Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
• • COMMUNITY DEVELOPMENT Permit#: FPS201500065
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/07/2015
TIGARD Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 260
Project: Real Asset Portfolio Management LLC Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Fire sprinkler modification of(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: 503-624-6300
FAX: 503-684-9657
FEES
Description Date Amount
Specifics:, Permit Fee-COM 04/07/2015 $61.85
12%State Surcharge-Building 04/07/2015 $7.42
Type of Use: COM Plan Review-Fire Life Safety-COM 04/07/2015 $24.74
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 04/07/2015 $6.00
Occupancy Grp: Height: ft 11x17)
Stories:
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 $100.01
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $824.00
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
Utilit • . -• Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma •. :in a copy of the rules
or.irect questions to •. C by calling 503.232.1987 or 1.800.332.2344. /
I sued By: h -+. �, � Permittee Signature: - /
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. i /
This permit card shall be kept in a conspicuous place on the job site until completion o the project.
Approved plans are required on the job site at the time of each inspection.
Inspections Required for Permit No.:
1VR Code Type Permit Description IVR Code Type Permit Description
01 BUP Building—structural 07 SIT Site Work
02 ELC Electrical 08 SWR Sewer Connection
03 ELR Restricted Energy 09 FPS Fire Protection
04 MEC Mechanical 10 RER Re-Roof
05 MST Master—residential combination 11 CMS Commercial Manufact.Structure
06 PLM Plumbing 12 SFM Single-Family Manufact.Structure
J Req'd I Code I Inspection Description I Req'd Code Inspection Description
Building(structural)Inspections Electrical Inspections
205 Footing 105 Underground/slab cover
210 Foundation walls 110 Temporary electrical service
215 Footing drain 115 Electrical service
220 Slab 120 Electrical rough-in
225 Post/beam structural 125 Wall cover
230 Underfloor insulation 130 Ceiling cover
240 Exterior shearwall 135 Low voltage rough-in
242 Interior shearwall 140 Sign installation
245 Firewall 145 A/C or heating unit circuit
250 Roof nailing 150 Hot tub/spa/pool
255 Wtr proofing basement walls 195 Misc. inspection
260 Tilt-up panel 198 Low voltage final
265 Masonry 199 Electrical final
270 Reinforcing steel(rebar)
275 Framing Mechanical Inspections
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough-in
289 Approach/sidewalk 620 Hydronic piping
295 Misc. inspection 625 Duct work
299 Final inspection 630 Fire damper
635 Smoke detector shutdown
Fire Protection System Inspections 640 Exhaust hood
905 Sprinkler underfloor/slab 645 Grease duct test
907 Sprinkler hydro test 695 Misc.inspection
}C'' 910 Sprinkler rough-in/test 699 Mechanical final
(( _ 915 Fire alarm rough-in
920 Suppression trip test Plumbing Inspections
995 Misc. inspection 305 Plumbing underslab
998 Alarm final 310 Crawl drain
999 Sprinkler final 312 Backwater valve
315 Post/beam plumbing
Site Work Inspections 320 Plumbing rough-in
405 Excavation 322 Shower pan
410 Fill 330 Water service
415 Grading 335 Rain drain
420 Sprinkler supply lines 340 Storm sewer
495 Misc.inspection 345 Culvert/catch basin
499 Final inspection 350 Septic tank
395 Misc.inspection
Erosion Control Inspections 399 Plumbing fmal
750 Initial erosion control
752 LIDA on-site facility inspection Sanita Sewer Inspections
755 Regular erosion control 505 Sanitary sewer
797 Final LIDA inspection 585 Misc.inspection
798 Final erosion control 599 Final inspection
Manufactured Structure Inspections
810 MFG-Structure set-up
899 MFG-Structure final
I:\Building\Forms\Inspection Cards\AOP Insp Card By Case\InspCard_All_061814.docx
Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
City of Tigard RECEIVED Received /y����
`J g Date/B . 4�� 1_ ,� PermitNo.: �)�QIS` �/J
13125 SW Hall Blvd.,Tigard,OR 9722A D 7 2015 Plan Review n II
• Phone: 503.718.2439 Fax: 503.598.1960 Date/B , Other Permit: /0, dit/a5;«15) Si
TI G A R I) Inspection Line: g 03. 639.4175 CITY OF F TI GARD Date Ready/By: Juris: ® See Page 2 for
Internet: www.ti ard-or.8 ov Notified/Method: Supplemental Information
BUILDING DIVISION
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.
Valuation:1-and 2-family dwellin g ®Commercial/industrial S
❑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:15350 SW SEQUOIA PKWY New dwelling area: square feet
City/State/ZIP:PORTLAND,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:260 Project name:REAL ASSET 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.
RELOCATE AND PLUG FIRE SPRINKLERS FOR TI Valuation: $$824.00
Existing building area: 61990 square feet
New building area: 0 square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 3
Name: Type of construction: IIB
Address: Occupancy groups:
City/State/ZIP: Existing: Light
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.payne4wyattfire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection (Please reJaao fee schedule)
Permit fee:
Address: —
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) :( ) (Due upon application.)
CCB lic.:64077 Total permit fees:
Amount received:��QQ. �l
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Ashley Payne Date:4/7/15 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
Building PennitsFPS-PamitApp.doc Rev 01/05/2012 440-46!3T(II'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 ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: fZ
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group Light
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 824
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
City of Tigard RECEIVED Permit 6-6e156‘
Permit No.:
13125 SW Hall Blvd.,Tigard,OR 972DD 7 2015
Phone: 503.718.2439 Fax: 503.598.M Date Received: 4�
I I G A Ii P Inspection Line: 503.639.4175
Internet: www.tigard-or.gov CITY OF TIGARD By: ti t1 /-a-C-.
BUILDING DIVISION
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: REAL ASSET Occupancy: Light
Job Address: 15350 SW SEQUOIA PKWY Type of Construction: IIB
Suite: 260
Contractor: Wyatt Fire Protection Phone: 503-684-2928
Number of Proposed or Altered Heads: 6
Type: SSP Hazard: Light Density: 0.10
I, Ashley Payne, Wyatt Fire Protection Oregon Construction Contractors Board No. 64077
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers in a light-hazard occupancy.
b) Positions of sprinkler heads relative to architectural features such as soffits, beams, partitions, walls, etc.
complies with current adopted edition of NFPA 13.
c) The proposed work does not require hydraulic calculations.
d) Only one sprinkler head will be installed from one drop (exception: up to two heads from one drop may be
installed when each head is in a separate fire area).
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
f) Tenant improvements in a new building shall be equipped with Quick Response heads (see 2002 NFPA 13,
Section 8.3.3.1 for exceptions).
g) The installation shall comply with the requirements of the current adopted edition of NPFA 13.
h) Piping shall not be concealed until hangers and bracing are inspected.
i) Final approval shall be subject to onsite tests and inspections.
In addition, I understand the following is required:
• Submit(3) copies of a sketch showing the area of work within the building's structure.
• Building tire protection system permit.
• A copy of this docummtlith a copy of the sketch attached shall be available for all inspections.
Signature: /—Sl.`.(,u�/ Date: 4/7/2015
N (J
Print Name: Ashley Payne
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