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Permit (161) CITY OF TIGARD FIRE PROTECTION FPS2019-SYSTEM00029 PERMIT ■' COMMUNITY DEVELOPMENT Date Issued: 03/07/2019 T 1 ;A i=.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DA00800 Jurisdiction: Tigard Site address: 15055 SW SEQUOIA PKWY 100 Project: Pacific Star Subdivision: PACIFIC CORPORATE CENTER Lot: 2 Project Description: Fire sprinkler. Relocating(2)fire sprinkler heads and plug for(1)for office TI. Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES LP 9095 SW BURNHAM ATTN: N PIVEN TIGARD, OR 97223 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-684-2928 PHONE: FAX: 503-684-9657 FEES Description Date Amount Specifics: Permit Fee-COM 03/07/2019 $56.47 12%State Surcharge-Building 03/07/2019 $6.78 Type of Use: COM Plan Review-Fire Life Safety-COM 03/07/2019 $22.59 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 03/07/2019 $0.50 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Wet Standpipe Required: Hazard: LT Density: 0.1 Design Area: 15000 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 $86.34 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $620.00 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. ��/(�'- Issued By:AV-, / Permittee Signature: /fr ' , f Call 603.639.4175 by 7:00 a.m.for the next available inspection dat rd This permit card shall be kept in a conspicuous place on the job site until complet•n of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Fire Protection System a ,• FOR OFFICE USE ONLY City of Tigard M t�0 ,� 2019 Received e eive3 /� i_�'� iiia r.�. 4. � ": R 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 10,'.4,ENEA f 1 Phone: 503.718.2439 Fax: 503.598.19(1 DateB : ffll''// ral Date Ready/By: See 'age 2 for Inspection Line: 503.639.4175 r t € Supplemental Information T 1 G A R D Internet: www.tigard-or.gov s.. �i Notified Method: SPE RK REQi iATA1Al 2,:ii- LY I)WENG OIC WOUIR ❑Demolition Permit fees*are based on the value of the work performed. 0 New construction 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. CATEGORY.OF CON'TR'tICTION Valuation: $ ❑1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms: ❑Accessory building ❑Multi-family Number of bathrooms: ❑Master builder 1:1Other: JOS SI"t iAIFO I IATt9P, A1�tII UCATt0S Total number of floors: Job site address:15055 SW SEQUOIA PKWY#100 New dwelling area: square feet City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.:100 Project name:PacStar Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQIY RED DATA 41131wtE CiA[-VSE CKLIST." 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 1}ESCmPTION oiE wo work indicated on this application. Relocate 2 fire sprinkler heads and plug 1 for TI in office Valuation: $620 Existing building area: square feet New building area: 0 square feet :tyraaii ,W,64 -iR . " ti. TENAN :-. Number of stories: Type of construction:I11-B Name: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: .AP ,IC © CONTACZ R O , . NOTICE ,. _. Business name:Wyatt Fire Protection All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name:Ashley Nishihara under ORS 701 and maybe required to be licensed in the Address:9095 SW Burnham jurisdiction in which work is being performed.If the applicant is exempt from licensing,the following reasons City/State/ZIP:Tigard,OR 97223 apply: Phone:( )503.684.2928 Fax::( )503.684.9657 E-mail a.nishihara@gmail.com CONTRACTOR r ., ItI1NGPERM TIE� refer : eiikil }. 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.) Total permit fees: CCB lic.:64077 i I r Amount received: Authorized signature: ' 6!/C C This permit application expires if a permit is not obtained Date:3/7/2019 within 180 days after it has been accepted as complete. Print name:Ashley Nishihara * 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 esri ` Fork tea b toe 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: 4 Addition or 4 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 1=111+ heads: Plan review required and ❑ 6+ devices: Plan review required and (3) sets of plans. (3) sets of plans. Additional description of work:Relocate 2 heads, plug 1 for TI :::-.A4 Caiercial Sprit Sprinkler Type Wet ❑ Dry Additional Standpipes 1 Information: Sprinkler Supply Line Yes 0 No Hazard Group ` J t`�G�c� Density (� Design Area oi f� K. Factor Sprinkler Project Valuation: I $ 69, 3 Fitt Srr yste Hood Project Valuation: I $8) T pe 1 C.) ,Fire, Submittal shall Battery Calculations ❑ Yes include: Individual Component 0 Yes Cut Sheets Fire Alarm Project Valuation: I $ _.- c ,. v-,t t i s 4 A@ ',,,,i,‘„,* • yb, 8 a b # +r ( Permit Fee: Square Footage: 0 to 2,000 $198.75 2,001 to 3,600 3,601 to 7,200 $310.05 7,201 and greater $404.39 Sprinkler Project Square Footage: sq, ft.y : ,.,`Pkv "ro et on Permit Fes 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 Permit No.: I /60N/J ® 13125 SW Halt Blvd.,Tigard,OR 972 " 7 / t Phone: 503.718.2439 Fax: 503.598.1960 Date Received: Inspection Line: 503.639.4175 1 TIGARD Internet: www.rigard-or.gov By: ✓ ,.L FIRE SPRINIER'AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: PacStar Occupancy: Light Job Address: 15055 SW Sequoia Pkwy Type of Construction: III-B Suite: 100 Contractor: Wyatt Fire Protection Phone: 503-684-2928 Number of Proposed or Altered Heads: 3 _ Type: SSP-SR Hazard: Light Density: 0.10 I 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 f this u ocument with a copy of the sketch attached shall be available for all inspections. f Signature: 1� " `6 Date: 3/7/19 Print Name: Ashley hihara I:\Building\Forms\FireSprinklerAffidavit 071514.docx Page 1 of 1