Permit (35) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
Permit#: FPS2017-00153
COMMUNITY DEVELOPMENT Date Issued: 10/17/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9461 SW WASHINGTON SQUARE RD A13
Project: Lids Subdivision: None Lot: None
Project Description: Fire sprinkler permit:Adding and relocating sprinklers 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 10/17/2017 $123.72
12%State Surcharge-Building 10/17/2017 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 10/17/2017 $49.49
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 10/17/2017 $2.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 10/17/2017 $6.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: NO Hazard: ORD2
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 $196.56
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
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:
Call 503.639.4175 by 7:00 a.m.for the next available insp-• on 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
11
R vey,d • I
City of Tigard DeacteeliBle) t? Permit No.:p 2)0.60(33
11 13125 SW Hall Blvd.,Tigard,OR 97223 •T 17 Plan Review"'4 Phone: 503.718.2439 Fax: 503.598.1960 •'- Date/By: Other Permit:/6‘140
Inspection Line: 503.639.4175 Date Ready y: la See Page 2 for
TIGARD
Internet: www.tigard-or.gov „ No led/mettle tC/ / I Supplemental Information
'
TYPE QF WORK ;;.'REQUIRED DATA:llAND 2-FAISHEY 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
El Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
tItt'''‘Wot't tt4it.•' CATEGORY OF cokitRifen4.!;•oN . work indicated on this application.
t4,,,,tt•tr",,,,,• 444 *4 4;4=
Valuation:
0 1-and 2-family dwelling El Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
I=1 Master builder 0 Other: Number of bathrooms:
t'te t • "t""-Ott ""JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9461 SW Washington Square Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:A13 Project name:Lids Wash Sq Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
1VEQVIRED CONIRCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK 'V work indicated on this application.
Valuation: $4040
Add/relocate fire sprinkler heads as required for TI
Existing building area: square feet
New building area: square feet
„S`tt.10 pRopERTyOWN ;At', 0 Tif0fr 1.1 Number of stories:
= ,=• •'%,,V,'.*k•'," • • *"->ek,
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) I Fax:( )
New:
0-00pLicANT 5,0" 0, 181 e6NTA-& pERs0101
0.4,4
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 St jurisdiction in which work is being performed.If the
applicant is exempt from licensing,the following reasons
City/State/ZIP:Tigard,OR 97223
apply:
Phone:(503)684-2928 I Fax:
E-mail:m.colley@wyattfire.com
CONTRACTOR Al.. ' tt:'BUILDING PERMIT FEES*
'11
(Please refer to fee schidule)
Business name:Wyatt Fire Protection
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP:
FLS plan review(40%of permit fee):
Phone:( ) Fax: ) (Due upon application submittal.)
CCB lic.:64077 Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Max Colley Date:10/5/2017
* Fee methodology set by Tii-County Building Industry
Service Board.
1:\BuildingTermitsTPS-PermitApp 031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe wick to be done. , zk a t ,z;> fIce , c
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 14 Number of alarm devices:
® Addition or ❑ 1-10 heads: Affidavit required and ❑ 1-5 devices: Affidavit required and
Alteration (3) copies of sketch showing area (3) copies of sketch showing area
to existing of work within building structure of work within building structure
system
® 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Lype of System(Complete�A,B, C &#D as applicable)
C mmercial Sp •i lei } t
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group Ordinary II
Density 0.15
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 4040
B.) rType I- Hod Fire:Suppression System„ y t i
Hood Project Valuation: $
C.) Fire Alarm `, n .4 ,
Submittal shall Battery Calculations ❑ _Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Res retial$prinkier"(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
404.39
7,201 and greater $ <' ��„ � �,� � ��, ,.0
Sprinkler Project Square Footage: sq. ft.
4 ,mss Fire Protection Permit Fees ft
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: $
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