Permit (48) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
'"� '' COMMUNITY DEVELOPMENT Permit#: FPS2016-00130
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2016
Parcel: 2S 112 DA00700
Jurisdiction: Tigard
Site address: 15353 SW SEQUOIA PKWY 100
Project: Inspired Results Subdivision: PACIFIC CORPORATE CENTER Lot: 3
Project Description: Adding and relocating a total of(46)sprinkler heads for TI.
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 08/15/2016 $145.24
12%State Surcharge-Building 08/15/2016 $17.43
Type of Use: COM Plan Review-Fire Life Safety-COM 08/15/2016 $58.10
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 08/15/2016 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 08/15/2016 $5.00
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 $227.77
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $6,586.00
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 . is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility •ification Center. Tho - rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or 4'ect questions to OUNC : allin. e .232.1987 or 1.800.332.2344.
Is•ued By: .• / .104‘ 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 project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
Cityof Tigard E :p 4y9 a ived
g „" gate/By Permit No.: tJ4 /6...001
IN . • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review. •Y �,
Other Permit t
Phone: 503.718.2439 Fax: 503.598.1960 ?O, Date/By: }�jfi, , tlt �� '' a 4.
TI G A R D Inspection Line: 503.639.4175 Date Re. Juris: El See Page 2 for
Internet: www.tigard-or.gov y i ��' v Notified/Method: Y ac .i�i f Supplemental Information
a � �t n t�v +t%� 9
t'
I .�. .' `U l #FAMIL INTYP F W { mo, x
❑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
LORY OF S11tICTI01!j work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
� *CATION
0 "` Total number of floors:
e, ,, 'Ail.I AN i *CA' ION.
Job site addl.: .,:`3,-...: W Sequoia Pkwy(PAC CORP CTR) New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:4 Project name:Inspired Results TI Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
RE U i' $ l ATA:COMMERCIAL-US : HEC LIST 5
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
4
equipment,materials,labor,overhead,and the profit for the
DESCR QUI+ WORK i tt: ` I work indicated on this application.
v
Add and relocate fire sprinkler heads tas required for TI Valuation: $$6,586.00
Existing building area: square feet
New building area: 0 square feet
PROPe OWNER `a, 0 TE1ANTl .,,,.. Number of stories: 1
Name: Type of construction:
Address: Occupancy groups: .(.
City/State/ZIP: Existing: L 1,�,\
Phone:( ) Fax:( )
New:
` � ��' APPLICANTS, =� CONTACTt PERSON `! e
NOTICE..; 4. '��`. ° <i
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@wyatt1IIre.com
1,r
CONTRACTOR ,. .;' BUILDING PERMIT FEES* `
Business name:Wyatt Fire Protection (PkaseieJerroJeeschedulel _
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP:
Phone: FLS plan review(40%of permit fee):
( ) Fax:( ) (Due upon application)
CCB lic.:64077 Total permit fees:
Authorized signature: .-/ -. Amount received:
_ _ .r This permit application expires if a permit is not obtained
Print name:Max Co ley 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\Permits\FPS-PermitApp.doc Rev 01/05/2012 4404613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
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. lik, ...a, iik .:,:::i*14.,.,. tar --.•. ,, ... ,-: , '-1."fr ' - '...**1
- 10101111, 1444 vi,'''''17.) .1)Ele*11111‘iNew16 : 114* 2.' Modification to sprinkler heads only:
0 Addition
I=1 1-10 heads: No plan review required.
El Alteration Z 11+ heads: Plan review required.
EI Repair
Number of sprinkler heads: 46
Additional description of work:
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imols. wor.eiVa aVtip,,..", ca'
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- 1/4-1/4 1/4'.. ,,, lit'1/4'1/4411j ' g'''''t'l:!'I . 1/4 g.1/4 * -, s''''. •it" '',:'
' • N .1,
' • ' ' ' — ' ElDry
Dry
A.) 's il ri er, r----,,,, Wet
Additional Standpipes 0
Light
Information: Hazard Group
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 6,586
a si,....
' - -
ylv• APPtsitf
Hood, , Project vvaluation:iic,
,g- ...,
ti- HoQd Fin $
' $.,..„4 .ire Ala
Submittal shall Battery Calculations
El Yes
include: Individual Component I=1 Yes
Cut Sheets
Fire Alarm Project Valuation: $
. —2
ill). . iteitident'1,-- y. rmid4Er(§ta u _. C* ietrmieknt)Fee:
---...„4 ''''"'
Square Footage:
$198.75
0 to 2,000
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.
-n-
FiProtection Pe1.t.
rV ---4-'441't 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 permitfee): $
TOTAL: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
2
W:\Max\1112 PERMIT APPLICATIONS\Tigard App.doc Rev 01/05/2012