Permit (159) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
■ COMMUNITY DEVELOPMENT Permit#: FPS2019-00043
13125 SW Half Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/01/2019
A lz ng Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 15350 SW SEQUOIA PKWY 150
Project: financial investments Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Fire sprinkler.Adding and relocating(6)sprinkler heads.
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:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/01/2019 $77.99
12%State Surcharge-Building 04/01/2019 $9.36
Type of Use: COM Plan Review-Fire Life Safety-COM 04/01/2019 $31.20
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 04/01/2019 $1.00
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: 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 $119.55
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,463.00
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 OU C by calling 0 .232.1987 or 1. 0.332.2344.
Issued By: Permittee 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 p '
Fire Protection SystemFOR OFFICE I.SE ONLY
AP R 11 2 1 i
City of Tigard RDateBed G 54;20
Ill 13125 SW Hall Blvd.,Tigard,OR 97223 '. Plan Review
Phone: 503.718.2439 Fax: 503.598.1W Date/B : Other Permit:
T G ,„1.) Inspection Line: 503.639.4175 Date Ready/By: Jurist Ef See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
T'YP'E OF RK...' 1Q ft i A4TA 1 AMU t#WELLI I
❑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
CATEQR%' OR' CONFT,RU ION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ❑■ Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOS Total number of floors:
Job site address:15350 SW Sequoia Parkway New dwelling area: square feet
City/State/ZIP:Portland, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: 150 Project name:Financial Investment Team Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQV D nAt A;COM R IAL-Vs t Ct'(LI I`
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
work indicated on this application.
Add&Relocate fire sprinkler heads for TI valuation: $1463
Existing building area: square feet
New building area: square feet
1PRO R CSI � Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
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 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:m.colley@wyattfire.com
ONT RA! _
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 tic.:64077
Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
.'"
Date:4/1/2019 Y acceptedas within 180 days after it has been complete.
Print name:Max Colley sr' * 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 ; Permit No.: PISS / Ll
E 13125 SW Hall Blvd.,Tigard,OR 97223 {/, Zfl
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■ Phone: 503.718.2439 Fax: 503.598.1960`'`` `' u Date Received:
Inspection Line: 503.639.4175
TIGARD E• e
Internet: www.tigard-or.gov {{ A By: -
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Financial Investment Team Occupancy:
Job Address: 15350 SW Sequoia Parkway Type of Construction:
Suite: 150
Contractor: Wyatt Fire Protection Phone: 503-684-2928
Number of Proposed or Altered Heads: 6
Type: SSP-QR Hazard: Light Density: 0.10
1 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: " / - Date: ,4/1/2019
—
Print Name: Mak Colley -
I:\Building\Forms\FireSprinlderAffidavit 071514.docx Page 1 of 1
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
15350 SW SEQUOIA PKWY 150, TIGARD,
OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00043
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor