Permit (206) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
'ri 1 COMMUNITY DEVELOPMENT Permit#: FPS2016-00206
TiC1ARi'7
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/05/2016
Parcel: 1 S135CB00700
Jurisdiction: Tigard
Site address: 11440 SW TIEDEMAN AVE
Project: Allied Builidng Products Subdivision: None Lot: None
Project Description: Fire sprinklers-Add(1)head in small storage closet.
Contractor: VVYATT FIRE PROTECTION INC. Owner: MCCALL OIL
9095 SW BURNHAM CHEMICAL CORPORATION
TIGARD, OR 97223 BY NED MCCALL
5480 NW FRONT AVE
PORTLAND, OR 97210
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/05/2016 $51.09
12%State Surcharge-Building 12/05/2016 $6.13
Type of Use: COM Plan Review-Fire Life Safety-COM 12/05/2016 $20.44
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 12/05/2016 $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 $78.16
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $475.00
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
Utilit otification -: ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or irect questions to O C . -lling 503.232.1987 or 1.800.332.2344.
I sued By: I / �� ..,, / / Permittee Signature:
-{- ----__.. ......-......._—
Call 503.639.4175 by 7:00 a.m.for the next available inspecti.. .ate.
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 FOR OFFICI•. ISE O\i ,
Cityof Tigard (� �t Received
g �'" I__� M DateB : b�5-0 f Permit No.:cP j' iia �
41 13125 SW Hall Blvd.,TigQ �T'
ETts
M ate' C Plan Review
Phone: 503.718.2439 Fa- 3.598.1960 01� Other Permit:
Date/B
TI G A R D Inspection Line: 503.639.4175 DEC 2 Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov \10 Notified/Method: Supplemental Information
'wE**-**1.'' > l ,'` _ I. D ► 2-F D. ,,,:q111, p.,.
Permit fees*are based on the value of the work performed.
❑New construction ❑Demolition
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 c iko m 1 . , ' .* work indicated on this application.
T GOO CO.O . • "° O> .. pP
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
- OB SIT t . O •,0401°,46,, 1, Total number of floors:
Job site address:11440 SW TIEDEMAN ROAD New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:ALLIED BUILDING ADD HEAD Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DAA:C t i USE O
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
1 ' D wRIPTIO N O F O R ,'z - , �: work indicated on this application.
ADD ONE HEAD IN SMALL STORAGE CLOSET Valuation: $$475.00
Existing building area: square feet
New building area: 0 square feet
#4404,0 0 0 ❑TEN • ,' 1 Number of stories: 1
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: LIGHT
Phone:( ) Fax ( tt
New:
APPLICIT = c#,NTIO PLRRSOO
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
1.
''' t CO *0,i-,,, - , _ ; , LD G PE ES*
Business name:Wyatt Fire Protection
(Please to` s ) : ,
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:
l
/ /r Amount received </l g. (4
Authorized signature:
f /� Thispermit application expires if a permit is not obtained
�"��-� PP� P
Print name:Max Colley Date:12/2/16 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 01/052012 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
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t erne,
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: 1
Additional description of work:
e m le ,
t c le
, . ' lily. : ' °lilt . '1.R.-9:,ir' ,,,,4°.44, IfIrw —
A �F rc" .7w-sw er
® Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group LIGHT
Density 0.10
1500
Design Area
K.Factor 5.6
Sprinkler Project Valuation: $ 475
voaritSu r si S," to 3. .
Hood Project Valuation: $
. ."„ .•--,* •.'",".4 '' ',•'• 44'14.4
r, ,..e., ,- ,„ .,,,,„r„ ,,,,y. . 4.. , ,,,, , ,,,,,, ..,,,, ,, ,,'4
1, WS• N, -4 4. ' ':--i e''.;>1 .1., illir:- l':-''4*
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
113.•R**"'—dentia.; %,,,, ,, m , * . 70 *
; .p r ' tan one s Vim) h`'
Square Footage: Permit Fee:
0 to 2,000 $198.75 • ;•—40.. '7.,:a.e.
2,001 to 3,600 $246.45 `
3,601 to 7,200 $310.05
7,201 and greater $404.39 � ` .•
,•w., .�
Sprinkler Project Square Footage: sq.ft.
,I . Fees:
ire Protttri Permit
Project valuation subtotal (see A,B&e Cc 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