Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
rill � '= COMMUNITY DEVELOPMENT Permit#: FPS2018-00007
Date Issued: 02/13/2018
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DC00500
Jurisdiction: Tigard
Site address: 15895 SW 72ND AVE 220
Project: Hair Club For Men Subdivision: FANNO CREEK ACRE TRACTS Lot: 40
Project Description: Fire sprinkler permit:Adding(1)sprinkler head in IT closet. Affidavit submitted.
Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES LP
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 02/13/2018 $59.16
12%State Surcharge-Building 02/13/2018 $7.10
Type of Use: COM Plan Review-Fire Life Safety-COM 02/13/2018 $23.66
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 02/13/2018 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
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 $90.42
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $713.00
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: J 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 Applicationtar-
Fire Protection System FOR OFFICE USE ONLY
City of Tigard Received Permit No.: �;�1 - i�'�.1 \
III13125 SW Hall Blvd.,Tigard,OR 97223it: , ,�. 3 t1}1 Date/B
Phone: 503.718.2439 Fax: 503.598.1960 �J gg�ti ; Other Permit:
T I G A R D Inspection Line: 503.639.4175
(ATV 1. Qin 1.17 !II"Ready/By: ® See Page 2 for
Internet: www.tigard-or.govt y� 1 „41,t 1."(Method: / Supplemental Information
A7t,.'IL)IT
�C' i vtl
TYPE OF.WORK REQUIRED DATA'1-AND 2-FAMILY DWELLING
❑New construction ❑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
CATEGORY OF CONSI'RUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
0 Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15895 SW 72nd Ave New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:B/#220 Project name:Hair Club for Men 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(1)sprinkler head in IT closet Valuation: $713
Existing building area: square feet
New building area: square feet
El PROSY'OWNER El TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
15 APPLICANT , C'l CONTACT PERSON I O IGE
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
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
CON TRAC'T`OR DUIGt TG PERMIT!~ S*
Business . .
name:Wyatt Fire Protection1* e refer fee ss/�edule
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 lic.:64077 Total permit fees:
Amount received:
Authorized signature:
J,. This permit application expires if a permit is not obtained
Print name:Max C s Date:2/13/18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
'Describe=work:to be done:
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 ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type raf Systeri(Complete)k,B, oras applicable):
A.) Commercial Sprinkler
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group Light
Density 0.1
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 713
Hood Fire Suppression System
Hood Project Valuation: $
Cr). Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Resirtlential Sprinkler(Stand Alone: ystem)
Square Footage: Permit Fee:
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 ProteetioPermit 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: $
W:\Max\002 PERMIT APPLICATIONS\Tigard App.doc 2
City of Tigard is13125 SW Hall Blvd. Tigard,OR 97223 RECEIVEI. �/
>z Phone: 503.718.2439 Fax: 503.598.1960 Date Received: " / `3//Q1
-fl G A R , Inspection Line: 503.639.4175 _C3 ? pp J� 1,
Internet: www.tigard-or.gov L-F1B 1 3 2 018 8 By: 61 " &'-'./ --
FIRE SPRINKLEAA Alf ALTERATIONS
R�U 1�
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Hair Club for Men Occupancy: Light
Job Address: 15895 SW 72nd Ave Type of Construction:
Suite: Bldg B #220
Contractor: Wyatt Fire Protection Phone: 503-684-2928
Number of Proposed or Altered Heads: 1
Type: SSP Hazard: Light Density: 0.1
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: 2/13/18
Print Name: ax Colley
I:\Building\Forms\FireSprinlderAffidavit 071514.docx Page 1 of 1