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Permit (11) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT '' COMMUNITY DEVELOPMENT Permit#: FPS2016-00111 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/06/2016 T[ O 9 Parcel: 2S 112 DA00800 Jurisdiction: Tigard Site address: 15115 SW SEQUOIA PKWY 100 Project: Language Line Translation Subdivision: PACIFIC CORPORATE CENTER Lot: 2 Project Description: Fire sprinklers-Modification of(3)sprinkler heads Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES LP 9095 SW BURNHAM ATTN: N PIVEN TIGARD, OR 97223 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-684-2928 PHONE: FAX: 503-684-9657 FEES Description Date Amount Specifics: Permit Fee-COM 07/06/2016 $67.23 12%State Surcharge-Building 07/06/2016 $8.07 Type of Use: COM Plan Review-Fire Life Safety-COM 07/06/2016 $26.89 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 07/06/2016 $0.50 Occupancy Grp: Height: ft 11x17) Stories: 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 $102.69 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,002.00 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 Notifi ti 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 dire uestions to NC by calling 503.232.1987 or 1.800.332.2344. iztpet._444.4_4e.e Iss ed By: Permittee Signature. Call 503.639.4175 by 7:00 a.m.for the next available inspection 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. City of Tigard Permit No.: (p5 c9-o l ep —GO // ■ 13125 SW Hall Blvd.,Tigard,OR 97223 s Phone: 503.718.2439 Fax: 503.598.19Q 1 Date Received: 7/6 (t Cp T t G A R D Inspection Line: 503.639.4175 J �� Internet: www.tigard-or.gov By: ol, FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: LANGUAGE LINE TI Occupancy: LIGHT Job Address: 15115 SW SEQUOIA PKWY Type of Construction: Suite: 100 Contractor: Wyatt Fire Protection Phone: 503-684-2928 Number of Proposed or Altered Heads: 3 Type: SSP Hazard: LIGHT Density: .10 I, Max Colley, Wyatt Fire Protection Oregon Construction Contractors Board No. 64077 certify the following is true and reasonably defines the scope of work for this project: a) All work is limited to drops and armovers in a light-hazard occupancy. b) Positions of sprinkler heads relative to architectural features such as soffits, beams, partitions,walls, etc. complies with current adopted edition of NFPA 13. c) The proposed work does not require hydraulic calculations. d) Only one sprinkler head will be installed from one drop (exception: up to two heads from one drop may be installed when each head is in a separate fire area). e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13. f) Tenant improvements in a new building shall be equipped with Quick Response heads (see 2002 NFPA 13, Section 8.3.3.1 for exceptions). g) The installation shall comply with the requirements of the current adopted edition of NPFA 13. h) Piping shall not be concealed until hangers and bracing are inspected. i) Final approval shall be subject to onsite tests and inspections. In addition, I understand the following is required: • Submit(3) copies of a sketch showing the area of work within the building's structure. • Building fire protection system permit. • A copy of this document with a co I . the sketch attached shall be available for all inspections. Signature: 7/5/16 Print Name: Max Colley I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1 Building Permit Application. Fire Protection Syster FOR OFFICE USE ONLy City of Tigard Received permit No.:;:; Date/B . 7 fia5, —0III 1 /l 13125 SW Hall Blvd.,Tigard,( ')9722Y- 11111 Plan Review ��� _6008Phone: 503.718.2439 Fax: 503.598.1960 , Date/By: Other Permit: TI G A R D Inspection Line: 503.639.417$ ; Date Ready/By: Juris: Ea See Page 2 for Internet: www.tigard-or gov-' s 'y Notified/Method: Supplemental Information TYPE ,., QUA i l :1' D2- ILY)WELLING.. ❑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 dialr 40 C ., work indicated on this application. CAT OF C i STR ❑ 1-and 2-family dwelling Valuation: $ ®Commercial/industrial ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: �" 4:1- *' �Q$ SrrE�I ATI a Total number of floors:l �Cr�'CIOI� '" ���. Job site address:15115 SW SEQUOIA PKWY New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.:100 Project name:LANGUAGE LINE TI Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet Fes, 4 QUIREDrt ';CO, . C L-USE CHEC Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the � work indicated on this application. ` eN`OF,WOw .. � : � Add and relocate fire sprinkler heads as required for TI Valuation: $$1,002.00 Existing building area: square feet New building area: 0 square feet ® )P TY OWNrfER r ©1 TENANT' Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: LIGHT Phone:( ) Fax:( ) New: t' x, - , - APPLICANT r- CON fACTLL I? RSON 411. 41,4OT!c 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 tt £ COrJTRACTOR +4t�' 'n B I t 1 G PERMI' FEES* 4. Business name:Wyatt Fire Protection "(P �'> refer to fee schedule) 4104,' Permit fee: Address: State surcharge(12%of permit fee): City/State/ZIP: o FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application.) CCB lic.:64077 Total permit fees: Authorized signature:j Amount received: 8 lQ�` ,�O This permit application expires if a permit is not obtained Print name:Max Colley /111111..11. Date:7/5/2016 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Mc 1.,e."ArillivEMIP fiti ' 1.) ❑ New 2.) Modification to sprinkler heads only: ® Addition ® 1-10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. El Repair Number of sprinkler heads: 3 Additional description of work: tType of. • ( in ` e` ,Cor'fIle • ' )` Comm Fla p er ® Wet ❑ Dry Additional Standpipes 0 Information: Hazard Group LIGHT Density 0.10 Design Area 1500 K. Factor 5.6 Sprinkler Project Valuation: $ 1002 .)`.Type I:.... H 4:Fir4Supparessio.r tystem I'- IT , Hood Project Valuation: $ frireAfi t` t i i Submittal shall Battery Calculations El Yes include: Individual Component El Yes Cut Sheets Fire Alarm Project Valuation: $ II. Residential Sprinkle(Staid Alo - ysteim 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 .12,,` _ - .,,,. „,,.-..,.. Sprinkler Project Square Footage: sq. ft. , ft ft , , Fire Protection Permit Fe ”} . t 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