Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
It ' COMMUNITY DEVELOPMENT Permit#: FPS2016-00128
T II GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/27/2016
Parcel: 2S 112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 240
Project: Financial Planners Northwest Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Relocating(3)sprinkler heads for TI.Affidavit submitted.
Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES
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 07/27/2016 $61.85
12%State Surcharge-Building 07/27/2016 $7.42
Type of Use: COM Plan Review-Fire Life Safety-COM 07/27/2016 $24.74
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD1
Density: .15 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 $94.01
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $838.00
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 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 503.232.19: •r 1.800.332.2344.
N. /
Issued By: / ,/4 Permittee Signature:
Ei< Aa `iii i L
'!`•T• 9.4175 by 7:00 a.m.for the next available inspec'•n date.
This permit card shall be kept in a conspicuous place on the job site until completi.--: e project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System FOR OFFICE LSF ONLIIII '
City of Tigard _ Received
`J g ' @ f "ice MilPermit No.: r' ,—�1+ ',
13125 SW Hall Blvd.,Tigard,OR 972 Date/B . �� * .,,
1« 3° r Plan Review
Phone: 503.718.2439 Fax: 503.598.�0 Other Permit: / ,
Inspection Line: 503.639.4175 Date/Ready/By: r "
TIGARD JUL2 7 2.01 See Page for
Internet: www.tigard-or.gov J li L Notified Method: IMI Supplemental Information
4 WE O Or lilt 04 *QU Dz aA,1-Am2 LI GE.--
❑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
.E CQ *4'. t"x work indicated on this application.
❑ 1-and 2-famil Y dwellin Valuation: $
g ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
::4°.#a" O41TI9., C Io • Total number of floors:
Job site address:15350 SW Sequoia Pkwy New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:240 Project name:Financial Planners NW Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
ED DAT t O : .t US C T ez
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 pro
x E ' cfit for the
N WORKwork indicated on this application.
Relocate fire sprinkler heads as required for TI Valuation: $$838.00
Existing building area: square feet
New building area: 0 square feet
t . POPE a ER r t.ist ilk '.4a T Number of stories: 1
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: Light
Phone:( ) Fax:( )
New:
® PLI•T 01. ► CON l oN i.r.: . • 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:mcolley@wyattfire.com
: CONTRACTOIf` .?P' '' :. BUILDING PERMIT FEES* }
i''. (Please refer to fee sc dule i.'
4 ;
Business name:Wyatt Fire Protection Ike. 1
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: — "G � Amount received: d
This permit application expires if a permit is not obtained
Print name:Max Colley Date:7/27/16 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pefmits\FPS-PermitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
ottir I�escr�❑ ori`to bid°� e4 nkler heads only
.° r
1.) New 2.) Modification to spri :
❑ Addition ® 1-10 heads: No plan review required.
® Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads:
Additional description of work:
'Ie f st ( a p +et ABX o�D. ap cue)
•
A:r
co u ore a � n e
® Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group Ordinary 1
Density 0.15
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 12,195
B.) 09' lc ok
TypeI- hHood Fire Suppressio Sy,$tem,, 4
Hood Project Valuation: $
Submittal shall Battery Calculations EI Yes
include: Individual Component EI Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler(StandAlone System {;
F•Square Footage: Permit Fee:
0 to 2,000 $198.75itty
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.
rFire Protection;Pert 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\Tigard App.doc Rev 01/05/2012 2
City of Tigard ., Permit No.: j (�j
■ 13125 SW Hall Blvd.,Tigard,OR 972 �,�, - y
_ Phone: 503.718.2439 Fax: 503.598.1 6I �Q1� Date Received: 7/e 7//67
T[G A R D Inspection Line: 503.639.4175 1 - /`� _
Internet www.tigard-or.gov �� _ MIN y: {' /rAkh •.t /G 1 I'
FIRE SPRIN FFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Financial Planners NW Occupancy: Light
Job Address: 15350 SW Sequoia Pkwy Type of Construction:
Suite:
Contractor: Wyatt Fire Protection _ Phone: 503-684-2928
Number of Proposed or Altered Heads: 3
Type: SSP Hazard: Light Density: 0.10
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 copy of the sketch attached shall be available for all inspections.
Signature: f Date: 7/27/2016
Print Name: M.. Colley
I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1
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
15350 SW SEQUOIA PKWY 240, TIGARD, OR,
97224
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2016-00128
Chip Barnett
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
15350 SW SEQUOIA PKWY 240, TIGARD, OR,
97224
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
August 22, 2016 at 11:21:20
AM
FPS2016-00128
Chip Barnett
Violation Summary:
Inspector Contractor