Permit (148) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2017-00179
Date Issued: 11/16/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9493 SW WASHINGTON SQUARE RD A03
Project: Play Live Nation Subdivision: None Lot: None
Project Description: Fire sprinkler permit:Relocating(1)sprinkler head for TI. Affidavit submitted.
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 11/16/2017 $53.78
12%State Surcharge-Building 11/16/2017 $6.45
Type of Use: COM Plan Review-Fire Life Safety-COM 11/16/2017 $21.51
Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 11/16/2017 $0.50
Occupancy Grp: Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD2
Density: .2 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 $82.24
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $545.00
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 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.
Building Permit Application
Fire Protection System + +° t'>' FOR OFFICE USE 011.1'
Cityof Tigard ReceivedPermit No.: 1 _
131SW Hall Blvd.,Tigard,OR 97223 '''�� ��l � � Plan Review Mien=� ,� Z
• - Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit: ' A :.1 i 7,_,0
Inspection Line: 503.639.4175 t-i 1 \ Date Ready/By: ;' See Page 2 for
T I G A R D p i aNotified/Method: Supplemental www.tigard-or.gov `7t Fla • Su lemental Intormafion
441,,,;;; ,,, TYPE OF CORK . , ,„? REQUIREDDATA:1 AND 2-FAMILY DWELLING
❑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
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
, work indicated on this application.
yr, ie 44..44644 , 4 C TEGORY t T,u CO1VSTtti CTION, x"
Valuation: $
0 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
.. 44.JOB SITE INFORMATION 1AND LOCATION # Total number of floors:
i� � 444.1144 �; ,.. ,.x , ��,"� fix
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.:A03 Project name:Playlive Nation Wash Sq Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE C CKLIST.:a
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
' K DESCRIPTION OF'W011tie work indicated on this application.
4 , .' , " � ', 01" 4.,K Valuation: $545
relocate fire sprinkler head as required for TI
11 Existing building area: square feet
New building area: square feet
"0 TEN" Number of stories:
0 PRQPERTY.OWNER ; � r��'
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT r �: , =1 CONTACT PERSON
I NOTICft
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
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
k' x, , CQNTRACTOR `_' BUILDING PERMIT FEES* '1''4'
;
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
:
3) Addition/alteration only to
/alteration only to sprinkler heads .
1.) Type of Work: 2.) Addition—/alteration devices:
ElNew system Number of sprinkler heads: 1 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:
Type f Sys em (Complete ASB,C a as'a hcable), _ .
I
omtnercial Sprinkler x E
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group Ordinary II
Density 0.2
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 545
B.)# TYP I- I-T d Fire rSixppres i n yste i v " ,Ni-. > ,
Hood Project Valuation: $
Ade
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ElYes
Cut Sheets
Fire Alarm Project Valuation: $
D.)' Desi. �itis ri nkler(Stand a lie System) ,
Square Footage: Permit Fee:
0 to 2,000 $198.75 k, " i
2,001 to 3,600 $246.45r�
3,601 to 7,200 $310.05 ,x ; 1 J�' x
7 201 and reater $404.39el,
Sprinkler Project Square Footage: sq. ft.
Fire Protecd n Permit Fees a` ' z n.;
Project valuation subtotal (see A,B&e Cc 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: $
W:\Max\1112 PERMIT APPLICATIONS\Tigard App.doc 2
City of Tigard a u Permit No.: 1= . } 7— s 71
13125 SW Hall Blvd.,Tigard,OR 97223
' Phone: 503.718.2439 Fax: 503.5981960., Date Received: -l/i6/I'7
T 1 G A R D Inspection Line: 503.639.4175 1
Internet: www.tigani-or.gov By: g i e j ret yav'7'
FIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS
OR TENANT IMPROVEMENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Playlive Nation Wa Sq Occupancy: Ordinary 2
Job Address: 9585 SW Washington Square Rd#A03 Type of Construction:
Suite:
Contractor: Wyatt Fire Protection Phone: 503-684-2928
Number of Proposed or Altered Heads: 1
Type: SSP Hazard: Ordinary 2 Density: 0.2
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 sketch attached shall be available for all inspections.
Signature: . Date: 11/15/17
Print Name: ax Colle
I:\Building\Forms\FireSprinklerAiljdavit 071514.docx Page 1 of 1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9493 SW WASHINGTON SQUARE RD A03,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2017-00179
Inspection Type: Inspector:
999 Sprinkler final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor