Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
' ' . COMMUNITY DEVELOPMENT Permit#: FPS2016-00021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/30/2016
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9374 SW WASHINGTON SQUARE RD R05
Project: Verizon Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Fire sprinkler modification of approximately(42)heads in spaces R05,R06 and R07
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 03/30/2016 $145.24
12%State Surcharge-Building 03/30/2016 $17.43
Type of Use: COM Plan Review-Fire Life Safety-COM 03/30/2016 $58.10
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 03/30/2016 $2.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 03/30/2016 $5.00
11x17)
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: 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 $227.77
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $6,162.00
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 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• ect questions to eU • by calling 503.232.1987 or 1.800.332.2344.
Issued By: 40(// / j Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection d.
This permit card shall be kept in a conspicuous place on the job site until co pletion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System HECEIVED FOR Offlcl: [Sh:O\1,1
Cityof Tigard Received PermitNo.: QQ �f� ODt�o2
g FEB 10 2 Date/By: �� ib rJdv�� fl
114 III 13125 SW Hall Blvd.,Tigard,OR 97223 01& Plan Re•' � n
• Phone: 503.718.2439 Fax: 503. Date/By: Other Permit:
��°C�F r �,�� � '�(' I,C/p�I500 375'
)'I c n R l� Inspection Line: 503.639.4175 TIGARD Date Rea.m,=c •
3u ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method:_ //� Supplemental Information
Vit' .'f,Z• ' z i i TYPE OII O .. Ufki + r�i Mi 1 ' ..A. AND2 F YI*1 400;2
❑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
� 1y,A rt" �.. t a.,E_Tx E:yn iR:+xOrCr:...�I-, tON �r ��.- e work indicated on this application.
0 1-and 2-family dwelling Valuation. $
®Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master build- 0 Other: Number of bathrooms:
tg z ' Total number of floors:
'� �.�. � ��rOB 5�TIi�O, �tAT �+� `1� LQ(�ATYON �`��„°
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.:R05-07 Project name:Verizon 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: 1 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
°a 4..e`,`'. li'A DESCRIPTION O WORK -work indicated on this application.
Add fire sprinkler heads to center of tile as required for TI. Valuation: $$6,162.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER?
x � .,,,,W �,.,,�,„• ❑_,TENANT-. Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: Ordinary 1
Phone:( ) Fax:( ) New:
-1:4Y, ®;APPLICANT -_ 7' ® CONTACT PERSON NOTICE
Business name:Wyatt Fire Protection All contractors and subcontractors are required to be
Contact name:Max Colley 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:m.colley@wyattfire.com
i141,4*- :,. ? ' •: . CONTRACTOR 1..:5 BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection (Please Safer mfee aehedMle)
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:
Authorized signature: / Amount received: .
This permit application expires if a permit is not obtained
within 180 complete.
as accepted days after it has been
Print name:Max Colley Date:2/9/16 y p
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp.doc Rev 01/052012 44046131(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Descril;e wor ';to bc`,' one:;• r .Y 11.,, AO
1.) ❑ New 2.) Modification to sprinkler heads only:
El Addition ❑ 1-10 heads: No plan review required.
® Alteration ® 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 42
Additional description of work:
YA) Coin is ercia bpnnkl
C-s�
® Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group Ordinary 1
Density 0.15
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 6162
B.) Type I 'Hood Fire Suppression Systeme
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 Prolectton,Periit 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.
W:\Mas\Permit Applications\Tigard App.doc Rev 01/05/2012 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9374 SW WASHINGTON SQUARE RD R05,
TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2016-00021
Jeff Grove
Violation Summary:
Inspector Contractor