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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT �'! 111 COMMUNITY DEVELOPMENT Permit#: FPS2016 00121 T IGA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/09/2016 Parcel: 1 S 1260000300 Jurisdiction: Tigard Site address: 9355 SW WASHINGTON SQUARE RD T19 Project: Lululemon Subdivision: None Lot: None Project Description: Adding and relocating(45)sprinkler heads for TI. Contractor: VVYATT 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 08/09/2016 $145.24 12%State Surcharge-Building 08/09/2016 $17.43 Type of Use: COM Plan Review-Fire Life Safety-COM 08/09/2016 $58.10 Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 08/09/2016 $2.00 Occupancy Grp: M Height: ft 11x17) Stories: 1 Info Process/Archiving-Sm$0.50(up to 08/09/2016 $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 $230.27 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $6,940.00 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: Permittee Signature: - /� C 5 .639.4175 by 7:00 a.m.for the next available inspection da -. This permit card shall be kept in a conspicuous place on the job site until col,. etion • . Approved plans are required on the job site at the time of each in�;,3a': . Building Permit Application • Fire Protection System FOR OFFICE USE oNi City of Tigard Received j IIII r Ii,if -I Date/By 7 <. / Permit j��yf6 _c y 13125 SW Hall Blvd.,Tigard,OR 97223 �n."{� s .mss LAi ■ g A Q. .�� ,- s.,,` Plan Review ►�1 Phone: 503.718.2439 Fax: 503.598.1960 � T t G A R D Inspection Line: 503.639.4175 Date/By: 1 C J l - Other Permit:/c7/pg ,"Page 2 o ` I 1 '� 1 Date ReadyinY:` ) Juris: ® S'Page 2 for ��` � Internet: www.tigard-or.gov V L 1 Notified/Method: (6/1 & -p},lj c I SupplementalInformatiou , ,p ` 4.,,,,',74,0*,,.,.;` "0?Z'p,E O W:;„ `! ;,tREQIUIREDDATA:*I-AND2 AMILYDWELL TGG, „- Permit fees*are based on the value of the work performed. ❑New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the EhTEGthif OF CONSTRUCTION 2 '` work indicated on this application. ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder CIOther: Number of bathrooms: - a,w a. 4 B SITE INFORM TI N LO TIOI ,"' i Total number of floors: Job site address 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 I Project name:Lululemon Wash Sq Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED D TA COMMERC `"[ISE CHECKLIST`S 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 - N equipment,materials,labor,overhead,and theprofit for the t # DESCRIPTION OF WO m work indicated on this application. p Add and relocate fire sprinkler heads as required for TI Valuation: $$6 940.00 Existing building area: square feet • New building area: 0 square feet 4 o PROPERTY OWNER K 1* 0 TENANT ;' Number of stories: 1 Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Phone:( ) Fax: Existing: Ordinary 1 ( ) New: v, k . , :; ® APPLICANT•' v. „ ="CONTACT PERSON ; 4 0 Business name:Wyatt Fire Protection ''' ,P Y Pz iOTICE All contractors and subcontractors are required to be Contact name:Max Colley licensed with the Oregon Construction Contractors Board Address:9095 SW Burnham Rd 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 I Fax::( ) E-mail:m.colley@wyattfire.com : : .<: y CONTRACTOR 44P >. BUILDING PERMIT FEES* ' Business name:Wyatt Fire Protection b (Please refer fee schedule) Address: Permit fee: City/State/ZIP: State surcharge(12%of permit fee): Phone:( ) I Fax:( ) - FLS plan review(40%of permit fee): (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:7/13/16 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board I:\Building\Permits\FPS-PermitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Discrib votk o°bdiie: x , 1.) ❑ New 2.) Moodification to sprinkler heads only: Z Addition 1 10 heads: No plan review required. Z Alteration ® 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: 45 Additional description of work: Cor Das appllceClete B S$e ( omp "N. Typof ,cap ncler ❑ DryA) #Cother ; ® Wet Additional Standpipes 0 Information: Hazard Group Ordinary 1 Density 0.15 Design Area 1500 K. Factor 5.6 Sprinkler Project Valuation: $ 6,940 B) Type I...,'Todd Fire,Supl ression:Syste n Hood Project Valuation: $ ' - ; fir C) r ,", ,, v .. tY 4 •,. ,t r. , Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D) Residential Sprinkler'/Shind Aloneysem) .. t Square Footage: Permit Fee: it, { , 4 0,,v,. za„z .44,,,.,4: : 1 r: 0 to 2,000 $198.75 $246.45 2,001 to 3,600 3,601 to 7,200 _ $310.05 7,201 and greater $404.39 Sprinkler Project Square Footage: sq• ft. ti '� '14=I1 *Fire Protectlo Permit Fes 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 9355 SW WASHINGTON SQUARE RD T19, TIGARD, OR, 97223 Commercial - Fire Protection System 999 Sprinkler ﬁnal PASS - No C of O FPS2016-00121 Jeff Grove Violation Summary: Inspector Contractor FOR OFFICE USE ONLY—SITE ADDRESS: 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. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT i ill II 'Pi Transmitt l Letter etter T l c;A It D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: --DC _ DATE RECEIVED: DEPT: BUILDING DIVISION FROM: / "t nn0Ll x Co//647 0ii AUG 15 2016 CITY OF TIGARD COMPANY: leti 4 F: v t I e 4 el.. BUILDING!WIW PHONE: ____(503 t0 S 4 --A elv s G RE: S tit/ � .A.1 k,��n .,' /1 r Q�/� , $ 20/4 -©0�a / ( ite •di ess) (Permit Number) (Project name or subdivision name and lot num,-r) ATTACHED ARE THE FOLLOWING I , ►. Copies:Co p' ,..Description: f copies: Description: \It Additional set(s) of p s. I Revisions: ke v;Ssot Az...." ky D f" Cross section(s) an. detais. Wall bracing and/or lateral analysis. Floor/roof frami Basement and retaining walls. Beam calculatio s. Engineer's calculations. Other(explain . i REMARKS: 44,0 r . + 017* o✓�� 114 S a•rye Jes i re o ire s. As ! / A FOR OF ICE rt ONLY Routed to Permit Technician: ate: G`_-) (i" Initials,. ''f Fees Due: ❑ Yes o Fee Description: Amount 1 e: $�{ h { ' r 1, " � `g�R ' $ $ lr r't y $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012