Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
�. COMMUNITY DEVELOPMENT Permit#: FPS2014-00019
T I G AR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/03/2014
Parcel: 1S 135CB00700
Jurisdiction: Tigard
Site address: 11440 SW TIEDEMAN AVE
Project: ALLIE BUILDING PRODUCTS Subdivision: ARBOR ROSES NO.6 Lot: 542
Project Description: Adding(3)sprinklers under stairs and replacing(5).
Contractor: WYATT FIRE PROTECTION INC. Owner: MCCALL OIL
9095 SW BURNHAM CHEMICAL CORPORATION
TIGARD, OR 97223 BY NED MCCALL
5480 NW FRONT AVE
PORTLAND, OR 97210
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/03/2014 $56.47
12%State Surcharge-Building 02/03/2014 $6.78
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD1
Density: .15 Design Area: 1500
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 $63.25
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $626.00
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 start-: ithin 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules a'.opte• by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0�•0. You may obta. a co�y of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
( I
Issued By: . mi
rttee Signature: I ,
—
Cal ' .• . 5 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 eject.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System j� FOR OFFICE USE ONLY
City of Tigard lJ r of 3 ii 407_ Permit No �-/•)J a D I it--ULL,1 et
• 13125 SW Hall Blvd.,Tigard,O Plan Review Other Permit
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
TIGARD Inspection Line: 503.639.4175 Q i % \� Date Ready/By: loos ® See Page 2 for
Internet: www.tigard-or.gov FEB Notified/Method: 'ter C9 Supplemental Information
TYPE O1 5 ' • , as vislOS REQUIRED DATA:I-AND 2-FAMILY DWELLING
,,3�����qq Permit fees*are based on the value of the work performed.
•❑New construction ��j�[1�thb trim
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.
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
•
❑Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: i Vy Lk 0 5W r•t_a vv,_ New dwelling area: square feet
City/State/ZIP: '�`fd. 01Z ��7 22c Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: A •e� IA t' MA(CIS 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: I l.ot 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.
Valuation: $ (42 2 CO
Q C e 426I i1/VA-60( G,� of Existing building area: square feet
vL New building area: Q square feet
p'PROPERTY OWNER l ❑ TENANT Number of stories:
Name: 4 11 t e & 3 (At 1 CA l Pro()Gte, S Type of construction:
Address: 5 a,.,,,��✓(,�S . Occupancy groups:
City/State/ZIP: Existing: '
Phone:( ) Fax:( ) New:
APPLICANT ..2rCONTACT PERSON NOTICE
Business name: W 4i—k— -�(N,a_., Frez1-e( -- L,v-A, All contractors and subcontractors are required to be
Contact name: ' �� 4/1 �/
licensed with the Oregon Construction Contractors Board
t ``_ 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 tojeeuhedule)
Permit fee:
Address:9095 SW Burnham St
City/State/ZIP:Tigard,OR 97223 State surcharge(12%of permit fee):
—
./ FLS plan review(40%of permit fee):
Phone:(503)6$d- 066 Fax:(503)684-9657 (Due upon application.)
CCB lic.:64077 Total permit fees:
Authorized signature: A I Amount received: 6�
This permit application expires if a permit is obtained
Print name:Ashley Payne Date:2/3/14 within 180 days after it has been accepted as complete.
Fee methodology set by Tri-County Building Industry
Service Board.
t:\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB)
1
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) ❑ New 2.) Nfo fication to sprinkler heads only:
ddition 1-10 heads: No plan review required.
Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: -
Additional description of work: ICU`c
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
W et Dry
Additional Standpipes ❑
Information: Hazard Group O'(tcoOvuui jr /
Density a )4 Y
Design Area t
K. Factor c co
Sprinkler Project Valuation: $ ( L
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component El 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 footaKe(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.
http://www.tigard-or.gov/city_hall/departments/cd/dots/FPS-PermitApp.doc Rev 0115/2012
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
11440 SW TIEDEMAN AVE, TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler Final
2014-02-05 00:00:00
FPS2014-00019
PASS - No C of O
Violation Summary:
Inspector Contractor