Permit (30) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I COMMUNITY DEVELOPMENT Permit#: FPS2016 00097
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2016
[t�Itit.l 9 Parcel: 2S110CB12300
Jurisdiction: TIGARD
Site address: 15050 SW HARVEYS VIEW AVE
Project: Southview Heights, Lot 11 Subdivision: SOUTH VIEW HEIGHTS Lot: 11
Project Description: Fire sprinklers,2665 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:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-RES 06/02/2016 $246.45
12%State Surcharge-Building 06/02/2016 $29.57
Type of Use: SF Info Process/Archiving-Lg$2.00(over 06/02/2016 $4.00
Class of Work: ALT Type of Const: VB 11x17)
Occupancy Grp: R-3 Height: ft Info Process/Archiving-Sm$0.50(up to 06/02/2016 $19.50
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 $299.52
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,576.00
Residential Square Footage: 2665
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 stions o ' NC by calling 503.232.1987 or 1.800.332.2344.
Issue By: I Permittee Signature: /
Call 503.639.4175 by 7:00 a.m.for the next available inspe '•n 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 Systemwit tn.tit I. t til.0\1,)
r.t
r i �I I"D Received
City of TigardR23 Date/By: " A fi A PermitNo.: /16�QJ p9f�&- 77
13125lig III hnS50 Hall Blv.24 9 Tigard,OR 97219 MAY 2 4 2016 Plan Review. t / gbraew ,1 77
' I Phone: 503.718.2439 Fax: 503.598.1960 Date/B . ar cher Pem�it: ..CiO
�. (, R D Inspection Line: 503.639.4175 Date Ready/By: / / /- lois: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: C.(/.(fc{�� Supplemental Information
BUILDING DIVISIQN -vN ,--e)a
,.'?'c 4, i, , TYPE:'OF WORICm,� _;; b , REQUII.,O DATAf 1 AND 2 FAMILY:?WELLING
r zT . �':1 A.Y� ..
®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 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
it r ,. CATEGORY.OF CONSTRUCTION PP
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $2576
0 Accessory building 0 Multi-family Number of bedrooms: 4
0 Master builder 0 Other: Number of bathrooms: 3
':'` . JOB SITE'INFORMATION AND LOCATION Total number of floors: 2
Job site address:15050 SW HARVEY'S VIEW AVE New dwelling area: 2665 square feet
City/State/ZIP:TIGARD,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:SOUTHVIEW HEIGHTS LOT 11 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATM COMMERCIAL-USE CHECKLIST
Subdivision: 1 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 ® 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:mcolley@wyattfire.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to 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: Amount received: �—
i� This permit application expires if a permit is not obtained
Print name:Max Colley Date:5/24/16 within 180 days after it has been accepted as complete.
r * Fee methodology set by Tri-County Building Industry
Service Board.
1:Building\Permits\FPS-PennitApp.doc Rev 01/05/2012 440-4613T(I1/02/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: 2Q
Additional description of work:
Type�'of Systeiri:(Complete At B""G(or D as`applicable)•�
A)' Commercial Spr�nkder' t y
❑ 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 0 Yes
include: Individual Component 0 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: 2665 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\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
15050 SW HARVEYS VIEW AVE, TIGARD, OR,
97224
Residential - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2016-00097
David Young
1" Ames model 2000B, serial # 29875 located in garage.
Violation Summary:
Inspector Contractor