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Permit p CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT IPA = COMMUNITY DEVELOPMENT Permit#: FPS2014-00128 f G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/04/2014 -T Parcel: 2S 112 DA01400 Jurisdiction: Tigard Site address: 15350 SW SEQUOIA PKWY 200 Project: MANAGEMENT GROUP Subdivision: 1996-048 PARTITION PLAT Lot: 2 Project Description: Modification of(4)fire sprinkler heads for TI 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 08/04/2014 $59.16 12%State Surcharge-Building 08/04/2014 $7.10 Type of Use: COM Plan Review-Fire Life Safety-COM 08/04/2014 $23.66 Class of Work: ALT Type of Const: Occupancy Grp: Height: ft Stories: 1 Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Standpipe Required: Hazard: Density: 0 Design Area: 0 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Total $89.92 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $750.00 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 sta.-. within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rule ado* ed by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may o•tain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: / Permit tee Signature: � I .``CCalll 503.639.4175 by 7:00 a.m.for the next available inspection date. +�I / 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 Applicatio t Fire Protection System iECEIVED y FOR OFFICE USE ONLY City of Tigard Received t �/ _a6(�� tY g AUG 4 2014 Date/By. /e/ t� . . Permit IIN 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.59 O fG RD Date/By Other Permit: u j) 2 j Z f _60 1 i I e; ,it n Inspection Line: 503.639.4175 �^ �ypn Date Ready/By: tuns, ® See Page 2 for Internet: www.tigard-or.gov BUILDING[,e 1lIOV Notified/Method Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑ 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 ❑ Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. dwelling Valuation: S ❑ I-and 2-famil y g ®Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:15350 SW SEQUOIA PARKWAY New dwelling area: square feet City/State/ZIP:PORLTAND,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.:200 Project name:MANAGEMENT GROUP TI 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 ADD/RELOCATE FOR T.I. Valuation: $$750.00 Existing building area: 11279 square feet New building area: 0 square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: 1 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/StateJZ1P: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* (Please refer to fee schedule Business name:Wyatt Fire Protection 5� Permit fee: Address: City/State/ZIP: State surcharge(12%of permit fee): -2 .I 0 FLS plan review(40%of permit fee): �1 Phone:( ) Fax:( ) (Due upon application.) /,3- 44 CCB lic.:64077 Total permit fees: 9V.9; Authorized signature: Amount received: ��{///fff This permit application expires if a permit is not obtained Print name:Ashley Payne Date:8/1/14 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board t^.Building Tnmits\FPS-PennitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information s Describe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ® 1-10 heads: No plan review required. ® Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: 4 Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler ® Wet ❑ Dry Additional Standpipes Information: Hazard Group LIGHT Density 0.10 Design Area 1000 K. Factor 5.6 Sprinkler Project Valuation: $ 750 B.) Type I - Hood Fire Suppression System I Iood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations El Yes include: Individual Component ❑ Yes Cut Sheets Fire Mann 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\Permit Applications\Tigard App.doc Rev 01/05/2012 2 City of Tigard Permit No.: k4 go/ — O /?-' 1111 • 13125 SW Hall Blvd.,Tigard,OR 97223 i� Phone: 503.718.2439 Fax: 503.598.1960 Date Received: 7f/1/ l'f �, Inspection Line: 503.639.4175 ( Internet: www.tigard-or.gov By: FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (1 to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: AA Ai"&Y le Occupancy: Lt V Job Address: 1S 5 (,tO1 �k...ki Type of Construction: Suite: Z00 Contractor: W ex-1-4t— \ y\Q ,(j kc f 70x1 Phone: 56 Sq.-0-4t- Number of Proposed or Altered Heads: Type: ,C)(5? Hazard: torki-- Density: O l 0 I, Alp ►, , �. i _..�� Oregon Construction Contractors Board No. (.9 '4 L 077 certify the f.11 owin:/ s true an. .sonably 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 I f this docu , with a copy of the sketch attached shall be available for all inspections. Signature: 1� ( Date: 151`'t Print Name: A-511k, 0,y !.Z 7,A€ I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1