Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2017-00101
Tt GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/12/2017
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9504 SW WASHINGTON SQUARE RD J02
Project: Tumi Subdivision: None Lot: None
Project Description: Fire sprinklers-Modification of(11)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 07/12/2017
$112.96
12%State Surcharge-Building 07/12/2017 $13.56
Type of Use: COM Plan Review-Fire Life SafetyMF
- 07/12/2017 $45.18
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 07/12/2017 $6.00
Occupancy Grp: B Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD1
Density: 0.15 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 $177.70
Valuations:
Required Items and Reports(Conditions)
Sprinkler Valuation: $3,068.00
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: �� F
Call 503.639.4175 by 7:00 a.m.for the next available insp• tion date.
This permit card shall be kept in a conspicuous place on the job site until completion o the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System REE!g
V FOR OFFICE USE OISLI'
to
City of Tigard 11 Received a
13125 SW Hall Blvd.,Tigard,OR 9722t�iDate/B : �� Permit No.: ,r 7 ,
$ 6zo»11,1
'
Phone: 503.718.2439 Fax: 503. 9 1960 Plan Review-
f Date/B : — �j Other Permit: ��r 7, r)
TI G R D Inspection Line: 503.639.4175 ��^^,, . u Date Ready/By: Juris: "`Y J
Internet: www.tigard-or.gov ,BIJIi DIN n �'�He ISupplemental
See Paget 2nr
w LlJ tYl� Notified/Method: pp mental Information
1[+��� Su le
lls7r +
,, .> _ -"v 1 :)4' TYPE,Or WORK -4 „ � REQUIRED DATA:!- 27
k^
` "'� AN>3 2-FAMILY DWELLING"
0 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 El Other:
equipment,materials,labor,overhead,and the profit for the
"' CATEGORY OF CONSTRUCTION
°" work indicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
=sem�*.< r r ,
JOB SITE INFORMATION AND LOCATION= ~° Total number of floors:
Job site address Washington Square Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223
Garage/carport area: square feet
Suite/bldg./apt.no.:J02 I Project name:Tumi at Wash Sq
Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
Subdivision: REQUIRED DATA:COMMERCLAL-L1SE CHECKLIST
ILot 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
r "' °,p,-, ` ` " ' DESCRIP QlO � equipment,materials,labor,overhead,and the profit for the
4§,;; " 4. x 4 §, Y , , 4�4 ^ k,k WD„ , z; s «f€.. s -' work indicated on this application.
Add and relocate fire sprinkler heads as required for TI Valuation: $53,068.00
Existing building area: square feet
New building area: 0 square feet
**E-J TRPP*P1**TY OWNER x .,_ "
0 TEN .„ ; Number of stories: I
Name:
Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Phone: Existing: Ordinary 1
_ ( � tPPLC Fax:( ) ,: New: v,
ONTACT PERSON•* ,r<$ _,� „„�� .:�: * 3 �� NOTICE*:r.�, ' s..
Business name:Wyatt Fire Protection
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
Phone:(503)684-2928 apply:
I Fax::( )
E-mail:m.colley@wyattfire.com
,CON'T'RACTOR
`BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection gn`
`(Please refer to fee schedule) ,. `' 'ems r "
Address: Permit fee:
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: /11140
Authorized signature: /; ! Amount received: ... —
This permit application expires if a permit is not obtained
Print name:Max Colley Date:7/6/17 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
I:\Building\Permits\FPS-PennitApp.doc Rev 01/05/2012 Service Board.
440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe'�oik to be done:
1.) 0 New 2.) Modification to sprinkler heads only:
❑ Addition El 1-10 heads: No plan review required.
® Alteration ® 11+heads: Plan review required.
❑ Repair
Number of sprinkler heads: 11
Additional description of work:
of S ste* ( lice e
�Q�aplete..����� )
), o � er Sprinkler r • r .n
® Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group Ordinary 1
Density 0.15
Design Area 1500
K.Factor 5.6
Sprinkler Project Valuation: $ 3068
;
*
B.) '}ape I opd Fire Suppre' ion S tei> .
Hood Project Valuation:
* 1** < * # „gyp n *" *#1:
x x a
C),Fite Alarm =; t , * , .. e
� k �.. ❑
Submittal shall Battery Calculations Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
* *4Ate'
D) Resider Sprinkler(Stan.Alope y e m� r
Square Footage: Permit Fee: r #
� ; 4 . .
$198.75 .3.� " ..,
0 to 2,000 ,, }w ^
2,001 to 3,600 $246.45 s
3,601 to 7,200 $310.05 .,
7,201 and greater $404.39
Sprinkler Project Square Footage: sq.ft.
Pertrit Feet t „
„ x ' Fi a Protectia i _ ...
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