Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
' COMMUNITY DEVELOPMENT Permit #: FPS2010 00011
T i G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/25/2010
Parcel: 1 S 126CC00100
Jurisdiction: TIG
Site address: 9700 SW WASHINGTON SQUARE RD
Subdivision: Lot:
Project: NORDSTROM
Project Description: Fire sprinklers for TI.
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY, 9585 SW Plan Review - Fire Life Safety - COM 02/05/2010 $145.24
WASHINGTON SQUARE RD Permit Fee - COM 02/05/2010 $363.10
PHONE: 12% State Surcharge - Building 02/05/2010 $43.57
Contractor:
WESTERN STATES FIRE PROTECTION
13896 FIR ST STE B
OREGON CITY, OR 97045
PHONE: 503 - 657 -5155
FAX: 503 - 657 -5182
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: M Height: ft
Stories: 2
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required. No Hazard: LT
Density: Design Area:
K Factor:
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $551.91
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 28000
Residential Square Footage:
Fire Alarm Valuation:
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 952-001-0100., You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: � � kto 1eU ^ Permittee Signature: ^ n -
l..lX X �XX
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 0 r ,. E cFNED •
,.-•
Fire Protection System ., FOR 0 OFFICE USE ONLY
, 0 City of Tigard FEB 6 2°1° Received
Date/I3 . ■J a Permit No.: Z. lb . is; I q 13125 SW Hall Blvd., Tigard, OR 97223 n Revie - 197MPINIMME
' r 1 1 Phone: 503.639.4171
5°3 OF TIGP■RD D . 1smm.-1 to Other Permit: cp _ • 2
T I GA R
Inspection Line: 503.639.4175 o Date Ready : y: ra See Page 2 for
D
vISION
Internet: www.tigard-or.gov BUILDING DI Notified/Method: nril Supplemental Information
•'---- .*:: 4' `: ' ' - ' : " '
TYPE OF WORK ' ' ' '' ' ''=, . `: iaififigetiA:Tiii
. , . - • _A , _ -, t
0 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
El Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
' . :, -', , • , 5 .._,,
Valuation: $
0 I - and 2-family dwelling El Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
Number of bathrooms:
0 Master builder 0 Other:
JOB z•,SITE INFORMATION.AND.LOCATION Total number of floors:
Job site address: 9700 SW Washington Square Rd. New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97223-4480 Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: NORDSTROM . • Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
'REQUIRED DATA: COMINERCIATALSE1c4LESIISLIF -.
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
• - -
DESCRIPTION OF MORK work indicated on this application.
00 000
$$28
ti
luaon: , .
fire sprinkler tenant improvement Valuation
Existing building area: square feet
New building area: square feet
0 PROPERTY: OWNER ., I , ; 1 0 'T•E NANT , Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: _ Existing:
Phone: ( ) .
Fax: ( ) New:
C8) APPLICANT ' ' : 123) CONTACT PERSON '
. , NOTICE
Business name: Western States Fire Protection Co. All contractors and subcontractors are required to be
Contact name: Darrell Fluit licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 13896 Fir Street, Suite B jurisdiction in which work is being performed. If the
City/State/ZIP: Oregon City, Oregon 97045 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 657-5155 Fax: : (503) 657-5182
E-mail: darrell.fluit@wsfp.us
.. s • ; . ' - • CONTRACTOR BUILDING PERMIT FEES* -. • ' '
,
- ,I(ilisise , rifer:i6 tei:sehedthe),
• Business name: Western States Fire Protection Co.
Permit fee:
Address: 13896 Fir Street, Suite B
State surcharge (12% of permit fee):
City/State/ZIP: Oregon City, Oregon 97045
FLS plan review (40% of permit fee):
Phone: (503) 657-5155 - Fax: (503) 657-5182 (Due upon application.)
CCB lie.: 104570 Total permit fees:
Amount received:
Authorized signature: ' ' 7—..e....ci:/ This permit application expires if a permit is not obtained
Print name: Darrell Fluit • . Date: 02 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
1: \ BuddingTermits \ FPS-PemutApp doe 10/01/09 440-4613T(11/02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2- Supplemental Information
Describe woik tobe done '
1.) 0 New 2.) Modification to sprinkler heads only:
1:0 Addition 0 1-10 heads: No plan review required.
ig Alteration El 11+ heads: Plan review required.
0 Repair
Number of sprinkler heads: 19
Additional description of work:
,T51*
• , 4 ,‘ • ,
A.) Ciibmitskoxil5phillgiet
-- •
Wet 0 Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ 28,000
13:). iiA -
Hood Project Valuation: I $
C.) Fite ,
Submittal shall Battery Calculations 0 Yes
include: Individual Component 0 Yes
Cut Sheets
Fire Alarm Project Valuation: $
- - "
D.) ResideiMOSfirinkkr(SMind, one Sy -m) s
Square Footage: Permit Fee: 4I,7=4.7---4,,V 's;177421:711'''
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.
, - ,
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: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
C: \ My Data \Drawings \ LS1412 - Nordstrom remodel \City of Tigard permit applicationAtc 10/01/09