Permit (34) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
111 COMMUNITY DEVELOPMENT Permit#: FPS2017-00081
T[GARD GAR13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/19/2017
Parcel: 2S 113AA00500
Jurisdiction: Tigard
Site address: 16100 SW 72ND AVE B18
Project: Jevo Subdivision: ROSEWOOD ACRE TRACTS Lot: PT A&f
Project Description: Adding and relocating a total of 81 sprinkler heads for T.I.
Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES
9095 SW BURNHAM ATTN: N PIVEN
TIGARD, OR 97223 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 06/19/2017 $166.76
12%State Surcharge-Building 06/19/2017 $20.01
Type of Use: COM Plan Review-Fire Life Safety-COM 06/19/2017 $66.70
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 06/19/2017 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 06/19/2017 $5.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .10 Design Area: 900
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 $260.47
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $8,428.00
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 dire .uestions . •UNC b calling 503.232.1987 or 1.800.332.2344.
Is ed By: � Permittee Signature: x.
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 FOR OFFICE l SE OtiLI'
N . City of Tigard Received
13125 SW Hall Blvd.,Ti.. 9 \\IE° Date/By: i Permit No.: 5;31)i r_.civic-/
Phone: 503.718.2439 Plan Revie _
Date/By: pr r . 't.'L t Other Permit:/�'; 0 i
TI G A R D Inspection Line: 503.639. 1 ��1 Date Ready/B Ju,;s: age �
Internet: www.tigard-or.gov e� o I 6 See 2 for
t t P� J Notified/Method: ��— e 144 f Supplemental Information
e fi 3 6 i t ' REQUIRED DATA:i- 2 FAMIL N
11 . v� 7,(DWELLING
0 New construction 1301. al 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
3 C`ATEGOR OF:,CO VSTRUCTION 3 .1....., t{ Jam. work indicated on this application.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
40,
Y ,: • JO STT .INFORMATION AVD LOV ii,p CATIO ,N1 ';, Total number of floors:
Job site address:16100 SW 72nd Ave New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Jevo TI Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCLAL-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
, P„ = equipment,materials,labor,overhead,and the profit for the�. '
s DESCRIPTIO OF WORK _„ ,"
���, R A , � „w- „ �.� v � � �`� work indicated on this applica'ti�t. `'
Add/relocate/plug fire sprinklers for TI Valuation: $$8,428.00
Existing building area: square feet
New building area: 0 square feet
I Q~PROPERTY OWN I2t 4 4,z ❑ TEN . N. , 4 Number of stories: 1
Name:
Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing: Light
Phone:( ) F
v
Fax: ) New:
3 - -4 APPLICANT 4 ' ., k `t° �1 CONTACT PERSON vi,
Business name:Wyatt Fire Protection x
All contractors and subcontractors are required to be
Contact name:Ashley Nishihara licensed with the Oregon Construction Contractors Board
Address:9095 SW Burnham Rd under ORS 701 and may be required to be licensed in the
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
„,4, `' iCONTRACTOR
N.
T BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection (Please refer tolie schedule)
Address: Permit fee:
City/State/ZIP: State surcharge(12%of permit fee):
Phone:( ) I Fax:( ) FLS plan review(40%of permit fee):
(Due upon application.)
CCB lic.:64077
Total permit fees:
Authorized signature: 4 Amount received:
This permit application expires if a permit is not obtained
Print name:Ashley Nishihara I Date:5/23/2017 I within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
is\BuildingV'ermits\FPS-PermitApp.doc Rev 01/05/2012Service Board.
440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe svorlt'ro be done: - a .0 - * � ,: > s *,
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1-10 heads: No plan review required.
® Alteration ® 11+heads: Plan review required.
El Repair
Number of sprinkler heads: 81
Additional description of work:
Type of Syyt} (Complete A,B,Cot Dias#apphc ib e)•
A. Co' erC it Sprinkler * t :°�, *` r 4 .�
® wet
[:I Dry
Additional Standpipes 0
Information: Hazard Group Light
Density 0.10
Design Area 900
K. Factor 5.6
Sprinkler Project Valuation: $ 8428
B.) Type Ilood`xFite Suppres iort.ystem :fry.
Hood Project Valuation: 1 $
,,,,, r ,; . it, .. ,. 4'r
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
*D) Ave •dent ai Spru der (Stare A1one`Sys ern
Square Footage: Permit Fee: . ':N 4
0 to 2,000 $198.75 :` "-
2,001 to 3,600 $246.45 9% "
3,601 to 7,200 $310.05 4'
7,201 and greater $404.39a '
Sprinkler Project Square Footage: sq• h•
* ; Fire Protection Permit Fees r '# . . r
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.
C:\Users\Ashley\Desktop\Permit Applications\Tigard App.doc Rev 01/05/2012 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16100 SW 72ND AVE B18, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00081
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor