Permit u CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1114 $ COMMUNITY DEVELOPMENT Permit#: FPS2014 00020
T I c;A Ft L) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/24/2014
Parcel: 2S110CB10600
Jurisdiction: Tigard
Site address: 15492 SW SUMMERVIEW DR
Project: Arlington Heights No.3,Lot 94 Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 94
Project Description: 13D Fire suppression system for a 2,075 SF home.
Contractor: WYATT FIRE PROTECTION INC. Owner: STONE BRIDGE HOMES NW LLC
9095 SW BURNHAM 4230 GALEWOOD ST#100
TIGARD, OR 97223 LAKE OSWEGO,OR 97035
PHONE: 503-684-2928 PHONE: 503-387-7577
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/24/2014 $88.75
12%State Surcharge-Building 02/24/2014 $10.65
Type of Use: SF Info Process/Archiving-Lg$2.00(over 02/24/2014 $4.00
Class of Work: ALT Type of Const: 11x17)
Occupancy Grp: Height: ft Info Process/Archiving-Sm$0.50(up to 02/24/2014 $14.00
Stories: 11x17)
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
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 $117.40
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,881.00
Residential Square Footage: 2075
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 Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may •• . a copy of the rules
or direct• ions OUNC b calling 503.232.1987 or 1.800.332.2344.
Issue. 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
Fire Protection System ��1,� 1Nt% I (l It l>F 11( 1 I `Mt OM l
City of Tigard 1"' L 1 Received ��, Permit No.: a t -
-
Date/B .
� 13125 SW Hall Blvd.,Tigard,OR 97223 r� Plan Review
• Phone: 503.718.2439 Fax: 503.598.1960 E8 3 7.014 Z O�A' Other Permit:
C G Dan R : _ / 3'C�;
T I G A R D Inspection Line: 503.639.4175 ` Date Ready/By: See Page 2 for
Internet: www.tigard-or.gov FT1GAt� 1 0 -11u• t Al '-1 Supplemental Information
CM TYPE OF WOR t I�%%G REQUIRED DATA:I-AND 2-FAMILY DWELLING
.)E 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.
�' and 2-family dwelling ❑Commercial/industrial
Valuation: $ /$1 I
❑Accessory building ❑Multi-family Number of bedrooms: 3
❑Master builder ❑Other: Number of bathrooms: 2 , s"
JOB SITE INFORMATION AND LOCATION Total number of floors: 2
Job site address: New dwelling area: Zp7 S square feet
/57R,� �w I�f�wvle.�r�;�..1 �r
City/State/ZIP: �!n ttea. 6 Q en Q2 Garage/carport area: q p(p square feet
Suite/bldg./apt.no.: <3 Project name:/vQ.,ri\'�c 1 C LI Covered porch area: 5 S square feet
Cross street/directions to job site: a_f r�u C� 4 ,�y\d ;-i-- Deck area: ' square feet
\n j rl DU-) -• , 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.
Valuation: $
N e l) 3 wv U tau.v l r'e∎C(P AA�fN° t --5.
S 1 ( � Existing building area: square feet
n Vv �YJ New building area: square feet
.1;3'PROPERTY OWNER ❑ TENANT Number of stories:
Name: 5'VOh 1 bYs dl Gam, Type of construction:
Address: VV Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
12-APPLICANT f3YCONTACT PERSON NOTICE
Business name: V) ---fV-I t �7i i y-7.,--�L: 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 u,fee schedule)
Permit fee:
Address:9095 SW Burnham St
State surcharge(12%of permit fee):
City/State/ZIP:Tigard,OR 97223 FLS plan review(40%of permit fee):
Phone:(503)68466 Fax:(503)684-9657 (Due upon application.)
CCB lie.:64077 Total permit fees:
Amount received:
Authorized signature: Tik- This permit application expires if a permit is not 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.
1:\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 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:
❑ Addition ❑ 1-10 heads: No plan review required.
❑ Alteration ,f]'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
❑ `het ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
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
c 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 her a(3)sets of plans at submittal.
Plan review fees are required at submittal.
http://www.tigard-or.gov/city_hall/departments/cd/docs/FPS-PermitApp.doc Rev 01/25/2012
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15492 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Fire Protection System
999 Sprinkler Final
2014-04-09 00:00:00
FPS2014-00020
FAIL
1. Provide ladder to verify tenting in attic as per stamped plans.
NOTE rough inspection never called in for approval.
Ames 1" model 2000B, serial no. 23685
Violation Summary:
Inspector Contractor