Permit (4) 11,p111 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
'` COMMUNITY DEVELOPMENT Permit#: FPS2022-00119
Date Issued: 10/6/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S136CD00100
Jurisdiction: Tigard
Site address: 11705 SW PACIFIC HWY B
Project: Wingstop Subdivision: None Lot: None
Project Description: Fire suppression system in type 1 exhaust hood.
Contractor: SANDERSON FIRE PROTECTION INC Owner: PACIFIC CROSSROADS PROPERTIES INC
1101 SE 3RD AVE BY WYSE INVESTMENT SERVICES CO
PORTLAND, OR 97214 810 SE BELMONT ST#100
PORTLAND, OR 97214
PHONE: 503-889-3110 PHONE:
FAX: 503-889-3192
FEES
Description Date Amount
Specifics: Permit Fee-COM 09/08/2022 $61.85
12%State Surcharge-Building 09/08/2022 $7.42
Type of Use: COM Plan Review-Fire Life Safety-COM 09/08/2022 $24.74
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 09/08/2022 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $98.01
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $900.00
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 i OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: , Permittee Signature: �G� _ 7
Call 503.639.4175 by7:00 a.m.for the next available inspection date. Lui
p
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 RECEIV Ill
FOR OFFICE 11SE ONLY
Received_
Cityof TigardPermit
131 SW Hall Blvd.,Tigard,OR 97223 AUG��� ��� Date/By: fa ca "C-,7 ii 7
g Plan Review
' li Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD Qj -� 7
) Other Permit:
C 1 ti �P I, Inspection Line: 503.639.4175 BUILDING D1V1S1 to Ready/By: Juns: H See Page 2 for
Internet: www.tigard-or.gov otified/Metho 2— Supplemental Information
'1FPE OF WORK ihk& „,;, RI *ND 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
El Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and the profit for the
"///AT�R O Swork indicated on this application.
� � iSTR['CTION
Ell-and 2-family dwelling ®Conunercial/industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
.IOBSFFE INFORy4ATIO\ AND LOCATION Total number of floors:
Job site address: 11705 SW PACIFIC HIGHWAY; SUITE B New dwelling area: square feet
City/State/ZIP: TIGARD, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: VVI N GSTO P Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
OM . y 64 :,,,,, L
REQUIRED. /
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.
_ .__ KITCHEN FIRE SYSTEM UL300 INTO TYPE ONE Valuation: 5900.00
EXHAUST HOOD Existing building area: square feet
New building area: square feet
❑ PROP ER'IY OWNER LI TENANT Number of stories:
Name: WI STOP RESTAURANT Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
APPLICANT E CONTACT PERSON // �//
4
Business name: SANDERSON FIRE PROTECTION All contractors and subcontractors are required to be
Contact name: GEOFF SPAH R licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1101 SE 3 R D AVE jurisdiction in which work is being performed.If the
City/State/ZIP: PORTLAND, OR 97214 applicant is exempt from licensing,the following reasons
apply:
Phone:( 5038893110 Fax: : ( )
E-mail: GEOFFa@a SANDERSONFIRE.COM
CON'I'RAC`FOR (Ji ,BUILDIN k,km%FEES*
Business name: SANDERSON FIRE PROTECTION � �s, Jule1
Permit fee:
Address: SAME AS ABOVE
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) • (Due upon application submittal.)
CCB lie.: 208652 (. (172? Total permit fees:
_`/// 1 �s -\../
Amount received:
Authorized signatur . (xJ ��/
This permit application expires if a permit is not obtained
Print name: GEOFF S PAH R Date: 8/25/22 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(I I/02/COM/WEB)
•
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
r N �A /Describe work to"*
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
51 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
❑ 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 of (Cor B>C o )a a_ );�/ i/' //
:4) Qnmercial: p inkle
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
B.) Type I- Hood Fire Suppression;System
Hood Project Valuation: $ 900.00 HOOK UP ONLY
C.) Fire Alarm \ /% ;
Submittal shall Batter-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 ,1'
41*5
2,001 to 3,600 $246.45 P �o/�
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
"r ref '%N�/ �Mtc on /
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: $
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