Permit (21) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
,71
'' COMMUNITY DEVELOPMENT Perm it#: FPS2016-00105
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/14/2016
Parcel: 2S 101 DD00400
Jurisdiction: Tigard
Site address: 6825 SW SANDBURG ST
Project: Vigilant Subdivision: SALEM FREEWAY SUBDIVISION Lot: 2
Project Description: Fire sprinklers-Adding(220)heads.
Contractor: WYATT FIRE PROTECTION INC. Owner: VIGILANT
9095 SW BURNHAM 6825 SW SANDBERG ST
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/14/2016 $761.00
12%State Surcharge-Building 07/14/2016 $91.32
Type of Use: COM Plan Review-Fire Life Safety-COM 07/14/2016 $304.40
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 07/14/2016 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: 2 Info Process/Archiving-Sm$0.50(up to 07/14/2016 $50.00
11x17)
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 $1,210.72
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $90,399.00
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 .:•.. .2344.
Issued By: Pe • ittee Signature:
/Or
4111
Call 503.• • by 7:00 a.m.for the next available insp= ion date.
This permit card shall be kept in a conspicuous place on the job site ntil completion o 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 OyLVx
City of Tigard Received
N
Date/B . Permit No.: / s `- r
. .
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
...
Phone: 503.718.2439 Fax: 503.598.1960 ,J U Z p,C ` Other Permit: / /
U Date/By: �maiI (. �.�/f ! Y 1
T I G n R D Inspection Line: 503.639.4175 Date Ready/By: See Page for
Internet: www.tigard-or.gov CIT` OF.TI ARD Notified/Method: 1 mSupplemental Information
' • E 0 ..I "I►.: , iU-1. I
, T Iop -F g
0 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
t6 O .' ' work indicated on this application.
El1-and 2-family dwelling ii Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
O A 1 e sA r Total number of floors:
Job site address:6825 SW SANDBURG ST - New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:SANDBURG CENTER Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
'1:a411170.1.14 4ERigt. 1 I `
Subdivision: Lot no.: Permit fees*are based on the value of the work performed. t
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
Ya., equipment,materials,labor,overhead,and the profit for the
_,'� �` I) I . . work indicated on this application.
INSTALL WET FIRE SPRINKLER SYSTEM Valuation: $$90,399.00
Existing building area: square feet
New building area: 0 square feet
' P,- P, ,y OWNER • o Number of stories: 2
Name: Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
,,. ►e'PAP .: „ <. xx it*, CONTACT PE ON c .. NOTICE ` r r'
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.nishihara@wyattfire.com
` • CONTRACTOR * x
-. , � . � � � ���" BUILDING PERMTl'FEES*� �� • =.
Business name:Wyatt Fire Protection i "(Pleaaerejertojeeyedale) ' - ,,,
Address: Permit fee:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lie.:64077 Total permit fees:
Authorized signature: 41/4111/41 4 I- Amount received:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Ashley Nishihara Date:6/15/16
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\FPS-PennitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
1.) ❑ New 2.) Modification to sprinkler heads only:
® Addition ❑ 1-10 heads: No plan review required.
El Alteration ® 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 220
Additional description of work:
, ; $, - ; 1; . ea B =o a PP e
rj§*4422,Am.„ 4,- I fin. er' 4., '' ,-**0 0 A 0* **w,, ,4 ,, , iiik,,,,, *1
® Wet O Dry
Additional Standpipes 0
Information: Hazard Group Light Hazard
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 90,399
„r. 3.'P `god£Fe uppresior System t, ;. .
Hood Project Valuation: $
F �e '" '.
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
•
l s uSnem • i
D, tenp 8 er ni;
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 $404.39of .,
Sprinkler Project Square Footage: sq. ft.
rergrc e t}' Pnn t teems ," * *y
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.
W:\Max\1112 PERMIT APPLICATIONS\Tigard App.doc Rev 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
6825 SW SANDBURG ST, TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2016-00105
Jeff Grove
Violation Summary:
Inspector Contractor