Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
t: COMMUNITY DEVELOPMENT Permit #: FPS2013 -00066
T LGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/26/2013
Parcel: 1 S135BA00102
Jurisdiction: TIGARD
Site address: 10124 SW WASHINGTON SQUARE RD
Project: Strada Street Food of Italy Subdivision: OAKBURG Lot: 9
Project Description: Fire sprinkler modification of (33) heads
Contractor: WYATT FIRE PROTECTION INC. Owner: PPR SQUARE TOO 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 06/26/2013 $123.72
12% State Surcharge - Building 06/26/2013 $14 85
Type of Use: COM Plan Review - Fire Life Safety - COM 06/26/2013 $49 49
Class of Work: ALT Type of Const: IIB Info Process /Archiving - Lg $2.00 (over 06/26/2013 $2 00
Occupancy Grp: A -2 Height: ft 11x17)
Stories: 1 Info Process /Archiving - Sm $0.50 (up to 06/26/2013 $1 00
11x17)
Commercial Sprinkler System:
Sprinkler Required Yes Sprinkler Type. Wet
Standpipe Required Hazard: LT
Density: 0 Design Area: 0
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 $191.06
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $4,890.00
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 Notificat'.. Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a cop of the rules
or dire • estions to 011 • by : in. 503.232.1987 or 1 800.332.2344. 140 Is- ed By: I) / • , / / Permittee Signature: '
,
Call 503.639.4175 by 7:00 a.m. for the next available inspectl . n date. '
This permit card shall be kept in a conspicuous place on the job site until ompletion 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
Received
III . City of Tigard ��AA Date/By: 5 3 / Permit No : f 40 , 5 0 0/3..45
'I 13125 SW Hall Blvd , Tigard, OR 97223'/I O 2 13 Plan Rev' /
Phone: 503.639.4171 Fax: 503 598 1960
Date/B : ,fa Other Permit:
TIGARD Inspection Line. 503.639 4175 CI ®� �'d0A1-30
Date Ready y: n Jura 0 See Page 2 for
Internet: www.tigard -or gov No ' led/Method. 01 AS / Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING '
❑ New construction ❑ 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
. CATEGORY OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling ommercial /industrial
Valuation: $ � / G 9,0, sic)
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: J / 24 5 54/ ' ` /� %D� $Q, 2.ID- New dwelling area: square feet
City/State /ZIP. � /(, f) / 04 97 Z2 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: , 5772.1t-D4 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
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 OF WORK work indicated on this application.
Alb P-r/Ct/1-' p9 � < / 2 Valuation: $
5 p/) f f C am` )L ` �ZiO 1= Existing building area: square feet
- �/ J 5P/16 New building area: square feet
El PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
g
Phone: ( ) Fax: ( )
New:
PPLICANT ❑ CONTACT PERSON NOTICE
Business name: C pX_ All contractors and subcontractors are required to be '
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City / State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR BUILDING PERMIT FEES*
' . 1 y4-77— ,/� / � T�� /D/ 1 (Please refer to fee schedule)
Business name: w �L(/ l./
Address: qy 5 ` 5 5(,v b *V 5-7—, Permit fee:
City/State /ZIP: l l /J' t� /` 9 7 Z Z 3 State surcharge (12% of permit fee):
/ FLS plan review (40% of permit fee):
Phone: )3) 4,64_ -2_9 ZS Fax: (5b3) a —9 ( 9 s, (Due upon application.) nr
to
CCB lic.: 4( 7 7 Total permit fees: l 4l
Auth signature: Amount received:
This permit application expires if a permit is not obtained
Print name: .,' j.,.. 7 . ) Date: 5 -7_9 -) 3 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I \Buddmg\Permuts\FPS- PemutApp doc 03/23/06 440 -4613T(11 /O2JCOM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10124 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler Final
2013-10-22 00:00:00
FPS2013-00066
PASS - No C of O
Violation Summary:
Inspector Contractor