Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
44
COMMUNITY DEVELOPMENT Permit#: FPS2017-00018
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/22/2017
E(-3 "R° 9 Parcel: 2S 101 BA00600
Jurisdiction: Tigard
Site address: 7700 SW DARTMOUTH ST 190
Project: Verizon Subdivision: 1995-013 PARTITION PLAT Lot: 1
Project Description: Adding and relocating(37)sprinkler heads for TI.
Contractor: WYATT FIRE PROTECTION INC. Owner: WAL-MART REAL ESTATE BUSINESS TR
9095 SW BURNHAM BY PROPERTY TAX DEPT STORE 5935-00
TIGARD, OR 97223 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/22/2017 $123.72
12%State Surcharge-Building 03/22/2017 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 03/22/2017 $49.49
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 03/22/2017 $2.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 03/22/2017 $10.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: NO Hazard: ORD1
Density: .15 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 $200.06
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $4,632.00
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.
Issued By: Permittee Signature:
Call 3.639.4175 by 7:00 a.m.for the next available inspe• ion date.
This permit card shall be kept in a conspicuous place on the job site until completi of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System 'Y ''
Y '�„' FOR OFFICE LSE()NEN
City of Tigard Received
- ` i Date/13y. 7 7 Permit No.:
14
13125 SW Hall Blvd.,Tigard,OR 97223 ` * t ' ' y I-7' ,�r?�(J�; 1�
Plan Revie 0. ,
Phone: 503.718.2439 Fax: 503.598.1960 l Date/By�' r �/ .� ] Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 t t _i ',....,„r.„: Date Rea. v 71 ® See Page 2 for
l.,,r �..,� a 1 Y”y Juris:
Internet: www.tigard-or.gov „,-7,, 1 ,,,, ), 1,>,... "= Notified/Method' 3�
t� �.� � 1K`/ �"G I Supplemental Information
' ” x TYPE OF WORD* - ' " REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
err° tt ;i , 414` j*CATEGORY O:00FyCONSTRUCTEON;? 4 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:
1 4 ''4{JOB SITE INFORMATION AND.LOCATION
Total number of floors:
Job site address:7700 SW DARTMOUTH ST New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:VERIZON AT WALMART Covered porch area: square feet
Cross street/directions to job site: Deck area:
square feet
Other structure area: square feet
RE(?UIRED 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
44 DESCRIPTION OF'WORK '" `"' cy $` work indicated on this application.
Add and relocate fire sprinkler heads as required for TI Valuation: $$4,632.00
Existing building area: square feet
New building area: 0 square feet
" rt' CT,PROPERTY OWNER ¢4�, ,4° '' ' �: 4; ❑TENANT a-`
�•� ,� r Number of stories: 1
Name:
Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing: Ordinary 1
Phone:( ) Fax:( )
New: ,,
4. 1"2 1PPI.ICA 4T , ` ® CONTACT,PERSON A rs„.
. NOTICE n-
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
Phone:(503)684-2928 I Fax:: apply:
E-mail:m.colley@wyattfire.com
A
�° z�r ,� �� a� jt'* TT
CONTRACTOR � .
,.. ' , BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection (Please refer ro fee schedule)
Address: Permit fee:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) I Fax:( ) (Due upon application.)
CCB lie.:64077 — Total permit fees:
Authorized signature: Amount received:
'� � This permit application expires if a permit is not obtained
Print name:Max Colley Date:2/17/17 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
r:Bu Laing Permits FPs-PermitApp.doc Rev 01/05/20 12
440-46131(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
t)ecribg work to be`'done , ` :� = t
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: 37
Additional description of work:
Type of Sy tein.:(Complete"A,B,C or D‘as,applicable
A.) Commercial Sprinkler`v- ' ' 4 F*
®,. Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group Ordinary 1
Density 0.15
Design Area 1500
K.Factor 5.6
Sprinkler Project Valuation: $ 4,632
B.) Type I-yIlood,Fire<Suppression°System *- 4
Hood Project Valuation: $
..44‘ " It "ff
Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
XD) Residential Sprinkler(Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45 swt
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
',' Fire Protection Permit.Fees" 0 <'
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
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7700 SW DARTMOUTH ST 190, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00018
Inspection Type: Inspector:
999 Sprinkler final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor