Permit (73) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT71
Permit#: FPS2016 00181
T f GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/19/2016
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN, STE#115 •'
Project: National Mortgage Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Fire sprinkler system:Adding(1)and relocating(1)sprinkler head for TI. Affidavit submitted.
Contractor: VVYATT FIRE PROTECTION INC. Owner: PACTRUST
9095 SW BURNHAM 15350 SW SEQUOIA PKWY#300
TIGARD, OR 97223 PORTLAND, OR 97224
PHONE: 503-684-2928 PHONE: 503-624-6300
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/19/2016 $51.09
12%State Surcharge-Building 10/19/2016 $6.13
Type of Use: COM Plan Review-Fire Life Safety-COM 10/19/2016 $20.44
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 10/19/2016 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: 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 $78.16
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $457.00
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 1 800.332.2344..3..
(.4 >
Issued By: Permittee Signature:
-,ZeZel-OZ-1-# . ----?----- - /I.- ----
Call 503.639.4175 by 7:00 a.m.for the next available inspectiorrdate.
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.
Building Permit Application
Fire Protection System fii ' , FOR OFFICE USE()NLN
City of Tigard �/ Received IO, '( �— Permit No.: S•". _, ..,..' di
13125 SW Hall Blvd,Tigard,OR 97223 Gr Plan Review V `
t . Phone: 503.718.2439 Fax: 503.598.1960 j)[ r + 15 Date/By: Other Permit:A , / ,
T 1 G A R I) Inspection Line: 503.639.4175 Date Ready/By: 7. See Page 2 for
Internet: www.tigard-or.gov r x l•otified/Method: Supplemental Information
' ' 'fit f §' 'k q q 8 k $•• Y
... -.'� Tli'P ^ � a i - a l ( ► - ( LLI1 G
❑New construction ❑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
4" iR OF" t t work indicated on this application.
r a�.,+,rte:rte mss...< ' , , c ? .� , ...,
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑ether: Number of bathrooms:
Qj3. 0 i''jolt/VAT),I ► r „ '. '4..-a `_: Total number of floors:
Job site address:6650 SW REDWOOD LANE New dwelling area: square feet
City/State/ZIP:PORTLAND,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:115 Project name:NATIONAL MORTGAGE RELO Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Nz z REQUIRED DATA,.CO I►e. , ,V USE CHECKL ,,,`
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
D l , o ;OFWORII work indicated on this application.
'1.1)11:44(t1; ;;
DD(1)AND RELOCATE(1)FIRE SPRINKLER HEAD AS REQUIRED FOR TI Valuation: $$457
Existing building area: square feet
New building area: 0 square feet
" * a.
; �❑-PROP1RTY a ER t t• .. TENAN • Number of stories: 1
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: LIGHT
Phone:( ) Fax:( ) New: Iv
► ;-,APPLICANT ® t. CT PERSON
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
Co1VTtACTOR , ,. }; 1 l
Business name:Wyatt Fire Protection
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: e7r, it,
Authorized signature: -7-----
Amount received:
This permit application expires if a permit is not obtained
Print name:Max Colley Date:10/12/16 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Peimits\FPS-PermitApp.doc Rev 01/052012 440-4613T(l1/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 -Supplemental Information
•
D ork:to`be done: .;.. ;�
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ® 1-10 heads: No plan review required.
® Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 2
Additional description of work:
TYPe;g) Sys omple" A,Ji C or D as apphcali)1e). k`
�µ,h.. ,. ..:. R+sY' *' '.« yr-.- ta,,, ,;:�.�,�r p* � sr•it ,,:s x;,r:.t...x.
r#• 6111 $prinkl Y art h .5 t b g h ¢
® Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group LIGHT
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 457
B. e I ood Fir eson S stem
Hood Project Valuation: $
•
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
., stiefitia1 S t4nd i em t
Square Footage: Permit Fee: q` i
h
0 to 2,000 $198.75 ,E F
2,001 to 3,600 $246.45 �� r; , .k «,
3,601 to 7,200 $310.05
7,201 and greater $404.39 _` 1 '
Sprinkler Project Square Footage: sq. ft.
• :., f; t re Protecaotil ttees. 4. ...
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:\Mas\1112 PERMIT APPLICATIONS\Tigard App.doc Rev 01/05/2012 2
f
Ci o Tigard �"fill• '
City .r g .,> .: rmit No.: `5 / LF I
13125 SW Hall Blvd,Tigard,OR 97223 •
II Phone: 503.718.2439 Fax: 503.598.1960 Date Received: 0r{gh(p
T I G A EZ D Inspection Line: 503.639.4175 CM i
g g �47 6 By: Ltd 4t+-
Internet: www.ti and-or. ov CJ(J
i
FIRE SPRINKL ;t �� . P�i‘r OR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: NATIONAL MORTGAGE RELO Occupancy: LIGHT
Job Address: 6650 SW REDWOOD LANE #115 Type of Construction:
Suite:
Contractor: Wyatt Fire Protection Phone: 503-684-2928
Number of Proposed or Altered Heads: 2
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 co L., if the sketch hed shall be available for all inspections.
Z7- - --'' 'T- ------
Signature: Date: 10/12/2016
Print Name: Max olley
I:\Building\Fomes\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
6650 SW REDWOOD LN STE 115, TIGARD, OR,
97224
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2016-00181
Chip Barnett
Violation Summary:
Inspector Contractor