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Permit
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT II A COMMUNITY DEVELOPMENT Permit#: FPS2019-00054 Tf A D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/22/2019 Parcel: 151260000300 Jurisdiction: Tigard Site address: 9777 SW WASHINGTON SQUARE RD D09 Project: Hollister Co. Subdivision: None Lot: None Project Description: Fire sprinkler.Adjusting(10)existing sprinkler heads as required for new ceiling grid 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 04/22/2019 $112.96 12%State Surcharge-Building 04/22/2019 $13.56 Type of Use: COM Plan Review-Fire Life Safety-COM 04/22/2019 $45.18 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 04/22/2019 $0.50 Occupancy Grp: Height: ft 11x17) Stories: Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Wet Standpipe Required: Hazard: ORD2 Density: .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 $172.20 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $3,323.00 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: ` 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 RECE1VF'��+ FOR OFFICE USE ONL\' Received Permit No.: City of Tigard Date/B : ', �� tt=� S Ci-C � lit '� 13125 SW Hall Blvd.,Tigard,OR 97223 APR 2 2 2 `: Plan Review j 11 Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit � (� 1 IG �` InsDpection Line: 503.639.4175 CITY OF TI GF f` ) Date Ready/By: kris: ® See Page 2 for AInternet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information '... . ,.. a .. TYPi o'WdixK :----... . k REDDATAJ i FAMIE'S3 "Dt U04—G."`. ❑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 CATEGORY-OF C TRU SON work indicated on this application. Valuation: $ ❑ 1-and 2-family dwelling ❑■ Commercial/industrial 0 Accessory building ElMulti-familyNumber of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:9777$E'Washington Square Rd New dwelling area: square feet City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:D09 Project name:Hollister Wash Sq Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet I QUIt ED DATA COMMERCIAL-LSE diECEDST 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 DESCRIPTION,OF WORK work indicated on this application. Adjust existing sprinkler heads as required for new ceiling grid Valuation: $3323 Existing building area: square feet New building area: square feet Cl PROPERTY OWNER TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: �TtCONTACTl S1'I. . .. ,,,,-..„-.:----7,,,,i,--!,-.-,.- . CNO1iTCO 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 jurisdiction in which work is being performed.If the applicant is exempt from licensing,the following reasons City/State/ZIP:Tigard, OR 97223 apply: Phone:( )503.684.2928 Fax: :( )503.684.9657 E-mail:m.colley@wyattfire.com Y C►1~TRAC OR EUILJMNG PERMIT FEES* Business name:Wyatt Fire Protection ;:feJerayscad+fe 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 lie.:64077 Total permit fees: { Amount received: Authorized signature: ...,,,,,,, H.,.....:,; - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Max Colley Date:4/22/19 * 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 I}e cnb wo k to be bn ,. 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 ❑■ 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: Typeof Systeit (Complet A, �r as pplicable}t Commercial Sprinkler Sprinkler Type ❑■ Wet El Dry Additional Standpipes Information: Sprinkler Supply Line El Yes ❑ No Hazard Group ©( fyw(,J ho.7.4iA ( I Density12 Design Area 15p0 K. Factor 5 6 Sprinkler Project Valuation: $3323 B. Type T.. Hood Fire Suppres on.Syste ri Hood Project Valuation: $ �C) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ I}) kes%dentiat Sprig i .r(Stand Mone`System) 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. i~ re Proteetiou Permit lees 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 Permit No.: \ lc_ ` "��i L '• 13125 SW Hall Blvd.,Tigard,OR 97223 �1 : ii Phone: 503.718.2439 Fax: 503.598.1960 Date Received: Lk‘:),--t SCI Inspection Line: 503.639.4175 TIGAP.Da' -V(s�j` Internet: www.tigard-or.gov By: RECEIVE LIRE SPRINKLER AFFIDAVIT FOR ALTERATIONS APR 2 2 201 OR TENANT IMPROVEMENTS CITY OF TIGARD (1 to 10 SPRINKLER HEADS WITHOUT PLANS) BUILDING DIVISION Project Name: Hollister Wash Sq Occupancy: Job Address: 9777 SE Washington Square Rd Type of Construction: Suite: D09 Contractor: Wyatt Fire Protection Phone: 503-684-2928 Number of Proposed or Altered Heads: 10 Type: SSP-QR Hazard: Ordinary Density: 0.20 1, 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 o the sketch attached shall be available for all inspections. Signature: _ ,_ _� _ Date: 4/22/19 Print Name: Max olley I:\Building\Forms\FireSprinlderAffidavit 071514.docx Page 1 of 1 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 9777 SW WASHINGTON SQUARE RD D09, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Fire Protection System FPS2019-00054 Inspection Type: Inspector: 999 Sprinkler final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor