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Permit ,, CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT II a ' COMMUNITY DEVELOPMENT Permit#: FPS2016-00040 IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/23/2016 T Parcel: 1 S 1260000300 Jurisdiction: Tigard Site address: 9516 SW WASHINGTON SQUARE RD H05 Project: Ben Bridge Jeweler Subdivision: None Lot: None Project Description: Fire sprinklers-modification of(34)heads for TI Contractor: WYATT FIRE PROTECTION INC. Owner: PPR WASHINGTON SQUARE LLC 9095 SW BURNHAM PO BOX 847 TIGARD, OR 97223 CARLSBAD, CA 92018 PHONE: 503-684-2928 PHONE: FAX: 503-684-9657 FEES Description Date Amount Specifics: Permit Fee-COM 03/23/2016 $112.96 12%State Surcharge-Building 03/23/2016 $13.56 Type of Use: COM Plan Review-Fire Life Safety-COM 03/23/2016 $45.18 Class of Work: ALT Type of Const: IIB Info Process/Archiving-Sm$0.50(up to 03/23/2016 $5.00 Occupancy Grp: M Height: ft 11x17) Stories: 1 Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Hazard: ORD1 Density: .15 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 $176.70 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $3,885.00 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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: " e e Signature: Call 5 . .4175 by 7:00 a.m.for the next available i . -ction 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 Appli 1 rn Y , iv Fire Protection System FOR OI,FI( ll:: l tiO\I.\ Received /(j9 - '/oma©�C7 o City of Tigard ��pp 3 C Date/B . / Permit No.: �' u 13125 SW Hall Blvd.,Tigard,OJei i23 2016 Plan Redrew ` Phone: 503.718.2439 Fax: 503.598.1960T A Date/By. III ��� �� Other Permit: P�,/b-. Q0.S, ) I G A R l� Inspection Line: 503.639.41t.I'�Y 0F i IGtf,RD Date Re. 't ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: , A,UM Supplemental Information BUILDING DIVISION op,4,,0;62.4 ,r.8,,; w TYPE OF WORK. . ,, : .' REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El1-and 2-family dwelling Valuation: $ ®Commercial/industrial Number of bedrooms: ❑Accessory building ❑Multi-family ❑ Master builder 0 Other: Number of bathrooms: :'",44-6411,, ' JOB SITE INFORMATION AND LOCATION Total number of floors: Job site addres ,9515 SW Washington Sq Rd New dwelling area: square feet City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:H05 Project name:Ben Bridge Wash Sq 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. Add and relocate fire sprinkler heads as required for TI Valuation: $53,885.00 Existing building area: square feet New building area: 0 square feet 0 PROPERTY OWNER 0 TENANT Number of stories: 1 Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Ordinary 1 Phone:( ) Fax:( ) New: II 0 APPLICANT ® CONTACT PERSON NOTICE Business name:Wyatt Fire Protection All contractors and subcontractors are required to be Contact name:Max Colley licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:9095 SW Burnham Rd 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::( ) E-mail:ntcolley@wyattfire.com CONTRACTOR BUILDING PERMIT FEES* Business name:Wyatt Fire Protection (Please refer tofee schedule) Permit fee: t Address: City/State/ZIP: State surcharge(12%of permit fee): FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application.) CCB lic.:64077 Total permit fees: Authorized signature: / Amount received: This permit application expires if a permit is not obtained Print name:Max Colley Date:3/3/16 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\FPS-PennitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work to be done:' 1.) El New 2.) Modification to sprinkler heads only: ® Addition ❑ 1-10 heads: No plan review required. E l Alteration ® 11+ heads: Plan review required. El Repair Number of sprinkler heads: 34 Additional description of work: Type of System (Complete A,B,C or D as applicable): A.) Commercial Sprinkler ® Wet ❑ Dry Additional Standpipes 0 Information: Hazard Group Ordinary 1 Density 0.15 Design Area 1500 K. Factor 5.6 Sprinkler Project Valuation: $ 3,885 B.) Type I- Hood Fire Suppression System Hood Project Valuation: $ C) Fire Alarm Submittal shall Battery Calculations El Yes include: Individual Component El 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: $ Plan review requires a completed application and three (3) sets of plans at submittal. Plan review fees are required at submittal. W:AMae\1112 PERMIT APPLICATIONS\Tigard App.doc Rei-01/05/2012 2