Permit (140) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
I COMMUNITY DEVELOPMENT Permit#: FPS2019-00111
I f G A R I7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/09/2019
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9595 SW WASHINGTON SQUARE RD B12
Project: Aldo Subdivision: None Lot: None
Project Description: Fire Sprinkler. Adding(18)new 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 09/09/2019 $123.72
12%State Surcharge-Building 09/09/2019 $14.85
Type of Use: COM Plan Review-Fire Life Safety-COM 09/09/2019 $49.49
Class of Work: ALT Type of Const: VB Info Process/Archiving-Sm$0.50(up to 09/09/2019 $12.50
Occupancy Grp: B Height: ft 11x17)
Stories: 1
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: 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 $200.56
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $4,200.00
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 et forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules
or direct questions to OUNC • calli • 503.232 187 or 1.800.33,1144.
Issued By: / Permittee Signature:
roil
Call 503.639.4175 by 7:00 a.m.for the next available inspection ate.
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 a~ FOR OFFICE USE ONE)'
Received r
City ofW Tigard r 2 DateBy:
I. �9' /� �'iP- .:..)L0/9'-',O'Pi�! I _
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /
71
I Phone: 503.718.2439 Fax: 503.598.1960 DateBy: 9 - 4 V ✓ Other Permit.
1 c r E.i Inspection Line: 503.639.4175 '' Date Ready/By: luri H See Page 2 for
Notified Me , Supplemental Information
Internet: www.tigard-or.gov tie.!.,_.,,. .... 1'd ,��
TYPE Old tiORK ` REQUIRED DATA:: AII 2-F 1�Y DWELLING
, D
❑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
■❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF o STREcTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ❑■ Commercial/industrial
❑Accessory building IIIMulti-familyNumber of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9585 SW Washington Square Rd New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:B12 Project name:Aldo Washington Square Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-1E CHECKLIST
Subdivision: I 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.
Valuation: $4200
Add fire sprinkler heads for TI
Existing building area: square feet
New building area: 0 square feet
E. n PROPERTY coma . - 0 TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( Fax:( )
New:
O TACPE
QTAPP>IC NT. . � NIC
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:
PhtutalL_ .. )503 68421128 —_ Fax_LC____)503.684-W57__ __ _
E-mail:r.campbell@wyattfire.com
CONTRACTOR , .; `, . RL/DINGPEFNIITVIES*
r encase ierte.f s Aki-- . M ..
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:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:Ronin Cammpbell Date:8/29/2019 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\'ermits\FPS-PemotApp_031016.doc 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe work to be dome:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 18 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 of System(Complete A,13,C on ) S applicable)
A.) Commercial Sprinkler
Sprinkler Type ❑■ Wet ❑ Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes ❑ No
Hazard Group Ordinary Hazard
Density .15
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $4200
13.) Type I- Hood Fire Suppression SystemSystem
Hood Project Valuation: $
C.) Fire Alarm �; .;
Submittal shall Battery Calculations D Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
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 us
Sprinkler Project Square Footage: sq. ft.
:FireProtection,Permit Fees a.IT>
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