Permit (17) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I COMMUNITY DEVELOPMENT Permit#: FPS2016 00092
T I G AR t) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2016
Parcel: 2S110CB12100
Jurisdiction: Tigard
Site address: 15086 SW HARVEYS VIEW AVE
Project: Southview Heights, Lot 9 Subdivision: SOUTH VIEW HEIGHTS Lot: 9
Project Description: New 13D fire suppression system for a 2,720 sq.ft.house.
Contractor: VVYATT 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 05/18/2016 $246.45
12%State Surcharge-Building 05/18/2016 $29.57
Type of Use: COM Info Process/Archiving-Lg$2.00(over 05/18/2016 $4.00
Class of Work: ALT Type of Const: VB 11x17)
Occupancy Grp: R-3 Height: 23 ft Info Process/Archiving-Sm$0.50(up to 05/18/2016 $50.00
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 $330.02
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,629.00
Residential Square Footage: 2720
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 Notifica i 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 direr estions to OUNC b -fling 503.232.1987 or 1.800.332.2344.
Iss ed By: ,A , /, � 4.1 Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspectio• date.
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 OFFIc1.: t'I:Oyl.l
Y RE1tA' ReceivedCity of TigardDate/B . of. PermitNo.. 'A /_`I , . 1,
13125 SW Ha11 Blvd,Tigard,OR 97223 Plan Revie
Phone: 503.718.2439 Fax: 503.598.1960 Date/B . IWIRIMIIII Other Permit/VI
� w/ t" ��
I- c]n R D Inspection Line: 503.639.4175 MAY } 2016 Date Ready/By: ® ee Page for
Internet: www.tigard-or.gov Notified/Method kfip Mg Supplemental Information
al,,,,,,,,, 'aFP}r s s g„.. nt E tt t� ,+� i REQUIRED DATA 1 AND'2 FAMILYDWELLING
, s-..,: r a: . .< TYPE;O r„ • .1 @. t . l u
®New construction 0 Demolition 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
'''''' ''''''"4".1W1-4g f t CATEGORY,OF CO STRUCfION 'a = 3-0 , work indicated on this application.
ii 1-and 2-family dwelling Valuation: $2629
❑Commercial/industrial
❑Accessory buildingNumber of bedrooms: 4
❑Multi-family
16,5
0 Master builder 0 Other: Number of bathrooms: .
i ` '' Tull' ,114. A'I Io A_ y ALOCATION `F '; '' Total number of floors: 2
Job siteaddress:15086 SW Harvey's View Ave New dwelling area: 2720 square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Southview Heights 9 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: I 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 OE WORK . work indicated on this application.
Stand alone 13D fire sprinkler system for single family home Valuation: $
Existing building area: square feet
New building area: square feet
_” i 0 PROPERTY OWNER ❑,TENANT P'',, Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
- 0 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 I Fax::( )
E-mail:mcolley@wyattfire.com
CONTRACTOR BUILDING PERMIT FEES* ;
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work,towbe'done:. ..s 4 ?, •
y Y,.,.€fi q .,w, ... •°
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: 22
Additional description of work:
.r.3b Nh'
Typfe,of SOeine(Complete A,B ,Q,or:D "s applicalle�." f �_ *': pit
A.) Comtner >< SPnnlder ,1A. : "�f ;r t.TAr9
El 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:
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: 2720 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:\Max\SOUTI{VIEW\Southview Tigard App.doc Rev 01/05/2012 2
r
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
15086 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2016-00092
Chip Barnett
Violation Summary:
Inspector Contractor