Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2022-00100
TI t A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/5/2022
Parcel: 1 S1 260000300
Jurisdiction: Tigard
Site address: 9669 SW WASHINGTON SQUARE RD CO3
Project: The North Face Subdivision: None Lot: None
Project Description: Fire sprinkler permit:Adding(49)sprinkler heads 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 07/05/2022 $166.76
12%State Surcharge-Building 07/05/2022 $20.01
Type of Use: COM Plan Review-Fire Life Safety-COM 07/05/2022 $66.70
Class of Work: ALT Type of Const: IV Info Process/Archiving-Lg$2.00(over 07/05/2022 $2.00
Occupancy Grp: Height: 25 ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 07/05/2022 $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 $261.47
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $8,080.00
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 copyyf of the rules
Issued By: ^ /f (,J 1J Permittee Signature: Q //
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
Fire Protection System FOR OFFICE USE ONLY
Cityof Tigard ReceivedII 4 /" y ),*
g Y 6 ).7/ i PermitNo.: C ) �,W 1tx 13125 SW Hall Blvd.,Tigard,OR 97223 Rr ate/B : tom„-
� � lam Review
Phone: 503.718.2439 Fax: 503.598.1960 �rj � � Date/By: 6'3 Other Permit �l� f
T t G A R D Inspection Line: 503.639.4175 Date Ready/By: is: i See Page 2 for G
Internet: www.tigard-or.gov JUN 1 a Nil Notified/ thod:X 2_1_, / I Supplemental Information
TYPE OF WORK REQUIRED DATA: I-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
❑III 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 0 Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9669 SW Washington Square Rd New dwelling area: square feet
City/State/ZIP:Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:CO3 Project name:North Face Wash Square 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: 1 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 heads for tenant improvement Valuation: $8080
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 be
Contact name:Levi Polinglicensed 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*
(Please refer to fee schedule)
Business name:Wyatt Fire Protection
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:
Authorized signature: 4471, Amount received:
This permit application expires if a permit is not obtained
Print name:Levi Poling Date:6/15/2022 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:Buitding'Permits\FPS-PermitApp_031016.doc 440-4613T(I I,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: Number of alarm devices:
■❑ 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
Er 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 ❑ Yes ❑■ No
Hazard Group fd;
Density a
Design Area 1' 30
K. Factor S. C
Sprinkler Project Valuation: $8080
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ 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:A Permits\Permit Application Forms(Updated July 2017)\Tigard Fire Permit App.doc 2
Branden Taggart
From: Branden Taggart
Sent: Monday, June 27, 2022 5:30 PM
To: 'I.poling@wyattfire.com'
Subject: The North Face Permit Submittal - 9669 SW Washington Square Rd.
Hi Levi,
The permit submittal that we received for The North Face has the work taking place in space CO3. However, we also
have recent permits issued for Aritzia in this space. We would appreciate it if you can confirm the tenant and space in
the mall.
Thanks,
Branden Taggart
a City of Tigard
a. s, Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or.gov
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