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Permit (17) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2016-00084 T t(.3 AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2016 Parcel: 1 S 135BA00102 Jurisdiction: Tigard Site address: 10140 SW WASHINGTON SQUARE RD Project: Zoup! Subdivision: OAKBURG Lot: 9 Project Description: Fire sprinklers-Add/relocate a total of 26 sprinkler heads for T.I. 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 05/17/2016 $123.72 12%State Surcharge-Building 05/17/2016 $14.85 Type of Use: COM Plan Review-Fire Life Safety-MF 05/17/2016 $49.49 Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 05/17/2016 $2.00 Occupancy Grp: A-2 Height: ft 11x17) Stories: 1 Info Process/Archiving-Sm$0.50(up to 05/17/2016 $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 $197.56 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $4,096.00 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, • uspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility • • ification Center. ho - ules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or dir-ct questions to OUNC • allin• ..232.1987 or 1.800.332.2344. Is ued By: G ` '1# /J i Building Permit Application Fire Protection System roll(11,1.1( l: 1 sl:ON1.� Received City of Tigard , � Date/B . Permit No.: �,51 M 1/_-.00d ire,/ 13125 SW Hall Blvd,Tigard,OR 9722 .CO 11�� plan . vie - I /�l.J l 10 p ' • Phone: 503.718.2439 Fax: 503.598.19 Daze/B, Other Permit: C/ Q l4 1. . \RI) Inspection Line: 503.639.4175 201Cj Date ' ., �:•: j Jam: See Page 2 for Internet: www.tigard-or.gov APR Notified/Method: 1 i ' Supplemental Information I 14 -,4-111;:.e.777,144; . fig + - � i �. Y ♦ O � i„• ; '�, '"'` �TYP�� , � ;�� ^^r � �� . `"' �.�,� :� �l DAT l t l D G'�� .+a�`'* � '+,5"!. %t7a e.>t`a,.w.,ac .�'' �'..���"• ..xom .rc�.as�iy-.e� ❑New construction ❑0• . on 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 'a work indicated on this application. -�TEGOR��'' ! �����4�!1`M,,O 1 � �,t..:�*-• r�' — 0 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: F h 111 ' ` MO. e. ! Total number of floors: Job site address:10140 SW Washington Square Rd New dwelling area: square feet City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Zoup Wash Sq Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUI1tED b►1` 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 r73 <k '"t DESCRIPTION OF WO . �1 ' �� ����� � =� � �t � ,� work indicated on this application. Add and relocate fire sprinkler heads to center of tile as required for TI Valuation: $$4,096.00 Existing building area: square feet New building area: 0 square feet ❑ PROPERTl OWNER ❑,TENANT:; Number of stories: 1 Name: Type of construction: 3B Address: Occupancy groups: City/State/Z1P: Existing: Ordinary 1 Phone:( ) Fax:( ) New: " APPLICANT ® CONTACT PERSON NOTICEV.' 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*t Business name:Wyatt Fire Protection (Pleaasrefer tofee aelredule) Permit fee: Address: City/State/ZIP: State surcharge(12%of permit fee): 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:Max Colley Date:4/26/16 within 180 days after it has been accepted as complete. Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\FPS-petmitApp.doc Rev 01/05/2012 440-4613T(ii/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information a, &'rte � s tg Y '�y L a{41.� tFt" x9 kr^`y4�. :^k � �'�' f �. I)ecribe.�o`rk to be`do> ie, .z ?Ili t �,.s , #� ,�. :. ft£ 1.) ❑ New 2.) Modification to sprinkler heads only: ® Addition ❑ 1-10 heads: No plan review required. 1:1 Alteration ® 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: a Additional description of work: h ,a,a pcal;Ye • 'm,Gompei ( :o uDrli ,, , -'1, ''''4**'''' Sset '( lA, e �4it"Iipy " � ;'":1:,4Y� 4i� � .. K T ?44.W::„''",-,:',,,44.1, ` fr* �„ ,4e' " ,1,::-.4:'.1041i, .kmmercy .-� ,, ,�a7.,: k ..-:,'*7' „, . , ❑ Dry"°*f Sg. 4• ® Wet Additional Standpipes 0 Information: Hazard Group Ordinary 1 Density 0.15 Design Area 1500 K. Factor 5.6 Sprinkler Project Valuation: $ 4096 B.) Type L....''':.Hood Fire.Suppression:System . , l . .. si '�a w Hood Project Valuation: $ �=. .,. r '".: ^`tti:• '� K i; P r,; n r �fn �kya ;Au ;° i ,°"t� k"� iN L f i � � 4YC,.4,,� y� ` : t'€ ' ax � r �" Ei . .F�= .csrus$ ". . 4',..'. ❑ Yes shall I=1 YesBattery Calculations Individual Componentinclude: Cut Sheets Fire Alarm Project Valuation: $ Vs ,,,,-.4‘-...t.. D.) ResidentialSprinlder(Stand Alone System) 0. :x,, F Square Footage: Permit Fee: ' 0 to 2,000 $198.75 E" a 2,001 to 3,600 $246.45 ��a t , 3 601 to 7 200 $310.05 *z t `g fi 7,201 and greater $404.39 `;..,",,'�_,_ 4, Sprinkler Project Square Footage: sq. ft. s a ":":;',5;., . s b 4 4 s `gr 14.0 i4" Ft>re Protection 'p rt Fees' .,4 xred,.,1,.. , k ' 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:\Max\1112 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 10140 SW WASHINGTON SQUARE RD, TIGARD, OR, 97223 Commercial - Fire Protection System 999 Sprinkler final PASS - No C of O FPS2016-00084 Jeff Grove Violation Summary: Inspector Contractor