Permit ! p CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
_ COMMUNITY DEVELOPMENT Permit#: FPS2014-00062
T f t;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/14/2014
Parcel: 2S113AD01900
Jurisdiction: Tigard
Site address: 16640 SW 72ND AVE B10
Project: Copytronix Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Fire sprinkler-Upgrade spinkler density in warehouse.
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: 503-624-6300
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/09/2014 $231.32
12%State Surcharge-Building 04/09/2014 $27.76
Type of Use: COM Plan Review-Fire Life Safety-COM 04/09/2014 $92.53
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 04/09/2014 $2.00
Occupancy Grp: S-1 Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 04/09/2014 $7.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard:
Density: .50 Design Area: 2000
K Factor: 11.2
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $361.11
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $14,497.00
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, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules dopted by the Oregon
Utility N• • a ion :•ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obt in a copy of the rules
or di ct questions to O C by det—ei g 503.232.1987 or 1.800.332.2344.
I sued 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.
Buildin Permit A licatio CEWEP
Fire Protection System v FOR OFFICE USE ONLY
Received • i
City of Tigard 9 DateB : Permit No.:/�j� ""Vea,2--.
-•• 13125 SW Hall Blvd.,Tigard,OR 9708 9 2014 Plan Review �
Phone: 503.718.2439 Fax: 503.598.1960 DateB : „r't A„CJ = Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Supplemental See Page 2 for
Internet: www.tigard-or.gov CITYOFTIGARD Notified/Method: ' • r)j' Supplemental Information
BUILDING DIVISION c;, ,,;, �, 7)e v,?Ff-
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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16640 SW 72°d Ave New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Copytronix Warehouse Covered porch area: square feet
Cross street/directions to job site:Durham 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.
Upgrade sprinkler density in warehouse. Valuation: $514,497.00
Existing building area: square feet
New building area: 0 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 1
Name: Type of construction: Combustable
Address: Occupancy groups:
City/State/ZIP: Existing: Warehouse
Phone:( ) Fax:( ) New:
® 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@wyattfire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection (Please refer ta fee schedule)
Permit fee:
Address:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fa •( ) (Due upon application.)
CCB lic.:64077 Total permit fees:
Authorized signature: .
Amount received: If II
(k This permit application expires if a permit is not obtained
Print name:Kristina Zook Date:04/04/2014 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I.\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 440-46131(11/02/COM/WEB)