Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
s. COMMUNITY DEVELOPMENT Permit #: FPS2013 -00179
T I G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/30/2013
Parcel: 2S113AD01900
Jurisdiction: Tigard
Site address: 16630 SW 72ND AVE 810
Project: Bridgeport Distributing Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Modification of fire sprinkler system due to warehouse and racking alterations
Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES
9095 SW BURNHAM ATTN: N PIVEN
TIGARD, OR 97223 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 684 -2928 PHONE:
FAX: 503 - 684 -9657
FEES
Description Date Amount
Specifics: Permit Fee - COM 12/30/2013 $166.76
12% State Surcharge - Building 12/30/2013 $20.01
Type of Use: COM Plan Review - Fire Life Safety - COM 12/30/2013 $66.70
Class of Work: ALT Type of Const: VB Info Process /Archiving - Lg $2.00 (over 12/30/2013 $2.00
Occupancy Grp: S -1 Height: ft 11x17)
Stories: 1 Info Process /Archiving - Sm $0.50 (up to 12/30/2013 $21.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard:
Density: .29 Design Area: 2000
K Factor: 8
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $276.97
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $8,500.00
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 .rte. within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rul= ado- by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may .btain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: — Permittee Signature: `AIL
s �
Cal • • :75 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 the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applica
Fire Protection System ,r FOR OFFICE USE ONLY
City of Tigard � � 1 2013 B ip f7 / Permit No.: = / / 7 ,
13125 SW Hall Blvd., Tigard, OR Plan Review
a Phone: 503.718.2439 Fax: 503.598.1960 Date /By. r • Other Permit: /" ? 0,0)24
TIGAR f) Inspection Line: 503.639.4175 CITY OF TIGARD Date Re y: luris: ® See Page 2 for
Internet: www.tigard- or.gov Notifi7Method: �/�
3� /�' S ' v Supplemental Information
III! >,� r / )� 1 'IC ON �tJ /,
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: $
❑ 1- and 2-family g ®Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
/(Q4) JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: J6621rCW 72°" Ave New dwelling area: square feet
City / State/ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Bridgeport Distribution 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.
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.
Increasing density of existing sprinkler system. Valuation: 58500
Existing building area: square feet
New building area: 0 square feet
❑ PROPERTY OWNER I TENANT Number of stories: 1
Name: Bridgeport Distribution Type of construction: Comb.
Address: Same as above Occupancy groups:
City /State/ZIP: Existing: Ordinary
Phone: ( ) Fax: ( ) New: Class 1 Com
.4 APPLICANT ® CONTACT PERSON NOTICE
Business name: Wyatt Fire Protection 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:( ) Fax::( )
E -mail:
•
CONTRACTOR BUILDING PERMIT FEES*
Business name: Wyatt Fire Protection (Please refer tofee schedule)
Permit fee:
Address: 9095 SW Burnham Rd
City / State/ZIP: Tigard, OR 97223 State surcharge (12% of permit fee):
FLS plan review (40% of permit fee):
Phone: (503) 684 -2928 Fax: ( ) (Due upon application.)
CCB lic.: 64077 Total permit fees:
Authorized signature:
Amount received: �-
This permit application expires it a permit is not obtained
Print name: 0/24lee b, pekkgo,j Date: 12/16/2013 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
1:■Building \Permits\FPS- PermitApp.doc Rev 01 /05/2012 440- 46131111/02/COM/WEB)
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:
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 Class 1
Density .29
Design Area 2000
K. Factor 5.6/8.0
Sprinkler Project Valuation: $ 8500
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 \TigardApp.doc Rev 01/05/2012 2
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16630 SW 72ND AVE B10, TIGARD, OR, 97224
Commercial - Fire Protection System
999 Sprinkler Final
2014-01-08 00:00:00
FPS2013-00179
PASS - No C of O
Violation Summary:
Inspector Contractor