Permit (70) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2017-00042
13125 SW Hall Blvd.,Ti Date Issued: 04/06/2017
and OR 97223 503.718.2439
TEO, .L 9
Parcel: 2S112DD01600
Jurisdiction: Tigard
Site address: 15495 SW SEQUOIA PKWY 100
Project: Kinetic Computer Solutions Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: (19)sprinkler heads for TI.
Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES
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 04/06/2017 $102.20
12%State Surcharge-Building 04/06/2017 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 04/06/2017 $40.88
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 04/06/2017 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 04/06/2017 $7.50
11x17)
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 Calcs Provided: Cut Sheets Required:
Total $164.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,480.00
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 N. a ion =.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 dir, t questions to OU, .y :Ilin. 503.232.1987 or 1.800.332.2344.
Is•ued By: , mI � `
Aiiiillsid e
Call 503.639.4175 by 7:00 a.m.for the next available inspectio. +ate.
This permit card shall be kept in a conspicuous place on the job site until completio project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System FOR OFFICE LSE ONLY
City of Tigard
Received -
1E Permit No.: a
, � ,�
13125 SW Hall Blvd.,Tigard,OR 97223ikt:ik, J , Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 `',, x ♦ _ Other Permit: S 1 c-•
4 Date/B : II9�P► . +• L/
T 1 G A K D Inspection Line: 503.639.4175 '% Date Ready B,: kris: ® See Page 2 for
Internet: www.tigard-or.gov O 1k kt'v. 'otified/MMetthhodd:I (�j' //11,4k,
/��/��� / " ....6 Supplemental Information
6 '"•\''::\:1::,0•:'
♦'.a 1!„_\J7; k V- .."4.`i `-.rt. Y ' us
71 , .
TYPEOE'°WORT{ V � U t''''►� '
n .,
� F REQUIRED DATA".1-AND 2-FAMILY DWELLING
0 New construction
0 Derm�il7fion 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
CATEGORY OF CONSTRUCTION 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:
` Total number of floors:
JOB SITE INFORMATION AND LOCATION'` ~
Job site address:15495 SW Sequoia Pkwy New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:100 Project name:Kinetic Technology TI 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: 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
' " DESCRIPTION OF WORK, work indicated on this application.
Add and relocate fire sprinkler heads as required for TI Valuation: $2480
Existing building area: square feet
New building area: 0 square feet
❑ PROPERTY OWNER # 'a,. 0 TENANT Number of stories: 1
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: light
Phone:( ) Fax:( )
New: II
et . :A;® APPLICANT , " �� CONTACT PERSON
..t ,. NOTICE `t
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
. s :CONTRACTOR , `�' �` � BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection (Please refer to 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:
Authorized signature:
-- Amount received:
This permit application expires if a permit is not obtained
'ywithin 180 days after it has been accepted as complete.name:Max Colley ~" Date:3/15/17
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Buildng\Permits\FPS-PermitApp.doc Rev 01/05/2012 440-4613T(I1/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe work to be done:
1.) New 2.) Modification to sprinkler heads only:
EI Addition El 1-10 heads: No plan review required.
El Alteration 11+ heads: Plan review required.
fl Repair
Number of sprinkler heads: 19
Additional description of work:
Type of System(Complete A,B, C or D as apPlicable)i,
A.) Commercial Sprinkler "
(21 Wet Dry
Additional Standpipes 0
Information: Hazard Group light
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 2480
B.) Type I="4. Hood Fire Suppression System
Hood Project Valuation:
4't
t4'
u.) rite A1ari
Submittal shall Battery Calculations Yes
include: Individual Component fl Yes
Cut Sheets
Fire Alarm Project Valuation: $
e " „
D.) 'Residential Sprinkler(Stand Alone System) 4
Square Footage: Permit Fee: 1.•
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.
Fire Protection Permit Fees
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