Permit • CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
- 2 ' COMMUNITY DEVELOPMENT Permit#: FPS2022-00124
Date Issued: 10/17/2022
T@GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9677 SW WASHINGTON SQUARE RD C05
Project: Levi's Subdivision: None Lot: None
Project Description: Fire alarm permit: Updating fire alarm notification and detection 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 10/17/2022 $177.52
12%State Surcharge-Building 10/17/2022 $21.30
Type of Use: COM Plan Review-Fire Life Safety-COM 10/17/2022 $71.01
Class of Work: ALT Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/17/2022 $10.00
Occupancy Grp: M Height: ft 11x17)
Stories: 1
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 $279.83
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $9,428.00
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: ���
' next available inspection date.
- - �—�
Call 503.639.4175 by 7:00 a.m.for the I p
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.
..
J Building Permit Application
Fire Protection System FOR OFFICE USE ONLY
Cityof Tigard Received
,� b � D G���� ateB L� ��i% III IMIIIM�i� r
�• 13125 SW Hall Blvd.,Tigard,OR Plan Review
il Other Permit: .r ,
Phone: 503.718.2439 Fax: 503.5 8. ateB : �� �� it ., t
1.lc,A r o Line: 503.639.4175 Inspection S FI '1 3 °�` Date Ready/By: ^a
p Cf O� ro`f See Page 2 for
Internet. wryow.tigard-or VotifiediMethod: • Supplemental Information
cili OF TIGARU
TYPE "lit MING.{- ISION REQUIRED DATA:1-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
❑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: S
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ElOther: Number of bathrooms:
ear(e-77JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: W Washington Square Road New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet •
Suite/bldg./apt.no.: Project namevis Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet I
Other structure area: square feet
•
REQUIRED DATA:COMMERCIAL-USE 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
DESCRIPTION OF WORK work indicated on this application.
Update fire alarm notification and detection due to a retail tenant improvement. Valuation: $9,428.00
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: Existing:M
Phone:( ) Fax:( ) New:
❑� 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%ZIY: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*
Business name:JRA dba Frahler Electric (Please refer m fee schedule)
Permit fee: $177.52
Address:11860 SW Greenburg Road
State surcharge(12%of permit fee): $21.30
City/State/ZIP:Tigard Oregon 97223 FLS plan review(40%of permit fee): $71 OO
Phone:( )503-639-4673 Fax:( ) (Due upon application submittal.)
CCB lie.:197172 Total permit fees: $269.82
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name:David Hemmer Date:9/8/2022 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\PermosiFPS-PemitApp_031016.doe 440-4613T(I I/02/COM/WEB) ,
A
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:
❑� 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 El 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 ■❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $9,428.00
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): $9,428.00
Permit fee based on project valuation (see fee schedule): $177.52
Permit fee based on square footage (see D above): $
State Surcharge (12%of permit fee): $21.30
FLS Plan Review(40%of permit fee): $71.00
TOTAL: $269.82
I:\Building\Permits\FPS_PermitApp_031016.doc 2