Permit (52) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
' -II. . COMMUNITY DEVELOPMENT Permit#: FPS2019-00085
I G A R f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/09/2019
T
Parcel: 1S 1260000300
Jurisdiction: Tigard
Site address: 9459 SW WASHINGTON SQUARE RD A14
Project: Foot Locker Subdivision: None Lot: None
Project Description: TI for existing tenant:New sales fixtures and finishes.
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 07/09/2019 $112.96
12%State Surcharge-Building 07/09/2019 $13.56
Type of Use: COM Plan Review-Fire Life Safety-COM 07/09/2019 $45.18
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 07/09/2019 $15.50
Occupancy Grp: M Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: LT
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 $187.20
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $3,435.00
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 b calling 503.232.1987 or 1. 0.332.2344.
Issued By:
jr—e
Permittee Signature: )1n /j./(.. "--- Jam`
r"e
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 RECEIVED Received / �y �y y
glit Date/By: /��jf / `� Permit No.: ' ego/9—t.�^08:1 .
R 13125 SW Hall Blvd.,Tigard,OR 97223"",,IN 2 Plan Review F` / Q /
Phone: 503.718.2439 Fax: 503.598.19taJJUlV 4 2019 Date/By: `, ..) ) 1 ) Other Permit: ' /Q�y�))`-,2
TIGARD Inspection Line: 503.639.4175 Date Ready/By: / r ! I See Page 2 for
�•I/KrI+C
elInternet: www.tigard-or.gov CITY OF TIGARD ified/Meth G Supplemental Information
BUILDING DIVISION 4 4A...
d t 7i'IC t 1 i
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑f1 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CA'll' CQttQ ' CONSTRUCTION
work indicated on this application.
❑ 1-and 2-family dwelling Q Commercial/industrial Valuation: $
ElAccessory building LI Multi-family Number of bedrooms:
I=1Master builder 0 Other: Number of bathrooms:
B OR ATIO t .ZION Total number of floors:
Job site address: SW Washington Square RD New dwelling area: square feet
City/State/ZIP:Tigard,or 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Al 4 Project name:Foot Locker Wash Square Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
't a I1A , C >I I CIA fly CI C.KLI r
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
TIO OF w� work indicated on this application.
Add fire sprinkler heads for new TI Valuation: $3435
Existing building area: square feet
New building area: 0 square feet
PROPERTYO**kE. . , ENANT . ,e 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
phone:( )503.684.2928 Fax::( )503.684.9657rply.
E-mail:r.campbell@wyattfire.com
V ' e m veru "``. !x E . .4. ;:; ..
a _ . : , :.r ,sem ,� P ' ' 1 i t I
Business name:Wyatt Fire Protection
Address:9095 SW Burnham
State surcharge(12%of permit fee):
City/State/ZIP:Tigard, OR 97223 Permit fee:
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:
Authorized signature:
Amount received:
,4,0 This permit application expires if a permit is not obtained
�� ` within 180 days after it has been accepted as complete.
Print name:Ronin Campbell' Date: (9(
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building)Permits\FPS-PermitApp_031016.doc 440-4613T(11/02/CAM/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❑ New system Number of sprinkler heads: $ 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:
Type o i t (Con e . 4o o, ; able ,
Sprinkler Type .r, ❑■ Wet .,,❑ Dry,..
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group light
Density .1
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: I $3435
; ,iT , � `xr0y ►p t : Wit . .. .. .... .. . . .
Hood Project Valuation: I $
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: I $
Square Footage: Permit Fee:
ageteamoovilevg
0 to 2,000 $198.75 x
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05 rNtraiff,ran M
7,201 and greater $404.39 . ,. ,
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.doc 2
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
9459 SW WASHINGTON SQUARE RD A14, July 26, 2019 at 9:58:35 AM
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Fire Protection System FPS2019-00085
Inspection Type: Inspector:
999 Sprinkler final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor