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Permit (120) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT pill2. ' COMMUNITY DEVELOPMENT Permit#: FPS2017-00183 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/11/2017 Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9321 SW WASHINGTON SQUARE RD T05 Project: Tesla Subdivision: None Lot: None Project Description: Add and relocate fire sprinkler heads as required 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 12/11/2017 $156.00 12%State Surcharge-Building 12/11/2017 $18.72 Type of Use: COM Plan Review-Fire Life Safety-COM 12/11/2017 $62.40 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 12/11/2017 $2.00 Occupancy Grp: B Height: ft 11x17) Stories: 1 Info Process/Archiving-Sm$0.50(up to 12/11/2017 $32.50 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: Hazard: ORD1 Density: 0.1 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 $271.62 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $7,595.00 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. or-T. 2.2344. Issued By: C _ Permittee Signature: - "....---t Call 503.639.4175 by 7:00 a.m.for the next available irfspection date,-•-' This permit card shall be kept in a conspicuous place on the job site untlistofil7Pletion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Fire Protection System FOR OFFICE USE Ol\'LV City of Tigard {. A P'Y ///,/... //-7 ,015-e;•,nit No./00: 7..��0 f r�j u 13125 SW Hall Blvd.,Tigard,OR 97223:111 M Phone: 503.718.2439 Fax: 503.598.1960 Plan Review .-, Date/By: �; + f}'� )7 � Other Permje�P�/7.-©��j/7 T I G A k D Inspection Line: 503.639.4175 1)\j 2 0 201/Date Ready/ y: /// Julis 0 See Page 2 for Internet: www.tigard-or.gov Notified -thud: l/ Supplemental Information I. I //ice i:moi 1,1. r/ TYPE OFR WO l # REQUIRED DAT•• 1. 2-FAMILY DWELLING t U iNG DT i5i0N • ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the ', ' ,t v� ��"� TEGOI2�k OP' CONSTRUCTION '�"'' k >• . work indicated on this application. 1:11-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building ElMulti-familyNumber of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE',INFORMATION AND;LOCATION Total number of floors: Job site address:9321 SW Washington Square Rd New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:T05 Project name:Tesla Wash Sq Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COT*, - RCIAL-DISE CILCKLIST. 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 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK 1 ,, work indicated on this application. Add/relocate fire sprinkler heads as required for TI Valuation: $$7,595.00 Existing building area: square feet New building area: square feet '` 4 gpLOPERTY OWNER ,i,41 ,,„9 0 TENANT , Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 4 E,APPLICANT . x *. 1 ® CONTACT PERSON °I ;. ,, ' 1VOTIC '"'• ,,..4,. ' 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 'let, ' °CONTRACTOR s:> f n.,,,',:%,, BUILDING PERMIT FEES*.' fir'(Please refer to fee schedule) 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: Authorized signature: _-- — Amount received: 1.0.00p This permit application expires if a permit is not obtr �_ — Date:11/20/17 within 180 days after it has been accepted as comp' Print name:Max Colley -- ,, ------ * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permgs\FPS-PermitApp_031016.doc 440-4613T(11/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work be none: 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: 48 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: Typ o System (Complete A,Bxor I1 as applicable): '£ t 7 A.) Commercial Sprinkler 1St. ny Sprinkler Type /1 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: $ 7595 B.) Type I- Hood Fire Suppression Systems 0 '1.111„ s' 44 Hood Project Valuation: $ C.)J i army " '14 4111' 414 Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D.) �Re , ential Sprink�e �r (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 7,201 and greater $404.39 Sprinkler Project Square Footage: sq.ft. Fire Protection Permit Fees t . r 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: $ W:\Max\1112 PERMIT APPLICATIONS\Tigard App.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9321 SW WASHINGTON SQUARE RD T05, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2017-00183 Inspection Type: Inspector: 999 Sprinkler final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor