Permit (155) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
.'' COMMUNITY DEVELOPMENT Permit#: FPS2019-00023
Date Issued: 02/27/2019
TfGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 112 DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 380
Project: Spec Space Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Fire sprinkler permit: Relocating(7)sprinkler heads for TI. Affidavit submitted.
Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES
9095 SW BURNHAM ATTN: N PIVEN
TIGARD, OR 97223 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-684-2928
PHONE: 503-624-6300
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 02/27/2019 $64.54
12%State Surcharge-Building 02/27/2019 $7.74
Type of Use: COM Plan Review-Fire Life Safety-COM 02/27/2019 $25.82
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 02/27/2019 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: No Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
Density: .05 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: No Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $98.60
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $920.00
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: 7i'I„
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
RE
Fire Protection System C1VED FOR OFFICE, USE ONLY
City of Tigard Date/BReceive: / , 1 M
X� Permit No.:'A vri .. .
13125 SW Hall Blvd.,Tigard,OR 97223 FEB 2 7 2019 Plan Review t,,
U Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit: /`t „C �`
Inspection Line: 503.639.4175 Date Ready/By: Jur s: See Page 2 for
rlci��Ho P CITY OF TIGARD
Internet: www.tigard-or.gov Notified Method: f Supplemental Information
BUILDING DIVISION }
0 New construction [=I Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Q Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
11111=-4.-` Valuation: $
❑ 1-and 2-family dwelling ❑■ Commercial/industrial
Number of bedrooms:
❑Accessory building ❑Multi-family
❑Master builder 0 Other: Number of bathrooms:
. # ; la , t tar ' Total number of floors:
Job site address:6650 SW Redwood Lane New dwelling area: square feet
City/State/ZIP:Portland, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:380 Project name:PCC 240 Suite 380 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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
ea
l , 1 i work indicated on this application.stiMg 4:07:,
Relocate fire sprinkler heads for TI valuation: $920
Existing building area: square feet
New building area: square feet
Number of stories:® i ` . �..=x_# a . « .
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) -Fax:( ) New:
f
t. ,
Business name:Wyatt Fire Protection All contractors and subcontractors are required to be
Contact name:Ronin Campbell 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:r.campbell@wyattfire.com
,5160 w t iia a*4 «} ;:
Business name:Wyatt Fire Protection Permit Permit fee:
Address:9095 SW Burnham
State surcharge(12%of permit fee):
City/State/ZIP:Tigard, OR 97223
FLS plan review(40%of permit fee):
Phone:( )503.684.2928 Fax:( )503.684.9657 (Due upon application submittal.)
Total permit fees:
CCB lic.:64077
Amount received:
Authorized signature: /�
I tit ` This permit application expires if a permit is not obtained
Print name:Ronin Campbell Date:2/27/19 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
440.4613T(11/02/COM/WEB)
I:\Building\Peits\FPS-PermitApp_03t016.doc
rt
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 7 Number of alarm devices:
❑Q Addition or D 1-10 heads: Affidavit required and ❑ 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:
u .. .rte .*... .,
Sprinkler T'.eSSP-QR
. Wet Wet EI D
Additional Stand.i.es
Information: .. ❑ Yes ❑ No
Hazard Grou. Light
Densi 0.05
Desi: Area 1500
K. Factor 5.6
S. 'i . - . '. s' $920
P€
Hood Pro'ect Valuation: $
*11*'riMWSSIWANUMATAI-V4.-kteMtinagfaarza*WiA**44241&te: ''''14"1--
tc411"--454,44V-Zilfellalteila-Mleaolitz4V,4.-e- ---
Submittal shall Batte Calculations ❑ Yes u
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm
:::::::::::::41%-;$4-,4;;;;n177-77::
ro'ect Valuation: $
fig. 4,s'i 'r ''t C S i x a 4..-', a• . ,fr ; a d
S.uare 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 : eater $404.39
Sprinkler Project Square Footage: sq. ft.
Pro'ect valuation subtotal see A,B& C above :
$
Permit fee based on .roect valuation see fee schedule : $
Permit fee based on s.uare foota.e see D above : $
State Surchar.e 12% of.ermit fee : $
FLS Plan Review 40% of.erm Tt fee : $
TOTAL: $
W:\Permits\Permit Application Forms(Updated July 2017)\Tigard Fire Permit App.doc2
-00C-`,,):3
of it No.: � L�j-1`tet
II
131City25 SW Ha11Tigard Blvd.,Tigard,OR 97223
HECEIVED
_ Phone: 503.718.2439 Fax: 503598196 - Date Received:
Permv9/2 7/ y 9'--
Inspection Line: 503.639.4175
TIGAI2I? Internet: www.tigard-or.gov By: C(4 1t /911
FEB 2 7 2019 /f
FIRE SPRINKIG,MAkEVAVIT FOR ALTERATIONS
OREI' r ROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: PCC 240 Suite 380 Occupancy:
Job Address: 6650 SW Redwood Lane Portland, OR 97224 Type of Construction:
Suite: 380
Contractor: wyatt Fire Protection Phone: 503 684 2928
Number of Proposed or Altered Heads: 7
Type: SSP-QR Hazard: Light Density: 0.05
1, 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: n1 i l/ Date:
2/27/19
Print Name: Ronin Campbell
I:\Building\Forms\FireSprinlderAffidavit_071514.docx Page 1 of 1
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
6650 SW REDWOOD LN 380, TIGARD, May 3, 2019 at 9:48:01 AM
OR, 97224
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00023
Inspection Type: Inspector:
999 Sprinkler final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor