Permit (87) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
2:' COMMUNITY DEVELOPMENT Permit#: FPS2019-00093
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/18/2019
T[GA 1, Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9561 SW WASHINGTON SQUARE RD B02
Project: Abercrombie Kids Subdivision: None Lot: None
Project Description: Fire sprinkler permit:Adding(40)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 07/12/2019 $156.00
12%State Surcharge-Building 07/12/2019 $18.72
Type of Use: COM Plan Review-Fire Life Safety-COM 07/12/2019 $62.40
Class of Work: ALT Type of Const: VA Info Process/Archiving-Sm$0.50(up to 07/12/2019 $6.00
Occupancy Grp: M Height: ft 11x17)
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: No Hazard: ORD2
Density: .20 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 $243.12
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $7,490.00
Residential Square Footage: 0
PtreMarrttaluation:
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 503.232.1987 or 1.800.332.2344.
Issued By: ' Permittee Signature: rr
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 the 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
r
Cl of Tigard Received r �� Permit No.: tI—
`J g 1...,( i— Date/By: /7 C.t_L"�L�
'� 13125 SW Hall Blvd.,Tigard,OR 972 3 " Plan Review
■ Phone: 503.718.2439 Fax: 503.598.1960 Date/By:: / } Other Permit:
8 201 y > > jq , gs.. " `1c.
T I C,A R[7 Inspection Line: 503.639.4175 .!U(. Date Ready/By: Jurisel See Page 2 for
Internet: www.tigard-or.gov o, p T No" ed/Method:�� / 6�// Supplemental Information
cit i� ,OF 7IU 1-3- ,i r1�/
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❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATFGOR OF.CONSTRUCION
work'm tcated on this application.
Valuation: $
❑ 1-and 2-family dwelling ❑■ Commercial/industrial
111Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB EE''INFORMATION AND LOCATION Total number of floors:
Job site address:9561 SW Washington Square Rd New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:BO1 Project name:Abercrombie&Fitch Kids Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQ'IJIR D DATA;COMMERCIAL-USE CUECKLIST
Subdivision: 1 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
.DECrPoN OF WORK work indicated on this application.
Add 40 fire sprinkler heads for new TI Valuation: $7490
Existing building area: square feet
New building area: 0 square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
AFP CANT:<.---',.- 0 CONTACT PERSON Nth E,
Business name:Wyatt Fire Protection All contractors and subcontractors are required to be
Contact name:Ronin Campbell licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:9095 SW Burnham jurisdiction in which work is being performed.If the
City/State/ZIP:Tigard,OR 97223 applicant is exempt from licensing,the following reasons
a.
Y:
Phone:( )503.684.2928 Fax: :( )503.684.9657 — ..
E-mail:r.campbell@wyattfire.com
. .CONTRACTOR BUIL WG PE SBusiness name:Wyatt Fire Protection
Permit fee:
Address:9095 SW Burnham
State surcharge(12%of permit fee):
City/State/ZIP:Tigard, OR 97223
FLS plan review(40%of permit fee):
Phone:( )503.684.2928 Fax:( )503.684.9657 (Due upon application submittal.)
CCB lic.:64077
Total permit fees:
Amount received:
Authorized signature:4 ^„
y This permit application expires if a permit is not obtained
Print name:Ronin Campbell Date: -7/i/ilq within 180 days after it has been accepted as complete.
b ! * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\FPS-PermitApp_031016.doc 440-46131(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
I?escribe work to bee dor e: ..'
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
IDNew system Number of sprinkler heads: 40 Number of alarm devices:
❑■ Addition or ❑ 1-10 heads: Affidavit required and El 1-5 devices: Affidavit required and
Alteration (3) copies of sketch showing area (3) copies of sketch showing area
to existing of work within building structure of work within building structure
system
❑■ 11+ heads: Plan review required and ❑ 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type of System.(Complete A,10,C or I) as applicable):
A.) Cr�mxnerciai Sprinkler
Sprinkler Type ❑� Wet El Dry
Additional Standpipes
Information: Sprinkler Supply Line ❑ Yes El No
Hazard Group Ordinary hazard II
Density .20
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $7490
B.> Type -� - ood 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: $
1• p er :tab. 1 oa ys
Square Footage:tage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246 4-4.
3,601 to 7,200 1310.05 ` _
7,201 and greater $404.39 ,.,.
Sprinkler Project Square Footage: sq. ft.
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: $
W:\Permits\Permit Application Forms(Updated July 2017)\Tigard Fire Permit App.doc2