Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
111
111 COMMUNITY DEVELOPMENT Permit#: FPS2023-00094
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/12/2023
TIGARD Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9355 SW WASHINGTON SQUARE RD T19
Project: Yeti Subdivision: None Lot: None
Project Description: Fire sprinkler permit:adding(10)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 09/12/2023 $102.20
12%State Surcharge-Building 09/12/2023 $12.26
Type of Use: COM Plan Review-Fire Life Safety-COM 09/12/2023 $40.88
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 09/12/2023 $6.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD1
Density: 0.2 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 $161.34
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
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:
1 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.
Building Permit Application
Fire Protection System RECEIVE I FOR OFFICE USE ONLY
City of Tigard ] Received
IIIg JI.II,- 2 1 2023 Date/By: ie/.. PearaPa 5 .,L,.7 > YoCA r;+
13125 SW Hall Blvd.,Tigard OR 97223Plan Review t T I
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: $'3"a3 Other Permit:
f 11 ,\1;li Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By:ethod: IA/ lads: I ® See Page 2 for
Internet: www.tigard-or.gov NotifiediM S pple en[al Information
BUILDING DIVISION emelt< i c incL4I t142/..TYPE OF WORK QUIRED DATA:1-AND 2-FAMILY DWELLING
0 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 El Commercial industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9355 sw Washington Square Rd New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:T19 Project name:Yeti Wash SC] 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.
1� Adding heads for tenant improvement Valuation: $2290
taro a3/ er 4 gUv.2.023--DO k Existing building area: 3,366 square feet
New building area: 3,366 square feet
0 PROPERTY OWNER ® TENANT Number of stories:1
Name:MATTHEW MILLER, Yeti Type of construction:Il-B
Address:7601 SOUTHWEST PKWY Occupancy groups:B
City/State/ZIP:AUSTIN,TX 78735
Existing:
Phone:( )703-946-2561 Fax: ( )
® APPLICANTNew:
0 CONTACT PERSON NOTICE
Business name:Wyatt Fire Protection All contractors and subcontractors are required to be
Contact name:Michael Distifeno licensed with the Oregon Construction Contractors Board
Address:9095 SW Burnham under ORS 701 and may be required to be licensed in the
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:m.distifeno@wyattfire.com
CONTRACTOR BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection (Please refer to fee schedule)
Address:9095 SW Burnham Permit fee:
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:
Authorized signature: / /i , Amount received:
This permit application expires if a permit is not obtained
Print name:Michael Distifeno I Date:7/24/2023 I 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.doe 440-4613T(I t/02ICOM/WEB)