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Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT • ■' ' COMMUNITY DEVELOPMENT Permit#: FPS2018-00026 T(C_ AkD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/19/2018 Parcel: 2S 113AB01201 • Jurisdiction: Tigard Site address: 16505 SW 72ND AVE Project: Spec Space Subdivision: None Lot: None Project Description: Adding and relocating 75 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 04/19/2018 $77.99 Plan Review-Fire Life Safety-COM 04/19/2018 $31.20 Type of Use: COM Info Process/Archiving-Lg$2.00(over 04/19/2018 $2.00 Class of Work: ALT Type of Const: VB 11x17) Occupancy Grp: B Height: ft Info Process/Archiving-Sm$0.50(up to 04/19/2018 $12.50 Stories: 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: LT Density: 0.1 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 $123.69 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 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 50 .232.1987 or 1.800.332.2344. Issued By: ' Azi r —Permittee Signature. Call 503.639.4175 by 7:00 a.m.for the next available insp= ion 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 Applicata Fire Protection System EIVED FOR OFFICE USE ONLY City of Tigard APR 6 2018 Received / I 13125 SW Hall Blvd.,Tigard,OR 97223 u Date/By: y ��j Permit No,: �S�O`�,�y/ G Phone: 503.718.2439 Fax: 503.01.17911001- �^.A F Plan Review //Ilk, l, /x '� �f` ��0.�t1l�� Date/By: 9 -i 6• )• Other Permit: L TI G A R D Inspection Line: 503.639.4175 I }^�{ t�-. � � eL6 S�t� `! c� Date Ready/Bied/Metho ` l f kris: S See a Internet: www.tigard-or.gov • s�� 1,a � l`(- � age 2 for ttfied/Method: �/ Supplemental Information TYPE 9*WORK l 4P-A REQUIRED DATA 1-ANI)2-FAMILY D ELL IVIG ❑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 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: $ D Accessory building ❑Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION ' Total number of floors: Job site address: 16505 SW 72"d Ave New dwelling area: square feet City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: I Project name:PBC 196-16505 Spec Office 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: 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 DESCRIPTION OF WORK work indicated on this application. Demo 45 heads for removal of ceiling grid Valuation: $$1,402.00 A S r^C Z v,; WGo $0/- re yt (2, Existing building area: square feet New building area: square feet ©,PROPERTY OWNER 0 TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax ( ) New: "w APPLICANT y .CONTACT- 'ERSON, Business name:Wyatt Fire Protection All contractors and subcontractors are required to be Contact name:Max Colley licensed with the Oregon Construction Contractors Board Address:9095 SW Burnham St under ORS 701 and may be required to be licensed in the 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 apply: I Fax::( ) E-mail:m.colley@wyattfire.com CONTRACTOR BUILDING PERIYIIT.FES* Business name:Wyatt Fire Protection (P.1`erisere.Iertofee5c d/e) Address: Permit fee: City/State/ZIP: State surcharge(12%of permit fee): Phone: FLS plan review(40%of permit fee): ( ) I Fax:( ) (Due upon application submittal.) CCB lac.:64077 Total permit fees: Authorized signature: Amount received: This permit application expires if a permit is not obtained Print name:Max Colley _ — Date:4/4/18 within 180 days after it has been accepted as complete. "" - * Fee methodology set by Tri-County Building Industry I:\Buildiug\Permits/FPS-PermitApp_031016.doc Service Board. 440-4613T(I 1/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information the work.to lie doth:.' 1.) Type of Work: 2.) Addition/alteration�only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: 4) 7 S Number of alarm devices: ® Addition or Ar 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 system6+ required 11+ heads: Plan review required and ❑ devices: Plan review re uired an d (3) sets of plans. (3) sets of plans. Additional description of work: .." p ..of System(C mplete A,B,C or D a applicable) - A) Cofkin rcaSpnke . Sprinkler Type ® Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes El No Hazard Group Light Density 0.1 Design Area 1500 K. Factor 5.6 Sprinkler Project Valuation: I $ 1402 B) Type t- iood''Aire uppressio ..Syste n Hood Project Valuation: I $ C) Fire A lana Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: I $ I).) Residential Sprinkler(Stand Alone System) 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: I 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: $ W:AMax\002 PERMIT APPLICATIONS\Tigard App.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16505 SW 72ND AVE, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Fire Protection System FPS2018-00026 Inspection Type: Inspector: 910 Sprinkler rough-In Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16505 SW 72ND AVE, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Fire Protection System FPS2018-00026 Inspection Type: Inspector: 999 Sprinkler final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor