Permit (151) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
; Is: '71 COMMUNITY DEVELOPMENT Permit#: FPS2019 00013
T GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/26/2019
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9685 SW WASHINGTON SQUARE RD C07
Project: Casper Subdivision: None Lot: None
Project Description: Fire sprinkler permit:Adding or altering a total of(24)sprinkler heads.
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 02/26/2019 $112.96
12%State Surcharge-Building 02/26/2019 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 02/26/2019 $45.18
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 02/26/2019 $2.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 02/26/2019 $6.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Hazard: ORD1
Density: 0.1 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 $179.70
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $3,739.00
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?Roo 332.2344.
Issued By: 1 '------- Permittee Signature:
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 rt Y Received /
Date/B /• Ammi. Permit No.: A S f _
III13125 SW Hall Blvd.,Tigard,OR 97223 Ptan Revie - �'� � � —
Phone: 503.7182439 Fax: 503.598.1960 1�N J 0 2019
a - Other Pernut: n�A�, )1 v °r
Date Re /�Se E
T t C A R ll Inspection Line: 503.639.4175 Date Ready/By: / Jur s: S� See Page 2 for
Internet: www.tigard-or.gov M :„- ,1(.::,/1 1C, Notified/Method ,...7
�7 l/• C we,
. Supplemental Information
"( s, y�
°td mil tr 3 1 i
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑l Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and the profit for the
* eft SUJ ,W` work indicated on this application.
1=11-and 2-family dwelling ❑■ Commercial/industrial Valuation: $
1=1Accessory building ElMulti-familyNumber of bedrooms:
El Master builder El Other:
Number of bathrooms:
t S W SOB, SIT 'INl ORMAfilloN D LO t IO Total number of floors:
Job site address:9685 SW Washington Sq Rd New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:C07 Project name:Casper Washington Square Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED *tl*z OO:*:*,* A)SSEE IS ;f
Subdivision: Lot no.: Permit fees*are based on the value of the work performed
Indicate the value(rounded to the nearest
Tax map/parcel no.: dollar)of all
equipment,materials,labor,overhead,and the profit for the
t,DESCRIPTIO OI? OR work indicated on this application.
Fire sprinkler drops for retail tenant improvement Valuation: $3739
Existing building area: square feet
New building area: 0 square feet
PROP. : 'i r.. , TE , 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 I Fax::( )503.684.9657
E-mail:a.nishihara@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:
A l
Authorized signature /V '�� Amount received:
: �
This permit application expires if a permit is not obtained
Print name:Ashley Nishihara Date:1/29/2019 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\BuildingWermits\FPS-PennitApp_031016.doc 440-4613T(1 l/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
iVa!IWW yyrr Wnwta ✓��' ✓ G :: "tT ''_ r-`�., e- mmmaszwm
•. • • Addition/alteration only to spnnider lieads: •• •n alteration only • alarm devices:
I
Alteration0 New system Number of sprinlder heads: Number of alarrn devices:
Addition or 0 1-10 heads: Affidavit required and 0 1-5 devices: Affidavit required and
copies of sketch showingcopies of sketch showing
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
of 1sets of plans.
Additional description of work:
x
-.. . , � ✓ .,;, z �,,,
Sprinkler Type ❑ Wet ❑..a.Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K.Factor
Sprinkler Project Valuation: I $
Hood Project Valuation: [ $
ogomeafiV:.` ,.`.`.. v g o•'` . �:iia" i ✓ a s s ay;m,�, s »r :ts ..ay.; `�-...✓'
C. 1e -. t_. .A...' t, .. . w,, . 7,V , s w`.._r arse,,, ✓ , , „
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: I $
Square Footage: Permit Fee: X
ohm*, --vmwewiimiow
0 to 2,000 $198.75 4`
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.
o its a'`
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
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
9685 SW WASHINGTON SQUARE RD C07, March 27, 2019 at
TIGARD, OR, 97223 10:09:53 AM
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00013
Inspection Type: Inspector:
999 Sprinkler final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor