Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2016-00095
T[G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/09/2016
Parcel: 2S113AB00600
Jurisdiction: Tigard
Site address: 16170 SW UPPER BOONES FERRY RD
Project: Jevo Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: Fire sprinklers-modification of(16)fire sprinkler heads.
Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES LP
9095 SW BURNHAM ATTN: N PIVEN
TIGARD, OR 97223 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224 •
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/09/2016 $83.37
12%State Surcharge-Building 06/09/2016 $10.00
Type of Use: COM Plan Review-Fire Life Safety-COM 06/09/2016 $33.35
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 06/09/2016 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 06/09/2016 $4.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $132.72
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,660.00
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
9 9
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 . ..6'32.23 .
Issued By: Permittee Signature:
_, Z1;zracti,,_
Call 503.639.4175 by 7:00 a.m.for the next available inspecti• date.
This permit card shall be kept in a conspicuous place on the job site un' completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applic ftEIVED
Fire Protection System FOR OFFI('F t SI:O\l.l
Cityof Tigard MAY 19 2016 Received
g Date/By. �� PermitNo.: pSc9.0I6D'' gJr
13125 SW Hall Blvd,Tigard,OR 97223 pig •- ,.. \
CON F TIGARD ,., A Other Permit: Q906 �57
Phone: 503.718.2439 Fax: 5 Date/•
I IGRD Inspection Line: 503.6398U I LDING DIVISION Date ' . . / c /! �,� Jam: See Page 2 for
Internet: www.tigand-or.g.41ov Notified/Method:(p Supplemental Information
WIf✓dE{
�- ¢��-r '4 ' " f ..,TYPE-OF,yVORIe� �;�;��„� { IlJIItED ATA l ANA 2-FAMII.Y DWELLING.
❑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
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
i� work indicated on this application.
�� ��,� �` �.; CATEGORY OF` CONSTRUCTIb� • s' � t
dwelling Valuation: $
0 1-and 2-family g ®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
^JOB SITE.INFORMATION:' D.LOCATION` ' . E Total number of floors:
Job site address:16170 SW Upper Boones Ferry Rd New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:PBC193 Project name:Jevo TI 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 018 WORK {' work indicated on this application.
Add and relocate fire sprinkler heads for TI Valuation: $$1,660.00
Existing building area: square feet
New building area: 0 square feet
❑ PROPERTY OWNER, 4;.:1,,,,,,,, 0 TENANT ,' Number of stories:
Name: Type of construction: IIIB
Address: Occupancy groups:
City/State/ZIP: Existing: Light Hazard
Phone:( ) Fax:( ) New: ii
s , ;®
APPLICANT r" ® CONTACT,:PERSON . tkir,,, x NOTICE ,' ,i" r``
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
04 a `¢?r,` ; CONTRACTOR ',,,",:',1-' '' . BUILDING PERMIT FEES* W"
Business name:Wyatt Fire Protection °` (Please refer tofee sckedukl „,.'-',,--',."4':','''--.
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/Z1P: FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lie.:64077 Total permit fees:
�
Authorized signature: 42.9
Amount received: --
_ - This permit application expires if a permit is not obtained
Print name:Max Colley Date:5/19/16 —
within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Pecmits\FPS-PcmitApp.doe Rev 01/05/2012 440-46i3T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe w$rk to be done: §" . ° `"yy y',4
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1-10 heads: No plan review required.
Z Alteration ® 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 1
Additional description of work:
o DIft$V aPPLcable):4 '' , t '>.
s i+
mmrea rcia' :gi?.. e W,a.:�'�r x $'� gift
4 xLk., ' ^ ` 3C, 4
br�r
..
® Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group Light
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 1660
B) Type I `,Hood Fire Suppr'essionSystem; •• „ 't';
Hood Project Valuation: $
'''� � ••�� ,mak �.`'' x+ ,�u5, -� �
C. `% Yd htrm a,.r ? s4v4 kt�v d +w? ? �g , t i A m , ; s, . 114.
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
De)!,Resider al Spru lder(Stand Alone4Syste)
Square Footage: Permit Fee: -
:.
0 to 2,000 $198.75 ` _ � r
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.
ProtectionPeririitFeest `` .
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\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
16170 SW UPPER BOONES FERRY RD,
TIGARD, OR, 97224
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2016-00095
Chip Barnett
Violation Summary:
Inspector Contractor
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: ()�� DATE RECEIVED:
DEPT: BUILDING DIVISION RECElVEP
MAY 242016
FROM: 6'16 CITY OF TIUHRD
COMPANY: BUILDING DIVI�IO
PHONE: 15D5 — - 2- a-g (By.
RE: I 70 / S - i'S
�� ��
(Site Address) (Permit Number)
I I Jo
'rode'name or sub•ivision name an, of number
ATTACHED A'A THE FOLLOWING ITEMS:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
Routed to Permit Technician:
Fees Due: • Yes Quo Fee Descri•tion: Amour ue:
Special
Instructions:
Re s rint Permit s er PE : IN Yes ❑No ❑ Done
A
A. •licant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012