Permit (57) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111, .
° "- COMMUNITY DEVELOPMENT
Permit#: FPS2017-00200
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/28/2017
Tf Parcel: 2S112AC01100
Jurisdiction: Tigard
Site address: 7301 SW KABLE LN 300
Project: Lifetime Remodeling Subdivision: FANNO CREEK ACRE TRACTS Lot: 22
Project Description: Fire sprinkler permit:Adding(1)sprinkler head. Affidavit submitted.
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 12/28/2017 $56.47
12%State Surcharge-Building 12/28/2017 $6.78
Type of Use: COM Plan Review-Fire Life Safety-COM 12/28/2017 $22.59
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 12/28/2017 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: 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 $86.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $642.00
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 1.80
Issued By: Permittee Signature: /--` 2-
tiiJ��� G" �y-
Call 503.639.4175 by 7:00 a.m.for the next available ins••ction 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 FOR OFFICE USE ONLY
City of Tigard Received —
a Ar1 :". _Iili Permit No.: y _ —
g �� A '''1"'°*-. Date/B
13125 SW Hall Blvd.,Tigard,OR 972 „>= Plan Review Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/B
T l G A R D Inspection Line: 503.639.4175 Sl r`1" )01/ Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov `3 C_�` Notified/Method: liM Supplemental Information
y` 1 \-zk ,
4VPE OP R4 i.P ,1 . . , REQUIREDD TA :f - ; `'i WDWN s,
['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
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGt*Y O 3CON TRU�ON work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building 0 Multi-family Number of bedrooms:
El Master builder 111 Other:
Number of bathrooms:
JOB SITE'INPOOMATIO . LCA' ON Total number of floors:
Job site address:7301 SW Kable Lane New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 00 Project name:Lifetime Remodel Add Head Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
RIt 1JU IATA:COM RCI L- E CHECKLIST_
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
I IPTION OF tTO1 work indicated on this application.
Add(1)sprinkler head in warehouse display Valuation: $$642.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OYER t ❑ ENA : Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
6::A'PU+ A1�1T >2 CON A.CT I Elf$ON
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 St jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP:Tigard,OR 97223
apply:
Phone:(503)684-2928 Fax: :( )
E-mail:m.colley@wyattfire.com
CQN 1[ 2 ACTOtt 4t.,V4DING fl s*
e� e1 �> tf. .. .,..
Business name:Wyatt Fire Protection
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP:
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal.)
CCB lie.:64077 Total permit fees: aK. ,3 j
Authorized signature: Amount received:
I— This permit application expires if a permit is not obtained
Print name:Max Colley rr��" Date: 12/28/17 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 1 Number of alarm devices:
® Addition or ® 1-10 heads: Affidavit required and ❑ 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 El 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
' ' e ofSystem(C tnnplete A, ,C art I) s.ppI bie) ,.w. , , tx
A.) Co eteiai Spr et
Sprinkler Type
® Wet ❑...Dry
Additional Standpipes
Information: Sprinkler Supply Line El Yes ❑ No
Hazard Group Light
Density .1
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 642
.) , :ly Hood,Fite 5ua � i st ,
Hood Project Valuation: $
Submittal shall Battery Calculations El Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: I $
Square Footage: Permit Fee:
rgtP014g: ::;-OglIlgAIIMMIPV.IIVgIV"VOkrOgg
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.
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:\Max\1112 PERMIT APPLICATIONS\Tigard App.doc 2
City of TigardV
�' Permit No.: j
13125 SW Hall Blvd.,Tigard,OR 97223'"
g Phone: 503.718.2439 Fax: 503.598.1960 sy Date Received: %?-f?1 i 7
-FICA R D Inspection Line: 503.639.4175 O F t., 2 8 .01!
Internet: www.tigard-or.gov By: ei14 / r')
C l lY .. f"
FIRE SPRI AFFI1iA IT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Lifetime Remodel Add Head Occupancy: Light
Job Address: 7301 SW Kable Lane Type of Construction:
Suite:
Contractor: Wyatt Fire Protection Phone: 503-684-2928
Number of Proposed or Altered Heads: 1
Type: SSP 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) Only one sprinkler head will be installed from one drop (exception: up to two heads from one 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.
f) 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: 12/28/17
Print Name: Max Colle
I:\Building\Forms\FireSprinlderAffidavit_071514.docx Page 1 of 1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7301 SW KABLE LN 300, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00200
Inspection Type: Inspector:
910 Sprinkler rough-In Chip Barnett
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor