Permit (12) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2016-00160
TtGAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/10/2016
Parcel: 2S 113AB00600
Jurisdiction: Tigard
Site address: 16154 SW UPPER BOONES FERRY RD
Project: Allstructure Engineering Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: Adding and relocating(13)sprinkler heads for TI.
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: 503-624-6300
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/10/2016 $102.20
12%State Surcharge-Building 10/10/2016 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 10/10/2016 $40.88
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 10/10/2016 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 10/10/2016 $10.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: 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 $167.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,492.00
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: Pewriittee Signature:
4175 by 7:00 a.m.for the next available inspection d
This permit card shall be kept in a conspicuous place on the job site until completion of t.- . .
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System FOR OFFICE LSE ONLY
City of Tigard E E ' -`ived ' y
g a. 1•I-/By ,1 /( PermitNo.: ,S .6 ) t)
13125 SW Hall Blvd,Tigard,OR 97223 r (%1 IGS
Plan Revue.. 1(:::,
Phone: 503.718.2439 Fax: 503.598.1960 Daze/By. ' ,- t Other Permit: ip�j�_. i25.. i
T I G A R D
Inspection Line: 503.639.4175 f 7 t1 i C Date Re"
.1: /� a Jur s: See Pagel2 for
Internet: www.tigard-or.gov L J I U Notified/Method: `(J // /,}7 ' � Supplemental Information
(J rM I.i.e 6 v,s
4� t .f: L ,, 'b :' REfED�� �,A I'2 AMD, l• I GO'
❑New construction 0 Demolition ' Permit fees*are based on the value of the work performed. 1^
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
, , work indicated on this application.
0 1-and 2-family dwelling ® Valuation: $
Commercial/industrial
❑Accesso bNumber of bedrooms:
rYuildin g ❑Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOBB 5,, il!lF o LOCA .ON:, Total number of floors:
Job site address:16154 SW UPPER BOONES FERRY RD New dwelling area: square feet
City/State/ZIP:PORTLAND,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:ALL STRUCTURE ENGINEERING Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
'9'41 OMMEI.CIAL� E CHFCKLi
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
„A.*, D spin O F RK ` tK work indicated on this application.
ADD/RELOCATE FIRE SPRINKLER HEADS AS REQUIRED FOR TI Valuation: $$2,492.00
Existing building area: square feet
New building area: 0 square feet
PROPERTY O I gR '' ANT y t" Number of stories: 1
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: LIGHT
Phone:( ) Fax ( )
*® APPLICANT
New: ��
;', . ,CO TA PERS,N ;'' s ` a s, �;
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
4 '4m
CONTRACTOR 4 ; r }: BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection (Pail reJerbfee acedii/e) m „
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 lie.:64077 �� Total permit fees: t( 7, 1/
Authorized signature: Amount received:
permit application expires This pp if a permit is not obtained
Print name:Max Colley . /14/16I within 180 days after it has been accepted as complete.
J * Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Pelmits\FPS-PermitApp.doc Rev 01/05/2012 440.4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
.e Ch ,4ito ., .. _ • _�
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: 13
Additional description of work:
;Oro pit MI p t . t s*P t 9 X
-4-r0
0,0•**-11hitl,,,, , att0.,
o, m,,r007%P t
Niov Alta"
® Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group LIGHT
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 2492
) . yp. i dire S upesioxYe x, '447 V' 744
Hood Project Valuation: $
ot
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
' i� retial S er,( ta d Von yqs • or
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.
70FiiPrtec" lin.
a it 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.
W:\Max\1112 PERMIT APPLICATIONS\Tigard App.doc Rev 01/05/2012 2