Permit q CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
_ COMMUNITY DEVELOPMENT Permit#: FPS2021-00147
Date Issued: 1/5/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9393 SW WASHINGTON SQUARE RD S07
Project: Cotton On Group Subdivision: None Lot: None
Project Description: Fire sprinkler permit-adding(4)new fire sprinkler heads and plugging(8)fire sprinkler heads.
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 01/04/2022 $112.96
12%State Surcharge-Building 01/04/2022 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 01/04/2022 $45.18
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 01/04/2022 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 01/04/2022 $6.00
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 Calcs Provided: Cut Sheets Required:
Total $179.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $3,415.00
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: � �M J bait CkZ Permittee Signature: On
L YPP l kt 1
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 Applicatio 1v
E EL /E
Fire Protection System / FOR OFFICE USE ONLY
City of Tigard DEC 1 3 2021 RRe eive/2 j Permit No.: Fpcc /CO/41
/By:
f 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1966ITY OF TIUAHG Hate/By: �3— 2 // Other Permit:
T i G A R D Inspection Line: 503.639.4175 'WILDING DIVISION Date Ready/By: tare H See Page 2 for
Internet: www.tigard-or.gov tified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction El Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El 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: $3415
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms.
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9393 SW Washington Square Rd New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:S07 Project name:COTTON ON 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.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Adding 4 New fire sprinkler heads and plugging 8 fire sprinkler heads Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
El APPLICANT ❑ CONTACT PERSON NOTICE
Business name:Wyatt Fire Protection All contractors and subcontractors are required to be
Contact name:Levi Poling 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:I.poling@wyattfire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection (Please rejerto fee schedule)
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.)
CCB lic.:64077
Total permit fees:
Amount received:
Authorized signature: p9J/,
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Levi Poling Date:12/13/21
* Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuildingAPermits\FPS-PermitApp 031016 dm: 440-4613T(11/02/CAM/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: Number of alarm devices:
0 Addition or ❑ 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
In 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
T pe of System (Complete A, B, C or D as applicable):
A.) Commercial Sprinkler
Sprinkler Type ❑� Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑■ Yes El No
Hazard Group light hazard
Density (11
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $2419
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): $
FLS Plan Review(40%of permit fee): $
TOTAL $
•
W:\Permits\Permit Application Forms(Updated July 2017)\Tigard Fire Permit App.doc2
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FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: t 'TOM 44 , DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: Levi Poling,Wyatt Fire Protection DEC 2 2 2021
COMPANY: Wyatt Fire Protection Lot j Y OF TIGARD
PHONE: 503 684 2928 lUILDING DIVISIO�t --
EMAIL: I.poling@wyattfire.com RE: 9393 SW Washington Square Rd,Space S07 C c-`•Gc
2C511"O t4 7
• (Site Address) (Permit Number)
Cotton On Wash Sq
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
3 Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: Here are the revised drawing.
FOR OFFICE USE ONLY
Routed to Permit chnician:/ Date: 1— 3 aaZ Initials;t
Fees Due: D Yes ], NK Fee Description: Amount D e:
Special
Instructions:
Reprint Permit(per PE): ❑ Yes Nq No'--/ ❑ Done
Applicant Notified: Date: //GI7J,/ Initials: ig_
I\Building\Forms\TransmittalLetter-Revisions 073120.doc