft residence
Contractor: WYATT FIRE PROTECTION INC. Owner: STONE BRIDGE HOMES NW LLC
9095 SW BURNHAM 4230 GALEWOOD ST, STE 100
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 10/31/2013 $310.05
12%State Surcharge-Building 10/31/2013 $37.21
Type of Use: SF Info Process/Archiving-Lg$2.00(over 10/31/2013 $4.00
Class of Work: ALT Type of Const: VB 11x17)
Occupancy Grp: R-3 Height: ft Info Process/Archiving-Sm$0.50(up to 10/31/2013 $10.00
Stories: 3 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 $361.26
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 4640
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 • • • I pended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility N. •[cation Center. ose rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obt-• - opy of the rules
or dire- questions to OUNC b •ailing•I 32.1987 or 1.800.332.2344.
Iss ed By: k •40„ Permittee Signature: / LibA
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 • oje t.
Approved plans are required on the job site at the time of each inspection.
B ilding Permit Application
Fife Protection System ' FOR OFFICE USE ONLY
City of Tigard A, o rl 1,-;" Received Permit No.: /i5 —QO/
ilqDate/B . (� /I / �3
q 13125 SW Hall Blvd.,Tigard,OR 97223 r, Plan Revie �
C' Phone: 503.718.2439 Fax: 503.598.1961 C T 2 4 2 013 Date/By. /�I f Q II= Other Permit: G��73_�1
Inspection Line: 503.639.4175 Date Read cy: luris: El See Page 2 for
TIGARD
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: /b/3//6 3///3 �� 77 a Supplemental Information
RI III �P r, nyr�•'inKf ( sia v uc- w:�.. G.aL,. .-
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
®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
CATEGORY OF CONSTRUCTION work indicated on this application.
dwelling Valuation: -42AG�
® l-and 2-famil y g ❑Commercial/industrial
❑Accessory building ❑ Multi-family Number of bedrooms:_yam
❑ Master builder ❑Other: Number of bathrooms: _.3..5-----
JOB SITE INFORMATION AND LOCATION Total number of floors,;.--3---`
Job site address:15370 SW Oakmont P1 New dwelling area: 4640 square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: 540 square feet
Suite/bldg./apt.no.: Project name:Arlington Heights Lot#82 Covered porch area: 867 square feet
Cross street/directions to job site: Deck area: 0 square feet
Other structure area: 0 square feet
REQUIRED DATA: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.
New single family home with F.S. Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Stone Bridge Homes Type of construction:
Address:4230 Galewood St,Ste 100 Occupancy groups:
City/State/ZIP:Lake Oswego,OR 97035 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name:Wyatt Fire Protection All contractors and subcontractors are required to be
Contact name:Ashley Payne licensed with the Oregon Construction Contractors Board
- — - under ORS 701 and may be required to be licensed in the
Address:9095 SW Burnham Rd 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: :( )
E-mail:a.payne @wyattfire.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name:
C.'"'P c.4$ </ 'F' Permit fee:
Address:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) I Fax:( ) (Due upon application.)
CCB lic.:64077 / /y Total permit fees:
Authorized signature: Amount received:
l' `5 This permit application expires if a permit is not obtained
Print name:Ashley Pay +ne I Date:10/24/2013 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\PermitsWPS-PermitApp.doc Rev 01/052012 440-46t3T(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15370 SW OAKMONT PL, TIGARD, OR, 97224
Residential - Fire Protection System
999 Sprinkler Final
2014-01-14 00:00:00
FPS2013-00152
PASS - No C of O
Added head to area on lower level. Pass
Violation Summary:
Inspector Contractor