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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2015-00069 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/27/2015 Parcel: 2S110CB13700 Jurisdiction: TIGARD Site address: 12025 SW TURNAGAIN DR Project: Southview Heights,Lot 25 Subdivision: SOUTH VIEW HEIGHTS Lot: 25 Project Description: Installation of a 13D fire suppression system for a 2,825 sq.ft.house. Contractor: WYATT FIRE PROTECTION INC. Owner: STONE BRIDGE HOMES NW LLC 9095 SW BURNHAM 4230 GALEWOOD ST, STE 100 TIGARD, OR 97223 LAKE OSWEGO, OR 97035 PHONE: 503-684-2928 PHONE: FAX: 503-684-9657 FEES Description Date Amount Specifics: Permit Fee-RES 04/27/2015 $246.45 12%State Surcharge-Building 04/27/2015 $29.57 Type of Use: SF Info Process/Archiving-Lg$2.00(over 04/27/2015 $4.00 Class of Work: ALT Type of Const: VB 11x17) Occupancy Grp: R-3 Height: ft Info Process/Archiving-Sm$0.50(up to 04/27/2015 $12.50 Stories: 3 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 $292.52 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 2825 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 issuanc k is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the ru - -dopted by the Oregon Util' Notification Cen Those rules are set forth in OAR 952-001-0010 through OAR 952-001 1090. You may .• -in a copy of the rules or irect questions to OUN calli ! 503.232.1987 or 1.800.332.2344. Is ued By: ` �� Permittee Signature: I 1 � 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 e 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 Received Date/B Permit No.: t, 15-- a••. 13125 5W Hall Blvd,Tigard, Plan Re'e B ms Phone: 503.718.2439 Fax: 5 t Date/B \ej I ' mca Other Permit: 7 f S"'C]C7Uk I I c I) Inspection Line: 503.639.4175 Date Re. Juts: % See Page 2 for Internet: www.tigard-or.gov pp 0015 Notified/Method: i1,� -�G Supplemental information NPR O L ISO Sre.v.., S In TYPE OF WOKlit Vilk)Mtj° REQUIRED DATA:l-AND 2-FAMILY DWELLING ®New construction lit VS,v Permit fees*are based on the value of the work performed. � ti Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement Iter: 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: $2599 ❑Accessory building ❑ Multi-family Number of bedrooms: 4 ❑Master builder ❑Other: Number of bathrooms: 2.5 JOB SITE INFORMATION AND LOCATION Total number of floors: 3 Job site address:12025 SW Turnagain Dr New dwelling area: 2825 square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: 785 square feet Suite/bldg./apt.no.: Project name:Southview Heights 25 Covered porch area: 267 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. Stand alone 13D fire sprinkler system for single family home Valuation: S Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: 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* (Please refer to fee schedule) Business name:Wyatt Fire Protection 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: Amount received: Authorized signature: ��///� , /i "/015 This permit application expires if a permit is not obtained Print name:Ashley Payne Date `'f:Z1331 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board I\.Building\Permits FPS-Penn itApp.doc Rev 01/052012 440-4613T(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: 2(i I 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 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: 1) 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: 2825 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\Documents\Projects\2015\Southview Heights\Southview Tigard Apppioc Rev 01/05/2012 II 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 12025 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Fire Protection System 999 Sprinkler ﬁnal FAIL FPS2015-00069 George Heimos 1. Provide stamped plans on job site for inspection Recall Violation Summary: Inspector Contractor 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 12025 SW TURNAGAIN DR, TIGARD, OR, 97224 Residential - Fire Protection System 999 Sprinkler ﬁnal PASS - No C of O FPS2015-00069 David Young Violation Summary: Inspector Contractor