Permit (58) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
.11114
s' COMMUNITY DEVELOPMENT Permit#: FPS2019-00002
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/16/2019
T i( r\It f7 g Parcel: 1S 1260000300
Jurisdiction: Tigard
Site address: 9577 SW WASHINGTON SQUARE RD B07
Project: Morphe Subdivision: None Lot: None
Project Description: Fire sprinkler. Adding and relocating(40)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 "01/16/2019 $199.04
12%State Surcharge-Building 01/16/2019 $23.88
Type of Use: COM Plan Review-Fire Life Safety-COM 01/16/2019 $79.62
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 01/16/2019 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 01/16/2019 $7.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: ORD2
Density: 0.2 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 $312.04
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $11,350.00
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.
Issued By: i ---_ •-rmittee Signature:
—4WiL 41(ik
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 Systemr4r-r"%r:IN fED
FOR OFFICE USE oNLv
_ .g
City of Tigard Received / C /0 5�0
Date/By: •
5,),01?-boa-)2
'� 13125 SW Hall Blvd.,Tigard,OR 972231A�� -ilia 1 Plan Review
L 7/ y �))`?��/)7
Phone: 503.718.2439 Fax: 503.598.1 Date/By: - - ® '- �e�� (/`�'(/✓J��
T l C,A R D Inspection Line: 503.639.4175 OF T(^tAR Date Ready/By: 1ur� See Page 2 for
Internet: www.tigard-or.gov B�I LIL01 Notified/Method156--/i
Supplemental Information
Ba
DIVISION
',TYI:E ()V WORK . D.DATA 'I ,A b2{ Y'D 4? LUNG
['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 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY.OF I Ol1tIJCTIOI�I
❑ 1-and 2-family dwelling ECommercial/industrial Valuation: $
ElAccessory building El Multi-family Number of bedrooms:
❑Master builder El Other:
Number of bathrooms:
4)B SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9577 SW WASHINGTON SQUARE RD New dwelling area: square feet
City/State/ZIP:TIGARD, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:#B07 Project name:Morphe wash sq Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA COMNTERCIAL-USE 1IE KLIST
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
DESCRIPTION O woiu{ work indicated on this application.
Add and relocate fire sprinkler heads for TI Valuation: $11,350
Existing building area: square feet
New building area: 0 square feet
PROPERTY OWNIR. ❑ '1E1+t,Al 1T 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:Ronin Campbell 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:r.campbell@wyattfire.com
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:
t Amount received:
Authorized signature: /
1 (� This permit application expires if a permit is not obtained
Print name:Ronin Campbell Date:1/2/19 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: U0 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:
T, e`"of stet Gema e B
A.) Commercial Sprini1er
Sprinkler Type Concealed QR ❑■ Wet El Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group Ordinary hazard Group 2
Density .20
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $11,350
B.} Type I Hod Fire`Sti p sstoSystem �, `,'
Hood Project Valuation: $
'ate a., I \``.bU"' ;�` s w.-'Y'`" // A***-/ `.-. `, ,�...".a. § ^'�'`ia„
C) F>ure tlarrn
M .` , _ Ate. .. IT-..M \?' 4, ,.. SWS , r ..
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
1 �extle�tal ! r Stand Alone. te>n) , � %/ F
Square Footage: Permit Fee:
0 to 2,000 $198.75r`O,
2,001 to 3,600 $246.45 WORROMMENIMMISIONESSINIESSIONNIENEM
3,601 to 7,200 $310.05 44WAM44PIOMMOUSIRMNPWC
7,201 and greater $404.39 t =S , //,.:a Ht,Z,. 5 . r.
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:\Permits\Permit Application Forms(Updated July 2017)\Tigard Fire Permit App.doc2