Permit (65) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
IIIa.. COMMUNITY DEVELOPMENT Permit#: FPS2017-00189
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/13/2017
T f f11 h?T g Parcel: 2S113AB01201
Jurisdiction: Tigard
Site address: 16290 SW UPPER BOONES FERRY RD
Project: Oregon State Treasury Subdivision: None Lot: None
Project Description: Fire sprinkler permit:Adding,relocating,and plugging a total of(71)sprinkler heads for TI.
Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES LP
9095 SW BURNHAM ATTN: N PIVEN
TIGARD, OR 97223 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 12/13/2017 $177.52
12%State Surcharge-Building 12/13/2017 $21.30
Type of Use: COM Plan Review-Fire Life Safety-COM 12/13/2017 $71.01
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 12/13/2017 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 12/13/2017 $5.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .1 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 $276.83
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $9,108.00
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: „(9.7„r74/9,,_ >„______ Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection 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 rill: TILI II
,. 'a i. a FOR OFFICE USE ONLI"
City of Tigard Received
,i/ Permit No.: �f� pi
13125 SW Hall Blvd.,Tigard,OR 97223 ryry 9 ry Plan Review J/t7 �� U�� 7��Ct%Y f
1 I Phone: 503.718.2439 Fax: 503.598.196&E C ! L Q I( Date/By: IL-J)— -71- Other Permit jf ea/C)17 /
Ti U A R D Inspection Line: 503.639.4175 Date Read/l# Duns:
Internet: www.ti and-or. ov r o / ��4 Supplemental See Page 2 Informationfnr
g g ')� �' ��� ������ � otifie a•od: (� /� /� "iS'
T : ear . I * ,/,44!....
s+ . ,„it?r s 0 ,1. . � ,„ y, REQ. RED*1 -x 2-FAMILY DWELLING 1,.
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.s
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—' 4 :04 ,4, work indicated on this application.
❑ 1-and 2-famil Y dwellin Valuation: $
g ❑Commercial/industrial
-
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
,,,i, . JOB 8lik INFORMATION AND LOC 1TION 4 , Total number of floors:
Job site address:16290 SW Upper Boones Ferry Rd New dwelling area: square feet
City/State/ZIP:Portland, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Oregon State Treasury Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
a
4:REQUIRED DATA COMMERCIAL-USE C,IIECKLIST:m
Subdivision: f 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* WORK ` ` , * 4 work indicated on this application.
Add/Relocate/Plug Heads for Tenant Improvement Valuation: $9108
Existing building area: square feet
New building area: 0 square feet
'0 r,PROPERTY O NER�" ❑X TENAN i
°' ;;�; � Number of stories:1
Name: Type of construction:I I B
Address: Occupancy groups:S-2, B
City/State/ZIP:
Existing:
Phone:( ) Fax ( )
®IppLiXNT, ❑°CONTACT PERSON New: NOTICE - ;
Business name:Wyatt Fire Protection All contractors and subcontractors are required to be
Contact name:Ashley Nishihara licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:9095 SW Burnham 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::( )503.684.9657
E-mail:a.nishihara@wyattfire.com
j- a-4''''''r44'' 44+ . , -
CONTRACTOR . 4s z ' - BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection
i'e (Please retea'tyfee schedule): .
Address:9095 SW Burnham Permit fee:
City/State/ZIP:Tigard,OR 97223 State surcharge(12%ofpermit fee):
FLS plan review(40%of permit fee):
Phone:( )503.684.292 itis.../Aijadttax:
( )503.684.9657 (Due upon application submittal)
CCB lie.:64077 Total permit fees:
Authorized signature:
Amount received:
This permit application expires if a permit is not obtained
Print name:Ashley Nishih ra Date:12/1/17 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
„Describetwork to bedone: rg.-, r • 4. i Oa . gg: :t• r
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
0 New system Number of sprinkler heads: 71 Number of alarm devices:
❑■ Addition or 0 1-10 heads: Affidavit required and 0 1-5 devices: Affidavit required and
Alteration (3) copies of sketch showing area (3)copies of sketch showing area
to existing of work within building structure of work within building structure
system
11+ heads: Plan review required and 0 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
e'of Syste (Complete A,B C orDas Wa licable)t '- �r
:A)*Commerce Sprinklers , 747 7, 11
.r, 41,4,4
Sprinkler Type 0 Wet ❑ Dry
Additional Standpipes None
Information: Sprinkler Supply Line ❑ Yes 0 No
Hazard Group Light
Density .1
Design Area 1500
K.Factor 5.6
Sprinkler Project Valuation: $9108
B.) Type I"- Hood Fire Suppression,Systedx P
Hood Project Valuation: $
Submittal shall Battery Calculations D Yes
include: Individual Component D Yes
Cut Sheets
Fire Alarm Project Valuation: $
=D.)at Reside ial'Sprinkler(Stand Alone Sstem . a a
Square Footage:
Permit Fee: At,
0 to 2,000 $198.75 r � , �^ * }
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05 t ' ` VS 1
7,201 and greater $404.39 ._. _ e
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees ' M
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: $
W:\Permits\Permit Application Forms(Updated July 2017)\Tigard Fire Permit App.doc 2