Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
• COMMUNITY DEVELOPMENTIVES Permit#: FPS2021-00053
Date Issued: 5/25/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9348 SW WASHINGTON SQUARE RD W14A
Project: Sunglass Hut Subdivision: None Lot: None
Project Description: Fire sprinkler permit-demo existing drops and installing new fire sprinklers heads at new ceiling for TI
Contractor: WYATT FIRE PROTECTION INC. Owner: PPR WASHINGTON SQUARE LLC
9095 SW BURNHAM BY MACERICH RET
TIGARD, OR 97223 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/21/2021 $102.20
12%State Surcharge-Building 05/21/2021 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 05/21/2021 $40.88
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 05/21/2021 $10.50
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Hourly Building Rate 11/16/2021 $180.00
Hourly Building 12%State Surcharge 11/16/2021 $21.60
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: ORD1
Density: 0.15 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 $367.44
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,840.00
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
Issued By: Permittee 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.
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
' '. COMMUNITY DEVELOPMENT Permit#: FPS2021-00053
Date Issued: 5/25/2021
T I - R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9463 SW WASHINGTON SQUARE RD Al2
Project: Sunglass Hut Subdivision: None Lot: None
Project Description: Fire sprinkler permit-demo existing drops and installing new fire sprinklers heads at new ceiling for TI
Contractor: WYATT FIRE PROTECTION INC. Owner: PPR WASHINGTON SQUARE LLC
9095 SW BURNHAM BY MACERICH RET
TIGARD, OR 97223 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/21/2021 $102.20
12%State Surcharge-Building 05/21/2021 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 05/21/2021 $40.88
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 05/21/2021 $10.50
Occupancy Grp: B Height: ft 11x17)
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: ORD1
Density: 0.15 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 $165.84
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $2,840.00
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:
ifojly Van,De/Wece OwAppiicatwn
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 ApplicatiRECEIVED 2
Fire Protection System A;;:. 3 2021 FOR OFFICE USE ONLY
Received n2 L S2O q/ pop C�
Cityof Tigard (� !J' 1_d .'1r Permit vo.a /'� ((L/'C Y/ 7
13125 SW Hall Blvd.,Tigard OR 972CITY OF TIGARD Plan RevBy: w
g Plan Review
Phone: 503.718.2439 Fax: 503.59873 DING DIVISION Date/By: - 21 Other Permit:
�.i i ,��` I Inspection Line: 503.639.4175 Date Ready/By: VI® See Page 2 for
Internet: www.tigard-Or.gov titied/MethoP > i - `'tr Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
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/rep lac ement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling N Commercial/industrial
❑Accessory building El Multi-familyNumber of bedrooms:
El Master builder III Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9463 SW Washington Sq New&veiling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Sunglass Hut 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 work indicated on this application.
Demo existing drops and install new fire sprinkler heads at new ceiling for TI Valuation: $2340
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 0 TENANT . Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) fax' ( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name:Wyatt Fire Protection All contractors and subcontractors are required to he
Contact name:Ronin Campbell licensed with the Oregon Construction Contractors Board
under ORS 70I and may be required to be licensed in the
Address:9095 SW Burnham 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::( )503.684.9657
E-mail:r.campbell@wyattfire.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Wyatt Fire Protection
Permit fee:
Address:9095 SW Burnham State surcharge(l2%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.)
CCB lic.:64077 Total permit fees: I
Amount received: •
Authorized signature:
��t�/� "i/1\ This permit application expires if a permit is not obtained
Print name:Ronin Campbell Date:04/30/2021 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
f\Building\PennitseFPS-PennitApp_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:
ElNew system Number of sprinkler heads: 14 Number of alarm devices: _
❑� Addition or El 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:
Type of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ■❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line a Yes El No
Hazard Group ordinary hazard
Density 0.15
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $2840
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler (Stand Alone System)
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): $
FIS Plan Review(40% of permit fee): $
TOTAL: $
W:\Permits\Pemut Application Forms(Updated July 2017)\Tigard Fire Permit App.doc2