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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 2 , COMMUNITY DEVELOPMENT Permit#: FPS2015-00045 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/31/2015 Parcel: 1 S 1260000300 Jurisdiction: TIGARD Site address: 9530 SW WASHINGTON SQUARE RD H10 Project: Athleta Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S Project Description: Tenant improvement for new retail store 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 03/31/2015 $166.76 12%State Surcharge-Building 03/31/2015 $20.01 Type of Use: COM Plan Review-Fire Life Safety-COM 03/31/2015 $66.70 Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 03/31/2015 $2.00 Occupancy Grp: M Height: ft 11x17) Stories: 1 Info Process/Archiving-Sm$0.50(up to 03/31/2015 $7.50 11x17) Commercial Sprinkler System: Sprinkler Required: Yes Sprinkler Type: Wet Standpipe Required: No Hazard: ORD1 Density: .15 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 $262.97 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $8,716.00 Residential Square Footage: 0 Fire Alarm Valuation: $8,716.00 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 a•- -d by the Oregon Utilit i!cation - - . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may ob .in a copy of the rules or erect questions to OUN • - ing 503.232.1987 or 1.800.332.2344. Issued By: , •J `�--,y ,t D f_ Permittee Signature: / _ r /elal• 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 e 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 I ��� a ��a. • 13125 SW Hall Blvd,Tigard,OR 97223 ` { ED Plan Revie �� ■ `V ' ` Other Permit: Phone: 503.718.2439 Fax: 503. �� Date/B . ,'I� � {5 ; I - 1.1 t.n R 1 Inspection Line: 503.639.4175 Date Ready :y: 63 See Page 2 for Internet: www.tigard-or.gov . g 2.015 Notified/Method: i1mp r� Supplemental Information MAR - U•t.-- TYPE OF ENG O v S Okt REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction �. n 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. Valuation: $1-and 2-family dwellin g ®Commercial/industrial El Accessory building ❑Multi-family Number of bedrooms: ❑ Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:9585 WASHINGTON SQ RD New dwelling area: square feet City/State/ZIP:TIGARD,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:H-10 Project name:ATHLETA 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: 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. FIRE SPRINKLER ALTERATIONS FOR RETAIL SPACE AT WASHINGTON SQ. Valuation: $$8,716.00 Existing building area: square feet New building area: 0 square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: 1 Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: ORDINARY 1 Phone:( ) Fax:( ) New: ® APPLICANT Z CONTACT PERSON NOTICE Business name:Wyatt Fire Protection All contractors and subcontractors are required to be Contact name:Ashley Payne licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:9095 SW Burnham Rd 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::( E-mail:a.payne @wyattfire.com CONTRACTOR BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Wyatt Fire Protection Permit fee: Address: State surcharge(12%of permit fee): City/State/ZIP: FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application.) CCB lic.:64077 Total permit fees: Amount received: Authorized signature: This permit application expires if a permit is not obtained Print name:Ashley Payne Akiv, Date:3/13/15 within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pamits\FPS-PamitApp.doc Rev 01/05/2012 4404613T(I1/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1-10 heads: No plan review required. ® Alteration ® 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: 4( Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler Wet ❑ Dry Additional Standpipes 0 Information: Hazard Group ORD 1 Density 0.15 Design Area 1500 K. Factor 5.6 Sprinkler Project Valuation: $ 8716 B.) Type I- Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone 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. Fire Protection Permit Fees 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: $ Plan review requires a completed application and three (3) sets of plans at submittal. Plan review fees are required at submittal. C:\Users\Ashley\Desktop\Permit Applications\Tigard App.doc Rev 01/05/2012 2