Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2013-00160
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/31/2013
Parcel: 2S109DA13900
Jurisdiction: Tigard
Site address: 12685 SW MOUNT VISTA CT
Project: Armstrong Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 58
Project Description: Alteration/add(2)heads for basement remodel
Contractor: WYATT FIRE PROTECTION INC. Owner: ARMSTRONG, BRIAN P
9095 SW BURNHAM 12685 SW MOUNT VISTA COURT
TIGARD,OR 97223 TIGARD,OR 97224
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/31/2013 $53.78
12%State Surcharge-Building 10/31/2013 $6.45
Type of Use: SF Plan Review-Fire Life Safety-COM 10/31/2013 $21.51
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
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 $81.74
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $530.00
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 Notifi •- :.er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct..-stions to OU C . ailing 503.232.1987 or 1.800.332.2344.
Issued By: r / ' . Permittee Signature: . '`
Call 503.639.4175 by 7:00 a.m.for the next available inspection d
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
RECEIVE a1)
Fire Protection System roa OFFICE LSE ONLY
g T 31 Received Rig .d
IN ■ City of Tigard 2013 nate� , Permit N N ,
13125 SW Hall Blvd.,Tigard,OR 97223 0 C Plan Review
_ Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit:
T I G li D Inspection Line: 503.639.4175 CITY OF TIG ARD Date Ready/By: Ions: R1 See Page 2 for
Internet: www.tigard-or.gov G DIVISION
Notified/Method: Supplemental Information
RUILDIN
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
0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $530
❑Accessory building ❑Multi-family Number of bedrooms: 3
❑Master builder ❑Other: Number of bathrooms: 3.5
JOB SITE INFORMATION AND LOCATION Total number of floors: 3
Job site address:12685 SW Mount Vista New dwelling area: 0 square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: 0 square feet
Suite/bldg./apt.no.: Project name:Arlington 58 Remodel Covered porch area: 0 square feet
Cross street/directions to job site: Deck area: 0 square feet
Other structure area: 0 square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DES ' ' ION OF WORK f work indicated on this application.
7 / I-$ / Valuation: $
04..:4 i , r- / -
Existing building area: square feet
JIA 9,
..--- New building area: square feet
❑ PROPERTY 0 R VVV NANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: 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*
Business name: (Please refer to fee schedule)
Address: Permit fee:
City/State/ZIP:
State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lie.:64077 Total permit fees:
Authorized signature: ir' �- Amount received:
This permit application expires if a permit is not obtained
Print name:Ashley ayne I Date:10/30/2013 I within 180 days after it has been accepted as complete.
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