Permit (18) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
IN
I COMMUNITY DEVELOPMENT Permit#: FPS2016-00131
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/23/2016
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9624 SW WASHINGTON SQUARE RD G07
Project: Amazon Books Subdivision: None Lot: None
Project Description: Adding and relocating a total of 56 sprinkler heads.
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 08/23/2016 $166.76
12%State Surcharge-Building 08/23/2016 $20.01
Type of Use: COM Plan Review-Fire Life Safety-COM 08/23/2016 $66.70
Class of Work: ALT Type of Const: IIB Info Process/Archiving-Lg$2.00(over 08/23/2016 $2.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 08/23/2016 $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 $262.97
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $8,710.00
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 questions to OUNC by calling 503.232.1•: • .:::. 2.2344.
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Issued By: g..z.
Permittee Signature: // - '-
fy
all 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 o roject.
Approved plans are required on the job site at the time of each inspec ion.
Building Permit Application
Fire Protection System Y FOR OFFICE USE ONE)'
City of Tigard i Received 41 Y Date/B B . 7 'toe Permit No.: .y/' 1
13125 SW Hall Blvd,Tigard,O - .,�, ( W�-�'-
Plan •�vtew ��
IIIII • Phone: 503.718.2439 Fax: 503. A8 t„ ao'�) Date/By: /�", �\gil Other Permit: , i 1 /I
T 1 G A R D Inspection Line: 503.639.4175 41 A Date Re.r5,-/B • r• See Page 2 for
Internet: www.tigard-or.gov \ '' �y A� Notified/Method: 1 2- !(i I. Jr Supplemental Information
t,�Nl c,r j-
PE O Q 0 .J 'r s I E4"' "�
'} 7X w" , Uri'ED DATA:1-AND 2-FAMILY DWELLIN,9„,
0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
3z . r�TEGO OF. CO�VSTItI;I'CTION
-` „ work indicated on this application.
•,'`
❑ 1-and 2-famil y dwellin Valuation: $
g ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
` J I SIT' I:FO ' TION AND LOCATION �� Total number of floors:
Job site addresiry85STV Washington Square Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:G07 Project name:Amazon Books Wash Sq Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
{ REQU E , TA:COMMERC -6SE 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
t DESCRIPTION 0WORK ' '. • work indicated on this application.
Add and relocate fire sprinkler heads as required for TI Valuation: $8,710
Existing building area: square feet
New building area: 0 square feet
4 ' R PERTY O ER S'<, 4 ❑ TENAT�
_ Number of stories: 1
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing: Ordinary 1
Phone:( ) Fax:( )
New: v,
C APPLICANT s „ ' rt El CONTACT PERSON ` ` 1
;;'� w.„ „;114:''',.1 a � . :. ��, � 14'' "�' _,-
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 ' ...' , `4 r f BUILDING PERMIT FEES*
Business name:Wyatt Fire Protection (Please referrto fee schedule)
Address:
Permit fee:
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:j°2p).. /7
Authorized signature: received:
This permit application expires if a permit is not obtained
Print name:Max Coll Date:7/27/16 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Penmits\FPS-PermitApp.doc Rev 01/05/2012 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
-Desc ibe workto be-done:= ,
1.) El New 2.) Modification to sprinkler heads only:
El Addition El 1-10 heads: No plan review required.
® Alteration ® 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 56
Additional description of work:
m ete A,B,C ottD yds phiab
Typof System (� l
P � 'Att � k w
4
A.) CommeciaSprin q erg
® Wet ❑ Dry
Additional Standpipes 0
Information: Hazard Group Ordinary 1
Density 0.15
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 8,710
B.):,Type Et.*-.Hood Iire`FSuppressio SyStein' ;.
Hood Project Valuation: $
$
* � Y'3" .tib �
Fire Alt r Zft..
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler(Stand Alone System a
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45 s 2
3,601 to 7,200 $310.05 r;
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:\Max\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
Tran •m'
N�..._ s ittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: kOlChi DATE IR,, , '
DEPT: BUILDING DIVISION }
// / • AU . 7 2016
FROM: A/1�x C.._v// AR Of I',GARD
COMPANY: Pr ;U1LDING DIVISION
PHONE: (5-0"3) 6'34-i —;- By:
RE: GCk 4. ' 5 w 1/(4.s t,:, -/-v k, fp 5CJ/6---cb i`3
(S • Ad. es"s J (Permit Number) /
A W 5k
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITE 1.:
Additional set(s) of plans. ; 1' V Revisions:
Cross section(s)andtails. �� Wall bracing and/or lateral analysis.
Floor/roof framing. ` \,4,\ Basement and retaining walls.
Beam calculations. V Engineer's calculations.
Other(explain):
REMARKS: Revc - ' h e 1 4. a&tic I2a✓` hew C e , /,,
� � P
Routed to Permit Te )ate: �� ( 6 Initials
Fees Due: ❑ Ye• r i o Fee Description: Amount . s e:
$
$
$
$
Speci.i
Instructions:
Reprint Permit(per PE): ❑ Yes El No 1 ❑ Done
Applicant Notified: fikoc Date: g/i- ,//( Initials: e7
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012