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Permit (59)
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT lig COMMUNITY DEVELOPMENT Permit#: FPS2018-00066 Date Issued: 06/14/2018 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9512 SW WASHINGTON SQUARE RD H02 Project: Resveralife Subdivision: None Lot: None Project Description: Fire sprinklers:Add and relocate(2)sprinkler heads for TI. Contractor: WYATT FIRE PROTECTION INC. Owner: PPR WASHINGTON SQUARE LLC 9095 SW BURNHAM PO BOX 847 TIGARD, OR 97223 CARLSBAD, CA 92018 PHONE: 503-684-2928 PHONE: FAX: 503-684-9657 FEES Description Date Amount Specifics: Permit Fee-COM 06/14/2018 $61.85 12%State Surcharge-Building 06/14/2018 $7.42 Type of Use: COM Plan Review-Fire Life Safety-COM 06/14/2018 $24.74 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 06/14/2018 $0.50 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Wet Standpipe Required: Hazard: 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 $94.51 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $886.00 Residential Square Footage: 0 Fire Alarm Valuation: $0.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUN,"s y callin. 503.232.1987 or 1.800 332.2 44. Issued By: .fre" -,- �, � Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspe '.n date. This permit card shall be kept in a conspicuous place on the job site until completion oft ' roject. Approved plans are required on the job site at the time of each inspection. Building Permit Applicatio ,, , .t- Fire Protection System qq FOR OFFICE USE ONLY JUN r 1J Received Q� City of Tigard y i/������ Permit No.:F G �a�� Date/B 13125 S W Hall Blvd.,Tigard,OR 97223 Ti Plan Review _ Phone: 503.718.2439 Fax: 503.598.196O` Date/By: Other is' Permit/ii lK,,—o ).7 TIGARD Inspection Line: 503.639.4175 •¢ ...-:::'N `1 Date Ready/By: furls: ® See Page 2l for Internet: www.tigard-or.gov Notified/Method: Supplemental Information V1 OF WOtl K itEQULR DATA.1 '2$:t1 fWELUNG a.., ❑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 CATI OR.Y-0. CO+ISTIt" ,t`ION work indicated on this application. El1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building ElMulti-familyNumber of bedrooms: ❑Master builder ❑Other: Number of bathrooms: 'S7:71SOB sm "41: 1I ATIoN Alai?', ATI©N Total number of floors: Job site address$SIKSW WASHINGTON SQUARE ROAD New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:H2 Project name:RESVERALIFE WASH SQ Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet R.04U112. h3 DATA COMMERCtkt*S:E 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 r D SSCrRIP TION oto WQI � work indicated on this application. Add/relocate fire sprinkler heads as required for TI Valuation: $$886.00 Existing building area: square feet New building area: square feet i ❑ PRQPERTY OWNER ❑ T IANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: a;APPLIC 0. ,0- ONTACT PERSON 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 irlegailln .r . .. CONT AC OR * �M r � - Business name:Wyatt Fire Protection '>' ' Iaestc*iYl Permit fee: Address: State surcharge(12%of permit fee): Ciry/State/ZIP: FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application submittal.) CCB lic.:64077 Total permit fees: Authorized signature: -: � Amount received: j CThis permit application expires if a permit is not obtained Print name:Max Colley / Date:6/14/18 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(1 1/02/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: 2 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 of yste .(Comp1et ,Cot s applicable)........ . i..) Com merc al Sprin der Sprinkler Type ® Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line El Yes ❑ No Hazard Group LIGHT Density 0.1 Design Area 1500 K. Factor 5.6 Sprinkler Project Valuation: $ 886 Bt).Type I Hoc Pure Suppression Systems .. . Hood Project Valuation: $ C} Fite Altri Submittal shall Battery Calculations ❑ Yes include: Individual Component El Yes Cut Sheets Fire Alarm Project Valuation: $ 1).) Res ent Spri der tiod 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. .. tju peter . ., 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:\Mas\002 PERMIT APPLICATIONS\Tigard App.doc 2 City of Tigard Permit No.: / $91, Y' >1O( 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 k. Date Received: ,&/jL/ T I G A R O Inspection Line: 503.639.4175 �� s Internet: www.tigard-or.gov � ! a . 4 By: ) r FIRE SPRINKLFA AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: Resveralife Wash Sq Occupancy: Light Job Address: SW WASHINGTON SQUARE ROAD Type of Construction: Suite: H2 Contractor: Wyatt Fire Protection Phone: 503-684-2928 Number of Proposed or Altered Heads: 2 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 co' -of the sketch attached shall be available for all inspections. Signature: ! - Date: 6/14/18 Print Name: Max Colley I:\Building\Forms\FireSprinlderAffidavit_071514.docx Page 1 of 1