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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2014-00087 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/19/2014 Parcel: 2S113AD01800 Jurisdiction: Tigard Site address: 16700 SW 72ND AVE B16 Project: Collection Connection Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS 5-1 Project Description: Adding and relocating a total of(5)sprinkler heads. Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES 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 05/19/2014 $83.37 12%State Surcharge-Building 05/19/2014 $10.00 Type of Use: COM Plan Review-Fire Life Safety-MF 05/19/2014 $33.35 Class of Work: ALT Type of Const: Occupancy Grp: Height: ft Stories: Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No 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 $126.72 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,645.00 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 - adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You r.y ob in a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.8: / Issued By: fmittee Signature: I� ' 1 , 4 / i Ca ' .• .• 5 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• Received Permit r ��i ` iy- hone SW Hall Blvd.,Ti ax: � � 70•' 0 Plan Review • Other Permit: • �'ti.—�� 1 Phone: 503.718.2439 Fax: 960 1� Date/B . Tic;n R I) Inspection Line: 503.639.4175 �01� Date Ready/By: ® See Page 2 for Internet: www.tigard-or.gov Mai 1 Notified/Method: Supplemental Information TYPE O J A1"QI rr((��``7viS10� REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction 17�u; bTitfon Permit fees*are based on the value of the work performed.ILA l Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration/replacement ■ Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $❑ 1-and 2-family dwellin g ®Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑ Master builder i ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:16700 SW 72"Ave New dwelling area: square feet City/State/ZIP:Portland,OR Garage/carport area: square feet Suite/bldg./apt.no.: 6i(. Project name:Collection Connection Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST 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 DESCRIPTION OF WORK work indicated on this application. Fire sprinkler for TI.Add and Relocate Valuation: $$1,645.00 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: I Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Light Phone:( ) Fax:( ) New: Light ® APPLICANT ® CONTACT PERSON NOTICE Business name:Wyatt Fire Protection All contractors and subcontractors are required to be Contact name:Ashley Payne licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:9095 SW Burnham Rd 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::( ) E-mail:a.payne @wyattfire.com CONTRACTOR BUILDING PERMIT FEES* Business name:Wyatt Fire Protection (Please refer to fee schedule) Permit fee: Address: State surcharge(12%of permit fee): City/State/ZIP: FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application.) CCB lie.:64077 Total permit fees: Amount received: p2,6,.-7)- Authorized signature: k S , 1 This permit application expires if a permit is not obtained Print name:Ashley Payne Date:5/19/2014 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:Building'JPennitsFPS-PernitApp.doc Rev 01 05 2012 440-4613T(11r02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ® 1-10 heads: No plan review required. ® Alteration El 11+ heads: Plan review required. El Repair Number of sprinkler heads: 5 Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler ® Wet ❑ Dry Additional Standpipes 0 Information: Hazard Group Light Density 0.10 Design Area 1500 K. Factor 5.6 Sprinkler Project Valuation: $ 1645 B.) Type I- Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone System) 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. Fire Protection Permit Fees 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: $ Plan review requires a completed application and three (3) sets of plans at submittal. Plan review fees are required at submittal. C:\Users\Ashley\Desktop\Tigard App.doc Rey 01/05/2012 2 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 16700 SW 72ND AVE B16, TIGARD, OR, 97224 Commercial - Fire Protection System 999 Sprinkler final PASS - No C of O FPS2014-00087 Chip Barnett Violation Summary: Inspector Contractor