Permit (41) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
.1111
• COMMUNITY DEVELOPMENT Permit#: FPS2018-00042
13125 SW Hall Blvd.,Ti Date Issued: 05/09/2018
TiC�Aand OR 97223 503.718.2439hC) 9
Parcel: 2S112AD01000
Jurisdiction: Tigard
Site address: 7007 SW CARDINAL LN 135
Project: PacStar Subdivision: PACIFIC CORPORATE CENTER Lot: 1
Project Description: Fire sprinklers:Adding and relocating(12)plug 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 05/02/2018 $80.68
12%State Surcharge-Building 05/02/2018 $9.68
Type of Use: COM Plan Review-Fire Life Safety-COM 05/02/2018 $32.27
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/02/2018 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 05/02/2018 $6.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: ORD1
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 $131.13
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,525.00
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 .e rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-Or -0090. Y. ay obtain a copy of the rules
or direct questions to OUNC b - !ling 503.23 .1987 or 1.800.332.23 4.
Issued By: G`� I' Permittee Signature: r, s74==>
Call 503.639.4175 by 7:00 a.m.for the next available ins.•ction 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 _ a, FOR OFFICE USE ONLY
City of Tigardt.....,;P�, 2 Received 5 2 / ,,//yy )F/y�,.
1111
t (3 DateBy: / t Permit No.: p 1 o 0 too y4
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �/'n �t/
Phone: 503.718.2439 Fax: 503.598.19r, .i Date/By: 6.' 7 - Other Permit:6��/�,p��lit/a
T[GAR[� Inspection Line: 503.639.4175 Et - . Date Ready/By: �--J ]or s: (� See Page 2 forvc (W(J[w
Internet: www tigard or gov x` Notified/Method: t PP mental Information
Su le
T OF ORX f DiA 1..„:0,11)1.1',"„ L' 7Vl.t 0,
El New construction ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTR,00.IO,N work indicated on this application.
1=11-and 2-family dwelling IDCommercial/industrial Valuation: $
-
❑Accessory building ElMulti-familyNumber of bedrooms:
12Master builder 0 Other: Number of bathrooms:
JOB.SITE INF«RMATIDN AND LOCATION Total number of floors:
Job site address:7007 SW Cardinal Ln New dwelling area: square feet
City/State/ZIP:Portland, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:135 Project name:Pacstar Expansion Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQIIIEEO I A,14. COMMERCIAL4J E I-1CRLIST
Subdivision: I 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
'1EScIuptI T X31 . work indicated on this application.
Add/Relocate/Plug fire sprinkler heads for TI Valuation: $1525
Existing building area: square feet
New building area: 0 square feet
. .
®. .,,, Y OWNER Li'I ENafiiNT Number of stories:1
Name:
Type of construction:I l-B
Address:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
Iei CON° - I'ERSUNOTIC
Business name:Wyatt Fire Protection All contractors and subcontractors are required to be
Contact name:Ashley Nishihara licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:9095 SW Burnham 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::( )503.684.9657
E-mail:a.nishihara@wyattfire.com
CIYf RACTTIR
r. Et�R� R17I`FRES'
'trealsadt -;,.
Business name:Wyatt Fire Protection
Address:9095 SW Burnham Permit fee:
City/State/ZIP:Tigard, OR 97223 State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( )503.684.2928 Fax:( )503.684.9657 (Due upon application submittal)
CCB lic.:64077 Total permit fees:
Authorized signature
4k141.
Amount received:
This permit application expires if a permit is not obtained
Print name:Ashley Nishihara
Date:5/1/2018 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
\Building\Permits\FPS-PermitApp 031016.doc 440-46131(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
esete wcr .t b ;done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
0 New system Number of sprinkler heads: 12 Number of alarm devices:
❑■ Addition or D 1-10 heads: Affidavit required and 0 1-5 devices: Affidavit required and
Alteration (3) copies of sketch showing area (3) copies of sketch showing area
to existing of work within building structure of work within building structure
system
• 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type,cif Systema(Complete A,B,-C or D applicable) ,:
A) ommercial Sprtnl ler
Sprinkler Type 111 Wet ❑ Dry
Additional Standpipes 0
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group Light
Density 0.10
Design Area 1500
K.Factor 5.6
Sprinkler Project Valuation: $1525
.) Type i
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7007 SW CARDINAL LN 135, TIGARD,
OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00042
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor