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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT 2 • COMMUNITY DEVELOPMENT Permit#: FP52021-00084 Date Issued: 8/25/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300 Jurisdiction: Tigard Site address: 9640 SW WASHINGTON SQUARE RD Gil Project: Warby Parker Subdivision: None Lot: None Project Description: (6)new alarm devices,(3)ceiling mount strobes, (3)multi-candela ceiling mount speaker/strobes Contractor: SIEMENS INDUSTRY INC Owner: PPR WASHINGTON SQUARE LLC 15201 NW GREENBRIER PKWY BY MACERICH RET SUITE A4 PO BOX 4085 BEAVERTON, OR 97006 SANTA MONICA, CA 90411 PHONE: 503-207-1839 PHONE: FAX: 503-207-1901 FEES Description Date Amount Specifics: Permit Fee-COM 08/25/2021 $102.20 12%State Surcharge-Building 08/25/2021 $12.26 Type of Use: COM Plan Review-Fire Life Safety-COM 08/25/2021 $40.88 Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 08/25/2021 $18.00 Occupancy Grp: B Height: ft 11x17) Stories: Info Process/Archiving-Sm$0.50(up to 08/25/2021 $6.00 11x17) Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Standpipe Required: Hazard: Density: 0 Design Area: 0 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Yes Alarm Type: Automatic Pull Station Required: Yes Smoke Detectors Req: Yes Battery Calcs Provided: Yes Cut Sheets Required: Yes Total $179.34 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $2,689.54 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 Issued By: / Permittee Signature: fi L- , �/ f/14 iE. 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 Applicatio ECEIVED .'7 , Zl Fire Protection System [p9 s�`1]'° FOR OFFICE USE ONLY- JUl, 2 6 2i!. Rece ved City of Tigard DaeB 7 2cAz` iw N Perm No.:f\-. 207,1_ 141 Illiri 13125 SW Hall Blvd.,Tigard,OR 9722p OF TIGARLi Plan Review Phone: 503.718.2439 Fax: 503.598.19 DateB : /AI other Permit TI c„s I,D Inspection Line: 503.639.4175 BUILDING DIVISION Date ReadyBy: �� ® See Page 2 for Internet: www.tigard-or.gov n ified/Methoy"// Amin Supplemental Information TYPE ON WORK REQUIRE4ATA: I-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fits*arc based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all l4 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ElI-and 2-family dwelling NI Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ElMaster builder 0 Other: Number of bathrooms: JOB SITE JNl'ORMA ION AND LOCATION Total number of floors: Job site address: 9640 SW Washington Square Road New dwelling area: square feet City/State/ZIP:Tigard, Oregon 97223 Garage/carport area: square feet Suite/bldg/apt.no.: G-1 1 Project name:440P-314306 WSQ Warby Parker Covered porch area: square feet Cross street/directions to job site: Near SE Mall Entrance between the Deck area: square feet 85C Bakery Cafe and UNTUCKit clothing store Other structure area: square feet e,v itt as s, :a3 I RCIAL-LSEC°t' 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 work indicated on this application. Addition of(6) notification devices to accommodate tenant improvement Valuation: $2,689.54 for new store moving into retail space G-11. Adding (3)8cd ceiling mount Existing building area: square feet strobes and (3) multi-candela ceiling mount speaker/strobes New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: 1 Name: Maria Halstead Typeofconstruction:Type 1 Address: 9585 SW Washington Square Road Occupancy groups:Group M City/State/ZIP:Tigard, Oregon 97223 Existing: Phone:(503) 693.8865 Fax( ) New: - - Izi APPLICANT ❑ CON TACT' PERSON NOTICE Business name:Siemens All contractors and subcontractors are required to be Contact name: Ashley Smallwood licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:15201 NW Greenbrier Parkway Suite A4 jurisdiction in which work is being performed.If the City/State/ZIP: Beaverton, Oregon 97006 applicant is exempt from licensing,the following reasons apply: Phone:(971)998.4551 Fax::(503)207-1901 E-mail' ashley.smallwood@siemens.com CONTRACTOR BUILDING PERMIT FEES*- ' ` Business name: Siemens (Please refer to fee schedulet Permit fee: $102.20 Address:15201 NW Greenbrier Parkway Suite A4 State surcharge(12%of permit fee): $12.26 City/State/ZIP: Beaverton, Oregon 97006 FLS plan review(40%of permit fee): Phone:(971)998.4551 Fax:(503)207-1901 (Due upon application submittal.) $40.88 CCB tic.: 133041 Total permit fees: $155.34 Smallwood bwor 9,nJCYLmBMmo° eYs.°am._^amaw-Po^ink.. Amount received: Authorized signature: °a;,_n er ama, ova �m Ash ley o�le.lo oi.n oais -or 'This permit application expires if a permit is not obtained Print name: Ashley Smallwood Date: July 11 th' 2021 within 180 days after it has been accepted as complete. " Fee methodology set by'Tri-County Building Industry Service Board. I:\Building\Permils\FPS-PermitApp_031016.doc 440-4613T(I I/02/COMIWEB) City of Tigard: Fire Protection Permit Checklist Page 2-Supplemental Information . Describe work to be done: 1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices: ❑ New system Number of sprinkler heads: Number of alarm devices: 6 ® Addition or ❑ 1-10 heads: Affidavit required and ❑ 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, B, C or D as applicable): A.) Commercial Sprinkler Sprinkler Type ❑ Wet ❑ Dry Additional Standpipes Information: Sprinkler Supply Line _ ❑ Yes El No Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ® Yes include: Individual Component l Yes Cut Sheets Fire Alarm Project Valuation: $2,689.54 D.) Residential.Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $198.75 2,001 to 3,600 5246.45 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): $2,689.54 Permit fee based on project valuation (see fee schedule): $102.20 Permit fee based on square footage (see D above):$ State Surcharge (12%of permit fee): $12.26 FLS Plan Review(40%of permit fee): $40.88 TOTAL: $2,844.88 I:\Building\Permits\FPS_PermitApp_031016.doc 2