Permit p CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
COMMUNITY DEVELOPMENT Permit #: FPS2011 -00049
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/13/2011
Parcel: 151260000300
Jurisdiction: TIGARD
Site address: 9640 SW WASHINGTON SQUARE RD G11
Project: Hanna Andersson Subdivision: WASHINGTON SQUARE MALL Lot: 0
Project Description: Fire alarm.
Contractor: SIEMENS INDUSTRY INC Owner: PPR WASHINGTON SQUARE LLC
15201 NW GREENBRIER PKWY 2235 FARADAY AVE STE #0
SUITE A4 CARLSBAD, CA 92008
BEAVERTON, OR 97006
PHONE: 503 - 234 -9995 PHONE:
FAX: 503 - 234 -8030
FEES
Description Date Amount
Specifics: Permit Fee - COM 04/13/2011 $88.75
12% State Surcharge - Building 04/13/2011 $10.65
Type of Use: COM Plan Review - Fire Life Safety - COM 04/13/2011 $35.50
Class of Work: ALT Type of Const: Info Process /Archiving - Lg Sheet (over 04/13/2011 $2.00
Occupancy Grp: Height: ft 11x17)
Stories: Info Process /Archiving - Sm Sheet (up to 04/13/2011 $3.00
11x17)
Hourly Building Rate 04/13/2011 $180.00
Commercial Sprinkler System: Hourly Building 12% State Surcharge 04/13/2011 $21.60
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:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Yes Cut Sheets Required: Yes
Total $341.50
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: $0.00
Residential Square Footage: 0
Fire Alarm Valuation: $1,900.00
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 ' • I !cation Cen - T• - - rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or . ect questions to OUN '.y calli • • . 232.1987 or 1.800.332.2344.
ssued By: Permittee Signature: L
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.
jk -
Building Permit Application � � �
Commercial ���` " FOR OFFICE USE ONLY
C ity o Tigard � � ti 5 \\ Red
II . y r �j Permit No L
' 13125 SW Hall Blvd., Tigard,OR 97223 Q� P , � � Date Review / f—/I —" ' �PSOO /�^ CXl�)�
Phone: 503.718.2439 Fax: 503.598.1960 ∎ .� v 'ate/By Other Permit: /}� / / - CtX y4)
T l G A R D Inspection Line: 503.639.4175 , ON a `� Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard - or.gov C1 �,�� Notified/Method: ''( Supplemental Information
TYPE OF WORK 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
F Addition/alteration /replacement ❑ Other: eq ipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION wor' ' ndicated on this application.
Valuatio . $"1-90..---07& C C
❑ 1- and 2- family dwelling tt Commercial/industrial /
❑ Accessory building ❑ Multi - family Number of i ; rooms:
❑ Master builder ❑ Other: Number of bathro a:
SITE INFORMATION AND LOCATION Total number of floors*
Job site address: 5w 1<A /11/Jo—TOO SQ IL'1) New dwelling ar- .: square feet
City /State /ZIP: - 1 - 1 ItA2 t O it-- Garage/ . t ro area: square feet
Suite/bldg. /apt. no.: G ) 1 I Project name: t✓�ii. 4.10€6jdu4D Cover -. porch area: square feet
Cross street/directions to job site: 1 ck area: square feet
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.
\— 1I s.�E (A—� �•� ...re.... I cAdiv t ✓T_ Valuation: $ iii 9 C)
Existing building area square feet
New building area: square feet
R PROPERTY OWNER ❑ TENANT Number of stories:
Name: 64.3 Cre-I-- v T- Type of construction: itici / - TEIVN4 n/'`S
Address: Occupancy groups: 0 L') r Li-
C /State /ZIP: xisting _.
Phone: ( ) Fax: ( )
New: A/
❑ APPLICANT RI CONTACT PERSON BUI PERMIT FEES*
(Please refer to fee schedule)
Business name: 5t Con, S Structural plan review fee (or deposit):
Contact name: Grt t. 1 I -6D3. -6D3. v
5 `-t l 3' *A
FLS plan review fee (if applicable):
Address: IS Z-0 1 t-- l.4- 6rIx- E CA" b.le -/ ?/4. 51 -A
Total fees due upon application:
City /State /ZIP: tire-Ave A-'i - jv l 0'' 9 -70
Amount received:
Phone: ('S0'}) 20 1900 Fax:: ( 5 '2d'1 / io
E -mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: 5 I ENv S /NQJ } fi Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
� U 1 lUt� G.t�crcb+PnW �41A. / a / 4 - 1 51 . - A t� - Solar Installation Specialty Code checklist.
City/State /ZIP: r)�i1vEA- OK- 971 a 6 / Permi fee (includes plan review $180.00
and administrative fees):
Phone: ( ) Z0 / 9 0 0 Fax: ( 5)7) 2 I f 6/ State surcharge (12% of permit fee): $21.60
CCB lie.: i 330 Total fee due upon application: $201.60
Authorized signature permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �j <)4 2 a< i ( Date: 19/2 > it * Fee methodology set by Tri- County Building Industry
/ Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11 /02 /COM/WEB) j3 56
1, _ Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011