Permit (163) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit#: FPS2019-00052
-1 I AR() 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/02/2019
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9345 SW WASHINGTON SQUARE RD T13
Project: Altar'd State Subdivision: None Lot: None
Project Description: Fire sprinkler, Adding(66)fire sprinkler drops and uprights for retail 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: 865-288-7700
FAX: 503-684-9657
FEES
Description Date Amount
Specifics: Permit Fee-COM 05/02/2019 $242.08
12%State Surcharge-Building 05/02/2019 $29.05
Type of Use: COM Plan Review-Fire Life Safety-COM 05/02/2019 $96.83
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 05/02/2019 $4.00
Occupancy Grp: M Height: ft 11x17)
Stories: Info Process/Archiving-Sm$0.50(up to 05/02/2019 $11.50
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes 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 $383.46
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $15,817.00
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 32.1987 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 RECEIVED FOR OFFICE USE ONLY
City of Tigard APR 1 8 2019 Date/By:Received
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Reviev[
a Phone: 503.718.2439 Fax: 503.598.19 Date/By: f—2� Other Permit:
Inspection Line: 503.639.4175 ITY OF TIGARD Date Ready/By: /- Juris: Bl See Page 2 for
T i c;n R t� BUILDING DIVISION /3 9 PP
Internet: www.tigard-or.gov fied/Method: Supplemental
TYPE Of WORK REQRE t ATA 1-AND 2-1 „ 3' 'E 1111 FCr
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF OO.VSTRU TION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ❑■ Commercial/industrial
❑Accessory building 1=1 Multi-family Number of bedrooms:
❑Master builder ❑Other Number of bathrooms:
SiTg: INFORMATION AND LOCAT t Total number of floors:
Job site address:9345 SW Washington Sq Rd New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: 773 Project name:Altar'd State Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA::cOM1t ER lAL;CJSRcI1E 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 WORK work indicated on this application.
Add fire sprinkler drops and uprights for retail TI Valuation: $15817
Existing building area: square feet
New building area: 0 square feet
0 PROPERTY OWNER Number of stories:2
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
APFLIP±y y' . I ,. OI*ITACT i' So ' + li
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
CONTRACTORIitolsoPE TTEE *
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(40n/o of permit fee):
Phone:( )503.684.2928 Fax:( )503.684.9657 (Due upon application submittal)
CCB lic.:64077
Total permit fees:
Amount received:
Authorized signature: ��i Ld
This permit application expires if a permit is not obtained
Print name:Ashley Nishihara Date:04/17/2019 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\PermitsWPS-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:
1=1 New system Number of sprinkler heads: 66 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
r
to existing of work within building structure of work within building structure
system
❑■ 11+ heads: Plan review required and ❑ devices: Plan review required and
(3) sets of plans. (3)6+sets of plans.
Additional description of work:
fire sprinkler drops and uprights for retail TI
Type o systjn�Cvnpl or' 2ts applicable}:
A) Commercial Sprinkler
Sprinkler Type ❑ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $
r) .Type I o . ire Suppression Systems,
Hood Project Valuation: $
.) Fire.t lar,
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
{- � : metal ner Stand Ilc?i: � ) _,,' ..
,
,x
Square Footage: Permit Fee: "
0 to 2,000 $198.75 =
2,001 to 3,600 $246.45 M
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq.ft.
„...
,,, _ . ..V.. .. ._ gf,,. , , f P pctt ? ,� _ . . _ .. .. ..
,„-- ii,--....,,.,„
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:
9345 SW WASHINGTON SQUARE RD T13,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00052
Inspection Type: Inspector:
999 Sprinkler final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor