HomeMy WebLinkAboutFPS2023-00126 CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2023-00126
T"f 1.;A It f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/5/2023
Parcel: 1S135BA00102
Jurisdiction: Tigard
Site address: 10154 SW WASHINGTON SQUARE RD
Project: Biolife Plasma Subdivision: OAKBURG Lot: 9
Project Description: Fire sprinkler permit:Add(123)heads and seismically brace pipes.
Contractor: WYATT FIRE PROTECTION INC. Owner: PPR SQUARE TOO 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 12/04/2023 $252.84
12%State Surcharge-Building 12/04/2023
$30.34
Type of Use: COM Plan Review-Fire Life Safety-COM 12/04/2023 $101.14
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 12/04/2023 $2.00
Occupancy Grp: B Height: 25 ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 12/04/2023 $4.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD1
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 $390.32
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: 77"'"' 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 D
FOR OFE'lCE T . ONI.I"
City of Tigard Received
! 13125 S W Hall Blvd.,Tigard,OR 97223 Date/By. Permit N ��'^'---"": 3 -
111 II Phone: 503.718.2439 Fax: 503.598.1960 N O V2Plan Inspection Line: 503.639.4175 2023 DPate By:Review - ` ' Other Permit:
T I C;A lc 1) Ins P Date Ready/By: Jur s: I El See Page 2 for
Internet: www.tigard-ocgov CITY OF TIGARD Notified/Method: Supplemental Information
.BUILDING DIVISION-- ".t `�
T OF ll AT :1 At ,2• Aft Y Dom,
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
El Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all
❑Other equipment,materials,labor,overhead,and the profit for the
'OFCONSTRUCTION o T work indicated on this application.
ID1-and 2-family dwelling Commercial/industrial Valuation: $
ElAccessory building El Multi-familyNumber of bedrooms:
❑Master builder
❑Other: Number of bathrooms:
JOB SITE ✓ NATION AND LOCATION Total number of floors:
Job site address:10154 SW Washington Square Dr New dwelling area: square feet
City/State/ZIP:Tigard OR 97223
Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:Biolife Plasma Wash Sq Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
Subdivision: REQUIRED ATA:±E O,M c M,-, U E HE0I IS!'
I 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 OE'WORE work indicated on this application.
Add heads and seismically brace pipes as needed for TI Valuation: $16345
Existing building area: 16,654 square feet
New building area: 0 square feet
PRoPFa Y O R ' 1 CI TtNANT Number of stories:1
Name:JCW DEVELOPMENT
Type of construction:I I
Address:100 TOWER DRIVE
Occupancy groups:B,S 1,A2
City/State/ZIP:BEAVER DAM,WI 53916
Existing:
Phone:( )920-356-1255 Fax:( )
New:
APPLICANT 0 CONTACT PERSON'.
Business name:Wyatt Fire Protection • - ,'ice'
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
Phone:( )503.684.2928 I Fax: : apply:
( )503.684.9657
E-mail:m.distifeno@wyattfire.corn
C ttACTOR B JIJ€DING PERMIT FEES*;. .
Business name:Wyatt Fire Protection reeriiiitese
`
Address:9095 SW Burnham Permit fee:
City/State/ZIP:Tigard, OR 97223 State surcharge(12%of permit fee):
Phone:( )503.684.2928 Fax: FLS plan review(40%of permit fee):
( )503.684.9657 (Due upon application submittal)
CCB lic.:64077
Total permit fees:
Authorized signature: Amount received:
This permit application expires if a permit is not obtained
Print name:Michael Distifeno I Date:10/31/2023 I within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
1:\Building\Permits\FPS-PermitApp_031016.doc Service Board,
440-4613T(I I/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 123 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
111+ heads: Plan review required and El 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Tenant Improvement work, alteration to existing system
. at
Sprinkler Type ■❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ■❑ Yes ❑ No
Hazard Group Light and Ordinary
Density 0.01
Design Area 225 sqft light,130 sqft ordinary
K. Factor 5.6
Sprinkler Project Valuation: $16345
. T Fare ►
Hood Project Valuation: $
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
1) 1 al k lr t �neS t }
Square Footage: Permit Fee:y
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.
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