Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
./114
COMMUNITY DEVELOPMENT Permit#: FPS2017-00027
TLGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/13/2017
Parcel: 2S 101 AA00100
Jurisdiction: Tigard
Site address: 12300 SW 68TH AVE
Project: Landmark Ford Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: Modifying existing fire sprinkler system for TI: (6)heads. Affidavit submitted.
Contractor: WYATT FIRE PROTECTION INC. Owner: CORLISS, JAMES L&CORA K
9095 SW BURNHAM PO BOX 23970
TIGARD, OR 97223 TIGARD, OR 97281
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/13/2017 $134.48
12%State Surcharge-Building 03/13/2017 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 03/13/2017 $53.79
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 03/13/2017 $2.00
Occupancy Grp: Height: ft 11x17)
Stories:
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 Caics Provided: Cut Sheets Required:
Total $206.41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $5,472.00
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 503.2 ;00.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available insp- on date.
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
ri
., % ) FOR OFFICE I sI onl.V
City of Tigard 9 ,r Received
Date/B Permit No.: .� `_
13125 SW Hall Blvd.,Tigard,OR ' Plan Review �� �„;
R
Phone: 503.718.2439 Fax: 503.598.1960 ) ti, Other Permit: .,j�`
c 1�j Date/B 1 G
TI G A R D Inspection Line: 503.639.4175 �A °d Date Ready/By: Ca See Page 2 for
Internet: www.tigard-or.gov 1� , t,.,9,.-:;' Notified/Method: Supplemental Information
TYPE OF REQUIRED DAT. 1-AN)2-FAMILY DWELLING
❑New construction a,tVI oIition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
wr CATEGORY OF CONSTRUCTION "' work indicated on this application.
\"
❑ 1-and 2-family dwelling Z Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
- „t JOB SITZ INFORMATIONANDIOCATION 24k1, # : Total number of floors:
Job site address:12300 SW 68th Ave New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Landmark Ford Service Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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
,r II, DESCRIPTION OF WORK t ,%%;,:,:%! work indicated on this application.
Modify fire sprinkler system as required for TI Valuation: $$5,472.00
Existing building area: square feet
New building area: 0 square feet
❑'PROPERTY OWNER 0 TENANT Number of stories: 1
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: Light
Phone:( )_ Fax:
-ill APPLICANT it �j ® CONTACT PERSON
NOTICE ,
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
- ry �.,,. ,CONTRACTORrr '�. ;> BUS*
I)(.DING PERMIT FEE , K,r,,
Business name:Wyatt Fire Protection (Please refer to fee schedafel
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP:
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lic.:64077 Total permit fees: /� i j
Authorized signature: '
Amount received: rr
� w.- This permit application expires if a permit is not obtained
Print name:Max Colley 4 Date:3/13/17 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PennitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to4be'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: 6
Additional description of work:
Type of System(Complete A;B C D a applicable):
A.) Comtriercial Sprinkler „41
® Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group Light
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 5,472
B.) Type l od Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm ' s
Submittal shall Battery Calculations ❑ Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
'D.) Reside tiSprinkler
al (Stand One System) � � �
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45 i
3,601 to 7,200 $310.05 �� '�: g` ,��°
"tc
7,201 and greater $404.39 ° >` . Wit, 1
Sprinkler Project Square Footage: sq.ft.
Fire Protection Permit Fees `' x ,
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 - ermit No.: (=A-90 j 7- �; j, 7
13125 SW Hall Blvd.,Tigard,OR 97223 4
•. Phone: 503.718.2439 Fax: 503.598.196011114
1 x `ate Received: :3/...0
T t G A R D Inspection Line: 503.639.4175
Internet: www.tigard-or.gov By: , i44e4)
t
FIRE SPRINKLERAFFIRAWIT FOR ALTERATIONS
OR r. VEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Landmark Ford Service Occupancy: Light
Job Address: 12300 SW 68th Ave Type of Construction:
Suite:
Contractor: Wyatt Fire Protection Phone: 503-684-2928
Number of Proposed or Altered Heads: 6
Type: Wet 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) nnl nne . r;nkler head will be installed-from one drop(exception• tip to two l e is f'on oie 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.
1) 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: .---
�.. .--- Date: 3/13/17
Print Name: Max Col
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