Permit (13) 1IN ,� CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
r ' COMMUNITY DEVELOPMENT
` Permit#: FPS2016-00145
TEGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/29/2016
Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15115 SW SEQUOIA PKWY 170
Project: Napier Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: Adding and relocating(3)sprinkler heads for TI. Affidavit submitted.
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 08/29/2016 $59.16
12%State Surcharge-Building 08/29/2016 $7.10
Type of Use: COM Info Process/Archiving-Sm$0.50(up to 08/29/2016 $0.50
Class of Work: ALT Type of Const: 11x17)
Occupancy Grp: Height: ft Plan Review-Fire Life Safety-COM 08/29/2016 $23.66
Stories:
Commercial Sprinkler System:
Sprinkler Required: No Sprinkler Type: Wet
Standpipe Required: No Hazard:
Density: .10 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: No Alarm Type:
Pull Station Required: No Smoke Detectors Req:
Battery Calcs Provided: No Cut Sheets Required:
Total $90.42
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $799.00
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 503.232.1987 or I.:$$.332.2344.
Issued By: 111110 Permittee Signature:
d N. �
'
Ca 9.4175 by 7:00 a.m.for the next available inspection d e. -
This permit card shall be kept in a conspicuous place on the job site until coy .letion o • .roject.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System FOR OFFICE USE oyLv
City of Tigard Received v; / .
Date/B . / Permit No.: J/ p. '!( s
0 111 13125 SW Hall Blvd,Tigard,OR f� ' i Plan Review
Phone: 503.718.2439 Fax: 503. :: wa r^ Date/By: Other Permit: _ s
T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: :. See Page 2 for
Internet: www.tigard-or.govMiG !:,.
9 ) �b Notified/Method: .. - Supplemental Information
Er ,, _. rUo 41,
,
❑New construction 13 6 Iii r emofl ion Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
.,, "- • 5 work indicated on this application.
dwellingValuation: $
0 1-and 2-family ®Commercial/industrial m.
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
1., $ O T �D4oC jo .f Total number of floors:
Job site address:15115 SW SEQUOIA PKWY New dwelling area: square feet
City/State/ZIP:PORTLAND,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:170 Project name:NAPIER TI Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQI0tED ATM COMMEP SE E "#f IS•y
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
o5*' 1'n ON;, : ` ' °" work indicated on this application.
Add and relocate fire sprinkler heads as required for TI Valuation: $$799.00
Existing building area: square feet
New building area: 0 square feet
OP '
;TE T Number of stories: 1
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: LIGHT
Phone:( ) Fax ( )
New:
ni APPLI., T, v* yP,. ri CONTAC "PEiO1r ;'T OTICE
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
'I'''' 4.' .v a ,I 5;�' s��; rs.. ,�: ,ass , ;�:
,vJ' CONTRACTOR , -. ; n ' ,� . " BUILDING PERMIT FEES* '` " A
Business name:Wyatt Fire Protection
(Plage red ib fee schedule) ° '
Address:
Permit fee:
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: go-1il�
Authorized signature:''� Amount received: f�
-
_ � This permit application expires if a permit is not obtained
Print name:Max Colla Date:8/29/16 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 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe wprltO:lbedone•
1.) ❑ New 2.) Modification to sprinkler heads only:
® Addition /.1 1-10 heads: No plan review required.
® Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 3
Additional description of work:
Type ofSSysten °( on` plete Ai B C
44 76
A. C rnmet is SW rin er
® Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group Ottiiirxrirt— L.i c Al--
Density O./0 t'
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $
3.) Type I-'Hood ir`kSuppressian S,yst 9 9
Hood Project Valuation: $
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
Resienta p erSta d o Sete
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: sq ft.
4147 ee
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
teey -)l 6
q 13125 SW Hall Blvd,Tigard,OR 97223 pc"" ,r"„I Permit No.: I ,
1 111 Phone: 503.718.2439 Fax: 503.598.1960 L" $ 3.
Ldate Received:II
K' i(d
Inspection Line: 503.639.4175 ,,,t,,1,t)_/„ff
TIGARDInternet: ga gov AUGC 2 9 10?C By:
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" - „
FIRE SPRING 'F4 r j' FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: NAPIER TI Occupancy: LIGHT
Job Address: 15115 SW SEQUOIA PKWY Type of Construction: IIIB
Suite: 170
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: _,L --------- Date: 8/29/16
Print Name: Max 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
15115 SW SEQUOIA PKWY 170, TIGARD, OR,
97224
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2016-00145
Chip Barnett
Violation Summary:
Inspector Contractor