Permit (80) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1 - COMMUNITY DEVELOPMENT Permit#: FPS2018-00053
13125 SW Hall Blvd.,Ti Date Issued: 05/21/2018
TtC:iaV W.l'� and OR 97223 503.718.2439 9
Parcel: 2S113AC00101
Jurisdiction: Tigard
Site address: 16655 SW 72ND AVE 400
Project: Applied Colors Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 37
Project Description: Add/relocate(7)fire sprinkler heads for tenant improvement.
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 05/21/2018 $75.30
12%State Surcharge-Building 05/21/2018 $9.04
Type of Use: COM Plan Review-Fire Life Safety-COM 05/21/2018 $30.12
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 05/21/2018 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 05/21/2018 $7.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: 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 $123.46
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,380.00
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 m., obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
,111P1
, r
Issued By: /` Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection ate.
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.
E
Building Permit Application IVB"'
_
Fire Protection System MAY 21 Z018 FOR OFFICE USE ONLv
City of Tigard Received --#1 2^ `
114 II 13125 SW Hall Blvd.,Tigard,OR 97223 ' Date/B : � �� (/ r Permit No. i�WhO -6I.e0s3
.,IT OF TIC AR-i.
Phone: 503.718.2439 Fax: 503.598.1960 * pp�� r Other Permit:
I i t„1 h I7 Inspection Line: 503.639.4175 UILDII�G DIY ISI 1� fate Read/B Jur s: ® See Page 2 for
Internet: www.ti and-or. ov y o
g g Notified/Method: Supplemental Information
TYPE OF WORK. ,-2....w-REQUIRED DATA:1-AN D 2-AMILY DWEL T
0 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
CA'iEGORY OF CONSTRUCT N; work indicated on this application.
0 1-and 2-family dwelling ❑■ Commercial/industrial Valuation: $
ElAccessory 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:16655 SW 72nd Ave New dwelling area: square feet
City/State/ZIP:Portland, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:400 Project name:Applied Colors TI Covered porch area: square feet
Cross street/directions to job site: Deck area:
square feet
Other structure area: square feet
REQUIRED DA'T`A:COMM RIAL-USE diECkLISi
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/Relocate fire sprinkler heads for TI Valuation: 1380
Existing building area: square feet
New building area: 0 square feet
0 PROPERTY OWN R p T"ENANT Number of stories:1
Name:
Type of construction:III-B
Address:
Occupancy groups: /23
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
t APP ANT .: CONTACT PERSON` ..>
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
Address:9095 SW Burnham 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
apply:
Phone:( )503.684.2928 Fax::( )503.684.9657
E-mail:A.Nishihara@wyattfire.com
. . .,-
CONTRACTORBUILDING PERMIT Ply*
Business name:Wyatt Fire Protection � � fees
Address:9095 SW Burnham Permit fee:
City/State/ZIP:Tigard, OR 97223 State surcharge(12%of permit fee):
.684.2928 Fax: FLS plan review(40%of permit fee):
( )503
Phone: ( )503.684.9657 (Due upon application submittal.)
CCB lic.:64077 Total permit fees:
Authorized signature: v?,?6 Amount received:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Ashley Nishihara Date:5/18/2018
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(I 1/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
De cri work to be done ,
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
E=1New system Number of sprinkler heads: 7 Number of alarm devices:
I Addition or 1=11-10 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
El 11+ heads: Plan review required and I=16+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type of system(Complete A, ,C or I)as applicable)
A.) Commercial Sprinkler
Sprinkler Type ❑■ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes 0 No
Hazard Group Light
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $1380
B') Type I Hood Fire Suppression System
Hood Project Valuation: $
C) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) 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: sq. ft.
Fite Prost ,t on fermi ' ee
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.doc2
City of Tigard MAY 2018 Permit No.: //°'.S g--0/I — (9.00 S.3
,IN
14 13125 SW Hall Blvd.,Tigard,OR 97223 / /
m Phone: 503.718.2439 Fax: 503.598.1 OF
IGARD / /Date Received: .j/ 14er
Inspection Line: 503.639.4175
T I G A Ft D Internet: www.tigard-or.gov qUILDING DIVISION By: 4947---
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Applied Colors TI Occupancy: Office
Job Address: 16655 SW 72nd Ave Type of Construction: III-B
Suite: 400
Contractor: Wyatt Fire Protection Phone: 503-684-2928
Number of Proposed or Altered Heads: 7
Type: SSP-QR Hazard: Light Density: 0.10
I Wyatt Fire Protection Oregon Construction Contractors Board No. 64077
certifythefollowing n g 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: 4Date: 5/18/2018
Print Name: Ashley Nishihara
1:\Building\Forms\FireSprinklerAffidavit 071514.docx
1 Page 1 of 1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16655 SW 72ND AVE 400, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00053
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor