Permit (212) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111 aCOMMUNITY DEVELOPMENT Permit#: FPS2018-00077
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/03/2018
Parcel: 2S102BA01000
Jurisdiction: Tigard
Site address: 9540 SW TIGARD ST
Project: Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: 57
Project Description: Fire sprinkler permit:(3)additional sprinkler heads to address system deficiencies. Affidavit submitted.
Contractor: WYATT FIRE PROTECTION INC. Owner: GREEN VALLEY DEVELOPMENT LLC
9095 SW BURNHAM BY GARY HELMER
TIGARD, OR 97223 2739 NW STARVIEW DR
BEND, OR 97703
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/03/2018 $77.99
12%State Surcharge-Building 07/03/2018 $9.36
Type of Use: COM Plan Review-Fire Life Safety-COM 07/03/2018 $31.20
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 07/03/2018 $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 $119.05
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,517.00
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. . 1.800.33
Issued By: '- “"ttee 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 comp ' e project.
Approved plans are required on the job site at the time of each inspection.
City of Tigard Permit No.:
'l 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Date Received: 773
1.1 R Inspection Line: 503.639.4175T
Internet: www.tigard-or.gov By: �4''t1•eee✓ T494-
q
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS) JUL 3 2016
CITE'I =. x4, ,44
[ tPLfIN
Project Name: Closets to Go Upgrades Occupancy: Light
Job Address: 9540 SW Tigard St Type of Construction:
Suite:
Contractor: Wyatt Fire Protection Phone: 503-684-2928
Number of Proposed or Altered Heads: 3
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: wM� Date: 7/3/18
Print Name: Max Colley
I:\Building\Forms\FireSprinlderAffidavit 071514.docx Page 1 of 1
Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
"` Received
Cityof Tigard Permit No.: ,
illig •g ? ttEra. .n1. I Dateive 7 , 6� !� r 7.
13125 SW Hall Blvd.,Tigard,OR 97223 "" Plan Review it
Z Phone: 503.718.2439 Fax: 503.598.1960 3 �nt 1�e Date/B : Other Permit:
T l G A R D Inspection Line: 503.639.4175JUL ll!U Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY J `lGA D
TYKE; .- l [ 0,DIVISION D 1 AT 1 ;2- AMM yDWEJ I
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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OI CON - ION work indicated on this application.
1111-and 2-family dwelling El Commercial/industrial Valuation: $
ElAccessory building El Multi-family Number of bedrooms:
❑Master builder ElOther: Number of bathrooms:
JOB g1TEINFORMATIONAND 7.,OCAt'ION Total number of floors:
Job site address:9540 SW Tigard St New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Closets To Go Upgrades Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
• REQ` I U DATA. COMMERCML- E C11ECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Perform upgrades to sprinkler system. System deficiencies found on inspection. Valuation: $$1,417.00
Existing building area: square feet
New building area: square feet
❑ PROPER'l OWNER ❑ ENA 1'I` Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
4',Ili�"r f '4 CONTACT P SC _,. ��
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
CONTRACTOtt 1BVILI)IN PERMIT k EE *...
Business name:Wyatt Fire ProtectionYecxt�rele4 tescleile7e
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: ' /1� j
Authorized signature: "
Amount received:
This permit application expires if a permit is not obtained
Print name:Max Colley Date:7/3/18 within 180 days,after it has been accepted as complete.
✓ * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe k tc . ,. .,.. `i ,
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 3 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:
Tyre of.Syster� (Co replete ,B or U as pp a..b e):
.A. Commercial Springer
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: $ 1517
.).Ty ..Hood,..Fire Suppress or yste n .
Hood Project Valuation: $
Pk
Submittal shall Battery Calculations El Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
p (Svna{>U Sys
Square Footage: Permit Fee:
0 to 2,000 _ $198.75
2,001 to 3,600 $246.45 y
3,601 to 7,200 $310.05
7,201 and greater $404.39 . itaa .
Sprinkler Project Square Footage: sq. ft.
n ... r4P Irte 1blCrttFM.. .z .. ..,.. ,.,, , x. . ,
idt
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
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9540 SW TIGARD ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00077
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor