Permit (17) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2016-00084
T t(.3 AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2016
Parcel: 1 S 135BA00102
Jurisdiction: Tigard
Site address: 10140 SW WASHINGTON SQUARE RD
Project: Zoup! Subdivision: OAKBURG Lot: 9
Project Description: Fire sprinklers-Add/relocate a total of 26 sprinkler heads for T.I.
Contractor: WYATT FIRE PROTECTION INC. Owner: PPR SQUARE TOO 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 05/17/2016 $123.72
12%State Surcharge-Building 05/17/2016 $14.85
Type of Use: COM Plan Review-Fire Life Safety-MF 05/17/2016 $49.49
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 05/17/2016 $2.00
Occupancy Grp: A-2 Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 05/17/2016 $7.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No 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 $197.56
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $4,096.00
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, • uspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility • • ification Center. ho - ules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir-ct questions to OUNC • allin• ..232.1987 or 1.800.332.2344.
Is ued By: G ` '1# /J i
Building Permit Application
Fire Protection System roll(11,1.1( l: 1 sl:ON1.�
Received
City of Tigard , � Date/B . Permit No.: �,51 M 1/_-.00d ire,/
13125 SW Hall Blvd,Tigard,OR 9722 .CO 11�� plan . vie - I /�l.J l 10 p
' • Phone: 503.718.2439 Fax: 503.598.19 Daze/B, Other Permit: C/ Q l4
1. . \RI) Inspection Line: 503.639.4175 201Cj Date ' ., �:•: j Jam: See Page 2 for
Internet: www.tigard-or.gov APR Notified/Method: 1 i ' Supplemental Information
I 14
-,4-111;:.e.777,144; . fig + - � i �. Y ♦ O � i„•
; '�, '"'` �TYP�� , � ;�� ^^r � �� . `"' �.�,� :� �l DAT l t l D G'��
.+a�`'* � '+,5"!. %t7a e.>t`a,.w.,ac .�'' �'..���"• ..xom .rc�.as�iy-.e�
❑New construction ❑0• . on 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
'a work indicated on this application.
-�TEGOR��'' ! �����4�!1`M,,O 1 � �,t..:�*-•
r�' —
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other:
Number of bathrooms:
F h 111 ' ` MO.
e. ! Total number of floors:
Job site address:10140 SW Washington Square Rd New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Zoup Wash Sq Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUI1tED b►1` COMMERCIAL-USE CHECKLIST..°
Subdivision: —1 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
r73 <k '"t DESCRIPTION OF WO . �1 '
�� ����� � =� � �t � ,� work indicated on this application.
Add and relocate fire sprinkler heads to center of tile as required for TI Valuation: $$4,096.00
Existing building area: square feet
New building area: 0 square feet
❑ PROPERTl OWNER ❑,TENANT:; Number of stories: 1
Name: Type of construction: 3B
Address: Occupancy groups:
City/State/Z1P: Existing: Ordinary 1
Phone:( ) Fax:( ) New: "
APPLICANT ® CONTACT PERSON
NOTICEV.'
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:m.colley@wyattfire.com
CONTRACTOR,
' �` � < BUILDING PERMIT FEES*t
Business name:Wyatt Fire Protection (Pleaasrefer tofee aelredule)
Permit fee:
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:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Max Colley Date:4/26/16 within 180 days after it has been accepted as complete.
Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\FPS-petmitApp.doc Rev 01/05/2012 440-4613T(ii/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
a, &'rte � s tg Y '�y L a{41.� tFt" x9 kr^`y4�. :^k � �'�' f �.
I)ecribe.�o`rk to be`do> ie, .z ?Ili t �,.s , #� ,�. :. ft£
1.) ❑ New 2.) Modification to sprinkler heads only:
® Addition ❑ 1-10 heads: No plan review required.
1:1 Alteration ® 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: a
Additional description of work:
h ,a,a pcal;Ye • 'm,Gompei ( :o uDrli ,, ,
-'1,
''''4**'''' Sset '( lA, e �4it"Iipy " � ;'":1:,4Y� 4i� � .. K T ?44.W::„''",-,:',,,44.1, ` fr* �„ ,4e' " ,1,::-.4:'.1041i, .kmmercy .-� ,, ,�a7.,: k ..-:,'*7' „, . , ❑ Dry"°*f Sg. 4• ® Wet
Additional Standpipes 0
Information: Hazard Group Ordinary 1
Density 0.15
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 4096
B.) Type L....''':.Hood Fire.Suppression:System . , l . .. si '�a w
Hood Project Valuation: $ �=. .,. r
'".: ^`tti:• '� K i; P r,; n
r
�fn �kya ;Au ;° i ,°"t� k"� iN L f i � � 4YC,.4,,� y� ` : t'€ ' ax � r �" Ei . .F�= .csrus$ ". . 4',..'.
❑ Yes shall I=1 YesBattery Calculations
Individual Componentinclude:
Cut Sheets
Fire Alarm Project Valuation: $
Vs ,,,,-.4‘-...t..
D.) ResidentialSprinlder(Stand Alone System) 0. :x,, F
Square Footage: Permit Fee: '
0 to 2,000 $198.75 E" a
2,001 to 3,600 $246.45 ��a t ,
3 601 to 7 200 $310.05 *z t `g fi
7,201 and greater $404.39 `;..,",,'�_,_ 4,
Sprinkler Project Square Footage: sq. ft.
s a ":":;',5;., . s b 4 4 s `gr 14.0 i4"
Ft>re Protection
'p rt Fees' .,4 xred,.,1,.. , k '
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:\Max\1112 PERMIT APPLICATIONS\Tigard App.doc Rev 01/05/2012 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10140 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2016-00084
Jeff Grove
Violation Summary:
Inspector Contractor