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Permit CITY OF TIGARD t ' FIRE PROTECTION SYSTEM PERMIT 2 COMMUNITY DEVELOPMENT Permit#: FPS2016-00012 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/26/2016 Parcel: 2S 113AA00200 Jurisdiction: Tigard Site address: 16364 SW 72ND AVE B8 Project: General Parts Subdivision: ROSEWOOD ACRE TRACTS Lot: C Project Description: Add(7)fire sprinkler heads. 2/4/2016: REPRINT permit to correct address from 16360 to 16364. 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 01/26/2016 $83.37 12%State Surcharge-Building 01/26/2016 $10.00 Type of Use: COM Plan Review-Fire Life Safety-COM 01/26/2016 $33.35 Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Sm$0.50(up to 01/26/2016 $7.00 Occupancy Grp: Height: ft 11x17) Stories: 1 Misc Administration Fee 02/10/2016 $45.00 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Hazard: LT Density: .1 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 $178.72 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,610.00 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 que - •OUNC bbyy calling 503.232.1987 or 1.800.332.2344. Issued :y: r-- 61 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. CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2016-00012 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/26/2016 Parcel: 2S 113AA00200 Jurisdiction: Tigard Site address: 16360 72ND AVE B8 Project: General Parts Subdivision: ROSEWOOD ACRE TRACTS Lot: C Project Description: Add(7)fire sprinkler heads. 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 01/26/2016 $83.37 12%State Surcharge-Building 01/26/2016 $10.00 Type of Use: COM Plan Review-Fire Life Safety-COM 01/26/2016 $33.35 Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Sm$0.50(up to 01/26/2016 $7.00 Occupancy Grp: Height: It 11x17) Stories: 1 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Valet Standpipe Required: Hazard: LT Density: .1 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 $133.72 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $1,610.00 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 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspectio ate. This permit card shall be kept in a conspicuous place on the job site until ompletion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Fire Protection System RECEIVED City of Tigard q Date/By. fGj PermitNo.:y. ao16 LJO� 13125 SW Hall Blvd,Tigard,OR 97223 JAN G 6 2016 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By. Other Permit: Inspection Line: 503.639.4175 C,'I'V of 4t q Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information BUILDING 019SION "�, � �•.�:t � h�� �.t���. '„ REt�L�AtEDAT �ANI)2 FAM �'��� �:3 ❑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 work indicated on this application. �� � `� #, C�►TEGOR�O O ON ;�,.�� ,����� P���t��tnl{�. w ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: OB' FOI(3 ATION f �: Total number of floors: Job site address:16360 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:General Parts Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIREI I)ATe COMMERCIAI. R CHEC41ST 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 y. . work indicated on this application. New fire sprinkler drops for office TI Valuation: $$1,610.00 Existing building area: square feet New building area: 0 square feet ❑k PROPERTY OWNER 0,:.TENANT': w, Number of stories: 1 Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Light Phone:( ) Fax:( ) New: ® APPLICANT 3 ® CONTACT PERSON ,• NOTICE Business name:Wyatt Fire Protection All contractors and subcontractors are required to be Contact name:Ashley Nishihara 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* eedult Business name:Wyatt Fire Protection Plase refer toee ach Permit fee: Address: State surcharge(12%of permit fee): City/State/Z1P: FLS plan review(40%of permit fee): Phone:( ) Fax:( ) Due upon application) CCB lic.:64077 Total permit fees: ' Authorized signature: Amount received: This permit application expires if a permit is not obtained Print name:Ashley Nishihara V Date:1/25/2016 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board C\Building\Pemilts\FPS-PamitApp.doc Rev01/05/2012 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work to be done .v. x s . 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: 7 Additional description of work: 'e of S'°stein Com lete_A .BC arKD a. ,a` licable 'z�� '` k mt a 7 x 6 ypffi�" k 3,• E � cif I f A,� Co Merci priin a Skler, t ® Wet ❑ Dry Additional Standpipes 0 Information: Hazard Group Light Density 0.10 Design Area 1500 K. Factor 5.6 Sprinkler Project Valuation: $ 1610 B T*r"e I;- Hood Fire Su cession System Hood Project Valuation: $ C.) Fiti'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 3,601 to 7,200 $310.05 7,201 and greater $404.39 , 't Sprinkler Project Square Footage: sq. ft. 'F* 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% ofpen-nit 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\PerrnitApplications\TigardApp.doc RevOl/05/2012 2 RECEIVED City of TigardPermit No.: ��S'�©/� —e)QQ/-Z 13125 SW Hall Blvd,Tigard,OR 97223 J:4 N 26 ?016 s Phone: 503.718.2439 Fax: 503.598.1960 Date Received: / Inspection Line: 503.639.4175CI 1 (A � HARD Internet: www.tigard-or.gov.gov iV By: FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS OR TENANT IMPROVEMENTS (I to 10 SPRINKLER HEADS WITHOUT PLANS) Project Name: General Parts Occupancy: Light Job Address: 16360 SW 72°d Ave Type of Construction: IIIB Suite: Contractor: _Wyatt Fire Protection Phone: 503-684-2928 Number of Proposed or Altered Heads: 7 Type: SSP Hazard: Light Density: 0.10 1, Ashley Nishihara,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 docume t with a copy of the sketch attached shall be available for all inspections. Signature: Date: 1/25/2016 Print Name: Ashley Nishihara I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1 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 16364 SW 72ND AVE B8, TIGARD, OR, 97224 Commercial - Fire Protection System 999 Sprinkler final PASS - No C of O FPS2016-00012 Jeff Grove Violation Summary: Inspector Contractor