Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
• COMMUNITY DEVELOPMENT Permit#: FPS2018-00182
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/03/2019
T I�" I'Dg Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 300
Project: Point Development Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Fire sprinkler permit:Adding and relocating a total of(13)sprinkler heads for TI.
Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES
9095 SW BURNHAM ATTN: N PIVEN
TIGARD, OR 97223 15350 SW SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 503-684-2928 PHONE: 503-624-6300
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 01/03/2019 $77.99
12%State Surcharge-Building 01/03/2019 $9.36
Type of Use: COM Plan Review-Fire Life Safety-COM 01/03/2019 $31.20
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 01/03/2019 $12.50
Occupancy Grp: B 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 $131.05
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,455.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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Issued By: / / 44
14
v ittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System ,[ ..
Clof Tigard �r�h+r=+i Received r )) PermitNo.:
�5 g � Date/By: / "� ,�f J/ �7 �y � j iL ��Ll
w 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review E
Other Permit: 't 1
a Phone: 503.718.2439 Fax 503.598.1960 D E'C 2 6 ?0I8 Date/By: 12—�) ) . 1, r' -c r
T i C;A r,D Inspection Line: 503.639.4175 Date Ready/By: / Juris: (� See age for
Internet: www.tigard-or.gov CITY OF of A�Yt'F, N ' ed/Method: t�� / Supplemental Information
l'1f1�
.,$ .. , wok., i . „ REQUIRED TA -, . , L G
❑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
work indicated on this application.
- ._ . .: Ut f Cf1t 'It'T #31Y . _ . .,,,.
Valuation: $
❑ 1-and 2-family dwelling ❑■ Commercial/industrial
r Number of bedrooms:
❑Accessory building ❑Multi-family
11 Master builder ❑Other: Number of bathrooms:
JOB ITE I NFOR I TIO : CATIUII Total number of floors:
Job site address:6650 SW Redwood Lane, New dwelling area: square feet
City/State/ZIP:Portland, Or 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:300 Project name:Point Development Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
, QUIRT D DAT 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
> } CRIPTIONOF WORK{ work indicated on this application.
Valuation: $1455
Add and relocate FS heads for TI
Existing building area: square feet
New building area: 0 square feet
PROPERTY OWNER TENANI` Number of stories:
Name: Type of construction: V 6
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
IC� . .. . i PERSON �,, )*i�TIC '` '
Business name:Wyatt Fire Protection All contractors and subcontractors are required to be
Contact name:Ronin Campbell licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:9095 SW Burnham jurisdiction in which work is being performed.If the
City/State/ZIP:Tigard, OR 97223 applicant is exempt from licensing,the following reasons
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Phone:( )503.684.2928 I Fax::( )503.684.9657
E-mail:r.campbell@wyattfire.com
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Business name:Wyatt Fire Protection
Permit fee:
Address:9095 SW Burnham
State surcharge(12%of permit fee):
City/State/ZIP:Tigard, OR 97223
FLS plan review(40%of permit fee):
Phone:( )503.684.2928 Fax:( )503.684.9657 (Due upon application submittal.)
CCB lic.:64077
Total permit fees:
Amount received:
Authorized signature:Vi 1/
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Ronin Campbell Date:12/26/18
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(l 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 1heeaads: 3.) Addition/alteration only to alarm devices:
l
❑ New system Number of sprinkler heads: A ✓ Number of alarm devices:
l 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
El 11+ heads: Plan review required and El 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type cif System (Complete A,li, or 0 as aplicaile)#
A) Commercial prinklet
Sprinkler Type e Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line [j Yes ❑ No
Hazard Group \3/(\r
Density ,p„
Design Area \500
K.Factor J 6
Sprinkler Project Valuation: $ l4-5S
Hood Project Valuation: $
t
w e w
Dire aim v
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: I $
ik c rPBiliStROWtagaiUilila
r its
.)Residential Sp�l�e (Stand� oneryte ) °s 'a
Square Footage: Permit Fee:
0 to 2,000 $198.75 g ,
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05 Aa
7,201 and greater $404.39 „ ,l `„ .; w '
Sprinkler Project Square Footage: sq. ft.
?i 0144 ii it 'e sr
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
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6650 SW REDWOOD LN 300, TIGARD,
OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00182
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor