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Permit � CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT ''1 ' COMMUNITY DEVELOPMENT Permit#: FPS2015-00077 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/05/2015 Parcel: 2S110CB11700 Jurisdiction: TIGARD Site address: 15166 SW HARVEYS VIEW AVE Project: Southview Heights,Lot 5 Subdivision: SOUTH VIEW HEIGHTS Lot: 5 Project Description: Stand-alone fire sprinkler system for new SF 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: 503-387-7577 FAX: 503-684-9657 FEES Description Date Amount Specifics: Permit Fee-RES 05/05/2015 $246.45 12%State Surcharge-Building 05/05/2015 $29.57 Type of Use: SF Info Process/Archiving-Lg$2.00(over 05/05/2015 $4.00 Class of Work: NEW Type of Const: VB 11x17) Occupancy Grp: R-3 Height: ft Info Process/Archiving-Sm$0.50(up to 05/05/2015 $10.00 Stories: 2 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 $290.02 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 2935 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 issu•• _ • ' work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rule as••ted by the Oregon . ility Notification .- ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0190. You may •btain : copy of the rules or direct questions to O - ing 503.232.1987 or 1.800.332.2344. IIssued By: /I(' " , �� yJ Permittee Signature: r I 1/ .LAS. Call 503.639.4175 by 7:00 a.m.for the next available inspec •n date. This permit card shall be kept in a conspicuous place on the job site until completion of •- project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Fire Protection System RECEIVEP FOR OFFICE USE ONLY City of Tigard Received / Permit Date/B y, r_), 13125 SW Hall Blvd.,Tigard,OR 92,,I n 2 8 2015 Plan Re Phone: 503.718.2439 Fax: 503.59 1960 v p�e/B . (s-- Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready:-. Juris: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: lit an- Supplemental Information TYPE Oj )SIO 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: $2700 l-and 2-family dwellin g Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: 3 ❑Master builder ❑Other: Number of bathrooms: 2.5 JOB SITE INFORMATION AND LOCATION Total number of floors: 2 Job site address:15166 SW Harvey's View New dwelling area: 2935 square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: 470 square feet Suite/bldg./apt.no.: Project name:Southview Heights 5 Covered porch area: 70 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: State surcharge(12%of permit fee): City/State/ZIP: FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application.) CCB lic.:64077 Total permit fees: Authorized signature: t��✓///��I��_ Amount received: �� This permit application expires if a permit is not obtained Print name:Ashley Payne Date:4/27/2015 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. li\Building iPermitsTPS-PennitApp.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 ® 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: 26 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 Des' 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 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 7,201 and greater $404.39 Sprinkler Project Square Footage: 2935 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 App2ioc Rev 01/05/2012 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 15166 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Fire Protection System 999 Sprinkler ﬁnal FAIL FPS2015-00077 David Young Provide approved plans on site for ﬁnal inspection. 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 15166 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Fire Protection System 999 Sprinkler ﬁnal PASS - No C of O FPS2015-00077 David Young Violation Summary: Inspector Contractor