Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
: ' COMMUNITY DEVELOPMENT Permit#: FPS2019-00050
T i G A R 0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/25/2019
Parcel: 2S113AB01201
Jurisdiction: Tigard
Site address: 16525 SW 72ND AVE
Project: Routeware Subdivision: None Lot: None
Project Description: Fire sprinkler. Adding and replacing 23 fire 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:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 04/25/2019 $102.20
12%State Surcharge-Building 04/25/2019 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 04/25/2019 $40.88
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 04/25/2019 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 04/25/2019 $12.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: 0.1 Design Area: 1500
K Factor: 6.5
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $169.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,970.00
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 503.2 .1987 or 1.800.332.2344.
Issued By: ' - ; / ! : rmittee Signature:Allr ,"' - , k)/ :_—
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 FOR OFFICE USE ONLY
City of Tigard Received / /q l . aVi,—�
1111‘ 2 k 9 Date/By:
'I 13125 SW Hall Blvd.,Tigard,OR 9722i' '' Plan Revie (g�
■ Phone: 503.718.2439 Fax: 503 598 1960 Date/By: Z� `t -` Other Permit:
Inspection Line: 03.63 .4175 Date Ready/By: L� / kris: See Page 2 forTIGARD Internet www t1gand or8ov otified/Me hod 71 � q / Supplemental Information ormation
•
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❑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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATS RYO ? FSTRCJ T E,1 work indicated on this application.
El1-and 2-family dwelling ■❑Commercial/industrial Valuation: $
0 Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND iOCATLU I Total number of floors:
Job site address:16525 Sw 72nd ave New dwelling area: square feet
City/State/ZIP:Portland, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Routeware TI Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
1 E{QtJHU1I DA ` , OMMERClALVSE ClitekliST,
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
DESCCRiPTI OF + work indicated on this application.
Add and relocate fire sprinkler heads for new TI Valuation: $2970
Existing building area: square feet
New building area: 0 square feet
❑ PROPERTY OWNER ❑ TENANTNumber of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
II APP ANT CONT `P*RSON
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
apply:
Phone:( )503.684.2928 I Fax::( )503.684.9657
E-mail:r.campbell@wyattfire.com
': p N' 1I"Olt Bott3 t,IGPEl ort P'. '"
,.f a;a /ct o:ke se4 .
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:
Authorized signature: at,
1 Amount received:
IN" // This permit application expires if a permit is not obtained
Print name:Ronin Campbell Date: 1s�/49 ,� within 180 days after it has been accepted as complete.
11^^''ff * 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
esci wow ta.be. on
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
ElNew system Number of sprinkler heads: 23 Number of alarm devices:
❑■ Addition or El 1-10 heads: Affidavit required and El 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 El 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type of.Systeri (Col lets A,13, or as aipplica�ble): .:
A4 Commercial Spunk r
Sprinkler Type SSP-QR El Wet El Dry
Additional Standpipes
Information: Sprinkler Supply Line El Yes El No
Hazard Group Light
Density .10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $2970
Bx)..'Type I Hood;Fire Suppressi4 Systetri
Hood Project Valuation: $
C.) FIre`Alai n
Submittal shall Battery Calculations El Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
1)) esd t e ` to ne Systems)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
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
Tel: 503.718.2439
Location: Inspection Date:
16525 SW 72ND AVE, TIGARD, OR, 97224 April 26, 2019 at 8:25:46 AM
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00050
Inspection Type: Inspector:
999 Sprinkler final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor