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Permit (29) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT III a COMMUNITY DEVELOPMENT Permit#: FPS2016-00069 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/21/2016 T r c A i<n 9 Parcel: 2S110CB14600 Jurisdiction: TIGARD Site address: 15181 SW HARVEYS VIEW AVE Project: Southview Heights,Lot 34 Subdivision: SOUTH VIEW HEIGHTS Lot: 34 Project Description: Stand alone fire sprinkler system for new 3,460 sf residence. 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 04/21/2016 $246.45 12%State Surcharge-Building 04/21/2016 $29.57 Type of Use: SF Info Process/Archiving-Lg$2.00(over 04/21/2016 $4.00 Class of Work: ALT Type of Const: VB 11x17) Occupancy Grp: R-3 Height: 32 ft Info Process/Archiving-Sm$0.50(up to 04/21/2016 $22.50 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 $302.52 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $3,345.00 Residential Square Footage: 3460 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 800-132.2344. --- ----- Issued Issued By: sI 1707Mltte -signature: C 3.639.4175 by 7:00 a.m.for the next available inspectio te. This permit card shall be kept in a conspicuous place on the job site until-mpletion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Fire Protection System IOR OFFICE 1 SI.()NIA RFCFIYrD Received n f City of Tigard Date/By !� 7 /Ca / Permit No.: 1'S o l ea? 13125 SW HaII Blvd,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 9' �/ �C Other Permit: IKh06/S�a/ay6 l- G RD /60 Inspection Line: 503.639.4175 7 ?016 Date Ready/By: Inns See Page 2 for IA Internet: www.tigard-or.gov Notified/Method:i/ I ®Supplemental Information TYPE I ti YisioN REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 Demolition YIJ V Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the -r CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $3345 0 Accessory building 0 Multi-family Number of bedrooms: 4 0 Master builder 0 Other: Number of bathrooms: 2.5 JOB SITE INFORMATION;AND LOCATION Total number of floors: 3 Job site address:15181 SW Harvey's View Ave New dwelling area: 3460 square feet City/State/ZIP:TIGARD,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:SOUTHVIEW HEIGHTS LOT 34 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: squarefe 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 FIRE SPRINKLER SYSTEM FOR NEW SINGLE FAMILY HOME Valuation: $ Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ® APPLICANT 0 CONTACT PERSON NOTICE Business name:Wyatt Fire Protection All contractors and subcontractors are required to be Contact name:Max Colley 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:m.colley@wyattfire.com CONTRACTOR BUILDING PERMIT FEES* Business name:Wyatt Fire Protection (Please refer mfee schedule1 Permit fee: Address: - State surcharge(12%of permit fee): City/SPS to/ZIP: FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application) CCB lic.:64077 Total permit fees: Authorized signature: Amount received: This permit application expires if a permit is not obtained Print name:Max Colley - Date:4/7/16 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\FPS-PeanitApp.doc Rev 01/05/2012 440-4613T(I1/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information • Describework to be dons' • 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: 25 Additional description of work: Type of S `stem (Complete` B;C'or D as applicable): , • YP Y ( P A, > A.) Commercial Sprinkles-° • d ❑ 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 El 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: 3345 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. W:AMax\1112 PERMIT APPLICATIONS\Southview Development.doc Rev 01/05/2022 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 15181 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Fire Protection System 999 Sprinkler ﬁnal FAIL FPS2016-00069 David Young Builder to provide address on site for inspections. R319.1 FPS system shut off at Backﬂow devise. 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 15181 SW HARVEYS VIEW AVE, TIGARD, OR, 97224 Residential - Fire Protection System 999 Sprinkler ﬁnal PASS - No C of O August 1, 2016 at 8:03:51 AM FPS2016-00069 David Young System on. 1" Ames model 2000B, serial # 28646 Violation Summary: Inspector Contractor