Loading...
Permit (5) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2019-00134 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/20/2019 Parcel: 2S112DD00200 Jurisdiction: Tigard Site address: 15862 SW 72ND AVE 150 Project: Wood Enviornmental Subdivision: None Lot: None Project Description: Fire sprinkler. Adding (57)sprinkler heads for TI. Contractor: WYATT FIRE PROTECTION INC. Owner: PACIFIC REALTY ASSOCIATES LP 9095 SW BURNHAM ATTN: N PIVEN TIGARD, OR 97223 15350 SE 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 10/24/2019 $156.00 12%State Surcharge-Building 10/24/2019 $18.72 Type of Use: COM Plan Review-Fire Life Safety-COM 10/24/2019 $62.40 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/24/2019 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: 1 Info Process/Archiving-Sm$0.50(up to 10/24/2019 $10.50 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: LT Density: 0.1 Design Area: 1500 K Factor: 5.6 Commercial Fire Alarm System: Fire Alarm Required: Alarm Type: Pull Station Required: Smoke Detectors Req: Battery Gales Provided: Cut Sheets Required: Total $249.62 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $7,390.00 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 952-001-009 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.:;;.--^. . 4. Issued By: ..`ttee Signature: 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. 7 f - Building Permit Application Fire Protection System FOR OFFICE USE ONL1 /�J (� City of TigardRECapy ReceivDate/Bed to ci !l .W. .41 /v&/3 / illiiV 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rev: QC �,�f t�,� f/Gj �-.��J 3 Phone: 503.718.2439 Fax: 503.598.�6br 2019 DateBy: Q' 4 - )4 i-)) '' -V l I (/ 6` ( -Ua _ [[CARD Inspection Line: 503.639.4175 D Ready/By: uric See Page 2 for Internet: www.tigard-or.gov CIT ad' v � Supplemental Information riD T 0 *= ` "t / fiedfM. . -t REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑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 CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling ❑■ Commercial/industrial Valuation: $ ❑Accessory building ElMulti-familyNumber of bedrooms: ❑Master builder ❑Other: Number of bathrooms: 1 � JOB SITE INFORMAT//IOl�I AND LOCATION Total number of floors: Job site address: ___ V ✓ ✓ 4-2/ AVQ New dwelling area: square feet City/State/ZIP: if Q( b' 271-f Garage/carport area: square feet Suite/bldg./apt.no.: name: 1 �"�' � Project ��Q� �Vl Y�,gvrr,�•itl' Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST 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 DESCRIPTION OF WORK ff-- work indicated on this application. /.''lvl(It I .1''•(/ sjir ( 5 �✓r T/L Valuation: $7390 Existing building area: 0 square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: IN APPLICANT ❑ CONTACT PERSON NOTICE 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@wayttfire.com CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Wyatt Fire Protection Permit fee: Address:9095 SW Burnham 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 lie.:64077 Total permit fees: Amount received: Authorized signature: ! / 1 ✓ This permit application expires if a permit is not obtained Print name:Ronin Campbell Date: (o/' Zhetwithin 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. 1\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2-Supplemental Information Describe work to be done: 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: 57 Number of alarm devices: ❑ Addition or ❑ 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 0 6+ devices: Plan review required and (3) sets of plans. (3) sets of plans. Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler :"*.**"4-i: r Sprinkler Type ❑■ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line ❑ Yes ❑ No Hazard Group Light Density 0.1 Design Area 1500 K. Factor 5.6 Sprinkler Project Valuation: $7390 B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component 0 Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone System)9, 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: $ W:\Permits\Permit Application Forms(Updated July 2017)\Tigard Fire Permit App.doc2