Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
r'! 11 COMMUNITY DEVELOPMENT Permit#: FPS2014-00039
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/25/2014
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 365
Project: Motus Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Relocating(6)sprinkler heads for TI.
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 02/25/2014 $64.54
12%State Surcharge-Building 02/25/2014 $7.74
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: LT
Density: .10 Design Area: 1000
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 $72.28
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $928.00
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 tot started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow t'e ru-s adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00 -0090. Yo may •btain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
I
Issued By: ignature:
Call 503.63 . 0 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
Fire Protection System FOR OFFICE USE ONLY
City of Tigard �a.,. Received Permit 5
tY %I. 1� Date/B . R /� ._• - I .
• 13125 SW Hall Blvd,Tigard,OR Plan Review
Phone: 503.718.2439 Fax: 503.59 .1 `� �j� Date/B , Other Permit: , + — `
I I t, \r I Inspection Line: 503.639.4175 G (:0 A\ Date Ready/By: % See Page 2 for
Internet: www.tigard-or.gov `�O� ` ``"t�\�\° Notified/Method Supplemental Information
(� VV`♦
IIMMI TYPE OF WORE REQUIRED DATA:1-AND 2-FAMILY DWELLING
El 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.
❑ 1-and 2-family dwelling Valuation: S
y g ®CommerciaUindustrial
El Accessory building El Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:6650 SW Redwood Lane New dwelling area: square feet
City/State/ZIP:Portland,Oregon 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:365 Project name:Motus Recruiting 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.
Add and relocated sprinklers for TI Valuation: $S928.00
Existing building area: square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:PacTrust Type of construction: Comb
Address:16165 SW 72"d Ave Occupancy groups:
City/State/ZIP:Portland,Oregon 97224 Existing: Light
Phone:( ) Fax:( )
New: Light
® 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 @wyatttire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection (Please refer to fee schedule,
Permit fee:
Address:
- State surcharge(12%of permit fee):
City/State/ZIP:
– FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lic.:64077 Total permit fees:
Amount received:
Authorized signature:
�5 This permit application expires if a permit is not obtained
Print name:Ashley Payne Date:2/25/2014 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 01/052012 440-4613T(11/02/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:
El Addition ® 1-10 heads: No plan review required.
® Alteration El 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 6
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 .10
Design Area 1000
K. Factor 5.6
Sprinkler Project Valuation: $ 928
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations El 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 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.
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