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Permit (140) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT • COMMUNITY DEVELOPMENT Permit#: FPS2016-00200 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/29/2016 T I c_ A R L} 9 Parcel: 2S112DC00500 Jurisdiction: Tigard Site address: 15889 SW 72ND AVE Project: Spec Space Subdivision: FANNO CREEK ACRE TRACTS Lot: 40 Project Description: Fire sprinkler-Add/relocate(10)fire sprinkler heads for TI Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES LP 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 11/29/2016 $102.20 12%State Surcharge-Building 11/29/2016 $12.26 Type of Use: COM Plan Review-Fire Life Safety-COM 11/29/2016 $40.88 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 11/29/2016 $0.50 Occupancy Grp: Height: ft 11x17) Stories: 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 $155.84 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $2,288.00 Residential Square Footage: 0 Fire Alarm Valuation: $0.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi .- •er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direc,.uestions to OU . • ..Ilia• 03.232.1987 or 1.800.332.2344. Issu d By: 0 Permittee Signature Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Fire Protection System ,--,„,-1-,,r t ;,,----i-, FOR OFFICE USE ONLI11 ' City of Tigard Receivedtg=lIl / p Permit No.: ./�,. li 13125 SW Hall Blvd.,Tigard,OR ���019 aD! p Date/B : ! NO���p Q�aGU Plan Review ���Od��// _ Phone: 503.718.2439 Fax: 503.5 . 6 Date/B : Other Permit: T I G A R ll Inspection Line: 503.639.4175, �6 ¢ Date Ready/By: loris: H See Page 2 for Internet: www.tigard-or.gov 1.-" f k S„ F } Notified/Method: Supplemental Information �${Y t ib d 1 V Y+, p }!r r $9' Iwlj1'..3 i �3'f 4ti �p4,'yf. Imo. OF:.WORK }9a , ,; REQ D DATA AND 2-F* DDLLING ❑New construction 0 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 • ' .� °� i work indicated on this application. CATS RY O ' , , k,ON � PP 0 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: ` 3 SITE` Y"0" f SAND OCATION ;; Total number of floors: Job site address:41095 SW 72ND AVE `�'g'g.k New dwelling area: square feet City/State/ZIP:PORTLAND,OR 97224 (sS4ek. Garage/carport area: square feet Suite/bldg./apt.no.:100 Project name:35095 S-W 7ZND SPEC SP,00,. Covered porch area: square feet I Cross street/directions to job site: e-C 4P G° t_- Deck area: square feet Other structure area: square feet RE'4E'DDA" ;,COMMERC , .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 ` DESCRIP� ON O '.ORK z ver work indicated on this application. Add and relocate fire sprinkler heads as required for TI Valuation: $2288 Existing building area: square feet New building area: 0 square feet "msµ PROPER4N-"OWNE �� i 0 TENANT r Number of stories: 1 Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: LIGHT Phone:( ) Fax:( ) New: ti , " F33 ICANT „ :( CONTA ERSO11f Y®P ,1 $,.« NOTICE dr,„ , 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 ;_ ,oc.,". ,t* ;. BUILDING PERMIT FEES f ski '' 4(Please refer to fee schedule) ,. . ;: ....,,-' Business name:Wyatt Fire Protection Permit fee: Address: State surcharge(12%of permit fee): City/State/ZIP: FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application.) CCB lic.:64077 Total permit fees: ____--• ,__„_----- [/ Authorized signature: Amount received: /cJ-S. g4/1 This permit application expires if a permit is not obtained Print name:Max Colley Date:11/23/16 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Descl ` to 1dane: Mo 1.) 1=1 New 2.) Modification sprinkler hds ly: Z Addition H hds:to No plklan reveaiew reonquired. ® Alteration 11+110 heaeads: Plan review required. ❑ Repair Number of sprinkler heads: 10 Additional description of work: yp of S �C�iripiete A, ,;G asr hca ):r -. �' M , ,,iiii.,ki2,•.., ; :„ -: - fid .�,€ .. :, 'tt.,,t1 10")'-' i i 1 1 ial S er :� ® Wet ❑ Dry Additional Standpipes LIGHT 0 Information: Hazard Group Density0.10 Design Area 1500 5.6 K.Factor Sprinkler Project Valuation: $ 1200 .) TYPe ,H©c re Si ppressi.ri $ysi x. , VOLqtr,, � .s�k :� t � :� , . Hood Project Valuation: $ 41, : 4 * V" ''T/F-'., , t %.Am t • ithot,...„,....: ,,,,,. , �lr rm 2 „re. ; � , Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ :1,,, :::,,,,,r,...;).' ,,,..- 1175 .,,,,,,,;42 D.) Resid retial Sprinlder(Stand '4•a Sys ) 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 ' Spri nkleO prinkler Project Square Footage: sq. ft. _Fire Prtection 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. W:\Max\1112 PERMIT APPLICATIONS\Tigard App.doc Rev 01/05/2012 2 City of Tigard Permit No.: p509016. C� 13125 SW Hall Blvd.,Tigard,OR 97223 s Phone: 503.718.2439 Fax: 503.598.1960 Date Received: /1/g 9(/(p T I G A R D Inspection Line: 503.639.4175 Internet: www.tigarrl-or.gov By: Ozer_ . FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS Fr OR TENANT IMPROVEMENTS Jy (1 to 10 SPRINKLER HEADS WITHOUT PLANS) w_ erne O 'r CIA ,L, Et PAA A �1 Project Name: 1586 SW 72ND SPEC SPACE Occupancy: LIGHT Job Address: 158SW 72ND AVE Type of Construction: Suite: 100 Contractor: Wyatt Fire Protection Phone: 503-684-2928 Number of Proposed or Altered Heads: 10 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 copy of the sketch attached shall be available for all inspections. Signature: Date: 11/23/16 Print Name: Max Colley I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15889 SW 72ND AVE, TIGARD, OR, 97224 Record Type: Commercial - Fire Protection System Inspection Type: 999 Sprinkler final Result: PASS- NoCofO Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: FPS2016-00200 Inspector: Chip Barnett Contractor