Permit (136) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
. ' COMMUNITY DEVELOPMENT Permit#: FPS2018-00157
Date Issued: 10/29/2018
Tt13AtaD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9455 SW WASHINGTON SQUARE RD Al 5
Project: Stance Subdivision: None Lot: None
Project Description: Fire sprinkler permit:Altering(1)sprinkler head. Affidavit submitted.
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: 714-309-7220
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 10/29/2018 $53.78
12%State Surcharge-Building 10/29/2018 $6.45
Type of Use: COM Plan Review-Fire Life Safety-COM 10/29/2018 $21.51
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD2
Density: .15 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 $81.74
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $558.00
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 .bUu. -344.
Issued By: •e Signature:
���►!_
— j _ ter
Cal 13.639A175 by 7:00 a.m.for the next available inspection d. e. "
This permit card shall be kept in a conspicuous place on the job site until completion o i. - .
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
eceived
City of Tigard ate/B : v[; �,� PermitNo.: _ �>
114 14 13125 SW Hall Blvd.,Tigard,OR 97223 1 — IF'Ian ReviewCF /
Z Phone: 503.718.2439 Fax: 503.598.1960` Date/B : Other Permit: / )A
Ti G A K D Inspection Line: 503.639.4175 Date Ready/By: EI See Page 2 for
Internet: www.tigard-or.gov O[I 2 9 201 Notified/Method: Supplemental Information
� :O 4 i OFT1GA Q�D 13 .T, 1 . AML''`I WELIA
El New construction ❑ 1 I ' 13I SIO 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
EOR fl CC)� 44
work indicated on this application.
-� ,_ Valuation: $
0 1-and 2-family dwelling ®Commercial/industrial
111Accessory building ❑Multi-family Number of bedrooms:
1:1Master builder 0 Other: Number of bathrooms:
S INEOR11 ATI,? Nt)iLOC I Total number of floors:
Job site address:9455 SW Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:A15 Project name:Stance Wash Sq TI Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Q`1<IJII f..%,TM .. It r L.IJ R CI C.ILIST
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
D SCRiPTION O ' r0 work indicated on this application.
11
Raise(1)Sprinkler Head Valuation: $$558.00
Existing building area: square feet
New building area: square feet
❑ ,ROPE OWNER jJ TENS Number of stories:
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
...,. Irte .� : �iTuw . ,,;; , .,w.. ... .,.
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 IVTotal permit fees: -7si
✓
- - Amount received:
Authorized signature: �,
/ This permit application expires if a permit is not obtained
Print name:Max Colley Date:10/29/2018 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#w2- Supplementaly � Information
410e4( .,�:I,*itti Y w.a c .s t - i ' 3 a
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 1 Number of alarm devices:
Addition or iI 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:
,�
y�
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: $ 558
3r T I M ood Fire S r o
Hood Project Valuation: $
`` { r `I, fir,, r G; +s. -z`a s *kms a y, ? e `.. s ,.nr'
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
a,c l. ijgi4V a r+,`` * r "user a r,$ M' Vr e t Oa - s xd' 3 ..y" " r tNl .4 iOAe '` g.s- _a > s
cit o N ,,. - ,w F ,s v ' <.a. " ,..d .., rt .^"s 's to t 1 tVI- :` s u
zsfOVN
Square Footage: Permit Fee:
0 to 2,000 $198.75gaggv, , o ,.�
2,001 to 3,600 $246.454 � '
aila
3,601 to 7,200 $310.05
7,201 and greater $404.39 a i ',
Sprinkler Project Square Footage: sq. ft.
1: s mss, 1s`1 », I -: `=,x
PWANINWINIONCr
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!IN -�
w 13125 SW Hall Blvd.,Tigard,OR 97223 e
C Phone: 503.718.2439 Fax: 503.598.1960 -4L 'ID` ° Received: "C;j 4-41/4
1. A tz I) Inspection Line: 503.639.4175 ----
Internet: www.tigard-or.govBy: C�
OC.1292018
FIRE SPRINKLE SPRINKLERAVOIDAWATIFOR ALTERATIONS
OR T `i11MENTS
(1 to 10 SPRINKLER HEADS WITHOUT PLANS)
Project Name: Stance Wash Sq TI Occupancy:
Job Address: 9455 SW Washington Square Road Type of Construction:
Suite: A15
Contractor: Wyatt Fire Protection Phone: 503-684-2928
Number of Proposed or Altered Heads: 1
Type: SSP Hazard: Ordinary Density: 0.2
I, Max Colley, Wyatt Fire Protection Oregon Construction Contractors Board No. 64077
certify the following is true and reasonably defines the scope of work for this project:
a) All work is limited to drops and armovers in a light-hazard occupancy.
b) Positions of sprinkler heads relative to architectural features such as soffits,beams,partitions, walls, etc.
complies with current adopted edition of NFPA 13.
c) The proposed work does not require hydraulic calculations.
d) Only one sprinkler head will be installed from one drop (exception: up to two heads from one drop may be
installed when each head is in a separate fire area).
e) The area covered per sprinkler head is limited to the spacing requirements of NFPA 13.
f) Tenant improvements in a new building shall be equipped with Quick Response heads (see 2002 NFPA 13,
Section 8.3.3.1 for exceptions).
g) The installation shall comply with the requirements of the current adopted edition of NPFA 13.
h) Piping shall not be concealed until hangers and bracing are inspected.
i) Final approval shall be subject to onsite tests and inspections.
In addition, I understand the following is required:
• Submit(3) copies of a sketch showing the area of work within the building's structure.
• Building fire protection system permit.
• A copy of this document with a copy of the sketch attached shall be available for all inspections.
Signature: l Date: 10/29/2018
Print Name: A: Colley
I:\Building\Forms\FireSprinlderAffidavit 071514.docx Page 1 of 1