Permit (48) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2015-00189
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/16/2015
Parcel: 2S113AA00400
Jurisdiction: Tigard
Site address: 16260 SW 72ND AVE B2
Project: AMSOIL Subdivision: ROSEWOOD ACRE TRACTS Lot: C
Project Description: Replacing 126 sprinkler heads.
Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES
9095 SW BURNHAM ATTN: N PIVEN
TIGARD, OR 97223 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-684-2928 PHONE: I
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/16/2015 $134.48
12%State Surcharge-Building 12/16/2015 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 12/16/2015 $53.79
Class of Work: ALT Type of Const: 1116 Info Process/Archiving-Lg$2.00(over 12/16/2015 $2.00
Occupancy Grp: S-1 Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 12/16/2015 $5.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: EXHAZ1
Density: .60 Design Area: 2000
K Factor: 11.2
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: $5,500.00
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. x9. 2344.
Issued By: Permittee Signature:
Call 50 9.4175
:;y7:00 a.m.for the next available inspec on d e.
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
� ZIP
Received
City Of Tigard � Date/By: � � Permit No.: t J�—
u 13125 SW Hall Blvd.,Tigard,OR 971 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By. l J Other Permit:
Z0
Inspection Line: 503.639.4175 r ey 't015 Date Rea y: Ju 16 See Page 2 for
Internet: www.tigard-or.gov QCC c� Notified/Method: ' Supplemental information
TYPE OF VV6fikY UT REQUIRED DATA:1-AND 2-FAMILY DWELLING
El New construction t Pen-nit 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 g dwellin Valuation: $
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:16260 SW 72nd AVE New dwelling area: square feet
City/State/ZIP:PORTLAND,OREGON 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:2 16 12 1 Project name:AMSOIL DISTRIBUTION 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.: Pen-nit 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.
Changing sprinkler heads to larger orifice. Valuation: $ S:5
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: Warehouse
Phone:( ) Fax:( ) New: it
® APPLICANT ® CONTACT PERSON NOTICE
Business name:Wyatt Fire Protection All contractors and subcontractors are required to be
Contact name:Bruce Pearson 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)686-3364 Fax: :( )
E-mail:sunriver97707@yahoo.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection Please refer toee schedule
Pen-nit fee:
Address:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon a lication.
CCB lic.:64077 Total permit fees:
Authorized signatur 4tnount received:
This permit application expires if a permit is not obtained
Print name:Bruce Pearson Date:12/3/2015 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PernitApp.doc Rev01/05/2012 4404613T(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: 126
Additional description of work:
Type of System (Complete A, B, C or D as a licable :
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group Ex. Hazard
Density 0.60
Design Area 2000
K. Factor 11.2
Sprinkler Project Valuation: $
B. Type I- Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall BatteryCalculations ❑ 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 onsquare 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.
W:\Max\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
16260 SW 72ND AVE B2, TIGARD, OR, 97224
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
January 7, 2016 at 9:30:18 AM
FPS2015-00189
Chip Barnett
Violation Summary:
Inspector Contractor