Permit (12) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1,1„.„
COMMUNITY DEVELOPMENT Permit#: FPS2017-00040
T[ R 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/16/2017
[GARD
Parcel: 2S 101 AB02000
Jurisdiction: Tigard
Site address: 7175 SW BEVELAND RD 110
Project: BERMAN Subdivision: BEVELAND Lot: 4
Project Description: Adding and relocating a total of(6)sprinkler heads for TI. Affidavit submitted.
Contractor: WYATT FIRE PROTECTION INC. Owner: BERMAN, JOHN M &
9095 SW BURNHAM SUMMERS, MICHAEL L
TIGARD, OR 97223 7175 SW BEVELAND RD#210
TIGARD, OR 97223
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 03/16/2017 $67.23
12%State Surcharge-Building 03/16/2017 $8.07
Type of Use: COM Plan Review-Fire Life Safety-COM 03/16/2017 $26.89
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 03/16/2017 $2.00
Occupancy Grp: Height: ft 11x17)
Stories:
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 $104.19
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,050.00
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: Permittee Signature: r
Call 503.639.4175 by 7:00 a.m.for the next available inspection dat t
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 System1, FOR OFFICE USE ()NEN} .::l ,...p 1...
City of Tigard Received
'1 Date/B Permit No.: "4 " t
Ii1' J1 1'J CG' 9
13125 SW Hall Blvd.,Tigard,OR 9/223 �i;: Plan Review
Other Permit:
' Phone: 503.718.2439 Fax: 503.598.1960 16;�{ Date/B :
T I G A R D Inspection Line: 503.639.4175 A, Date Ready/By: H See Page 2 for
Internet: www.tigard-or.gov ' Notified/Method: MI Supplemental Information
, OF A '15' REQUIRED DATA:1 AND2TAMIL D E a' ' ;1y
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
'' O:sr x,< ' ` .4 work indicated on this application.
;.f.,..zo . CATEG - UP7ONSTRi1 Tt01 . -A.T` n; —
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOirS1T1 FORMATION AND1,04TION Total number of floors:
Job site address:7175 SW Beveland St New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:110 Project name:- o4wl -Space /C rnoi.}ite„r•-s Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL- �CHEC . ST
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
i is DES GRTION O,l WORK �* e work indicated on this application.
Add and relocate fire sprinkler heads as required for TI Valuation: $$1,050.00
Existing building area: square feet
New building area: 0 square feet
OPERT OWNER TENANT Number of stories: 1
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: light
- Phone: Fax:(__ ) s..: =i - -- _
® APPLICANT; ' >. ' a�,.[® CONTACTCONTACT PERSON. `' NOTICE 4
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
applicant is exempt from licensing,the following reasons
City/State/ZIP:Tigard,OR 97223
apply:
Phone:(503)684-2928 Fax::( )
E-mail:m.colley@wyattfire.com
'' CONTRACTOR tix l'i `i BUILDING PERMIT FEES* t-"'
<` ,. (Please refer to fee scheduled °� `4'.
Business name:Wyatt Fire Protection
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP: o
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lie.:64077 Total permit fees /011, r 1
__--- .,.�- Amount received:
Authorized signature: ---
•" This permit application expires if a permit is not obtained
Print name:Max Colpy'" Date:3/16/17 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
Descnfievixk tip be �. , i }�'} y
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition H
1-10 heads: No plan review required.
® Alteration 11+heads: Plan review required.
❑ Repair
Number of sprinkler heads: 6
Additional description of work:
Type`of Sys , (C04111-10 tete , ._ 13 as ....t.1.1:rcab+ '
41(1 om ercial S
® Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group light
Density 0.10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 1050
B)Ty'Type I ood Fire S 'ippre4-sion Sysferio v
Hood Project Valuation: $
rr
C.) ire ,.... w
Alatm` . r:4 ,,
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
; ,,,, :it -,--!;;;-:!;::f„:;!..:4-1.3.- , , - .,,,, ,7,...,'::,!::--
�„ �� �� "mak �. � ���
D Residenial (Stan one System)
Permit Fee:
Square Footage:
0 to 2,000 $198.75
2,001 to 3,600 $246.45 '
3,601 to 7,200 $310.05
7 201 andgreater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Prot4 4n Permit Fees � a ,,.. ry
Project valuation subtotal (see A,B &e Cabove): $
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.: r-y0,5Aot 7—Ct)c;410
111 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 _,; g Date Received: 3,h /y
T I G A R D Inspection Line: 503.639.4175
Internet: www,tigard-or,gov By: eirklr` /71
B
FIRE SPRINKLER AFFIDAVIT,FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Beveland Space Occupancy: Light
Job Address: 7175 SW Beveland St Type of Construction:
Suite: Suite 110
Contractor: Wyatt Fire Protection Phone: 503-684-2928
Number of Proposed or Altered Heads: 6
Type: Wet 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.
___ Only one cpr-inkler .• . ' •--- . -_•-1 • n • •- 4 •-s_- r ••1' •_ • . • h-.1 s from one drop maybe
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.
fl 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: 3/16/17
Print Name: Max Co
I:\Building\Forms\FireSprinklerAffidavit 071514.docx Page 1 of 1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7175 SW BEVELAND RD 110, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00040
Inspection Type: Inspector:
999 Sprinkler final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor