Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
x . COMMUNITY DEVELOPMENT Permit#: FPS2022-00104
Date Issued: 7/20/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9669 SW WASHINGTON SQUARE RD C04
Project: The North Face Subdivision: None Lot: None
Project Description: Reconfiguring notification devices and replacing existing devices with(6)speaker/strobes and(1)strobe for TI.
Contractor: FRAHLER ELECTRIC COMPANY Owner: PPR WASHINGTON SQUARE LLC
11860 SW GREENBURG RD BY MACERICH RET
TIGARD, OR 97223 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 503-639-4627 PHONE:
FAX: 503-639-4673
FEES
Description Date Amount
Specifics: Permit Fee-COM 07/20/2022 $166.76
12%State Surcharge-Building 07/20/2022 $20.01
Type of Use: COM Plan Review-Fire Life Safety-COM 07/20/2022 $66.70
Class of Work: ALT Type of Const: IIIB Info Process/Archiving-Lg$2.00(over 07/20/2022 $4.00
Occupancy Grp: B Height: ft 11x17)
Stories: 1 Info Process/Archiving-Sm$0.50(up to 07/20/2022 $12.00
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 $269.47
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $8,418.00
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
Issued By: ^ Permittee Signature:
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.
A
Building Permit Applicatioµ, ���� ���
Fire Protection System F1 E FOR OFFI('i,: I SE OyI-A
City of Tigard JUG 3 0 2022 Received
Date/B : A A U y
• 13125 SW Hall Blvd.,Tigard,OR 97223 �����Q�/
.11 a g Plan Review `
Phone: 503.718.2439 Fax: 503.598.1"',TY OF TIGAHL Date/By: 7-s' 4 Other Permit:
T I G,A R D Inspection Line: 503.639.4175 ?��I�- I NG DIVISION
IVISIN Date Ready/By: Juris: IN See Page 2 for
Internet: www.tigard-or.gov ? No Method / x Supplemental Information
L �IL,L.�
TYPE OF WORK REQ IRED DATA:l-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
I]Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
IDAccessory building Li Multi-familyNumber of bedrooms:
ID Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9669 SW Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:CO#4 Project name:WSQ North Face 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: I 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
DESCRIPTION OF WORK work indicated on this application.
Tenant improvement requires fire notification device reconfiguration. Replace existing Valuation: $ , Li 1% •(-3..t)
devices with 6 speaker/strobes and one strobe. Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name:PPR WASHINGTON SQUARE LLC Type of construction:
Address:PO BOX 4085 Occupancy groups:
City/State/ZIP:SANTA MONICA 90411 Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name:Siemens Industry All contractors and subcontractors are required to be
Contact name:David Hemmer licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:9755 SW Barnes Rd Suite 205 jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,OR 97225 applicant is exempt from licensing,the following reasons
apply:
Phone:( )971-864-4759 Fax: :( )
E-mail:david.hemmer@siemens.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: :](2_A atoa Ft_tzk :`„,„ctf-t'� Permit tee: 166.76
Address: W,LO Sw G r b u `
�, c) State surcharge(12%of permit fee): 20.01
City/State/ZIP: ‘i ocii.,‘C. , O 2 0.1 223 °
FLS plan review(40%of permit fee): 66.70
Phone:(503) 6 39 _tklo`�3 Fax:( ) (Due upon application submittal.)
CCB lie.: I CA- ( Total permit fees: 253.47
Amount received:
Authorized signature.
This permit application expires if a permit is not obtained
Print name:David Hemmer Date:6/30/2022 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
i:\Building\Permits\FPS-PermitApp_031016.doc 440-4613T(I 1/02/COM/WEB)
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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: 7
❑■ 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, 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 - flood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations I=1 Yes
include: Individual Component • Yes
Cut Sheets
Fire Alarm Project Valuation: $8418.00
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): $8418
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: $
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