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Permit CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT COMMUNITY DEVELOPMENT Permit#: FPS2015 00179 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/12/2015 Parcel: 1 S126CC00100 Jurisdiction: Tigard Site address: 9700 SW WASHINGTON SQUARE RD Project: Nordstroms Subdivision: FAIRVIEW PLACE CONDO Lot: 20 Project Description: Addition of(1)digital alarm communication transmitter(DACT) Contractor: FIRE SYSTEMS WEST INC Owner: PPR WASHINGTON SQUARE, LLC 600 SE MARITIME AVE#300 C/O NORDSTROM VANCOUVER,WA 98661 ATTN: TAX DEPT PO BOX 2229 SEATTLE,WA 98111 PHONE: 360-693-9906 PHONE: FAX: FEES Description Date Amount Specifics:, Permit Fee-COM 11/12/2015 $102.20 12%State Surcharge-Building 11/12/2015 $12.26 Type of Use: COM Plan Review-Fire Life Safety-COM 11/12/2015 $40.88 Class of Work: ALT Type of Const: Info Process/Archiving-Sm$0.50(up to 11/12/2015 $3.00 Occupancy Grp: M Height: ft 11x17) Stories: 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: Pull Station Required: Smoke Detectors Req: Battery Gales Provided: Cut Sheets Required: Total $158.34 Valuations: Required Items and Reports(Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $2,210.00 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 btain a copy of the rules or direct questions too/O/�UNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ,/( /G� 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. Building Permit Application Fire Protection System RECEIVED FOR OFFICE lSE ONE 1' City of Tigard NOV 12 2015 • ' .l, Permit No�/J�_,/s/ri7 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: f'�OF TIGARD Date/By: OtherPermit:G7/g 020/.5.-00,726, TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Date fi ReadyiBd Mey: 3uris: S See Page 2 for Noti Internet: www.tigard-or.gov ethod: Supplemental Information r TYPE O , � ' Avg, I 1:t a ;, 1 ' o..;' �4 ,s ter ", :4-'0 .-.; 'a,�. .- -_ ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling -Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: Total number of floors Job site address: 9 700 S W W A54-1(0 C,7-41,k) S(l\)Aee eb New dwelling area: square feet City/State/ZIP: "F 40 D d Q., 9/22.3 - Garage/carport area: square feet Suite/bldg./apt.no.: l Project name: i■.)Q cDtz..‘S Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet Subdivision: 1 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 WORK work indicated on this application. Valuation: $ ZZ{O atbc-xlGA of OA CT (j ( -1-01-1. 4 r C,e my-.tk tj 1 t•4-7-70 - I Existing building area: square feet .1-r,1 ,'-% L I E ) /V New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: .P O p M Business name: c‘it.E S1/4t--.5C'Ep.S Wm.-5-k-- All contractors and subcontractors are required to be Contact name: 1MAF4 S�uaI �J licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: boo Si f ke.41- P,,C A U E o jurisdiction in which work is being performed.If the City/State/ZIP: 4)coOVCa. �A 9Sla 6 ( applicant is exempt from licensing,the following reasons apply: Phone:rico) 711 -78-5,, Fax::( ) • E-mail: J`�" G7 CONTRACTOR BUILDING PERMIT FEES* Business name: (Please refer to fee schedule) � � Permit fee: Address: City/State/ZIP: State surcharge(12%of permit fee): FLS plan review(40%of permit fee): Phone:( ) Fax:( ) (Due upon application submittal.) CCB lie.: 09--7-5 Total permit fees: Amount received: /_5',Pz 3/ Authorized signature: t . c/t.i/A.._.........._ `/`i This permit application expires if a permit is not obtained Print name: MP�2Cc S iS C ? J Date: 1 fl,12.ZD'S within 180 days after it has been accepted as complete. 1 * Fee methodology set by Tti-County Building Industry Service Board. .--/ fy cr-ti C\Building\Permits\FPS-PermitApp_071514.doc 440-4613T(1 I i02,COMWEB) Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: ....RMDENT;[AI..WQRK-QNLY.:;. .• L..•tl . Description I Qty. I Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: I Burglar Alarm ' 25.01 to 50 kva 301.04 2 I50.01 to 100 kva 552.26 2 Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552'26 2 I Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 I. Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: I Other: Each additional inspection is 66.25/hr 1 charged at an hourly(I hr min) Inspections for which no fee is 90.00/hr specifically listed(%hr min) o - . - � .;. ..;��:, .�...�,-:" ?`,�;;E ""C�'r� ':;gip _ l` �. ��'z.�:::�:: _,�....,�. . ...�,;��E��BI ' .. ER�M1Tr�FEE5��.�.. Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: Audio and Stereo Systems I I Boiler Controls I I Clock Systems I I ata Telecommunication Installation i)e(1D Fire Alarm Installation HVAC Instrumentation Intercom and Paging Systems Landscape Irrigation Control* Medical Nurse Calls I I Outdoor Landscape Lighting* Protective Signaling Other: Total number of commercial systems: r *No licenses are required. Licenses are required for all other installations 1:\Building\Permits\ELC_PeimitApp_ELR_ERE.doc Rev 06/17/2015 Electrical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVED Dat/By: ////21L5 Perill Permit#: a 13125 SW Hall Blvd.,Tigard,OR 97 Plan Review Related Permit# ...1;2104.5..—al 7-� Phone: 503.718.2439 Fax: 503.598.1960 Date/By: / Cil Inspection Line: 503.639.4175 N O V 12 2015 Ready Date/By: Juris: 1 la See Page 2 for TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information •,, a..° •e. , 4'.;m g sit \ 1'=k ❑ ❑ '! ;i .1 t`?O N Please check all that apply(submit 2 sets of plans w/items checked): New construction Addition/al r. _. c'Prtaitl .a ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. t t ` exceeds 10,000 amps at 150 volts or 0 Floating..<r�� �,..: CA ' �1tY 01�,• I7C'I"��1�-�;: ,, :; buildins g ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ['Fire pump. 0 Installation of 150 KVA or a. . ��' `' v�•;e ° ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: Ct 70D �10 W A j.10. 10/0 Silk 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP: '"l 22 ❑Six or more residential units. occupancy. b / Cite— J ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: [ Project name: ❑Hazardous locations. ❑Supply voltage for more than J �� 600 volts nominal. /'� ❑Service or feeder 600 amps or more. Cross street/directions to job site: Description Qty. Each Total * New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 t i \,a 4Limited energy,residential 75.00 2 /�-++ /� (with above sq.ft.) P>o(Tt C4 OP -T-)P's (_C •f��. ©6" IT1 Limited energy,multi-family 75.00 0,0 l ibif-AA 0 See Page 2 Renewable Energy aboveresidential(with sq.ft.) 2 P 0P.ECL 4WJ4NER \ 2 '' 0Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Address: 401 amps to 600 amps 200.34 2 City/State/ZiP: 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 Utt,_;.: �.�.•, -•; � •_1 and � Branch circuits—new,alteration,or extension,per panel •.......C0'' ' A.Fee for branch circuits with Business name: .pt 5 1.1.0-.11--- above service or feeder fee, 7.42 2 A^ each branch circuit Contact name: t1'`mom S -1Ait) B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: e 02 idmiPb._C.r1 ettF_ A try 44-3Obranch circuit City/State/ZIP: Y cm�QarZ Lois, �S6e, Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) -711_78 78 S Fax: :( ) Each manufactured or modular / dwelling,service and/or feeder 67.84 2 Email: /vl tt,e t lL., 'f- E.4S * c.90.--7—. Reconnect only 67.84 2 .. . Pump or irrigation circle 67.84 2 Business name: ra...„ .,,-5-1-,1„,,,,, (4e , Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy v{See Page 2 2 Address: panel,alteration,or extension. //"�� City/StatelZlP: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr clisted /. CCB Lic.: tI973Z Elecfl-ic-.�Lic.: �.G Cj�Suprv.Lic.: 3 k� specifially A ,� hr mm)� ,;, u Suprv.Electrician signature,reduir,s: AP Subtotal: Print name: S e C dti., I Date: 1/02426 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: 0.2TOTAL PERMIT FEE: y (re This permit application expires if a permit is not obtained within 180 Print name: Ah 6i SC tq,/2 Date: ((!�Z.�26,,' days after i ihas been accepted as complete. ` !! * Number of inspections allowed per permit. 1\Building\Permits1ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: tikl1[DEl$; ` ... i. .,. _,IAT:' ` f ` „.fi Fee for all residential systems combined: $75.00 Description Qty. Each Total * Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 5.01 to 15 kva 133.56 2 I 1 I Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: I I Burglar Alarm 25.01 to 50 kva 301.04 2 1 f Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 11 Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 1 3 Li Vacuum Systems* >100 kva-no additional charge 0.0 3 I I Each additional inspection over allowable in any of the above: U Other: Each additional inspection is 66.25/hr 1 charged at an hourly(I hr min) Inspections for which no fee is 90.00/hr specificall listed(%hr min) Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) * Number of inspections allowed per permit. • Check Type of Work Involved: 1 Audio and Stereo Systems LI Boiler Controls n Clock Systems 1 Iata Telecommunication Installation Fire Alarm Installation(D fl HVAC [] Instrumentation I I Intercom and Paging Systems I l Landscape Irrigation Control* I 1 Medical Nurse Calls I I Outdoor Landscape Lighting* I 1 Protective Signaling I Other: Total number of commercial systems: ___t *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELCPermitApp_ELR_ERE.dor Rev 06/17/2015