Permit (225) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
a COMMUNITY DEVELOPMENT Permit#: FPS2016-00205
Tt GARC) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/22/2016
Parcel: 2S112DC00201
Jurisdiction: Tigard
Site address: 15865 SW 72ND AVE, BLDG#C
Project: ChemWest Subdivision:HERN PACIFIC TIGARD INDUSTRIAL Lot: 3
Project Description: Fire sprinklers-Add/relocate(21)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 12/22/2016 $102.20
12%State Surcharge-Building 12/22/2016 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 12/22/2016 $40.88
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 12/22/2016 $2.00
Occupancy Grp: S-1 Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 12/22/2016 $7.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: LT
Density: 0.10 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 $164.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,853.00
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: 4. -Permittee Signature: _— r
Call 503.639.4175 by 7:00 a.m.for the next available inspectioi ••te.
This permit card shall be kept in a conspicuous place on the job site until completion o e project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System RECEIVEDFOR OFFICE USE ONE)
Cityof Tigard Received
g Date/B hf!O Permit No.: 6
13125 SW Hall Blvd.,Tigard,OR 972 �c1��]`����'
� Plan Revie Other Permit: /'� 3!
Phone: 503.718.2439 Fax: 503.598.14 2016 Date/B : 7'V i'a as Y!�CO
TI G n R ll Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Z // 7 ® See Page 2 for
Internet: www.tigard-or.gov Notified Method: 2/ Z �( � Supplemental Information
BUILDING DIVISION t:,--7 /1-
- TYPE 0 Q ,wYt {.. f i' D t =1 AND 2 I WELLIN u'
. . 4 � ��� F I
� ".
0 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
"�' , work indicated on this application.
.: . ,4 EGOI2 OF CO ' S TION 44440." 4 ,41,14. 3Y
D 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
v t JO E ATO '-to AI0 �rNFORMICTTotal number of floors:
Job site address:15865 SW 72ND AVE New dwelling area: square feet
City/St IP: ORTLAND,OR 97224 Garage/carport area: square feet
Suit ldg// t.no.:).01Er t/ Project name:CHEMWEST SYSTEMS Covered porch area: square feet
Cros reet/directions to job site: Deck area: square feet
Other structure area: square feet
R' I D D COMMERCIAL.- SE 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
DESCRIPTION O ORK x :� work indicated on this application.
Add and relocate fire sprinkler heads as required for TI Valuation: $$2,853.00
Existing building area: square feet
New building area: 0 square feet
, 'PROPS .O _ , ❑:T -' x = Number of stories: 1
Name: Type of construction: Me>
Address: Occupancy groups: 5--/
City/State/ZIP: Existing: LIGHT
Phone:( ) Fax:( )
New:
4. PLi - ttrk0.. ortr1., CT PERSON t,
Business name:Wyatt Fire Protection A▪ ll 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
A 1 , .,,'.�. , ,,,4, CONTRATOR K. ,. ,„.„ `' BUILDING PE' I FEES*
Business name:Wyatt Fire Protection ▪ '' "(Pleasb refer to ee schedule)
Permit fee:
Address:
— State surcharge(12%of pennit 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: _____Q
This permit application expires if a permit is not obtained
Print name:Max Colley _. irk•a 12/5/2016 ] within 180 days after it has been accepted as complete.
* Fee methodology set by TriCounty Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp.doe Rev 01/05/2012 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
i b'e`; a done ) }
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: 21
Additional description of work:
Type of System C piete B,C o s ap liieable)•
A: ;mme P er*,
14 Wet El Dry
Additional Standpipes 0
Information: Hazard Group LIGHT
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 2,853
Type I- `H000d jFire Su ressiort. tem
Hood Project Valuation:r,,
$
Fir rm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
Lj Resd retial rinkler Stand AlcoSystem) 4
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.
Fire 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%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
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
15865 SW 72ND AVE BLDG C, 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:
FPS2016-00205
Inspector:
Chip Barnett
Contractor