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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit #: FPS2012 -00026 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/07/2012 Parcel: 151260000300 Jurisdiction: Tigard Site address: 9459 SW WASHINGTON SQUARE RD A14 Project: Footlocker Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 108 Project Description: Relocating and adding (15) sprinkler heads. Replacing (21) existing heads. Contractor: WYATT FIRE PROTECTION INC. Owner: PPR WASHINGTON SQUARE LLC 9095 SW BURNHAM BY THOMSON PROPERTY TAX SERVICES TIGARD, OR 97223 ATTN HILARY RAYMOND 2235 FARADY AVE, STE 0 CARLSBAD, CA 92008 PHONE: 503 - 684 -2928 PHONE: FAX: 503 - 684 -9657 FEES Description Date Amount Specifics: Permit Fee - COM 02/23/2012 $134.48 12% State Surcharge - Building 02/23/2012 $16.14 Type of Use: COM Plan Review - Fire Life Safety - COM 02/23/2012 $53.79 Class of Work: ALT Type of Const: IIB Info Process /Archiving - Sm $0.50 (up to 02/23/2012 $5.00 Occupancy Grp: M Height: ft 11x17) Stories: 1 Info Process /Archiving - Lg $2.00 (over 03/07/2012 $2.00 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Hazard: LT Density: 0 Design Area: 0 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 $211.41 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $5,200.00 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 or direct questio NC by c ing 503.232.1987 or 1.800.332.2344. Issued By 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 ' FOR OFFICE USE ONLY Received City of Tigard 4,��° ,L� Date/B : rf Permit No.: I / ,' 1111 13125 SW Hall Blvd., Tigard, OR 9 •� Plan Revie ' Phone: 503.639.4171 Fax: 503.598. 960 !� �- Date/B `, Other Permit: A. _ .. C " : ..A `� ' TIGARD Inspection Line: 503.639.4175 " �6` � Date Ready •: ©]I '��_' See Page l for Internet: www.tigard- or.gov ® � � No.... ed/Method:wy �f Supplemental Information ■•3! w fl TYPE OF WORf{0- RE 6 IRED DATA: 1 -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 '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 m omercial/industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: I : SITE INFORMATION AND LOCATION Total number of floors: Job site address: it) I , / L(� /v 6Q , ( R-I ) • New dwelling area: square feet City/ State/ZIP: zZ Garage/carport area: square feet / Suite/bldg. /apt. no.: Project name:' c/Lisc. —1./.0V op Covered porch area: square feet Cross street/directions to job site: Hoops Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST - Subdivision: 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 r7 DESCRIPTION OF WORK . work indicated on this application. 2' —o/ C..4- 7 0 /�f x-c . / r 5P/� -iewe- Zt -L i k ri1's Valuation: $ �Z ^ . ` Azio eii- big v(J/ 4/i,4 , 2 1 exi sTINLN HC---AD 5 Existing building area: square feet Ta L'ONC:.CsV `T'yp -t E - -- 1) . 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: $tAPPL1CANT • ❑ CONTACT PERSON NOTICE Business name: (f 7 � ©/Z-- All contractors and subcontractors are required to be ' Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City/ State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) • Fax: : ( ) E -mail: CONTRACTOR . • . - BUILDING PERMIT FEES! ■ • ', . Business name: w r * -� p/g 740 'r � r �®/0 (Please refer•to fee sched:ile) . • . Address: 909s �'l, / / BOX-l �'i Permit fee: City/State/ZIP: Q.f�/L0 O2 97Z2-3 State surcharge (12% of permit fee): / FLS plan review (40% of permit fee): Phone: 03)6434-g:9-L6 Fax: 5O3) ( te e¢ _ 96 , 57 (Due upon application.) CCB lic.: / 4e;.77 Total permit fees: Authorized signature: Amount received: �� This permit application expires if a permit is not obtained Print name: (:/6 J6 2,4 ` Date: O2 2a -/ z_- within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I: \BuildingTermits \FPS- PemutApp.dot 03/23/06 440- 4613T(II /02/COM/WEB) • p City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information • b.$'.'1.44-?P'.*V4*IWY be done • 1.) New 2.) Modification to sprinkler heads only Addition fl 1-10 heads: No plan review required. fl Alteration ig heads: Plan review required. Repair Number of sprinkler heads: IS Additional description of work: • el RC—A-P5 re, 6E () - r -rr, coioGst.e0 4.erisct1 1c?p, A.) Cpimercii1 Sprinkler - 11; `' Lt, 4 V. • • [] Wet P Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor • Sprinkler Project Valuation: $ 04. 14;01:4: • Hood Project Valuation: 1 ' Submittal shall Battery Calculations Yes include: Individual Component El Yes • Cut Sheets Fire Alarm Project Valuation: $ • . I ge ' gi f crOnialfSpiitiklet (StaglcM160 , Square Footage: Permit Fee: • 0 to 2,000 $187.50 •• • 2001 to 3,600 $232.50 3,601 to 7,200 $292.50 • • • 7,201 and greater $381.50 • 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: $ • Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. • http://www.ci.tigard.or.usicity_hallidepartments/cd/docs/EPS-PermitApp.doc 2 • `V59 t/a4 ,4/ /f /' . 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. 111 City of Tigard Building Division ► .� r-- c - ;.,., T I G A R D �� . TRANSMITTAL LETTER TO: /J 4A J DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED MAR 3 0 2012 FROM: M j2 4/e.-- 1-,(49 CITY OF TIGARD BUILDING DIVISION COMPANY: k/(l�gf0A-, PHONE: 0 7i / - 3 7 l 3 By: f 111 I RE: (/ t-) G/, 50 t0,0 - - - friilf /.6 f s zo l Z - OW (Site Address) ( it Number) A 'roject n. a or su. • 'vision n• a an• of numier ATTACHED ARE THE FOLLOWING ITEMS: Copies: I Description: I Copies: Description: Additional set(s) of plans. ;,/ Revisions: !'(z( ti 0 F,e_ 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: . FOR FF CE USE ONLY Routed to Permit Technicia Date: 4-f V�� Initials: Fees Due: ❑ Yes R1 o Fee Description: Amount Due: $ $ $ $ Special Instructions: . Reprint Permit (per PE): ❑ Yes I ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\ Forms \TransmittalLetter - Revisions.doc 02/08!2011