Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111
1sr;F. COMMUNITY DEVELOPMENT Permit#: FPS2016-00110
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/30/2016
Parcel: 2S 112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 200
Project: Spec Space Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Relocating(3)sprinkler heads for TI. Affidavit submitted.
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 06/30/2016 $59.16
12%State Surcharge-Building 06/30/2016 $7.10
Type of Use: COM Plan Review-Fire Life Safety-COM 06/30/2016 $23.66
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 06/30/2016 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No 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 $90.42
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $740.00
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 th- rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /� y Permittee Signature:
411,
Call 503.639.4175 by 7:00 a.m.for the next available inspecti. date.
This permit card shall be kept in a conspicuous place on the job site unti completion of r •roject.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System FOR OFFICE [SE()NIA
City of Tigard Received Permit No.:
13125 SW Hall Blvd., aan
Tigard,OR 972 =' Pl /Review a `� y "
Phone: 503.718.2439 Fax: 503.598:11°.,1 Date/By: Other Permit: _
Date Ready/By:
Inspection Line: 503.639.4175 " Y r
T I G n R D S See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 101 Supplemental Information
OF` - � RFS ED TA•1=ANDS FAMILY DWE I l.t
❑New construction Dettttblitigti 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
GORY O ONST4 I A a work indicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other; Number of bathrooms:
Total number� � �' ota num o f floors:JOB SITE,; FO�- TIONSAND;, e A �
Job site address:6650 SW REDWOOD LANE#200 New dwelling area: square feet
City/State/ZIP:PORTLAND,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:200 Project name:PCC 240 SPEC SPACE Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
RE ED DATA:COMMERCIAL- E CHECKL
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
. 0111 DE II'7ION OFiiK i work indicated on this application.
Add and relocate fire sprinkler heads as required for TI Valuation: $740
Existing building area: square feet
New building area: 0 square feet
❑ PROPERTY 0,„ ,ER r 0 TENAN i Number of stories:
Name: Type of construction: IIB
Address: Occupancy groups:
City/State/ZIP: Existing: Ordinary 1
Phone:( ) Fax:( ) New:
APPLICANT CONTACT„PERSON
11, PicEr!CE 4144.'74*
Business name:Wyatt Fire Protection All contractors and subcontractors are required to be
Contact name:Max Colley 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:m.colley@wyattfire.com
cONTRAcTOR ; r BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection
(Please refer to fee sduIe) °,rz .
Permit fee:
Address:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lic.:64077 Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Max Colley Date:6/29/2016 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-Pe'mitApp.doe Rev 01/05/2012 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Descni work�to be: o
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: 3
Additional description of work:
Type o' ste" tnplete`} C= ` a. 1P r° ,, 1
t
. ,3 Co i ci:" I `,l►kler; , I
t ® Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group LIGHT
Density 0.1
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 740
B.) Type- ,Mire Supe i"'yy :Systinti. 4
Hood Project Valuation: $
rY
C.) Fir rm° x 4
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Res entia prinkler (Stant on4. =System)-fi ..
Square Footage: Permit Fee:
0 to 2,000 $198.753 m: x ,2,001 to 3,600 $246.45 r.;b `
3,601 to 7,200 $310.05 ',/ 44,
7,201 and greater $404.39 r
Sprinkler Project Square Footage: sq. ft.
• ` - Fire Protectiot j'e�tmitFees. '; , t, ',., ,
Project valuation subtotal (see A,B&C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see Dr above): $
State Surcharge (12% of permit fee): $
FLS Plan Review (40% ofpermit fee): $
TOTAL: $
Plan review requires a completed application and three (3) sets of plans at submittal.
Plan review fees are required at submittal.
W:\Max\1112 PERMIT APPLICATIONS\Tigard App.doc Rev 01/05/2012 2
1 City of Tigard Permit No.: /p . I(t-cot IC)
■ 13125 SW Hall Blvd.,Tigard,OR 97223
111 = Phone: 503.718.2439 Fax: 503.598.1960 ;l)N 3 'J I iDate Received:
T I G A R D Inspection Line: 503.639.4175 —
Internet www.tigard-or.gov a L4� -�4t<' t te-÷-
FIRE SPRINKLER'A ITAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: PCC SPEC SPACE Occupancy:
Job Address: 6650 SW REDWOOD LANE #220 Type of Construction:
Suite:
Contractor: Wyatt Fire Protection Phone: 503-684-2928
Number of Proposed or Altered Heads: 3
Type: SSP Hazard: LIGHT Density: 0.10
I, Max Colley, 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 co' of the sketch attached shall be available for all inspections.
Signature: Date: 6/29/16
Print Name: Max olley
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