Permit EVISED
CITY OF TIGARD // p/6S -FIRE PROTECTION SYSTEM PERMIT
# COMMUNITY DEVELOPMENT Permit#: FPS2015-00161
TI GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/22/2015
Parcel: 2S 112AA00400
Jurisdiction: Tigard
Site address: 14280 SW 72ND AVE
Project: Leifs Auto Collision Subdivision: MILLMONT PARK Lot: 49
Project Description: (20)sprinkler heads for paint booth extension. 11/4/15,reprint to correct address from 14344 to 14280 SW 72nd
Ave.
Contractor: WYATT FIRE PROTECTION INC. Owner: ICON OWNER POOL 1 WEST LLC
9095 SW BURNHAM BY RYAN
TIGARD, OR 97223 PO BOX 460169
HOUSTON,TX 77056
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/22/2015 $134.48
12%State Surcharge-Building 10/22/2015 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 10/22/2015 $53.79
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/22/2015 $2.00
Occupancy Grp: S-1 Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 10/22/2015 $20.00
11x17)
Misc Administration Fee 11/10/2015 $45.00
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: EXHAZ2
Density: .40 Design Area: 425
K Factor: 8
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $271.41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $5,010.00
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 Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to O NC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspect date.
This permit card shall be kept in a conspicuous place on the job site until completio o the project.
Approved plans are required on the job site at the time of each inspection.
n CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
'`11 COMMUNITY DEVELOPMENT Permit#: FPS2015 00161
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/22/2015
Parcel: 2S 112AA00500
Jurisdiction: Tigard
Site address: 14344 SW 72ND AVE
Project: Leifs Auto Collision Subdivision: MILLMONT PARK Lot: 49
Project Description: (20)sprinkler heads for paint booth extension.
Contractor: WYATT FIRE PROTECTION INC. Owner: ICON OWNER POOL 1 WEST LLC
9095 SW BURNHAM BY RYAN
TIGARD, OR 97223 PO BOX 460169
HOUSTON,TX 77056
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/22/2015 $134.48
12%State Surcharge-Building 10/22/2015 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 10/22/2015 $53.79
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/22/2015 $2.00
Occupancy Grp: S-1 Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 10/22/2015 $20.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: EXHAZ2
Density: .40 Design Area: 425
K Factor: 8
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $226.41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $5,010.00
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 Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: _= J� Permittee Signature:
AOC
Call 503.639.4175 by 7:00 a.m.for the next available inspectiwe.
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
Received
City of Tigard ``'� Date/By. (0 1 l S 1677- Permit No.: r nS�,5.�(6 i
111 II • 13125 SW Hall Blvd,Tigard,OR 9722 ('►Ci v Plan Review, 1 � �
Phone: 503.718.2439 Fax: 503.5 V�/ '6 Date/By: C ( Other Permit:
T I G A R D Inspection Line: 503.639.4175 1 `�Q Date Ready/By: / /' Jug: ® See Page 2 for
Internet: www.tigard-or.gov OC'` D Notified/Method:l0/2/�S 4b- Supplemental Information
TYPE OF WQR i `�rt 0.-S REQUIRED DA A:1-AND 2-FAMILY DWELLING
❑ New construction 431610 Ion 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: 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: 14344 sw 72'Ave New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Leif .e„fp (al, S;c,w 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.
Valuation: SS5,010.00
Existing building area: square feet
GX-trAiS (.VN.)-
New building area: 0 square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: I
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: -
Phone:( ) Fax:( ) New: Extra 2
® APPLICANT ® CONTACT PERSON NOTICE
Business name:Wyatt Fire Protection All contractors and subcontractors are required to be
Contact name:Ashley Nishihara 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.paynet^4wyattfire.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer m 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:
Authorized signature: I � Amount received:
4y6 This permit application expires if a permit is not obtained
Print name:Ashley Nishihara Date:10/7/2015 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Build ingPennits\FPS-PetmitApp.doc Rev 01!052012 440-4613T(11.022 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: 20
Additional description of work:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
® \Vet ❑ Dry
Additional Standpipes 0
Information: Hazard Group Extra 2
•
Density. 0.40
Design Area 425
K. Factor 8
Sprinkler Project Valuation: $ 5010
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