Permit (139) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
.: COMMUNITY DEVELOPMENT Permit#: FPS2018-00137
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/24/2018
t '�`�"O 9 Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9693 SW WASHINGTON SQUARE RD C09
Project: T-Mobile Subdivision: None Lot: None
Project Description: Fire sprinkler. Install new fire sprinkler drops in new drop ceiling in retail space 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 10/24/2018 $134.48
12%State Surcharge-Building 10/24/2018 $16.14
Type of Use: COM Plan Review-Fire Life Safety-COM 10/24/2018 $53.79
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/24/2018 $2.00
Occupancy Grp: B Height: 25 ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 10/24/2018 $10.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: ORD2
Density: .20 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 $216.41
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $5,045.00
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 ' . .
Issued By: •ermittee Signature:
Call 503.63:00 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 RECEIVE FOR OFFICE USE ONLY
City of Tigard OCT _ ! iew
2 ?018 /(„Zr .-r Pe* 13125 SW Hall B1vd. Ti ard,OR 97223 ��j — .7.5)g
■ Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
ate/By: i® " iJ°1
Ili
CITY'3F: T►._Ai.Tw
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T 1 G A R D Inspection Line: 503.639.4175 y^�t p tate Ready/By: Jure gi See Page 2 for
Internet: www.tigard-or.gov BUILDING awls! ified/Method: ri ,Ager Supplemental Information
❑New construction El 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 El Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
Valuation: $
El1-and 2-family dwelling ❑■ Commercial/industrial
IDAccessory building El Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB � F MA O D L TIO Total number of floors:
,w
Job site address:9693 SW Washington Square Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:T-Mobile Retail Space Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA. 1 M.E .-USE HE I S
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
, Sti„�ON F ' �", d ,,' ." . ' work indicated on this application.
Install new fire sprinkler drops in new drop ceiling in retail space at Washington Square. Valuation: $5045
Exact suite number is unknown. Located adjacent open area to the. ' Existing building area: square feet
of Nordstrom. See key plan. New building area: 0 square feet
PROPERTYOWNER
v...,.N€1iN11 Number of stories:1
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:Ashley Nishihara licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:9095 SW Burnham 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: :( )503.684.9657
E-mail:a.nishihara@wyattfire.com
,. �
aia., . � � „ � . � .,.�� . � ,� `� v .. t " �� „ ' e r�� � 1 „„t4:,'.!', '
s as &';:71,'. " � �
Business name:Wyatt Fire Protection
Permit fee:
Address:9095 SW Burnham
State surcharge(12%of permit fee):
City/State/ZIP:Tigard, OR 97223 FLS plan review(40%of permit fee):
Phone:( )503.684.2928 Fax:( )503.684.9657 (Due upon application submittal.)
CCB lic.:64077 Total permit fees:
Authorized signature: i2 /1)��7�,,e °` '�
Amount received:
This permit application expires if a permit is not obtained
Print name:Ashley Nishihara Date:10/2/2018 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
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m CSD A� CD ,
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9693 SW WASHINGTON SQUARE RD C09,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2018-00137
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor