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Permit (93) III CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2019-00055 TfGAT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/22/2019 R. Parcel: 2S 112 DD00200 Jurisdiction: Tigard Site address: 15618 SW 72ND AVE Project: Bastion Security Subdivision: None Lot: None Project Description: Fire sprinkler.Relocating(3)sprinkler heads for TI. Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES LP 9095 SW BURNHAM ATTN: N PIVEN TIGARD, OR 97223 15350 SE 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 04/22/2019 $53.78 12%State Surcharge-Building 04/22/2019 $6.45 Type of Use: COM Plan Review-Fire Life Safety-COM 04/22/2019 $21.51 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 04/22/2019 $0.50 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 $82.24 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $600.00 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 I 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: �` � Permittee Signature: Jekn ^ 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 RECEIVED FOR OFFICE USE ONLY City of Tigard Received ° � ' Date/B : � �?��1C1 PermitNo.:� �J1 �.r � ■ II 13125 SW Hall Blvd.,Tigard,OR 97223A P R 2 2 2019 Plan ReviewZi 4 �C' J'`y`V.v ; Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit:t 7,. 7 TI G A RI) Inspection Line: 503.639.4175 CITY OF TI GAR D Date Ready/By: Jure is See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information h TYPE.OF WORK REQUIRED ATA.1-AND 2-FAMILY DWELLING [ 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 '..."141'94_::::. CATEGORY OF CONSTRUCTIO. I14 - `` work indicated on this application. vi :,- :. .vs: Valuation: $ 0 1-and 2-family dwelling Commercial/industrial ElAccessory building ElMulti-familyNumber of bedrooms: 0 Master builder 0 Other: Number of bathrooms: O �, RATON NLOCAIO SITE Total number of floors: Job site address: l S 61 . W Z<ni 4 vC 7 .6). Da q7,3lf New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: I S�}�� S Ct 1 y 1 Covered porch area: square feet Cross street/directions to job site: / Deck area: square feet Other structure area: square feet 8®HIRED DAT MMER d U " ® IST' 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 im 'iDESCRIP ON RIC " work indicated on this application.ation. =. ..0:42' v « ux: h r1: . z: z :.-14,,,,, r /bt CF iii ` QD,/(61 / nr_ 'J klValuation: $ 6/ J Existing building area: square feet vv,-/ 1 New building area: square feet s ,—.4-1 €r. - a en © PR2 • � •• 'R 4 Number of stories:v.. r ,n h�. 1' I . . ? Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: APLIGAN' s CONTACT";PERSO : , . . NO Business name: Giik,," 1^:,e,.. pro}-eol QA All contractors and subcontractors are required to be Contact name: 21n,n }vbt( licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: C0 q5 s,,,, m� jurisdiction in which work is being performed.If the City/State/ZIP: i,���/ �R 23 applicant is exempt from licensing,the following reasons apply: Phone:( e)5Q3 — C fi ..20(1_5c Fax::( ) ' E-mail: r ( l( @(r1014 .c e . (1°M F CONTRACTOR ,R . '? BUIL''; PERMIT`FEE * .'% (Pleas rtotee sehedule)` . � ; <:. Business name: 50-e.„ ,5 C,bov& 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.: 6t.( Total permit fees: 1v Amount received: Authorized signature: n /1' This permit application expires if a permit is not obtained Print name: ((„n,n ,di Date:1r/Gyp 2 l(G within 180 days after it has been accepted as complete. �I��/// I * 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 work to be done:N �x 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: Number of alarm devices: ❑ Addition or 1 {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 m (Complete A,1;104. , ` as'-applica Ie A omrne � m Sprinkler Type L Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group I l', \ Density 0.`I Design Area (500 K. Factor 5. 6 Sprinkler Project Valuation: $ 690 B.) Tw®µ pod; re'Suppre i System Hood Project Valuation: $ C.) Fire� A 6 Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ F c;D.) Resit t !iider(Stand*10 e m Square Footage: Permit Fee: -"` . h $ 0 to 2,000 $198.75v. ; 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 ,i , 7,201 and greater $404.39 ... .. . . Sprinkler Project Square Footage: sq. ft. £. .. • aon Permit Fee of. 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: $ I:\Building\Permits\FPS_PermitApp_031016.doc 2 City of Tigard Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 Date Received: t'W Inspection Line: 503.639.4175 T l G,2 R D Internet: www.tigard-or.gov By: RECEIVED IRE SPRINKLER AFFIDAVIT FOR ALTERATIONS APR 2 2 2019 OR TENANT IMPROVEMENTS CITY OF TIGARD (1 to 10 SPRINKLER HEADS WITHOUT PLANS) BUILDING DIVISION Project Name: Bastion Security TI Occupancy: Job Address: 15618 sw 72nd ave Portland, OR 97224 Type of Construction: Suite: Contractor: Wyatt Fire Protection Phone: 503.684.2928 Number of Proposed or Altered Heads: 3 Type: SSP-SR Hazard: Light Density: 0.1 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: % /6 Date: 4/19/19 Print Name: Ronin Campbell I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15618 SW 72ND AVE, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Fire Protection System FPS2019-00055 Inspection Type: Inspector: 999 Sprinkler final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor