Permit (60) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
i• COMMUNITY DEVELOPMENT Permit#: FPS2016-00187
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/07/2016
T i r ;�1<Dg Parcel: 1S126CB00500
Jurisdiction: Tigard
Site address: 9300 SW WASHINGTON SQUARE RD
Project: Macy's Mattresses Add Subdivision: None Lot: None
Project Description: Adding and relocating(7)sprinkler heads around demising wall.
Contractor: WYATT FIRE PROTECTION INC. Owner: MACY'S DEPARTMENT STORES INC
9095 SW BURNHAM ATTN:TAX DEPARTMENT
TIGARD, OR 97223 7 WEST SEVENTH ST
CINCINNATI, OH 45202
PHONE: 503-684-2928 PHONE:
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 11/07/2016 $75.30
12%State Surcharge-Building 11/07/2016 $9.04
Type of Use: COM Plan Review-Fire Life Safety-COM 11/07/2016 $30.12
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 11/07/2016 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
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 $114.96
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1,369.00
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 calling3 1987 or 1.800.332.2344.
Issued By: p Permittee Signature:
Z503.639.4175 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.
City of Tigard
I U 1 �r PermitNo.: r 3 lb ' t t<t;7
13125 SW Hall Blvd.,Tigard,OR 97223 4 4 g
I Phone: 503.718.2439 Fax: 503.598.1960 Date Received: /117/C,
Ti G A K D Inspection Line: 503.639.4175 t' /'
Internet: www.tigard-or.gov NO ?(716 By: er Med <c.
FIRE SPRI , firturAvIT FOR ALTERATIONS
:.. 1 .: DIi'rct
OR TENANT IMMOVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Macy's Mattresses Wash Sq Occupancy: Ordinary 2
Job Address: 9300 SW Washington Sq Rd Type of Construction:
Suite:
Contractor: Wyatt Fire Protection Phone: 503-684-2928
Number of Proposed or Altered Heads: 7
Type: SSP Hazard: Ordinary 2 Density: 0.15
I,Max Colley, Wyatt Fire Protection Oregon Construction Contractors Board No. 64077
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers in a light-hazard occupancy.
b) Positions of sprinkler heads relative to architectural features such as soffits,beams,partitions, walls, etc.
complies with current adopted edition of NFPA 13.
c) The proposed work does not require hydraulic calculations.
d) Only one sprinkler head will be installed from one drop (exception: up to two heads from one drop may be
installed when each head is in a separate fire area).
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
f) Tenant improvements in a new building shall be equipped with Quick Response heads(see 2002 NFPA 13,
Section 8.3.3.1 for exceptions).
g) The installation shall comply with the requirements of the current adopted edition of NPFA 13.
h) Piping shall not be concealed until hangers and bracing are inspected.
i) Final approval shall be subject to onsite tests and inspections.
In addition, I understand the following is required:
• Submit(3) copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• A copy of this document with a copy of the sket h attached shall be available for all inspections.
Signature: �, r Date: 11/7/16
Print Name: Max Coll c.y
I:\Building\Forms\FireSprinklerAffidavit_071514.docx Page 1 of 1
Building Permit Application
Fire Protection System FOR OFFICE L:SE oNLY
City of Tigard CEINTY.3) Received f/� 111
Date/B ` Permit No.: - 0 r 1 i.0
111 13125 SW Hall Blvd.,Tigard,OR 9722>� { Plan Review '
0 Phone: 503.718.2439 Fax: 503.598.1''.ti A Date/B : Other Permit: a[s:-, .—ottpo
o
T 1 G A K D Inspection Line: 503.639.4175 OAC Date Ready/By: !a See Page 2 for
Internet: www.tigard-or.gov �i I t[} Notified/Method: IMI Supplemental Information
V
te
.'B OFx..: ,..:-%). ' x , *4 l! iI_ tt s 1 i F 4r4 ,r11 D� LIN
❑New construction y ❑D i loTi y 11 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 tthie'rT equipment,materials,labor,overhead,and the profit for the
ti, work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
1=IAccessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
_, .
IAB;tINFORMATION `r 44 ,T10 : Total number of floors:
Job site address:9300 SW Washington Square Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Macy's Mattresses Wash Sq Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
UI DATA:+C i, 1 1:R "US 44 : KLTST4-
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
u
k C' ett91 ,i work indicated on this application.
Add and relocate sprinklers around demising wall Valuation: $$1369
Existing building area: square feet
New building area: 0 square feet
i'.444 , PRO, LI TY OWNE1‘ 4: 4 =11: III€ ''Y•. Number of stories: 1
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: Ordinary 2
Phone:( ) Fax:( ) New:
,. 4 r .A .LIGE 4* =' CO , RSO , �1 4g
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
�� � BUILDII�G`PE �FEE$' �
Business name:Wyatt Fire Protection s 'f l(Please refer to fee eheduleeP e• iv — '.
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP:
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application.)
CCB lie.:64077 Total permit fees: //t'- /0
Authorized signature:' Amount received:
.. /� This permit application expires if a permit is not obtained
Print name:Max Colley Date:11/7/16 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.doe Rev 01/05/2012 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
a sc ` � der • �: w
1.) ❑ New 2.) Modification to sprinkler heads only:
® Addition ® 1-10 heads: No plan review required.
® Alteration ❑ 11+heads: Plan review required.
❑ Repair
Number of sprinkler heads: 2
Additional description of work:
®e ..; !pills . p Y; ,
A ':,i'14,:',•-?;;:-
,
0
•
C n1in Ci ,�••
® Wet ❑ Dry
0
Additional Standpipes
Information: Hazard Group Ordinary 2
Density 0.15
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 1369
BTYP I : « : .F* }ipr io •
3's '`
Hood Project Valuation:
$
, „,„. ,, ,;7., ..,. -if Wt,.# 1 V'.
:1'' '::CI"-''' ;:;:'''''''''''' 4': :I*:':' 1.'I';" ;4'''i ig'4, " '.5 414,,, '.;'
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
�si{ enti. ger{S Alone virwxn
Square Footage: Permit Fee: �
0 to 2,000 $198.75e- :
2,001 to 3,600 $246.45
, ,, ..,, .. , .
3,601 to 7,200 $310.05 `
$404.39
7,201 and greater
Sprinkler Project Square Footage: sq. ft.
Fie Pro echo Perm t Fee =s •4 ,, , `. =.%
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.
2
W:\Max\1112 PERMIT APPLICATIONS\Tigard App.doc Rev 01/05/2012
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
9300 SW WASHINGTON SQUARE RD, TIGARD,
OR, 97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
November 10, 2016 at 8:39:02
AM
FPS2016-00187
Jeff Grove
Violation Summary:
Inspector Contractor