Permit (52) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
'.. . COMMUNITY DEVELOPMENT Permit#: FPS2018-00040
D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/25/2018
1 C C,t i�' 9 Parcel: 131260000300
Jurisdiction: Tigard
Site address: 9315 SW WASHINGTON SQUARE RD 103
Project: Lovesac Subdivision: None Lot: None
Project Description: Fire sprinklers:adding(12)fire sprinkler heads 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 04/25/2018 $112.96
12%State Surcharge-Building 04/25/2018 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 04/25/2018 $45.18
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 04/25/2018 $12.50
Occupancy Grp: B Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD2
Density: .01 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Gales Provided: Cut Sheets Required:
Total $184.20
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $3,209.00
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 ODUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: r/
i
Call 503.639.4175 by 7:00 a.m.for the next available inspectiofi 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 FOR OFFICE USE ONLY
City of Tigard Received I
f _ Date/By: /� / �, Permit No.: 1,5:040/77.2421:5172,
13125 SW Hall Blvd.,Tigard,OR 97223 r t' 10 Plan Review
_ Phone: 503.718.2439 Fax: S03.598.196Q Date/By: Q. j. , i Other Permit:J UP O/i-6cj c
T I G A R D Inspection Line: 503.639.4175 , Date Ready/By: Jur s: ® See Page 2 for
Internet: www.tigard-or.gov ,, 1 Notified/Method: e° r etnr."40
Supplemental Information
TYPE OF WORK ` ..;
EQi:11REI)11ATA 1 A141}2-FAi4ILI'13WELLING s
D New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Z Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTREJCTIOIrI work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
3t JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:_.SSSSW Washington Square Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:T03 Project name:LoveSac Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
QUIRED DATA:;COMMERCITJSE CHECKLIST...
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
DESCRI'TIONOF WORK work indicated on this application.
Add/relocate fire sprinkler heads as required for TI (/2) Valuation: $$3,209.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWI R ❑ 'ENANT Number of stories:
Name: Type of construction:
Address:
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
��.� APPUCM4T `+ C{3 1TACT PERSON ''`
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 I Fax::( )
E-mail:m.colley@wyattfire.com
'`
CONTRACTOR _ G PERMIT PEES
Business name:Wyatt Fire Protection fPleeiae r "er�r� r6e
Address: Permit fee:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal.)
CCB lic.:64077 Total permit fees:
Authorized signature: Amount received:
// This permit application expires if a permit is not obtained
Print name:Max Colley 'T;0, . Date:4/20/18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:ABuilding\Permits\FPS-PermitApp_031016.doc 440-4613T(1 I102/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 12 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 of SSystem(Co plet+ A,B,+C or I)as .pp�is ble)
A.) Co�c�merc al Spir nklet:
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: $ 3209
B ) Type I .Hood Fixe Suppression Systems
Hood Project Valuation: $
C) Fire Alarfn
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
) Residential Seri der;(Stand Alo a Syste)
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 Prote on P � ' :`
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\002 PERMIT APPLICATIONS\Tigard App.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9315 SW WASHINGTON SQUARE RD T03,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00040
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor