Permit (42) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
,111 COMMUNITY DEVELOPMENT Permit#: FPS2018-00067
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2018
T f 0 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9724 SW WASHINGTON SQUARE RD F06
Project: Din Tai Fung Subdivision: None Lot: None
Project Description: Fire sprinkler:Add/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 06/21/2018 $263.60
12%State Surcharge-Building 06/21/2018 $31.63
Type of Use: COM Plan Review-Fire Life Safety-COM 06/21/2018 $105.44
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 06/21/2018 $2.00
Occupancy Grp: A-3 Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 06/21/2018 $11.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD1
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 $413.67
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $17,898.00
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. ejA.,4_e____Issued By: Permittee Signature:
iri .moi'
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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 "
M
t FOR OFFICE LSE ONLY
City11,
of Tigard Received
g i', r44 Permit No.:
3 ,".„,
' 13125 SW Hall Blvd.,Tigard,OR 97223 J U�N 1. A 2 018 Plan Review ����� ���
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 6 ) , 1 • Other Permit: e,0 1� /),
TI G A R D Inspection Line: 503.639.4175 P c Date Ready/By: kris: ® See Page 2 for
Internet: www.tigard-or.gov r�s�i y i y i. Notified/Method: (f 1/ Supplemental Information
TYPE OP WO0Q ►
El 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
C I1~GO1 Y 4OF O RII "1IOI' work indicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ElMulti-familyNumber of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB S�:INFORMAT O AAIII CATIt3l!T Total number of floors:
Job site address:-9071-&W WASHINGTON SQUARE ROAD New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:DIN TAI FUNG WASH SQ Covered porch area: squar6 feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
_ U DAT OM W IAI.-v$E CHE KLIS `'.
Subdivision: 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
1}KSCK trio W work indicated on this application.
Add/relocate fire sprinkler heads as required for TI Valuation: $17,898
Existing building area: square feet
New building area: square feet
❑ PROP R Y O th ENANT; Number of stories:
4. Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
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
'1 ACTOR
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:
This permit application expires if a permit is not obtained
Print name:Max Colle Date:6/14/18 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/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: 93 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 off`Systems (Co plete?'�,B, oar pis.applicab1e):
A;: Commercial S €�
4
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group Ordinary I
Density 0.15
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 17,898
. 'yp ,..Hood:dire Suppre s n System
Hood Project Valuation: $
+. E , 0 i , _.
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
1 x * del t rl$p rt��n 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.
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:\Mas\002 PERMIT APPLICATIONS\Tigard App.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9724 SW WASHINGTON SQUARE RD F06,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00067
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor