Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
■ COMMUNITY DEVELOPMENT Permit#: FPS2014-00122
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/07/2014
T f�''�RD 13125 Parcel: 1 S133AD02200
Jurisdiction: Tigard
Site address: 10730 SW 130TH AVE
Project: Westgate Baptist Church Subdivision: CHAPARRAL Lot: 1
Project Description: (52)fire sprinklers for 2nd story TI: classrooms,youth room,science lab,office and(2)restrooms.
Contractor: WYATT FIRE PROTECTION INC. Owner: WESTGATE BAPTIST CHURCH
9095 SW BURNHAM 12930 SW SCHOLLS FERRY RD
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-684-2928 PHONE: 503-524-3500
FAX: 503-684-9657
FEES
Description Date Amount
Specifics:, Permit Fee-COM 07/21/2014 $134.48
12%State Surcharge-Building 07/21/2014 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 07/21/2014 $53.79
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 07/21/2014 $2.00
Occupancy Grp: Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 07/21/2014 $5.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .1 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 $211.41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $5,920.00
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 adopted by the Oregon
Utility Noti =.. enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-01;0. You may obta copy of the rules
or direct' estions to NC b calling 503.232.1987 or 1.800.332.2344.
� r
Issued = ' Permittee Signature: v /1 'iA.■
40 Call 503.639.4175 by 7:00 a.m.for the next available inspec ion 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
RECFIVE Receved ov City of Ti and 7 Permit No.:
`J Tigard Date/B . .// , *
i • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Q
tA -6'Phone: 503.718.2439 Fax: 503.598.1960 Date/By. Other Permit:61.f Q i
4—0010
I I:I� Inspection Line: 503.639.4175 J U L 21 2 uY Date Ready/By: Juris: See Page 2 for
Internet www.tigard-or.gov Notified/Method: AL_i 11/4. FINIS" Supplemental Information
r+ 11. :i a_rt4.
TYPE OF WORK,f 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.
❑ Valuation: $
1-and 2-family dwellin g ®Commercial/industrial
❑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: 1 rry Rd /, 3, /3 t4 G/Y New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Westgate Baptist Church 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.
FIRE SPRINKLER ADDITION FOR TI Valuation: $$5,920.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Type of construction: IIIB
Address: Occupancy groups:
City/State/ZIP: 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 @wyattfire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection (Please
Permit fee:
Address:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lic.:64077 Total permit fees: ;ill.ty
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Ashley Payne Date:7/21/14 * Fee methodology set by Tri-County Building Industry
Service Board.
1:Building Permits FPS-PermitApp.doc Rev 01/052012 440.4613T(I1/02/COtt/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: 52
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 0.1 -
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 5920
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\Permit Applications\Tigard App.doc Rev 01/05/2012 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10730 SW 130TH AVE, TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2014-00122
Chip Barnett
Violation Summary:
Inspector Contractor