Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
104•
COMMUNITY DEVELOPMENT Permit#: FPS2018-00097
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2018
T I r.A I=.C� g Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9716 SW WASHINGTON SQUARE RD F03
Project: Lucky Brand Subdivision: None Lot: None
Project Description: Fire sprinklers. Adding 53 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 08/28/2018 $166.76
12%State Surcharge-Building 08/28/2018 $20.01
Type of Use: COM Plan Review-Fire Life Safety-COM 08/28/2018 $66.70
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 08/28/2018 $2.00
Occupancy Grp: M Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 08/28/2018 $7.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: ORD1
Density: 0.1 Design Area: 15000
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 $262.47
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $8,290.00
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. Y u may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: zej..„ � ,.- -RRermittee Signature:
G�
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 FOR OFFICE USE ONLY
City of Tigard 4 r Received 4
7 / �� Permit N..
Date/B A o i3 o
13125 SW Hall Blvd.,Tigard,OR 97223 2 1 Plan Review
L 9 • _ OtherPi•': 0
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : t J ri ��� ��'
T l G A R D Inspection Line: 503.639.4175 ti l 1 1 Date Ready/By: Juris: s See Page 2 for
Internet: www.tigard-or.gov ( 6 ° , ° t' $ •• Notified/Method: S ,. l 1t Supplemental Information
'�a ?1(Cci /' IG4X.
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
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
AT1 R ,, COMa`�J IQIN
work indicated on this application.
❑1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family
Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
.on ser of TIO .:A> I.UCA'l rt 1 Total number of floors:
Job site address:9716 SW Washington Square Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:F03 Project name:Lucky Brand Wash Sq Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
l tI .1A'T4. O Ml R tAtA1S C.1ACiUJ
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
ECJUP'T'I Wim: work indicated on this application.
Add fire sprinkler heads as required for TI C'3,) Valuation: $$8,290.00
Existing building
area: square feet
New building area: square feet
t ROPWY e1`hl iN� Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
4 AIC!,,,, . , ,., .,,,,,ii6,,,4,4- 1E1 ,,,
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
COCTO13151044211„;,''t l 'W0'1";ID IT Its
Business name:Wyatt Fire Protection RWS '
ta
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
complete.
as
within 180 days after it has been accepted
Print name:Max Colley..----' Date:8/8/18 y P
" * Fee methodology set by Tri-County Building Industry
Service Board.
I:\BuildingBuilding 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: 53 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:
, . C mnietci Spar �r
Sprinkler Type ® Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes El No
Hazard Group Ordinary II
Density 0.2
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: I $ 8290
Hood Project Valuation: 1 $
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: I $
,„,.,,,. .eru1 S ktet(5, d Afire sys .
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:\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:
9716 SW WASHINGTON SQUARE RD F03,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00097
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor