Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
IIII II g ' COMMUNITY DEVELOPMENT Permit #: FPS2013 00174
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/03/2013
Parcel: 2S101AC00800
Jurisdiction: Tigard
Site address: 7148 SW GONZAGA ST
Project: The Adrienne Subdivision: BEVELAND NO.2 Lot: 14
Project Description: Fire sprinkler system for new 10,900 square foot mixed -use building (2,600 ground floor commercial and 8
residential units - 8,300 square feet).
Contractor: WYATT FIRE PROTECTION INC. Owner: ROGERS, ROY R
9095 SW BURNHAM 13690 SW TWELVE OAKS CT
TIGARD. OR 97223 TIGARD, OR 97224
PHONE: 503 - 684 -2928 PHONE:
FAX: 503 - 684 -9657
FEES
Description Date Amount
Specifics: Permit Fee - COM 12/16/2013 $317.40
12% State Surcharge - Building 12/16/2013 $38.09
Type of Use: COM Plan Review - Fire Life Safety - COM 12/16/2013 $126.96
Class of Work: NEW Type of Const: VB Info Process /Archiving - Lg $2.00 (over 12/16/2013 $10 00
Occupancy Grp: R -2 Height: ft 11x17)
Stories: 3 Info Process /Archiving - Sm $0.50 (up to 12/16/2013 $50.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: 15 Design Area 1002
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 $542.95
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $22,900.00
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,2r —if work is suspended for more the 180 days. ATTENTION' Oregon law requires you to follow the rules adopted by the Oregon
Utility Iffitiflcation Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules
or dir ct ques ions to OUNC • • calling 7I 232.1987 or 1.800.332.2344.
Issd By: # 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 .
.� � < ter
Fire Protection System i giro A FOR OFFICE USE ONLY
City of Tigard DEC 3 21, Received ) � /
Date /B . ' Permit No.: p /'� �3
1111 • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review,, a / MEW n �
Phone: 503.718.2439 Fax: 503.5€;9fvF f I(aNHL Date /B . ' Other Permit: /"i ....06 S
Inspection Line: 503.639.4175 BUILDING 1 11104("
Internet: www.tigard- or.gov
D' a e.i •' • ' ® ���/ � ® See P r
TIGARD otified/Metho.. ;J /� Supplemental ental I nformation
r ' W Iii'
TYPE OF WORK ' Itt REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ Demolition Permit fees* are based on the value of the work performed.
El New construction 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.
Valuation: S
❑ 1- and 2- family dwelling ® Commercial/industrial
Number of bedrooms:
❑ Accessory building ® Multi- family
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7148 SW Gonzaga St New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: The Adrienne 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: 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.
Sprinkler systems for new Multifamily building with Light Hazard on floor
Valuation: $S22,900.00
Existing building area: 0 square feet r
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 3
Name: Centrex Construction Type of construction:
Address: 8250 SW Hunziker Rd Occupancy groups:
City /State /ZIP: Tigard. OR 97223 Existing: N/A
Phone: ( ) Fax: ( ) New: Light and Res.
® APPLICANT ® CONTACT PERSON NOTICE
Business name: Wyatt Fire Protection All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: Ashley Payne 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
applicant is exempt from licensing, the following reasons
City /State /ZIP: Tigard, OR 97223 a ppl y :
Phone: (503) 684 -2928 I Fax::( )
E -mail: a.payne @wyattfire.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer so fee schedule)
Business name: Wyatt Fire Protection
Permit fee:
Address: State surcharge (12% of permit fee):
City /State/ZIP: FLS plan review (40% of permit fee):
Phone: ( ) : ( ) ( upon application.)
CCB lie.: 64077 I Total permit fees:
^ Amount received:
Authorized signature: A "������`���� t This permit application expires if a permit is not obtained
Print name: Ashley Payne Date: 12/2/2013 * within 180 days after it has been accepted as complete.
Fee methodology set by Tri- County Building Industry
Service Board.
Building ■Pumits■FPS- PermitApp.doc Rev 01/05/2012 440- 4613T(II /02/COMWWEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Describe work to be done:
1.) ® New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration ® 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 147
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes
Information: Hazard Group Light
Density .15
Design Area 1000
K. Factor 4.9/5.6
Sprinkler Project Valuation: $ 22900
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: $
D.) 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: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
C: \Users \Ashley \Desktop \Tigard App.doc Rev 01/05/2012 2
FOR OFFICE USE ONLY - SITE ADDRESS:
This form is recognized by most building departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
114 r Transmittal Letter
r,,,,\i , , 1 3�W Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: DATE RE T
V Q ED
L DIVISION r c
DEPT: BUILDING 1 201 3
DEC 1
FROM: CU
.-Q-e-r_ CITY OF TIGARD
BUILDING DIVISION
COMPANY: L-C-66oLjt 4ist-- , f --- \
PHONE: #3 ` b VI - ,2 4A i IC J
1, - cam/ 7
(Site Address) d� C� 0 (Permit Number)
name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: I Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: — 1� 6.--,"__ .h,�(0-4. --1 -
FOR OFFICE USE ONLY
Routed to Permit Technician Date: 12- r Z C j (" Initials:
Description: Amount bu
Fees Due: E Yes Fee e e Descri p
$
. $
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes I ❑ No ❑ Done
Applicant Notified: Date: Initials:
1:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7148 SW GONZAGA ST, TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2013-00174
Chip Barnett
Violation Summary:
Inspector Contractor