Permit (62) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
IN Is COMMUNITY DEVELOPMENT Permit#: FPS2016-00065
TIGARD 13125 SW Hail Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/25/2016
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9779 SW WASHINGTON SQUARE RD D11
Project: Champs Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Modification of approximately(71)fire 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 04/25/2016 $199.04
12%State Surcharge-Building 04/25/2016 $23.88
Type of Use: COM Plan Review-Fire Life Safety-COM 04/25/2016 $79.62
Class of Work: ALT Type of Const: IIB - Info Process/Archiving-Lg$2.00(over 04/25/2016 $2.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 04/25/2016 $10.00
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 $314.54
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $1 1,206.00
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 set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questio NC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / /��/�/ ez.... Permittee Signature: /
Call 503.639.4175 by 7:00 a.m.for the next available inspec '.n date.
This permit card shall be kept in a conspicuous place on the job site until comp • • e project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System liECEllign I O12 OFFI('l; l til!O\I.l
City of Tigard 4P Date/By: /�O PermitNo.: pya,pt(p-GHQ 06-
Ill 13125 SW Hall Blvd,Tigard,OR 97223 R 4 2016 Plan Review /�
Other Permit:Phone: 503.718.2439 Fax: 503.59 Date/By: '% A A. �, IApalo!D-
Inspection Line: 503.639.4175 BU t OF G�fl� Date Ready/By: luris: See Page 2 for
TIG NIZD Tf ►l
Internet: www.tigard-or.gov L1J!NG D!VIct Notified/Method: �� it /b j I Supplemental Information
TYPE OF WORK '
�` 'REQUIRED DATA:1-AND 2 FAMII.Y DWELLING
❑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 CONSTRUCTION ,
work indicated on this application.
0 1-and 2-family dwellingValuation: $
®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
4431,/T—.* JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: SW WASHINGTON SQ RD New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Dl l Project name:CHAMPS WASH SQ TI 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.
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.
Add and relocate fire sprinkler heads as required for TI Valuation: $$11,206.00
Existing building area: square feet
New building area: 0 square feet
0 PROPERTY OWNER }£ 0 TENANT Number of stories: 1
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: Ordinary 1
Phone:( ) Fax:( ) New: ,,
® APPLICANT ® 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
CONTRACTOR BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection (Please refer tofee schedule)
Permit fee:
Address:
State surcharge(12%of permit fee):
City/State/ZIP: o
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application)
CCB lic.:64077 %' Total permit fees:
Authorized signature: =__� Amount received:
ma This permit application expires if a permit is not obtained
Print name:Max Colley -------- Date:4/1/16 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Pmnits\FPS-PemitAoo.doc Rev 01/052012 - 440-4613T(II/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.
El Repair
Number of sprinkler heads: TI
Additional description of work:
'Type of System'(Complete-A B CD as applicable)• �}`��.
- .. �; r *OMS+ F
5 zk 1 t tom` i ',7 8 `x 4
A.) Commercial Sprinklei _ � <:"t ,•
Z Wet _ El Dry
Additional Standpipes 0
Information: Hazard Group _ Ordinary 1
Density 0.15
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 11,206
B.) Type I- Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations El Yes
include: Individual Component El 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.
W:\Mar\1112 PERMIT APPLICATIONS\Tigard App.doc Rev 01/05/2012 2
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
71! :1( Transmittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tig. d-or.gov
TO: 44741DATE REQ! IVED:
DEPT: BUILDING DIVISION RE i4''''IVED
16 2016
FROM: e /�e- yeep:y
CITY OF TIGARD
; , ' Pro-teck'dc‘ BUILDING DIVISION
COMPANY: w) � F � /
PHONE: (59-?) (52L/, 2
RE: 7-Tent, Lt/ vVS- 2 ore4,m
(Site Address) rmier�
/ 1445
(Project name or s 'division name and lot nuSnbe
ATTACHED ARE THE FOLLOWI " ITE Alk
D
Additional set(s)of p . s. 17 Revisions: 1e—ry (1) Sle-r;nee,-Lj
Cross section(s) an. details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculatio . Engineer's calculations.
Other(explain):
REMARKS:
EMARKS:l - m r� oma; : ✓. ��� -r S IN P�� /oc kc..C.
►/G C: I( I In/c�r7 . �,G !fit ovc'� 0 "Le
Routed to Permit Technician: Date: le( h Initials: `'"We
Fees Due: ❑ Yes I 'o Fee Description: Amount D ue:
Special
Instructions:
Reprint Permit(per PE): ❑ Yes leo one
Applicant Notified: (r)A4,\ Date: Ali et/AD Initials: ,
1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
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
9779 SW WASHINGTON SQUARE RD D11,
TIGARD, OR, 97223
Commercial - Fire Protection System
999 Sprinkler final
PASS - No C of O
FPS2016-00065
Jeff Grove
Violation Summary:
Inspector Contractor